[Federal Register Volume 71, Number 231 (Friday, December 1, 2006)]
[Rules and Regulations]
[Pages 69624-70251]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 06-9086]



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Part II

Book 2 of 2 Books

Pages 69623-70274





Department of Health and Human Services





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Centers for Medicare & Medicaid Services



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42 CFR Parts 405, 410, et al.



Medicare Program; Revisions to Payment Policies, etc.; Final Rule

  Federal Register / Vol. 71, No. 231 / Friday, December 1, 2006 / 
Rules and Regulations  

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 405, 410, 411, 414, 415, and 424

[CMS-1321-FC and CMS-1317-F]
RINs 0938-AO24 and 0938-AO11


Medicare Program; Revisions to Payment Policies, Five-Year Review 
of Work Relative Value Units, Changes to the Practice Expense 
Methodology Under the Physician Fee Schedule, and Other Changes to 
Payment Under Part B; Revisions to the Payment Policies of Ambulance 
Services Under the Fee Schedule for Ambulance Services; and Ambulance 
Inflation Factor Update for CY 2007

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

ACTION: Final rule with comment period.

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SUMMARY: This final rule with comment period addresses certain 
provisions of the Deficit Reduction Act of 2005, as well as making 
other changes to Medicare Part B payment policy. These changes are 
intended to ensure that our payment systems are updated to reflect 
changes in medical practice and the relative value of services. This 
final rule with comment period also discusses geographic practice cost 
indices (GPCI) changes; requests for additions to the list of 
telehealth services; payment for covered outpatient drugs and 
biologicals; payment for renal dialysis services; policies related to 
private contracts and opt-out; policies related to bone mass 
measurement (BMM) services, independent diagnostic testing facilities 
(IDTFs), the physician self-referral prohibition; laboratory billing 
for the technical component (TC) of physician pathology services; the 
clinical laboratory fee schedule; certification of advanced practice 
nurses; health information technology, the health care information 
transparency initiative; updates the list of certain services subject 
to the physician self-referral prohibitions, finalizes ASP reporting 
requirements, and codifies Medicare's longstanding policy that payment 
of bad debts associated with services paid under a fee schedule/charge-
based system are not allowable.
    We are also finalizing the calendar year (CY) 2006 interim RVUs and 
are issuing interim RVUs for new and revised procedure codes for CY 
2007.
    In addition, this rule includes revisions to payment policies under 
the fee schedule for ambulance services and the ambulance inflation 
factor update for CY 2007.
    As required by the statute, we are announcing that the physician 
fee schedule update for CY 2007 is -5.0 percent, the initial estimate 
for the sustainable growth rate for CY 2007 is 2.0 percent and the CF 
for CY 2007 is $35.9848.

DATES: Effective Date: These regulations are effective on January 1, 
2007.
    Comment Date: Comments will be considered if we receive them at one 
of the addresses provided below, no later than 5 p.m. on January 2, 
2007.

ADDRESSES: In commenting, please refer to file code CMS-1321-FC. 
Because of staff and resource limitations, we cannot accept comments by 
facsimile (FAX) transmission.
    You may submit comments in one of three ways (no duplicates, 
please):
    1. Electronically. You may submit electronic comments on specific 
issues in this regulation to http://www.cms.hhs.gov/eRulemaking. Click 
on the link ``Submit electronic comments on CMS regulations with an 
open comment period.'' (Attachments should be in Microsoft Word, 
WordPerfect, or Excel; however, we prefer Microsoft Word.)
    2. By mail. You may mail written comments (one original and two 
copies) to the following address ONLY: Centers for Medicare & Medicaid 
Services, Department of Health and Human Services, Attention: CMS-1321-
FC, P.O. Box 8014, Baltimore, MD 21244-8014.
    Please allow sufficient time for mailed comments to be received 
before the close of the comment period.
    3. By express or overnight mail. You may send written comments (one 
original and two copies) to the following address only: Centers for 
Medicare & Medicaid Services, Department of Health and Human Services, 
Attention: CMS-1321-FC, Mail Stop C4-26-05, 7500 Security Boulevard, 
Baltimore, MD 21244-1850.
    4. By hand or courier. If you prefer, you may deliver (by hand or 
courier) your written comments (one original and two copies) before the 
close of the comment period to one of the following addresses. If you 
intend to deliver your comments to the Baltimore address, please call 
telephone number (410) 786-7197 in advance to schedule your arrival 
with one of our staff members.
    Room 445-G, Hubert H. Humphrey Building, 200 Independence Avenue, 
SW., Washington, DC 20201; or 7500 Security Boulevard, Baltimore, MD 
21244-1850.
    (Because access to the interior of the HHH Building is not readily 
available to persons without Federal Government identification, 
commenters are encouraged to leave their comments in the CMS drop slots 
located in the main lobby of the building. A stamp-in clock is 
available for persons wishing to retain a proof of filing by stamping 
in and retaining an extra copy of the comments being filed.)
    Comments mailed to the addresses indicated as appropriate for hand 
or courier delivery may be delayed and received after the comment 
period.
    Submission of comments on paperwork requirements. You may submit 
comments on this document's paperwork requirements by mailing your 
comments to the addresses provided at the end of the ``Collection of 
Information Requirements'' section in this document.
    For information on viewing public comments, see the beginning of 
the SUPPLEMENTARY INFORMATION section.

FOR FURTHER INFORMATION CONTACT: Pam West, (410) 786-2302 (for issues 
related to practice expense).
    Stephanie Monroe, (410) 786-6864 (for issues related to the 
geographic practice cost index).
    Craig Dobyski, (410) 786-4584 (for issues related to list of 
telehealth services).
    Roberta Epps, (410) 786-4503 (for issues related to diagnostic 
imaging services).
    Bill Larson, (410) 786-4639 (for issues related to coverage of bone 
mass measurement and addition of ultrasound screening for abdominal 
aortic aneurysm to the ``Welcome to Medicare'' benefit).
    Dorothy Shannon, (410) 786-3396 (for issues related to the 
outpatient therapy cap).
    Catherine Jansto, (410) 786-7762 (for issues related to payment for 
covered outpatient drugs and biologicals).
    Henry Richter, (410) 786-4562 (for issues related to payments for 
end-stage renal disease facilities).
    Fred Grabau, (410) 786-0206 (for issues related to private 
contracts and opt-out provision).
    David Walczak, (410) 786-4475 (for issues related to reassignment 
provisions).
    August Nemec, (410) 786-0612 (for issues related to independent 
diagnostic testing facilities).
    Anita Greenberg, (410) 786-4601 (for issues related to the clinical 
laboratory fee schedule).
    James Menas, (410) 786-4507 (for issues related to payment for 
physician pathology services).
    Anne Tayloe, (410) 786-4546; or

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    Glenn McGuirk, (410) 786-5723 (for issues related to the ambulance 
fee schedule.
    Diane Milstead, (410) 786-3355 or Gaysha Brooks, (410) 786-9649 
(for all other issues).

SUPPLEMENTARY INFORMATION: Submitting Comments: We welcome comments 
from the public on the following issues: interim Relative Value Units 
(RVUs) for selected procedure codes identified in Addendum C and the 
physician self-referral designated health services (DHS) listed in 
Tables 18 and 19. You can assist us by referencing the file code CMS-
1321-FC and the specific ``issue identifier'' that precedes the section 
on which you choose to comment.
    Inspection of Public Comments: All comments received before the 
close of the comment period are available for viewing by the public, 
including any personally identifiable or confidential business 
information that is included in a comment. We post all comments 
received before the close of the comment period on the following Web 
site as soon as possible after they have been received: http://www.cms.hhs.gov/eRulemaking. Click on the link ``Electronic Comments on 
CMS Regulations'' on that Web site to view public comments.
    Comments received timely will also be available for public 
inspection as they are received, generally beginning approximately 3 
weeks after publication of a document, at the headquarters of the 
Centers for Medicare & Medicaid Services, 7500 Security Boulevard, 
Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 
a.m. to 4 p.m. To schedule an appointment to view public comments, 
phone 1-800-743-3951.
    This Federal Register document is also available from the Federal 
Register online database through Government Printing Office Access, a 
service of the U.S. Government Printing Office. The Web site address 
is: http://www.access.gpo.gov/nara/index.html.
    Information on the physician fee schedule can also be found on the 
CMS homepage. You can access this data by using the following 
directions:
    1. Go to the following Web site: http://www.cms.hhs.gov/PhysicianFeeSched/.
    2. Select ``PFS Federal Regulation Notices.''
    To assist readers in referencing sections contained in this 
preamble, we are providing the following table of contents. Some of the 
issues discussed in this preamble affect the payment policies, but do 
not require changes to the regulations in the Code of Federal 
Regulations. Information on the regulation's impact appears throughout 
the preamble and is not exclusively in section VI.

Table of Contents

I. Background
    A. Development of the Relative Value System
    B. Components of the Fee Schedule Payment Amounts
    C. Most Recent Changes to the Fee Schedule
II. Provisions of the Final Rule
    A. Resource-Based Practice Expense Relative Value Units
    1. Current Methodology
    2. Proposals for Revising the PE Methodology
    3. Specific Changes to the Indirect PE Methodology for Calendar 
Year 2007
    4. Additional PE Issues for CY 2007
    a. RUC Recommendations for Direct PE Inputs and Other PE Input 
Issues
    b. Payment for Splint and Cast Supplies
    c. Medical Nutrition Therapy Services
    d. Surgical Pathology Codes
    e. PE Issues from Rulemaking for CY 2006
    f. Other PE Issues for CY 2007
    g. Specific PE Concerns Raised by Commenters
    h. Concerns About Decreases in PE RVUs
    i. Equipment Utilization and Interest Rate Assumptions
    j. Further Review of PE Direct Inputs
    k. Supply and Equipment Items Needing Specialty Input
    B. Geographic Practice Cost Indices (GPCIs)
    C. Medicare Telehealth Services
    D. Miscellaneous Coding Issues
    1. Global Period for Remote Afterloading High Intensity 
Brachytherapy Procedures
    2. Assignment of RVUS for Proton Beam Treatment Delivery 
Services
    E. Deficit Reduction Act (DRA)
    1. Section 5102--Adjustments for Payments to Imaging Services
    a. Payment for Multiple Imaging Procedures for 2007
    b. Reduction in TC for Imaging Services Under the PFS to OPD 
Payment Amount
    c. Interaction of the Multiple Imaging Payment Reduction and the 
OPPS Cap
    2. Section 5107--Revisions to Payments for Therapy Services
    3. Section 5112--Addition of Ultrasound Screening for Abdominal 
Aortic Aneurysm (AAA)
    a. Coverage
    b. Payment
    4. Section 5113--Non-Application of the Part B Deductible for 
Colorectal Cancer Screening Tests
    5. Section 5114--Addition of Diabetes Outpatient Self-Management 
Training Services (DSMT) and Medical Nutrition Therapy (MNT) for the 
FQHC Program
    F. Payment for Covered Outpatient Drugs and Biologicals (ASP 
Issues)
    1. ASP Issues
    2. Intravenous Immune Globulin (IVIG)
    3. Clotting Factor Furnishing Fee
    4. Widely Available Market Prices (WAMP) and Average 
Manufacturer Price (AMP) Threshold
    5. Payment for Drugs Furnished During CY 2006 and Subsequent 
Years in Connection With the Furnishing of Renal Dialysis Services 
if Separately Billed by Renal Dialysis Facilities
    6. Other Issues
    G. Revisions Related to Payment for Renal Dialysis Services 
Furnished by End Stage Renal Disease (ESRD) Facilities
    1. Growth Update to the Drug Add-on Adjustment to the Composite 
Rate
    2. Update to the Geographic Adjustments to the Composite Rates
    H. Private Contracts and Opt-Out Provision--Practitioner 
Definition
    I. Changes to Reassignment and Physician Self-Referral Rules 
Relating to Diagnostic Tests
    J. Supplier Access to Claims Billed on Reassignment
    K. Coverage of Bone Mass Measurement
    1. Provisions of the June 24, 1998 IFC
    2. Additional Scientific Evidence
    3. Changes to the June 24, 1998 IFC
    4. Analysis of and Response to Comments on the June 24, 1998 IFC 
and the CY 2007 PFS Proposed Rule
    L. Independent Diagnostic Testing Facility (IDTF) Issues
    1. IDTF Changes
    2. Performance Standards for IDTFs
    3. Supervision
    4. Place of Service
    5. Analysis of and Response to Public Comments
    6. Provisions of the Final Rule
    M. Independent Laboratory Billing for the TC of Physician 
Pathology Services to Hospital Patients
    N. Public Consultation for Medicare Payment for New Outpatient 
Clinical Diagnostic Laboratory Tests
    1. Medicare, Medicaid, and SCHIP Benefits Improvement Protection 
Act of 2000 (BIPA)
    2. Medicare Prescription Drug, Improvement, and Modernization 
Act of 2003 (MMA)
    3. Other Laboratory Issues
    a. Quality
    b. Blood Glucose Monitoring in SNFs
    c. Other Lab Issues--Clinical Diagnostic Laboratory Date of 
Service (DOS) for Stored Specimens
    O. Criteria for National Certifying Bodies that Certify Advanced 
Practice Nurses
    P. Chiropractic Services Demonstration
    Q. Promoting Effective Use of Health Information Technology 
(HIT)
    R. Health Care Information Transparency Initiative
    S. Bad Debt Payment for Services Associated with Reasonable 
Charge/Fee Schedules
III. Revisions to the Payment Policies of Ambulance Services Under 
the Fee Schedule for Ambulance Services and the Ambulance Inflation 
Factor Update for CY 2007
    A. History of Medicare Ambulance Services
    B. Provisions of the Final Regulation
    C. Analysis of and Responses to Public Comments
    D. Ambulance Inflation Factor (AIF) for 2007

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IV. Five-Year Refinement of Relative Value Units Under the Physician 
Fee Schedule: Responses to Public Comments on the Five-Year Review 
of Work Relative Value Units
    A. Scope of Five-Year Review
    B. Review of Comments (Includes Table entitled ``Work RVU 
Revisions in Response to the June 29, 2006 proposed notice'')
    C. Discussion of Comments by Clinical Area
    1. Dermatology and Plastic Surgery
    2. Orthopedic Surgery
    3. Gynecology, Urology, Pain Medicine, and Neurosurgery
    4. Radiology, Pathology, and Other Miscellaneous Services
    5. Evaluation and Management Services
    6. Cardiothoracic Surgery
    7. General, Colorectal and Vascular Surgery
    8. Otolaryngology and Ophthalmology
    9. HCPAC codes
    D. Other Issues Under the 5-Year Review
    1. Anesthesia Services
    2. Discussion of Post-Operative Visits included in the Global 
Surgical Packages
    3. Budget Neutrality
    4. Review Process
V. Refinement of Relative Value Units for Calendar Year 2007 and 
Response to Public Comments on Interim Relative Value Units for 2006
    A. Summary of Issues Discussed Related to the Adjustment of 
Relative Value Units
    B. Process for Establishing Work Relative Value Units for the 
2006 Physician Fee Schedule
    C. Work Relative Value Unit Refinements of Interim Relative 
Value Units
    1. Methodology (Includes table entitled ``2006 Interim Work 
Relative Value Units for Codes Reviewed Under the Refinement Panel 
Process'')
    2. Interim 2006 Codes
    D. Establishment of Interim Work Relative Value Units for New 
and Revised Physician's Current Procedural Terminology (CPT) Codes 
and New Healthcare Common Procedure Coding System Codes (HCPCS) for 
2007 (Includes Table titled ``American Medical Association Specialty 
Relative Value Update Committee and Health Care Professionals 
Advisory Committee Recommendations and CMS' Decisions for New and 
Revised 2007 CPT Codes'')
    E. Discussion of Codes for Which There Were No RUC 
Recommendations or for Which the RUC Recommendations Were Not 
Accepted
    F. Additional Pricing Issue
    G. Establishment of Interim PE RVUs for New and Revised 
Physician's Current Procedural Terminology (CPT) Codes and New 
Healthcare Common Procedure Coding System (HCPCS) Codes for 2007
VI. Physician Self-Referral Prohibition: Annual Update to the List 
of CPT/HCPCS Codes
    A. General
    B. Nuclear Medicine
    C. Annual Update to the Code List
VII. Physician Fee Schedule Update for CY 2007
    A. Physician Fee Schedule Update
    B. The Percentage Change in the Medicare Economic Index (MEI)
    C. The Update Adjustment Factor (UAF)
VIII. Allowed Expenditures for Physicians' Services and the 
Sustainable Growth Rate
    A. Medicare Sustainable Growth Rate
    B. Physicians' Services
    C. Preliminary Estimate of the SGR for 2007
    D. Revised Sustainable Growth Rate for 2006
    E. Final Sustainable Growth Rate for 2005
    F. Calculation of 2007, 2006, and 2005 Sustainable Growth Rates
IX. Anesthesia and Physician Fee Schedule Conversion Factors for CY 
2007
    A. Physician Fee Schedule Conversion Factor
    B. Anesthesia Fee Schedule Conversion Factor
X. Telehealth Originating Site Facility Fee Payment Amount Update
    XI. Provisions of the Final Rule
    XII. Waiver of Proposed Rulemaking and Delay in Effective Date
    XIII. Collection of Information Requirements
    XIV. Response to Comments
    XV. Regulatory Impact Analysis
    A. RVU Impacts
    1. Resource-Based Work and PE RVUs
    2. Section 5102 of the DRA Adjustments for Payments for Imaging 
Services
    3. Combined Impacts
    B. Geographic Practice Cost Indices (GPCI) Payment Localities
    C. Global Period for Remote Afterloading High Intensity 
Brachytherapy Procedures
    D. DRA 5112: Addition of Ultrasound Screening for Abdominal 
Aortic Aneurysm to ``Welcome to Medicare'' Benefit
    E. DRA 5113: Colorectal Screening Exemption from Part B 
Deductible
    F. Section 5114: Addition of Diabetes Outpatient Self-management 
Training Services (DSMT) and Medical Nutrition Therapy (MNT) for the 
FQHC Program
    G. Payment for Covered Outpatient Drugs and Biologicals (ASP 
Issues)
    H. Provisions Related to Payment for Renal Dialysis Services 
Furnished by End State Renal Disease (ESRD) Facilities
I. Private Contracts and Opt-out Provision
    J. Supplier Access to Claims Billed on Reassignment
    K. Coverage of Bone Mass Measurement
    L. IDTF Changes
    M. Independent Lab Billing for TC Component of Physician 
Pathology Services for Hospital Patients
    N. Public Consultation for Medicare Payment for New Outpatient 
Clinical Diagnostic Laboratory Tests
    O. Bad Debt Payment for Services Associated with Reasonable 
Charge/Fee Schedules
    P. Revisions to Payment Policies under the Ambulance Fee 
Schedule and the Ambulance Inflation Factor Update for CY 2007
    Q. Alternatives Considered
    R. Impact on Beneficiaries
    S. Accounting Statement
Addendum A--Explanation and Use of Addendum B.
Addendum B--2007 Relative Value Units and Related Information Used 
in Determining Medicare Payments for 2006.
Addendum C--Codes with Interim RVUs
Addendum D--2007 Geographic Practice Cost Indices by Medicare 
Carrier and Locality
Addendum E--GAF Addenda
Addendum F--Addendum F: CPT/HCPCS Imaging Codes Defined by DRA 
5102(b)
Addendum G--CY 2007 Wage Index For Urban Areas Based On CBSA Labor 
Market Areas
Addendum H--CY 2007 ESRD Wage Index for Rural Areas Based on CBSA 
Labor Market Areas
Addendum I--RUCA Rurality Level by State and Zip Code
Addendum J--Updated List of CPT/HCPCS Codes Used to Describe Certain 
Designated Health Services Under the Physician Self-Referral 
Provision
    In addition, because of the many organizations and terms to 
which we refer by acronym in this final rule with comment period, we 
are listing these acronyms and their corresponding terms in 
alphabetical order below:

AAA Abdominal aortic aneurysm
AAD American Academy of Dermatology
AAFP American Academy of Family Physicians
AANS American Association of Neurological Surgeons
AAO American Academy of Ophthalmology
AAOS American Academy of Orthopaedic Surgeons
AATS American Association for Thoracic Surgery
ACC American College of Cardiology
ACG American College of Gastroenterology
ACHPN Advanced Certified Hospice and Palliative Nurse
ACOG American College of Obstetrics and Gynecology
ACR American College of Radiology
ACS American College of Surgeons
ADA American Dietetic Association
AFROC Association of Freestanding Radiation Oncology Centers
AGA American Gastroenterological Association
AMA American Medical Association
AMP Average manufacturer price
APC Ambulatory payment classification
ASA American Society of Anesthesiologists
ASC Ambulatory surgical center
ASCRS American Society of Colon and Rectal Surgeons
ASGE American Society of Gastrointestinal Endoscopy
ASP Average sales price
ASSH American Society for Surgery of the Hand
ASTRO American Society for Therapeutic Radiology and Oncology
AUA American Urological Association
BBA Balanced Budget Act of 1997 (Pub. L. 105-33)
BBRA [Medicare, Medicaid and State Child Health Insurance Program] 
Balanced Budget Refinement Act of 1999 (Pub. L. 106-113)

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BIPA Medicare, Medicaid, and SCHIP Benefits Improvement Protection 
Act of 2000
BLS Bureau of Labor Statistics
BMD Bone mineral density
BMM Bone mass measurement
BN Budget neutrality
BNF Budget neutrality factor
BP Best price
CAD Computer-aided detection
CAH Critical access hospital
CAP Competitive acquisition program
CBSA Core-Based Statistical Area
CCI Correct Coding Initiative
CEO Chief executive officer
CF Conversion factor
CFO Chief financial officer
CFR Code of Federal Regulations
CMP Competitive medical plan
CMS Centers for Medicare & Medicaid Services
CNS Clinical nurse specialist
CPI Consumer Price Index
CPT (Physicians') Current Procedural Terminology (4th Edition, 2002, 
copyrighted by the American Medical Association)
CT Computed tomography
CTA Computed tomographic angiography
CY Calendar year
DHS Designated health services
DME Durable medical equipment
DMEPOS Durable medical equipment, prosthetics, orthotics, and 
supplies
DRA Deficit Reduction Act
DSMT Diabetes outpatient self-management training services
DXA Dual energy x-ray absorptiometry
E/M Evaluation and management
EPO Erythopoeitin
ESRD End stage renal disease
FAX Facsimile
FDA Food and Drug Administration (HHS)
FQHC Federally qualified health center
FR Federal Register
GAF Geographic adjustment factor
GAO Government Accountability Office
GDP Gross domestic product
GPO Group purchasing organization
GPCI Geographic practice cost index
HCPAC Health Care Professional Advisory Committee
HCPCS Healthcare Common Procedure Coding System
HCRIS Healthcare Cost Report Information System
HSA Health Savings Account
HHA Home health agency
HHS [Department of] Health and Human Services
HIT Health information technology
HMO Health maintenance organization
HOCM High osmolar contrast media
HPSA Health Professional Shortage Area
HRSA Health Resources Services Administration (HHS)
HUD [Department of] Housing and Urban Development
ICF Intermediate care facilities
IDTF Independent diagnostic testing facility
IFC Interim final rule with comment period
IPPE Initial preventive physical examination
IPPS Inpatient prospective payment system
IVIG Intravenous immune globulin
IWPUT Intra-service work per unit of time
JCAAI Joint Council of Allergy, Asthma, and Immunology
LCD Local coverage determination
LOCM Low osmolar contrast media
LOINC Logical Observation Identifiers Names and Codes
MA Medicare Advantage
MCP Monthly capitation payment
MedPAC Medicare Payment Advisory Commission
MEI Medicare Economic Index
MLN Medicare Learning Network
MMA Medicare Prescription Drug, Improvement, and Modernization Act 
of 2003 (Pub. L. 108-173)
MNT Medical nutrition therapy
MRA Magnetic resonance angiography
MRI Magnetic resonance imaging
MSA Metropolitan statistical area
MSVP Multi-specialty visit package
NCD National coverage determination
NCQDIS National Coalition of Quality Diagnostic Imaging Services
NDC National drug code
NEMA National Electrical Manufacturers Association
NHE National health expenditures
NOP National Osteoporosis Foundation
NP Nurse practitioner
NPP Nonphysician practitioners
NPWP Nonphysician Work Pool
NSQIP National Surgical Quality Improvement Program
OBRA Omnibus Budget Reconciliation Act
OIG Office of Inspector General
OMB Office of Management and Budget
OPD Outpatient Department
OPPS Outpatient prospective payment system
OSCAR Online Survey and Certification and Reporting
PA Physician assistant
PBM Pharmacy benefit managers
PC Professional component
PE Practice Expense
PE/HR Practice expense per hour
PEAC Practice Expense Advisory Committee
PERC Practice Expense Review Committee
PET Positron emission tomography
PFS Physician Fee Schedule
PLI Professional liability insurance
PPI Producer price index
PPO Preferred provider organization
PPS Prospective payment system
PRA Paperwork Reduction Act
PRM Provider Reimbursement Manual
PT Physical therapy
QCT Quantitative computerized tomography
RFA Regulatory Flexibility Act
RHC Rural health clinic
RIA Regulatory impact analysis
RN Registered nurse
RUC [AMA's Specialty Society] Relative (Value) Update Committee
RVU Relative value unit
SGR Sustainable growth rate
SMS [AMA's] Socioeconomic Monitoring System
SNF Skilled nursing facility
SNM Society for Nuclear Medicine
SPA Single photon absorptiometry
STS Society of Thoracic Surgeons
SVS Society for Vascular Surgery
SXA Single energy x-ray absorptiometry
TA Technology Assessment
TC Technical Component
UAF Update adjustment factor
UPIN Unique Physician Identification Number
USPSTF United States Preventive Services Task Force
VA [Department of] Veteran Affairs
WAC Wholesale acquisition cost
WAMP Widely available market price
WHO World Health Organization

I. Background

    Since January 1, 1992, Medicare has paid for physicians' services 
under section 1848 of the Social Security Act (the Act), ``Payment for 
Physicians' Services.'' The Act requires that payments under the 
physician fee schedule (PFS) be based on national uniform relative 
value units (RVUs) based on the resources used in furnishing a service. 
Section 1848(c) of the Act requires that national RVUs be established 
for physician work, practice expense (PE), and malpractice expense. 
Before the establishment of the resource-based relative value system, 
Medicare payment for physicians' services was based on reasonable 
charges.

A. Development of the Relative Value System

1. Work RVUs
    The concepts and methodology underlying the PFS were enacted as 
part of the Omnibus Budget Reconciliation Act (OBRA) of 1989 (Pub. L. 
101-239), and OBRA 1990 (Pub. L. 101-508). The final rule, published 
November 25, 1991 (56 FR 59502), set forth the fee schedule for payment 
for physicians' services beginning January 1, 1992. Initially, only the 
physician work RVUs were resource-based, and the PE and malpractice 
RVUs were based on average allowable charges.
    The physician work RVUs established for the implementation of the 
fee schedule in January 1992 were developed with extensive input from 
the physician community. A research team at the Harvard School of 
Public Health developed the original physician work RVUs for most codes 
in a cooperative agreement with the Department of Health and Human 
Services (HHS). In constructing the code-specific vignettes for the 
original physician work RVUs, Harvard worked with panels of experts, 
both inside and outside the Federal government, and obtained input from 
numerous physician specialty groups.
    Section 1848(b)(2)(A) of the Act specifies that the RVUs for 
radiology services are based on relative value scale we adopted under 
section

[[Page 69628]]

1834(b)(1)(A) of the Act, (the American College of Radiology (ACR) 
relative value scale), which we integrated into the overall PFS. 
Section 1848(b)(2)(B) of the Act specifies that the RVUs for anesthesia 
services are based on RVUs from a uniform relative value guide. We 
established a separate conversion factor (CF) for anesthesia services, 
and we continue to utilize time units as a factor in determining 
payment for these services. As a result, there is a separate payment 
methodology for anesthesia services.
    We establish physician work RVUs for new and revised codes based on 
recommendations received from the American Medical Association's (AMA) 
Specialty Society Relative Value Update Committee (RUC).
2. Practice Expense Relative Value Units (PE RVUs)
    Section 121 of the Social Security Act Amendments of 1994 (Pub. L. 
103-432), enacted on October 31, 1994, amended section 
1848(c)(2)(C)(ii) of the Act and required us to develop resource-based 
PE RVUs for each physician's service beginning in 1998. We were to 
consider general categories of expenses (such as office rent and wages 
of personnel, but excluding malpractice expenses) comprising PEs.
    Section 4505(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 
105-33), amended section 1848(c)(2)(C)(ii) of the Act to delay 
implementation of the resource-based PE RVU system until January 1, 
1999. In addition, section 4505(b) of the BBA provided for a 4-year 
transition period from charge-based PE RVUs to resource-based RVUs.
    We established the resource-based PE RVUs for each physician's 
service in a final rule, published November 2, 1998 (63 FR 58814), 
effective for services furnished in 1999. Based on the requirement to 
transition to a resource-based system for PE over a 4-year period, 
resource-based PE RVUs did not become fully effective until 2002.
    This resource-based system was based on two significant sources of 
actual PE data: The Clinical Practice Expert Panel (CPEP) data and the 
AMA's Socioeconomic Monitoring System (SMS) data. The CPEP data were 
collected from panels of physicians, practice administrators, and 
nonphysicians (for example, registered nurses) nominated by physician 
specialty societies and other groups. The CPEP panels identified the 
direct inputs required for each physician's service in both the office 
setting and out-of-office setting. The AMA's SMS data provided 
aggregate specialty-specific information on hours worked and PEs.
    Separate PE RVUs are established for procedures that can be 
performed in both a nonfacility setting, such as a physician's office, 
and a facility setting, such as a hospital outpatient department (OPD). 
The difference between the facility and nonfacility RVUs reflects the 
fact that a facility receives separate payment from Medicare for its 
costs of providing the service, apart from payment under the PFS. The 
nonfacility RVUs reflect all of the direct and indirect PEs of 
providing a particular service.
    Section 212 of the Balanced Budget Refinement Act of 1999 (BBRA) 
(Pub. L. 106-113) directed the Secretary of Health and Human Services 
(the Secretary) to establish a process under which we accept and use, 
to the maximum extent practicable and consistent with sound data 
practices, data collected or developed by entities and organizations to 
supplement the data we normally collect in determining the PE 
component. On May 3, 2000, we published the interim final rule (65 FR 
25664) that set forth the criteria for the submission of these 
supplemental PE survey data. The criteria were modified in response to 
comments received, and published in the Federal Register (65 FR 65376) 
as part of a November 1, 2000 final rule. The PFS final rules published 
in 2001 and 2003, respectively, (66 FR 55246 and 68 FR 63196) extended 
the period during which we would accept these supplemental data.
3. Resource-Based Malpractice RVUs
    Section 4505(f) of the BBA amended section 1848(c) of the Act to 
require us to implement resource-based malpractice RVUs for services 
furnished on or after 2000. The resource-based malpractice RVUs were 
implemented in the PFS final rule published November 2, 1999 (64 FR 
59380) (hereinafter referred to as the CY 2000 PFS final rule). The 
malpractice RVUs were based on malpractice insurance premium data 
collected from commercial and physician-owned insurers from all the 
States, the District of Columbia, and Puerto Rico.
4. Refinements to the RVUs
    Section 1848(c)(2)(B)(i) of the Act requires that we review all 
RVUs no less often than every 5 years. The first 5-year review of the 
physician work RVUs went into effect in 1997, published on November 22, 
1996 (61 FR 59489). The second 5-year review of work RVUs went into 
effect in 2002, published on November 1, 2001 (66 FR 55246). The third 
5-year review is being finalized in this rule for CY 2007.
    In 1999, the AMA's RUC established the Practice Expense Advisory 
Committee (PEAC) for the purpose of refining the direct PE inputs. 
Through March 2004, the PEAC provided recommendations to CMS for over 
7,600 codes (all but a few hundred of the codes currently listed in the 
AMA's Current Procedural Terminology (CPT) codes).
    In the November 15, 2004, PFS final rule (69 FR 66236) (hereinafter 
referred to as the CY 2005 PFS final rule), we implemented the first 5-
year review of the malpractice RVUs (69 FR 66263).
5. Adjustments to RVUS Are Budget Neutral
    Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments 
in RVUs for a year may not cause total PFS payments to differ by more 
than $20 million from what they would have been if the adjustments were 
not made. In accordance with section 1848(c)(2)(B)(ii)(II) of the Act, 
if adjustments to RVUs cause expenditures to change by more than $20 
million, we make adjustments to ensure that expenditures do not 
increase or decrease by more than $20 million.

B. Components of the Fee Schedule Payment Amounts

    To calculate the payment for every physician service, the 
components of the fee schedule (physician work, PE, and malpractice 
RVUs) are adjusted by a geographic practice cost index (GPCI). The 
GPCIs reflect the relative costs of physician work, PEs, and 
malpractice insurance in an area compared to the national average costs 
for each component.
    Payments are converted to dollar amounts through the application of 
a CF, which is calculated by the Office of the Actuary and is updated 
annually for inflation.
    The general formula for calculating the Medicare fee schedule 
amount for a given service and fee schedule area can be expressed as:

Payment = [(RVU work x GPCI work) + (RVU PE x GPCI PE) + (RVU 
malpractice x GPCI malpractice)] x CF.

    However, as discussed in section IV.D of this final rule with 
comment period, due to the need to meet the budget neutrality (BN) 
provisions of 1848(c)(2)(B)(ii), we are applying a BN adjustor to the 
work RVUs in order to calculate payment for a service. Therefore, 
payment for services will now be calculated as follows:


[[Page 69629]]


Payment = [(RVU work x BN adjustor x GPCI work) + (RVU PE x GPCI PE) + 
(RVU malpractice x GPCI malpractice)] x CF.)

C. Most Recent Changes to the Fee Schedule

    The final rule with comment period that appeared in the Federal 
Register on November 21, 2005 (70 FR 70116) (hereinafter referred to as 
the CY 2006 PFS final rule with comment period) addressed Medicare Part 
B payment policy including the PFS that is applicable for CY 2006; and 
finalized certain provisions of the interim final rule to implement the 
Competitive Acquisition Program (CAP) for Part B Drugs.
    It also revised Medicare Part B payment and related policies 
regarding: physician work, PE and malpractice RVUs; Medicare telehealth 
services; multiple diagnostic imaging procedures; covered outpatient 
drugs and biologicals; supplemental payments to Federally Qualified 
Health Centers (FQHCs); renal dialysis services; coverage for glaucoma 
screening services; National Coverage Determination (NCD) timeframes; 
and physician referrals for nuclear medicine services and supplies to 
health care entities with which physicians have financial 
relationships.
    In addition, the rule finalized the interim RVUs for CY 2005 and 
issued interim RVUs for new and revised procedure codes for CY 2006. 
The rule also updated the codes subject to the physician self-referral 
prohibition and discussed payment policies relating to teaching 
anesthesia services, therapy caps, private contracts and opt-out, and 
chiropractic and oncology demonstrations.
    In accordance with section 1848(d)(1)(E)(i) of the Act, we also 
announced that the PFS update for CY 2006 would be -4.4 percent; the 
initial estimate for the sustainable growth rate for CY 2006 would be 
1.7 percent; and the CF for CY 2006 would be $36.1770. However, 
subsequent to publication of the CY 2006 PFS final rule with comment 
period, section 5104 of the Deficit Reduction Act (DRA) of 2005 (Pub. 
L. 109-171, February 8, 2006), was enacted which amended section 
1848(d) of the statute. As a result of this statutory change we 
maintained the CY 2005 CF of $37.8975 for CY 2006.
    We also note that the Five-Year Review of Work Relative Value Units 
Under the Physician Fee Schedule and Proposed Changes to the Practice 
Expense Methodology proposed notice appeared in the Federal Register on 
June 29, 2006 (71 FR 37170). In that notice, we proposed revisions to 
work RVUs affecting payment for physicians' services. The revisions 
reflect changes in medical practice, coding changes, and new data on 
relative value components that affect the relative amount of physician 
work required to perform each service, as required by the statute. We 
also proposed revisions to our methodology for calculating PE RVUs, 
including changes based on supplemental survey data for PE. This 
revised methodology would be used to establish payment for services 
beginning January 1, 2007.
    In this final rule with comment period, we are responding to the 
comments received on that notice. To the extent that comments received 
were outside the scope of the proposed notice, they are not addressed 
in this rule.
    Work RVU revisions will be fully implemented for services furnished 
to Medicare beneficiaries on or after January 1, 2007. The changes in 
PE methodology will be phased-in over a 4-year period; although, as we 
gain experience with the new methodology, we will reexamine this policy 
beginning next year and propose necessary revisions through future 
rulemaking.

II. Provisions of the Proposed Rule

A. Resource-Based Practice Expense (PE) Relative Value Units (RVUs)

    Practice expense (PE) is the portion of the resources used in 
furnishing the service that reflects the general categories of 
physician and practitioner expenses, such as office rent and personnel 
wages but excluding malpractice expenses, as specified in section 
1848(c)(1)(B) of the Act.
    Section 121 of the Social Security Amendments of 1994 (Pub. L. 103-
432), enacted on October 31, 1994, required CMS to develop a 
methodology for a resource-based system for determining PE RVUs for 
each physician's service. Until that time, PEs were based on historical 
allowed charges. This legislation stated that the revised PE 
methodology must consider the staff, equipment, and supplies used in 
the provision of various medical and surgical services in various 
settings beginning in 1998. The Secretary has interpreted this to mean 
that Medicare payments for each service would be based on the relative 
PE resources typically involved with furnishing the service.
    The initial implementation of resource-based PE RVUs was delayed 
from January 1, 1998, until January 1, 1999, by section 4505(a) of the 
BBA. In addition, section 4505(b) of the BBA required that the new 
payment methodology be phased-in over 4 years, effective for services 
furnished in CY 1999, and fully effective in CY 2002. The first step 
toward implementation of the statute was to adjust the PE values for 
certain services for CY 1998. Section 4505(d) of the BBA required that, 
in developing the resource-based PE RVUs, the Secretary must:
     Use, to the maximum extent possible, generally accepted 
cost accounting principles that recognize all staff, equipment, 
supplies, and expenses, not solely those that can be linked to specific 
procedures.
     Develop a refinement method to be used during the 
transition.
     Consider, in the course of notice and comment rulemaking, 
impact projections that compare new proposed payment amounts to data on 
actual physician PE.
    Beginning in CY 1999, we began the 4-year transition to resource-
based PE RVUs. In CY 2002, the resource-based PE RVUs were fully 
transitioned.
1. Current Methodology
    The following sections discuss the current PE methodology.
a. Data Sources
    There are two primary data sources used to calculate PE. The AMA's 
Socioeconomic Monitoring System (SMS) survey data are used to develop 
the PE per hour (PE/HR) for each specialty. The second source of data 
used to calculate PE was originally developed by the Clinical Practice 
Expert Panels (CPEP). The CPEP data include the supplies, equipment and 
staff times specific to each procedure.
    The AMA developed the SMS survey in 1981 and discontinued it in 
1999. Beginning in 2002, we incorporated the 1999 SMS survey data into 
our calculation of the PE RVUs, using a 5-year average of SMS survey 
data. (See Revisions to Payment Policies and Five-Year Review of and 
Adjustments to the Relative Value Units Under the Physician Fee 
Schedule for CY 2002 final rule, published November 1, 2001 (66 FR 
55246) (hereinafter referred to as CY 2002 PFS final rule).) The SMS PE 
survey data are adjusted to a common year, 1995. The SMS data provide 
the following six categories of PE costs:
     Clinical payroll expenses, which are payroll expenses 
(including fringe benefits) for nonphysician personnel.
     Administrative payroll expenses, which are payroll 
expenses (including fringe benefits) for nonphysician personnel 
involved in administrative, secretarial or clerical activities.

[[Page 69630]]

     Office expenses, which include expenses for rent, mortgage 
interest, depreciation on medical buildings, utilities and telephones.
     Medical material and supply expenses, which include 
expenses for drugs, x-ray films, and disposable medical products.
     Medical equipment expenses, which include expenses 
depreciation, leases, and rent of medical equipment used in the 
diagnosis or treatment of patients.
     All other expenses, which include expenses for legal 
services, accounting, office management, professional association 
memberships, and any professional expenses not previously mentioned in 
this section.
    In accordance with section 212 of the BBRA, we established a 
process to supplement the SMS data for a specialty with data collected 
by entities and organizations other than the AMA (that is, the 
specialty itself). (See the Criteria for Submitting Supplemental 
Practice Expense Survey Data interim final rule with comment period, 
(May 3, 2000, 65 FR 25664).) Originally, the deadline to submit 
supplementary survey data was through August 1, 2001. In the CY 2002 
PFS final rule (66 FR 55246), the deadline was extended through August 
1, 2003. To ensure maximum opportunity for specialties to submit 
supplementary survey data, we extended the deadline to submit surveys 
until March 1, 2005 in the Revisions to Payment Policies Under the 
Physician Fee Schedule for CY 2004 final rule, (November 7, 2003; 68 FR 
63196) (hereinafter referred to as CY 2004 PFS final rule).
    The CPEPs consisted of panels of physicians, practice 
administrators, and nonphysicians (registered nurses (RNs), for 
example) who were nominated by physician specialty societies and other 
groups. There were 15 CPEPs consisting of 180 members from more than 61 
specialties and subspecialties. Approximately 50 percent of the 
panelists were physicians.
    The CPEPs identified specific inputs involved in each physician's 
service provided in an office or facility setting. The inputs 
identified were the quantity and type of nonphysician labor, medical 
supplies, and medical equipment.
    In 1999, the AMA's RUC established the Practice Expense Advisory 
Committee (PEAC). From 1999 to March 2004, the PEAC, a multi-specialty 
committee, reviewed the original CPEP inputs and provided us with 
recommendations for refining these direct PE inputs for existing CPT 
codes. Through its last meeting in March 2004, the PEAC provided 
recommendations for over 7,600 codes which we have reviewed and 
accepted. As a result, the current PE inputs differ markedly from those 
originally recommended by the CPEPs. The PEAC has now been replaced by 
the Practice Expense Review Committee (PERC), which acts to assist the 
RUC in recommending PE inputs.
b. Allocation of PE to Services
    To establish PE RVUs for specific services, it is necessary to 
establish the direct and indirect PE associated with each service. Our 
current approach allocates aggregate specialty practice costs to 
specific procedures and, thus, is often referred to as a ``top-down'' 
approach. The specialty PEs are derived from the AMA's SMS survey and 
supplementary survey data. The PEs for a given specialty are allocated 
to the services furnished by that specialty on the basis of the direct 
input data and work RVUs assigned to each CPT code. The specific 
process is outlined in the June 29, 2006 proposed notice (71 FR 37242).
c. Other Methodological Issues: Nonphysician Work Pool (NPWP)
    As an interim measure, until we could further analyze the effect of 
the top-down methodology on the Medicare payment for services with no 
physician work (including the technical components (TCs) of radiation 
oncology, radiology and other diagnostic tests), we created a separate 
PE pool for these services. However, any specialty society could 
request that its services be removed from the nonphysician work pool 
(NPWP). The specific steps for the NPWP calculation are detailed in the 
June 29, 2006 proposed notice (71 FR 37243).
d. Facility/Non-facility Costs
    Procedures that can be furnished in a physician's office, as well 
as in a hospital, have two PE RVUs: facility and non-facility. The non-
facility setting includes physicians' offices, patients' homes, 
freestanding imaging centers, and independent pathology labs. Facility 
settings include hospitals, ambulatory surgical centers (ASCs), and 
skilled nursing facilities (SNFs). The methodology for calculating the 
PE RVU is the same for both facility and non-facility RVUs, but is 
applied independently to yield two separate PE RVUs. Because the PEs 
for services provided in a facility setting are generally included in 
the payment to the facility (rather than the payment to the physician 
under the fee schedule), the PE RVUs are generally lower for services 
provided in the facility setting.
2. Proposals for Revising the PE Methodology
    We have three major goals for our resource-based PE methodology:
     To ensure that the PE portion of PFS payments reflect, to 
the greatest extent possible, the relative resources required for each 
of the services on the PFS. This could only be accomplished by using 
the best available data to calculate the PE RVUs.
     To develop a payment system for PE that is understandable 
and at least somewhat intuitive, so that specialties could better 
predict the impacts of changes in the PE data.
     To stabilize the PE portion of PFS payments so that 
changes in PE RVUs do not produce large fluctuations in the payment for 
given procedures from year-to-year.
    In the CY 2006 PFS proposed rule (70 FR 45764), we proposed the 
following changes to the PE methodology that we believed would help in 
achieving these three major goals:
     Using the PE/HR data from seven specialty-specific 
supplementary surveys.
     Calculating the direct PE using a bottom-up methodology.
     Eliminating the NPWP.
    We also proposed an indirect PE methodology that was to assign to 
each service the higher of the current indirect PE RVUs or the indirect 
PE RVUs calculated using the supplementary survey data.
    In the CY 2006 PFS final rule with comment period (70 FR 70116), we 
withdrew these proposals primarily because a programming error for the 
indirect PE RVU calculation had led to the publication of inaccurate 
proposed PE RVUs. On February 15, 2006, we sponsored a PE Town Hall 
Meeting and invited the public, including all specialty representatives 
to attend. At this meeting, we supplied a detailed description of the 
bottom-up approach to the calculation of resource-based PE RVUs. Three 
examples were examined in detail that illustrated the impact of the 
various assumptions that could be used under a bottom-up approach. We 
specifically requested input from all interested parties on possible 
changes to our PE methodology, including the move to a bottom-up 
approach and the various methods of calculating indirect PE.
    We reviewed the approximately 35 comments that we received in 
response to our solicitation. Many of the comments were combined 
efforts from related specialty organizations. Additionally, the AMA RUC 
also supplied a letter that captured the

[[Page 69631]]

comments of nearly 30 specialty organizations. The following is a 
summary of the comments received as a result of the February 15, 2006 
PE Town Hall meeting.
     Delaying Implementation of Changes to the Current PE 
Methodology: There were mixed opinions from commenters on whether we 
should proceed with a proposal to use a bottom-up approach. Some 
commenters emphasized that the CPEP data has been refined and is now 
the best available source of data, and asserted that it should be used 
for the calculation of resource-based PE RVUs. Other comments suggested 
a delay in changing to a bottom-up approach because of the other issues 
that are affecting PFS payments this year (such as, the effect of 
imaging payment provisions in the DRA, the impact of the negative 
update, and the uncertainty regarding the impact of the 5-Year Review 
of work RVUs).
     Transition to a Bottom-Up Approach: The majority of 
commenters requested a minimum 1-year transition to a maximum 3-year 
transition period to fully implement any change to a bottom-up 
approach. All of the commenters supported a transition period whether 
or not they supported the implementation of a bottom-up approach.
     Use of Supplemental Survey Data: Many commenters stated 
that, irrespective of what we proposed for CY 2007, the supplemental 
survey data that has already been accepted should be used. Other 
commenters believed that the supplemental survey data grossly 
overstated PEs and should not be utilized in the development of 
resource-based PE RVUs.
     Multi-Specialty PE Survey: The majority of commenters 
supported the construction and use of a multi-specialty survey to 
collect PE data. Commenters believed that the supplemental survey data 
is inflated and that the SMS survey data are outdated.
     Review Equipment Utilization Assumptions and Interest 
Rates: Many commenters supported the review and revision of both the 
current utilization assumptions and the interest rates associated with 
high cost equipment. Commenters had mixed reactions as to whether the 
utilization rates should be higher or lower, and some suggested that we 
review the possibility of equipment-specific utilization assumptions 
for the future. Most commenters believed that the current 11 percent 
interest rate is significantly higher then the actual interest rates 
and many commenters suggested a rate of approximately prime plus 2 
percent.
     Proxy Work RVUs for No Physician Work Services: Commenters 
were divided on the assignment of a proxy work RVU to services that 
contain no physician work. Some commenters believed that no physician 
work services are unfairly penalized under any bottom-up approach, 
while other comments stated that the inclusion of a proxy work RVU 
would double count the clinical labor associated with the no physician 
work services.
    After considering these comments, we made the following proposals 
for direct PEs in the June 29, 2006 proposed notice (71 FR 37245).
a. Use a Bottom-up Method to Calculate the Direct PEs
    We believe that we have consistently made a good faith effort to 
ensure fairness in our PE RVU-setting system by using the best data 
available at any one time. The reason we did not adopt the bottom-up 
methodology originally proposed in 1997 and instead adopted the top-
down methodology finalized in 1998 was because we recognized the 
concerns among the physician community that the resource input data 
developed in 1995 by the CPEP were less reliable than the aggregate 
specialty cost data derived from the SMS process.
    However, the situation has now changed. The PEAC/PERC/RUC has 
completed the refinement of the original CPEP data and we believe that 
the refined PE inputs now, in general, accurately capture the relative 
direct costs of PFS services. Conversely, although we have now accepted 
supplementary survey data from 13 specialties, we have not received 
updated aggregate cost data from most specialties. Thus, we believe 
that, in the aggregate, the refined direct input data represent more 
reliably the relative direct cost PE inputs for physicians' services.
    Therefore, instead of using the top-down approach to calculate the 
direct PE RVUs, where the aggregate CPEP/RUC costs for each specialty 
are scaled to match the aggregate SMS costs, we proposed to adopt a 
bottom-up method of determining the relative direct costs for each 
service. Under this method, the direct costs would be determined by 
adding the costs of the resources (that is, the clinical staff, 
equipment and supplies) typically required to provide the service. The 
costs of the resources, in turn, would be calculated from the refined 
direct PE inputs in our PE database.
    We believe that this proposed change, which was welcomed by most 
commenters in the CY 2006 PFS proposed rule, will lead to greater 
stability and accuracy in the PE portion of our payment system. 
Currently, under the top-down methodology, the need to scale the CPEP 
costs to equal the SMS costs has meant that any changes in the direct 
PE inputs for one service often leads to unexpected results for other 
services where the inputs have not been altered. In addition, the 
current PE RVUs for a procedure do not necessarily change 
proportionately with changes in the direct inputs, creating possible 
anomalous values. We believe that our proposed bottom-up methodology 
would resolve these issues, so that changes in the PE RVUs would be 
more intuitive and would result in fewer surprises.
b. Use the PE/HR Data from the 7 Surveys We Have Previously Accepted 
and, in addition, Use the PE/HR Data from the Survey Submitted by the 
National Coalition of Quality Diagnostic Imaging Services (NCQDIS)
    As explained in the CY 2005 PFS final rule with comment period (69 
FR 66242), we received surveys from the American College of Cardiology 
(ACC), the American College of Radiology (ACR), and the American 
Society for Therapeutic Radiology and Oncology (ASTRO) by March 1, 
2004. The data submitted by the ACC and the ACR met our criteria. 
However, as requested by the ACC and the ACR, we deferred using their 
data until issues related to the NPWP could be addressed. (The survey 
data from ASTRO did not meet the precision criteria established for 
supplemental surveys; therefore, we did not accept or use it in the 
calculation of PE RVUs for 2005.)
    In March 2005, we also received surveys from the Association of 
Freestanding Radiation Oncology Centers (AFROC), the American 
Urological Association (AUA), the American Academy of Dermatology 
(AAD), the Joint Council of Allergy, Asthma, and Immunology (JCAAI), 
the NCQDIS, and a joint survey from the American Gastroenterological 
Association (AGA), the American Society of Gastrointestinal Endoscopy 
(ASGE) and the American College of Gastroenterology (ACG).
    All the surveys, with the exception of the survey from NCQDIS, met 
our criteria. Therefore, we proposed in the CY 2006 PFS proposed rule 
(70 FR 45775) to use the survey data from all the surveys meeting our 
criteria in the calculation of PE RVUs for 2006; but, as discussed in 
the CY 2006 PFS final rule with comment period (70 FR 70116) and

[[Page 69632]]

above in this section, this proposal was not finalized.
    We contracted with the Lewin Group (Lewin) to evaluate whether the 
supplemental survey data that were submitted met our criteria and to 
make recommendations to us regarding their suitability for use in 
calculating PE RVUs. As described in the CY 2006 PFS proposed rule (70 
FR 45775), Lewin recommended blending the radiation oncology data from 
the AFROC survey data with the ASTRO survey data submitted in 2004 to 
calculate the PE/HR. According to Lewin, the goal of the AFROC survey 
was to represent the population of freestanding radiation oncology 
centers only. To develop an overall average for the radiation oncology 
PE pool, Lewin recommended we use the AFROC survey for freestanding 
radiation oncology centers, and the hospital-based subset of last 
year's ASTRO survey. We agreed that this blending of the AFROC and 
ASTRO data was a reasonable way to calculate an average PE/HR that 
fully reflects the practice of radiation oncology in all settings. 
Blending the survey data overcame the initial problem that the ASTRO 
data do not meet the precision criteria as discussed in the CY 2005 PFS 
final rule (69 FR 66242). In addition, as discussed in the CY 2006 PFS 
proposed rule (70 FR 45776), blending of the data allowed for a broader 
base of radiation oncology providers to be represented.
    Also, as discussed in the CY 2006 PFS proposed rule (70 FR 45764), 
Lewin indicated that the survey data submitted by the NCQDIS on 
independent diagnostic testing facilities (IDTFs) did not meet our 
precision criterion. However, upon further analysis, Lewin agreed with 
NCQDIS' determination that the inclusion of one inaccurate record 
skewed the findings outside the acceptable precision range. Lewin 
recalculated the precision level at 8.1 percent of the mean PE/HR 
(weighted by the number of physicians in the practice). Lewin indicated 
that the level of precision for the total PE/HR satisfies the level of 
precision requirement, and recommended acceptance of the survey.
    We proposed to use the PE/HR data from all of these surveys, 
including the NCQDIS survey, in the calculation of the PE RVUs for 
2007. For radiation oncology, we proposed to use the new PE/HR derived 
from combining the AFROC and ASTRO survey data, as recommended by 
Lewin. The proposed figures for PE per physician hour were listed in 
Table 52 in the June 29, 2006 proposed notice (71 FR 37246).
    Section 303(a)(1)(B) of the Medicare Prescription Drug, 
Improvement, and Modernization Act of 2003 (MMA) (Pub. L. 108-173) 
added section 1848(c)(2)(I) of the Act to require CMS to use survey 
data submitted by a specialty group where at least 40 percent of the 
specialty's payments for Part B services are attributable to the 
administration of drugs in 2002 to adjust PE RVUs for drug 
administration services. The statute applies to surveys that include 
expenses for the administration of drugs and biologicals, and were 
received by March 1, 2005 for determining the CY 2006 PE RVUs. Section 
303(a)(1)(A)(ii) of the MMA also added section 1848(c)(2)(B)(iv)(II) of 
the Act to provide an exemption from budget neutrality (BN) in 2005 and 
2006 for any additional expenditures resulting from the use of these 
surveys. In the Changes to Medicare Payment for Drugs and Physician Fee 
Schedule Payments for CY 2004 interim final rule published January 7, 
2004 (69 FR 1084), we stated that the specialties of urology, 
gynecology, and rheumatology meet this criteria. As described in the CY 
2006 PFS final rule with comment period (70 FR 70116), we accepted for 
the purposes of calculating the 2006 PE RVUs for drug administration 
services the new survey data from the AUA and exempted from the BN 
adjustment any impacts of accepting these data for purposes of 
calculating PE RVUs for drug administration services.

    (Note: Rheumatology and gynecology did not submit supplemental 
survey data.)
c. Eliminate the NPWP and Calculate the PE RVUs for all Services Using 
the Same Methodology
    Primarily because of the lack of representative SMS data or 
accurate direct cost inputs for specialties such as radiology and 
radiation oncology, the adoption of the top-down approach necessitated 
the creation of the NPWP. This separate work pool was created to 
allocate PE RVUs for TC codes and codes that are not furnished by 
physicians and, thus, have no work RVUs. In the CY 2000 Physician Fee 
Schedule; Payment Policies and Relative Value Unit Adjustment final 
rule, we indicated that ``the purpose of this pool was only to protect 
the (TC) services from the substantial decreases'' caused by inaccurate 
CPEP data and the lack of physician work RVU in the allocation of the 
indirect costs (64 FR 59406). Unfortunately, the services priced by the 
NPWP methodology have proven to be especially vulnerable to any change 
in the work pool's composition. This has led to significant 
fluctuations from year-to-year in the PE RVUs calculated for these 
services.
    The major specialties comprising the NPWP (radiology, radiation 
oncology and cardiology) have now submitted supplemental survey data 
that we have accepted and proposed to use in their PE calculations. 
(See the discussion on supplementary surveys above in this section.) 
Now that we have representative aggregate PE data for these 
specialties, and with the completion of the refinement of the direct 
cost inputs, the continued necessity and equity of treating these 
technical services outside the PE methodology applied to other services 
is questionable.
    Therefore, we proposed to eliminate the NPWP and to calculate the 
PE RVUs for the services currently in the work pool by the same 
methodology used for all other services. This would also allow the use 
of the refined CPEP/RUC data to price the direct costs of individual 
services, rather than utilizing the pre-1998 charge-based PE RVUs. In 
addition, the revised methodology would lead to greater stability for 
the PE RVUs for these services and would lead to more intuitive results 
than have occurred with the NPWP methodology.
d. Modify the Current Indirect PE RVUs Methodology
    As described previously, the SMS and supplementary survey data are 
the source for the specialty-specific aggregate indirect costs used in 
our PE calculations. We then allocate the indirect costs to particular 
codes on the basis of the direct costs allocated to a code and the work 
RVUs. In the CY 2006 PFS proposed rule (70 FR 45764), we stated that we 
had no information that would indicate that the current indirect PE 
methodology is inaccurate. At that time, we also were not aware of any 
alternative approaches or data sources that we could use to calculate 
more appropriately the indirect PE, other than the new supplementary 
survey data, which we proposed to incorporate into our PE calculations. 
Therefore, in the CY 2006 PFS proposed rule, we proposed to use the 
current indirect PEs in our calculation, incorporating the new survey 
data into the codes furnished by the specialties submitting the surveys 
(71 FR 45764). We also indicated in that same proposed rule that we 
would welcome any suggestions that would assist us in further 
refinement of this indirect PE methodology. For example, we were 
considering whether we should continue to accept supplementary survey 
data or whether it would be preferable and feasible to have an SMS-type 
survey of only indirect costs for all specialties, or whether a more 
formula-

[[Page 69633]]

based methodology independent of the SMS should be adopted, perhaps 
using the specialty-specific indirect-to-total cost percentage as a 
basis of the calculation. For a prior discussion of many of the issues 
associated with allocating indirect costs, please refer to the CY 2000 
Physician Fee Schedule; Payment Policies and Relative Value Unit 
Adjustment proposed rule (63 FR 30823).
3. Specific Changes to the Indirect PE Methodology for CY 2007
a. Summary of the PE Proposals From the June 29, 2006 Proposed Notice
    As a result of collaboration with the PFS community and public 
comments on this issue, in the June 29, 2006 proposed notice, we 
proposed the following modifications to the indirect PE methodology.
(1) Indirect Percentage Factor: Use of the Specialty-Specific 
Percentage that Indirect PEs Represent of Total PEs Based on the Survey 
Data
    We currently allocate indirect expenses on the sum of the direct 
expenses and the work RVUs (converted to dollars by multiplying by the 
CF). We proposed to allocate indirect expenses by applying a specialty-
specific indirect percentage factor to the direct expenses to recognize 
the varying proportion that indirect costs represent of total costs by 
specialty. This will have the effect of relatively increasing the 
indirect expense allocation for services that are on average furnished 
by specialties with higher indirect PE percentages, and relatively 
decreasing the indirect expense allocation for services that are 
furnished by specialties with lower indirect PE percentages. For a 
given service, the specific indirect percentage factor to apply to the 
direct costs for the purpose of the indirect allocation will be 
calculated as the weighted average of the ratio of the indirect to 
direct costs (based on the survey data) for the specialties that 
furnish the service. For example, if a service is furnished by a single 
specialty with indirect PEs that were 75 percent of total PEs, the 
indirect percentage factor to apply to the direct costs for the 
purposes of the indirect allocation would be (0.75/0.25) = 3.0.
(2) Continued Use of the Specialty-Specific Indirect Scaling Factors
    As described earlier in this section, we incorporate the indirect 
PE/HR surveys into the methodology through the use of specialty-
specific indirect scaling factors. We would continue to use the 
specialty-specific indirect scaling factors; however, to apply them in 
a simpler manner we proposed to create an index. This index would 
reflect the relationship between each specialty's indirect scaling 
factor and the overall indirect scaling factor for the entire PFS. For 
example, if a specialty had an indirect practice cost index of 2.00, 
this specialty would have an indirect scaling factor that was twice the 
overall average indirect scaling factor. If a specialty had an indirect 
practice cost index of 0.50, this specialty would have an indirect 
scaling factor that was half the overall average indirect scaling 
factor. The calculation and application of the indirect practice cost 
index is described in more detail below in this section.
(3) Use of the Clinical Labor Costs in the Indirect Allocation for a 
Service When the Clinical Labor Costs are Greater than the Physician 
Work RVU
    We have received numerous comments that services with little or no 
physician work RVUs are disadvantaged under our current indirect 
allocation methodology based on the direct costs and the work RVUs. In 
response to these comments, when the clinical labor portion of the 
direct PE RVU is greater than the physician work RVU for a particular 
service, we proposed to allocate on the direct costs and the clinical 
labor costs. For example, if a service has no physician work, if the 
direct PE RVU is 1.10 and if the clinical labor portion of the direct 
PE RVU is 0.65 RVUs, we would use the 1.10 direct PE RVUs and the 0.65 
clinical labor portion of the direct PE RVUs for the indirect PE 
allocation for that service. As another example, if the physician work 
RVUs for a service are 0.25, if the direct PE RVU is 1.10 and if the 
clinical labor portion of the direct PE RVU is 0.65 RVUs, we would use 
the 1.10 direct PE RVUs and the 0.65 clinical labor RVUs for the 
indirect allocation for that service. We would not use the 0.25 
physician work RVUs for the indirect PE allocation since the 0.65 
clinical labor RVUs are greater than the 0.25 physician work RVUs.
(4) Use of 2005 Utilization Data in the Indirect PE RVU Calculation
    Under the current PE methodology, we predominately use the 1997-
2000 utilization data in the calculation of the indirect PE RVUs when 
the service existed during 1997-2000 or the first year of utilization 
data if the service did not exist during that time period. We used 
those years of utilization data primarily to increase the year-to-year 
stability of the PE RVUs. With the changes we proposed to PE RVUs, in 
particular the elimination of the NPWP, we will increase the year-to-
year stability of the PE RVUs. We believe it is now appropriate to use 
updated utilization data in the calculation of the indirect PEs. We 
believe the other proposed changes in the PE methodology would help 
obtain the year-to-year stability we were attempting to achieve by 
continuing to use the older utilization data. Additionally, the use of 
more current utilization data would reflect the more current practice 
patterns. We proposed to use the 2005 utilization data in the 
calculation of the 2007 indirect PE RVUs. We also sought comments on 
whether the utilization data should be updated yearly, which would 
increase the accuracy of the PE calculations, or less often, which 
would increase the stability of the PE RVUs.
(5) Elimination of the Special Methodologies for Services with 
Technical Components (TCs) and Professional Components (PCs)
    Under the PFS, when services have TC, PC, and global components 
that can be billed separately, the payment for the global component 
equals the sum of the payment for the TC and PCs. Under the current PE 
methodology, the different mix of specialties that furnish the global, 
TC and PCs can cause the PE RVUs, otherwise created by the methodology, 
to fail to add together properly; that is, the global component does 
not equal the sum of the PC and TCs. The global component might exceed 
the sum of the TC and PCs or it might be less than the sum of the TC 
and PCs. We ensure that the TC and PCs add to the global component in 
one of two ways. For services in the NPWP, we set the PE RVUs for the 
global component equal to the sum of the PC PE RVU and the TC PE RVU. 
For services outside the NPWP, we set the PE RVUs for the TC equal to 
the difference between the global PE RVUs and the PC RVUs.
    With our proposed change to a bottom-up methodology for the direct 
PEs, there will be no weighted averaging of the direct cost inputs 
necessary to create the direct PE RVUs and, therefore, the direct PE 
RVUs for the PC and TCs would sum to the global component. Under the 
current methodology, as a result of the process used to ensure the PC 
and TCs sum to the global, RVUs for a service with a global component 
can be either more or less than the RVUs that would have been 
calculated for the service if the PC and TCs did not have to sum to the 
global.
    Given the proposed change to bottom-up methodology and the 
elimination of the NPWP, we believe it is

[[Page 69634]]

inappropriate to have codes for which the global, and the TC and PCs 
are assigned RVUs that are either less than or greater than the 
methodology would otherwise produce, and thus, are paid at a rate that 
is either less than or greater than the methodology would otherwise 
specify. (See section II.A.1. of this final rule with comment period 
for the discussion of the current methodology.) Therefore, we proposed 
that in the calculation of the indirect percentage factor described 
earlier in section II.A.3.a.(1), we would use a weighted average of the 
ratio of indirect to direct costs across all the specialties that 
furnish the global components, TCs, and PCs; that is, we would apply 
the same weighted average indirect percentage factor to allocate 
indirect expenses to the global components, PC, and TCs for a service. 
We also proposed to utilize a similar weighted averaging approach 
across all the specialties that furnish the components when calculating 
the indirect PE scaling factor. Because the direct PE RVUs for the TC 
and PCs sum to the global under the bottom-up methodology, and we 
proposed to calculate the indirect percentage factor and the indirect 
scaling factor so that they do not vary between the TCs, PCs, and 
global components, our proposed methodology would create TCs and PCs 
that sum to the global, and no other special methodology would need to 
be employed.
(a) PE RVU Methodology
    The following is a description of the proposed PE RVU methodology.
(i) Setup File
    First, we create a setup file for the PE methodology. The setup 
file contains the direct cost inputs, the utilization for each 
procedure code at the specialty and facility/nonfacility place of 
service level, and the specialty-specific survey PE per physician hour 
data.
(ii) Calculate the Direct Cost PE RVUs
    Sum the costs of each direct input.
    Step 1: Sum the direct costs of the inputs for each service. The 
direct costs consist of the costs of the direct inputs for clinical 
labor, medical supplies, and medical equipment. The clinical labor cost 
is the sum of the cost of all the staff types associated with the 
service; it is the product of the time for each staff type and the wage 
rate for that staff type. The medical supplies cost is the sum of the 
supplies associated with the service; it is the product of the quantity 
of each supply and the cost of the supply. The medical equipment cost 
is the sum of the cost of the equipment associated with the service; it 
is the product of the number of minutes each piece of equipment is used 
in the service and the equipment cost per minute. The equipment cost 
per minute is calculated as described at the end of this section.
    Apply a BN adjustment to the direct inputs.
    Step 2: Calculate the current aggregate pool of direct PE costs. To 
do this, multiply the current aggregate pool of total direct and 
indirect PE costs (that is, the current aggregate PE RVUs multiplied by 
the CF) by the average direct PE percentage from the SMS and 
supplementary specialty survey data.
    Step 3: Calculate the aggregate pool of direct costs. To do this, 
for all PFS services, sum the product of the direct costs for each 
service from Step 1 and the utilization data for that service.
    Step 4: Using the results of Step 2 and Step 3 calculate a direct 
PE BN adjustment so that the proposed aggregate direct cost pool does 
not exceed the current aggregate direct cost pool and apply it to the 
direct costs from Step 1 for each service.
    Step 5: Convert the results of Step 4 to an RVU scale for each 
service. To do this, divide the results of Step 4 by the Medicare PFS 
CF.
(iii) Create the Indirect PE RVUs
    Create indirect allocators.
    Step 6: Based on the SMS and supplementary specialty survey data, 
calculate direct and indirect PE percentages for each physician 
specialty.
    Step 7: Calculate direct and indirect PE percentages at the service 
level by taking a weighted average of the results of Step 6 for the 
specialties that furnish the service. Note that for services with TC 
and PCs we are calculating the direct and indirect percentages across 
the global components, PCs and TCs. That is, the direct and indirect 
percentages for a given service (for example, echocardiogram) do not 
vary by the PC, TC and global components.
    Step 8: Calculate the service level allocators for the indirect PEs 
based on the percentages calculated in Step 7. The indirect PEs are 
allocated based on the three components: The direct PE RVU, the 
clinical PE RVU and the work RVU. (Note that the work RVU used in the 
calculation included the separate work BN adjustment from the 5-Year 
Review of the work RVUs discussed in the June 29, 2006 proposed notice. 
In this final rule, unadjusted work RVUs are used.)
    For most services the indirect allocator is:

indirect percentage * (direct PE RVU/direct percentage) + work RVU.

    There are two situations where this formula is modified:
     If the service is a global service (that is, a service 
with global, professional and technical components), then the indirect 
allocator is:

indirect percentage * (direct PERVU/direct percentage) + clinical PE 
RVU + work RVU.

     If the clinical labor PE RVU exceeds the work RVU (and the 
service is not a global service), then the indirect allocator is:

indirect percentage * (direct PERVU/direct percentage) + clinical PE 
RVU.

    (Note that for global services the indirect allocator is based 
on both the work RVU and the clinical labor PE RVU. We do this to 
recognize that, for the professional service, indirect PEs will be 
allocated using the work RVUs, and for the TC service, indirect PEs 
will be allocated using the direct PE RVU and the clinical labor PE 
RVU. This also allows the global component RVUs to equal the sum of 
the PC and TC RVUs.)

    For presentation purposes in the examples in the Table 1, the 
formulas were divided into two parts for each service. The first part 
does not vary by service and is

the indirect percentage * (direct PE RVU/direct percentage).

    The second part is either the work RVU, clinical PE RVU, or both 
depending on whether the service is a global service and whether the 
clinical PE RVU exceeds the work RVU (as described earlier in this 
step.)
    Apply a BN adjustment to the indirect allocators.
    Step 9: Calculate the current aggregate pool of indirect PE RVUs by 
multiplying the current aggregate pool of PE RVUs by the average 
indirect PE percentage from the physician specialty survey data. This 
is similar to the Step 2 calculation for the direct PE RVUs.
    Step 10: Calculate an aggregate pool of proposed indirect PE RVUs 
for all PFS services by adding the product of the indirect PE 
allocators for a service from Step 8 and the utilization data for that 
service. This is similar to the Step 3 calculation for the direct PE 
RVUs.
    Step 11: Using the results of Step 9 and Step 10, calculate an 
indirect PE adjustment so that the aggregate indirect allocation does 
not exceed the available aggregate indirect PE RVUs and apply it to 
indirect allocators calculated in Step 8. This is similar to the Step 4 
calculation for the direct PE RVUs.
    Calculate the Indirect Practice Cost Index.
    Step 12: Using the results of Step 11, calculate aggregate pools of 
specialty-specific adjusted indirect PE allocators

[[Page 69635]]

for all PFS services for a specialty by adding the product of the 
adjusted indirect PE allocator for each service and the utilization 
data for that service.
    Step 13: Using the specialty-specific indirect PE/HR data, 
calculate specialty-specific aggregate pools of indirect PE for all PFS 
services for that specialty by adding the product of the indirect PE/HR 
for the specialty, the physician time for the service, and the 
specialty's utilization for the service.
    Step 14: Using the results of Step 12 and Step 13, calculate the 
specialty-specific indirect PE scaling factors as under the current 
methodology.
    Step 15: Using the results of Step 14, calculate an indirect 
practice cost index at the specialty level by dividing each specialty-
specific indirect scaling factor by the average indirect scaling factor 
for the entire PFS.
    Step 16: Calculate the indirect practice cost index at the service 
level to ensure the capture of all indirect costs. Calculate a weighted 
average of the practice cost index values for the specialties that 
furnish the service. Note that for services with TC and PCs, we 
calculate the indirect practice cost index across the global 
components, PCs and TCs. Under this method, the indirect practice cost 
index for a given service (for example, echocardiogram) does not vary 
by the PC, TC and global components.
    Step 17: Apply the service level indirect practice cost index 
calculated in Step 16 to the service level adjusted indirect allocators 
calculated in Step 11 to get the indirect PE RVU.
(iv) Calculate the Final PE RVUs.
    Step 18: Add the direct PE RVUs from Step 6 to the indirect PE RVUs 
from Step 17.
    Step 19: Calculate and apply the final PE BN adjustment by 
comparing the results of Step 18 to the current pool of PE RVUs. This 
final BN adjustment is primarily required because certain specialties 
are excluded from the PE RVU calculation for rate-setting purposes, but 
all specialties are included for purposes of calculating the final BN 
adjustment. (See ``Specialties excluded from rate-setting calculation'' 
below in this section.)
(v) Setup File Information
     Specialties excluded from rate-setting calculation: For 
the purposes of calculating the PE RVUs, we exclude certain specialties 
such as midlevel practitioners paid at a percentage of the PFS, 
audiology, and low volume specialties from the calculation. This is the 
same approach used under the current methodology. These specialties are 
included for the purposes of calculating the BN adjustment.
     Crosswalk certain low volume physician specialties: 
Crosswalk the utilization of certain specialties with relatively low 
PFS utilization to the associated specialties. This is the same 
approach used under the current methodology.
     Physical therapy utilization: Crosswalk physical therapy 
utilization to the specialty of physical therapy. This is the same 
approach used under the current methodology.
     Identify professional and technical services not 
identified under the usual TC and 26 modifier: Flag the services that 
are PC and TC services, but do not use TC and 26 modifiers (for 
example, electrocardiograms). This flag associates the PC and TC with 
the associated global code for use in creating the indirect PE RVU. For 
example, the professional service code 93010 is associated with the 
global code 93000.
     Payment modifiers: Payment modifiers are accounted for in 
the creation of the file. For example, services billed with the 
assistant at surgery modifier are paid 16 percent of the PFS amount for 
that service; therefore, the utilization file is modified to only 
account for 16 percent of any service that contains the assistant at 
surgery modifier.
     Work RVUs from the 5-Year Review: The setup file contains 
the proposed work RVUs from the 5-Year Review published in the June 29, 
2006 proposed notice (71 FR 37174).
(vi) Equipment Cost Per Minute =
    The equipment cost per minute is calculated as:

(1/(minutes per year * usage)) * price * ((interest rate/(1-(1/((1 + 
interest rate) * life of equipment)))) + maintenance)

Where:

minutes per year = maximum minutes per year if usage were continuous 
(that is, usage = 1); 150,000 minutes.
usage = equipment utilization assumption; 0.5.
price = price of the particular piece of equipment.
interest rate = 0.11.
life of equipment = useful life of the particular piece of 
equipment.
maintenance = factor for maintenance; 0.05.

BILLING CODE 4120-01-P

[[Page 69636]]

[GRAPHIC] [TIFF OMITTED] TR01DE06.002


[[Page 69637]]


[GRAPHIC] [TIFF OMITTED] TR01DE06.003

BILLING CODE 4120-01-C

[[Page 69638]]

(b) Transition the Resulting Revised PE RVUs Over a 4-Year Period
    As explained in the June 29, 2006 proposed notice, we had concerns 
that, when combined with a negative update factor for CY 2007 and the 
changes to the work RVUs under the 5-Year Review, the shifts in some of 
the PE RVUs resulting from the immediate implementation of our 
proposals could potentially cause some disruption for medical practices 
(71 FR 37252). Therefore, we proposed to transition the PE changes over 
a 4-year period. This would also give ample opportunity for us, as well 
as the medical specialties and the RUC, to identify any anomalies in 
the PE data, to make any further appropriate revisions, and to collect 
additional data as needed prior to the full implementation of the PE 
changes.
    During the transition period, the PE RVUs would be calculated on 
the basis of a blend of RVUs calculated using our methodology described 
above in this section (weighted by 25 percent during CY 2007, 50 
percent during CY 2008, 75 percent during CY 2009, and 100 percent 
thereinafter), and the current CY 2006 PE RVUs for each existing code. 
PE RVUs for codes that are new during this period would be calculated 
using only the methodology, and paid at the fully transitioned rate.
    We also believe the methodology is less confusing and more 
intuitive than the current approach. First, the NPWP would be 
eliminated and all services would be priced using one methodology, 
eliminating the complicated calculations needed to price NPWP services. 
Second, any revisions made to the direct inputs for one or more 
services would now have predictable results. Changes in the direct 
practice inputs for a service would proportionately change the PE RVUs 
for that service without significantly affecting the PE RVUs for 
unrelated services (except, of course, to the extent that a BN 
adjustment is required to be applied by the statute).
    The methodology will also create a system that would be 
significantly more stable from year-to-year than the current approach. 
Specialties should no longer experience the wide fluctuations in 
payment for a given service due to an aberrant direct cost scaling 
factor. Direct PEs should only change for a service if the service is 
further refined or when prices are updated, while indirect PEs should 
change only when there are changes in the mix of specialties furnishing 
the service or if any future new survey data for indirect costs are 
utilized.
b. Comments and Responses From the June 29, 2006 Proposed Notice
    The following is a summary of the comments we received on the June 
29, 2006 proposed notice (71 FR 37170).
(1) Bottom-Up Methodology
    Comment: The majority of commenters expressed support for the 
proposed bottom-up approach to calculating resource-based PE RVUs. Many 
of these commenters stated that the bottom-up approach, which bases the 
direct portion of the PE RVUs on the actual direct cost inputs, 
produces more accurate, intuitive, and stable PE RVUs.
    A few commenters expressed concern about the proposed bottom-up 
approach. These commenters were not critical of the merits of the 
proposed bottom-up methodology itself, but were instead critical of the 
data sources used in the calculation of resource-based PE RVUs. The 
commenters suggested that the proposal should be delayed until the 
direct cost data, aggregate specialty cost data, and indirect specialty 
cost data derived from the aggregate specialty cost data could be 
verified.
    Response: We are appreciative of the support for the proposed 
bottom-up approach to calculating resource-based PE. We also appreciate 
the comments that expressed concern about our data sources, since we 
also believe that it is important that we use the best available data 
to develop the PE RVUs. As discussed in greater detail in subsequent 
responses, we do believe that the data sources used to calculate the 
proposed PE RVUs are the best available at this time. This is 
particularly true of the direct cost input data that forms the basis of 
the bottom-up methodology, and that has been thoroughly analyzed and 
discussed by the RUC, PEAC, HCPAC and the PERC and then has been 
reviewed by us. Therefore, we will implement the bottom-up methodology 
as proposed.
(2) Supplemental Survey Data
    Comment: Several commenters expressed concern about the significant 
increase in PE values for specialty groups that submitted supplemental 
survey data. They stated their belief that the data has created serious 
inequities in the relativity of PE RVUs across the PFS. The commenters 
recommended that the supplemental survey data not be used; but, rather, 
that we wait until a new multi-specialty survey can be completed before 
using this revised data. One commenter questioned the validity of 
supplemental survey data, noting that the response rates were fairly 
low. The commenter also indicated that it was inequitable to accept 
more recent data from only a few specialties. Another commenter did not 
agree that individual specialty groups should be allowed to provide 
survey data. Conversely, several commenters strongly supported our 
acceptance and use of the supplementary survey data.
    Response: The BBRA requires us to establish a process for specialty 
groups to submit supplemental survey data. The statute mandated that we 
establish criteria for surveys, but required that we accept such data 
for only two years. However, to give all specialty groups an 
opportunity to submit data, we twice extended the period for submitting 
data. Therefore, we accepted data over a 6-year period, instead of the 
2-year period mandated by the Congress. In addition, our contractor, 
Lewin, was available to provide assistance to any group interested in 
submitting a survey by helping to ensure that the proper protocols were 
met in order to maximize the survey's chance of meeting our survey 
criteria.
    We recognize the limitations of the supplemental survey process. 
However, we were obligated by statute to establish and use such a 
process, all specialty groups had an equal opportunity to submit data, 
and groups that conducted surveys did so at great expense. If the 
submitted survey data met the criteria we established by notice and 
comment rulemaking, we were obligated to accept and use the 
supplemental survey data to the maximum extent practicable and 
consistent with sound data practices. Additionally, we previously 
accepted most of the surveys we proposed to use in the CY 2007 PFS 
proposed rule in either the CY 2005 or the CY 2006 PFS final rules with 
comment. Although we delayed the use of these surveys for various 
reasons, as explained fully in the CY 2005 and CY 2006 rules, there is 
no reason to continue to delay implementation of these surveys.
    We note that we support the AMA's efforts to field a multi-
specialty survey. However, the earliest this data would be available to 
incorporate into the PFS would be for CY 2009. We will consider any 
such data as soon as it becomes available.
    Comment: The majority of commenters expressed support for the 
design and use of a multi-specialty practice cost survey. Several 
commenters further recommended that any multi-specialty practice cost 
survey adhere to the same standards as the supplemental surveys 
accepted by CMS. Two commenters were concerned that a multi-specialty 
practice costs survey would not capture the practice costs

[[Page 69639]]

associated with specialties whose practices focus on technical 
services.
    Response: We support the design of an AMA-sponsored multi-specialty 
survey and we understand that over 40 physician and nonphysician 
specialties have agreed to participate. The AMA has designed this 
survey tool and the process has been open for comment to all interested 
parties. We have also offered comments on the survey design to ensure 
that both the appropriate practice cost data is collected and the 
highest standards are met in the collection of this data.
    Comment: A few commenters recommended that we commit to including 
the costs associated with uncompensated care in the PE RVUs. One 
commenter suggested that the costs of uncompensated care should be 
included in the AMA-sponsored multi-specialty practice cost survey.
    Response: Many specialties must deal with the issue of 
uncompensated care, though we believe that the number of patient care 
hours spent on uncompensated care is significantly higher for emergency 
medicine. We currently make an adjustment to the patient care hours for 
emergency medicine to account for the hours of uncompensated care 
included in the SMS survey because the calculated PE/hour should only 
reflect reimbursable hours. We agree that it would be beneficial if the 
AMA-sponsored multi-specialty survey includes a question on this issue.
    Comment: ACR expressed concern that we did not fully utilize its 
supplementary survey data by excluding data on part-time physicians.
    Response: The precedent for applying average full-time practice 
hours to all doctors in the practice when analyzing practice hours was 
set by the AMA's Socioeconomic Monitoring System (SMS) and was also 
discussed in the September 23, 2003 Lewin report, ``Recommendations 
Regarding Supplemental Practice Expense Data Submitted for 2004.'' As 
described in this report, independent laboratory organizations were 
surveyed at the practice level because most independent labs are owned 
by an organization, not physicians; this is also the case with many 
free-standing radiology practices.
    Lewin applied a comparable methodology to the radiology practice 
level supplemental survey data for its May 26, 2004 recommendation to 
CMS. The radiology supplemental survey reported that less than 10 
percent of radiologists in the practice were part-time doctors. The 
average of the practice hours for the 2,250 full-time doctors was 38.9 
hours and for the 237 part-time doctors 22.2 hours. Using the 
supplemental survey data results in less than a 5 percent increase in 
the total practice hours over the number of hours derived from using 
the SMS methodology.
    We have determined that the original Lewin calculation is 
consistent with historical practice hour calculations used in the SMS, 
and with subsequent recommendations submitted by Lewin to CMS.
    Comment: Lewin recommended accepting supplemental survey data from 
ASTRO and AFROC by blending the data in the proportion of 75 percent 
hospital-based radiation oncology and 25 percent freestanding radiation 
oncology, resulting in a PE/HR of $161.08. AFROC engaged the services 
of an independent claims analyst who found that a 62/38 proportion is 
more appropriate, resulting in a PE/HR of $213. AFROC supplied this 
information as part of its comments on the proposed notice.
    Response: Lewin calculated a PE/HR for radiation oncology of 
$161.08, which is the weighted average based on the percentage of 
Medicare claims for hospital-based (75 percent) versus freestanding (25 
percent) radiation oncologists. In our standard outpatient claims data 
file for 2003, a radiation oncologist was deemed to be hospital-based 
if 50 percent or more of his claims, based on the Unique Physician 
Identification Number (UPIN), were for services furnished at a 
hospital-based radiation oncology center. The rationale for weighting 
the PE/HR by Medicare claims was discussed by Lewin in its ``2005 
Recommendations to CMS'' regarding the American Society for Therapeutic 
Radiation and Oncology (ASTRO) supplemental survey data.
    In its comments, AFROC offered two alternative calculations. The 
first proposed to recount the Medicare claims after removing TC only 
claims. This method results in a reweighting of hospital-based versus 
freestanding radiation oncologists of 64 percent hospital based and 36 
percent freestanding. The second method used time-weighting to 
determine the mix of hospital based versus freestanding practitioners. 
AFROC used physician time data for FY 2004 by radiation oncology CPT 
code and removed the TCs, resulting in a reweighting of hospital-based 
versus freestanding proportion of physician time of 62 percent to 38 
percent, yielding a combined average PE/HR of $213.07.
    Lewin reviewed AFROC's analysis and believes that AFROC presented 
two reasonable alternatives to weighting hospital-based and 
freestanding radiation oncologists, with both methods resulting in 
essentially the same answer. However, Lewin has determined that the 
time-weighting method is more consistent with the SMS and Lewin 
analysis of practice hours per physician. Lewin conducted the physician 
time-weighting analysis using our time and utilization data for FY 
2005, resulting in a hospital-based to freestanding weight of 63 
percent to 37 percent, respectively. The combined average using this 
weighting results in a PE/HR for radiation oncologist of $209.19, as 
shown in Table 2.

                                                                         Table 2
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                          ASTRO survey                     AFROC survey          Combined average
                                                      --------------------------------------------------------------------------------------------------
                                                                                                                              ASTRO's         ASTRO's
                                                                                                                          hospital-based  hospital-based
                                                                                                                            and AFROC's     and AFROC's
                                                       Hospital-based   Freestanding   Weighted  average   Freestanding    freestanding    freestanding
                                                         physicians       practices                          practices     (by share of    (by share of
                                                                                                                             Medicare        physician
                                                                                                                              claims)          time)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Number in Sample                                                   67              23  .................  ..............  ..............  ..............
Percent of Medicare Claims...........................           75.2%           24.8%  .................           24.8%  ..............  ..............
Percent of Physician Time (Facility vs. Non-Facility)           63.0%           37.0%  .................           37.0%  ..............  ..............

[[Page 69640]]

 
Direct PE per hour:
    Clinical Payroll.................................           $9.93         $104.80             $33.46         $153.24          $45.47          $62.98
    Medical Equipment................................            3.64           80.92              22.81           91.04           25.32           35.99
    Medical Supplies.................................            1.56           31.56               9.00           13.11            4.42            5.84
Indirect PE per hour:
    Office Expense...................................           19.31           69.40              31.73           87.88           36.32           44.69
    Clerical Payroll.................................           12.04           39.42              18.83           59.56           23.82           29.63
    Other Expense....................................           16.92           20.17              17.73           52.43           25.73           30.06
                                                      --------------------------------------------------------------------------------------------------
        Total PE per hour............................           63.40          346.27             133.55          457.26          161.08          209.19
--------------------------------------------------------------------------------------------------------------------------------------------------------

    Lewin agrees with AFROC that weighting by hours of patient care is 
most consistent with our underlying methodology for calculating 
physician practice hours. Lewin has recommended that the time-weighting 
methodology for determining the percentage of hospital-based to 
freestanding radiation oncologist PE be adopted, which would result in 
a PE/HR of $213/HR based on 2004 data or $209/HR based on 2005 data. We 
accept Lewin's recommendation and will implement a PE/HR of $209 for 
radiation oncology.
(3) Nonphysician Workpool
    Comment: With the exception of those comments that requested that 
we delay the entire revision to the PE methodology, the majority of 
commenters expressed support for the elimination of the NPWP.
    Response: The development of the NPWP was necessitated by our lack 
of accurate aggregate cost data for specialties such as radiology and 
radiation oncology necessitated the development of the NPWP. The major 
specialties comprising the NPWP have now submitted supplemental survey 
data that we have accepted. Now that we have reliable aggregate PE data 
for these specialties, as well as and refined direct input data at the 
code level, we will finalize our proposal to eliminate the NPWP.
(4) Indirect PE RVUs Methodology
    Comment: Many commenters recommended that we not use the budget-
neutralized work RVUs in the indirect PE allocation, but rather use the 
unadjusted work RVUs.
    Response: As discussed in section III.D.3. of this final rule with 
comment period , the BN adjustment necessitated by the 5-Year Review of 
work RVUs will be accomplished through the use of a separate, BN 
adjustor applied to the work RVUs. However, as recommended by the 
commenters, we will not use the budget-neutralized work RVUs to 
calculate indirect PE.
    Comment: Many commenters disagreed with the use of the physician 
work RVUs in allocating indirect PE. Some commenters further contended 
that the intensity portion of physician work has no correlation to 
indirect PEs. A few commenters contended that physician time would be a 
more appropriate allocation tool than physician work RVUs.
    Response: There is no perfect method of allocating indirect 
expenses down to individual services. We believe the work RVUs are the 
most constant of the available allocation tools, and this 
characteristic coincides best with our goal of stability for the PE 
RVUs. In this final rule with comment, we will continue to use the work 
RVUs as one of the indirect PE allocators.
    Comment: Many commenters supported the proposal to use clinical 
labor costs as an indirect allocator when either the clinical labor RVU 
exceeds the work RVU or when the service does not contain physician 
work. Two commenters disagreed with the use of clinical labor costs in 
allocating indirect PE and stated that this is a ``fudge factor'' that 
inappropriately allocates costs to services with very low or no 
physician work.
    Response: Because work RVUs reflect the time required to perform 
the service in addition to the intensity of the physician work 
involved, services with low or no work RVUs could be valued 
inappropriately unless we use a proxy for the work RVUs in allocating 
indirect PE to them. To bring these services onto the same scale as 
services that do contain physician work, we believe it is appropriate 
to utilize clinical labor costs as a proxy for physician work in the 
indirect allocation. We agree with the majority of commenters and will 
finalize our proposal to use clinical labor costs in allocating 
indirect PE where the physician work RVU is zero or less than the 
clinical labor RVU.
    Comment: Several commenters recommended that the methodology be 
modified to include clinical labor time in the calculation of 
specialty-specific aggregate indirect PE pools.
    Response: We do not agree with the commenters because the PE/HR for 
each specialty is calculated using physician time as the denominator; 
clinical staff time is not included in that calculation. It would be 
inconsistent to then use clinical labor time in the creation of the 
specialty-specific indirect PE pools.
    Comment: Many commenters recommend the use of unscaled direct 
inputs in the allocation of the indirect PE.
    Response: It would be inconsistent to base the direct PE RVUs on 
budget neutral scaled direct inputs, and then use unscaled direct 
inputs that are not budget neutral in creation of the indirect PE RVUs. 
We also disagree with the commenters' suggestion that we should use 
unscaled inputs for the direct PE RVUs. Direct costs represent, on 
average, approximately one-third of PEs based on the SMS survey data.

[[Page 69641]]

Therefore, we believe it is appropriate to scale the direct inputs so 
that approximately one-third of the aggregate PE RVUs are for direct 
PEs.
    Comment: Several commenters contended that the approach of basing 
PE calculations on the weighted average of all specialties performing a 
service is flawed and should be replaced with an approach that bases 
the specialty-weighted factors upon specialties that represent 95 
percent of the utilization for a CPT code and modifier. A commenter 
stated that utilizing the service counts associated with lower cost 
specialties, such as optometry, that would perform only the 
postoperative portion of a service, as opposed to the full service, 
inappropriately deflates the total PEs of a service when the practice 
costs of these specialties are weight averaged.
    Response: With regards to the general question of including all 
specialties performing a service in the weight-averaging of the 
practice costs of the service, this is an issue that has been raised 
since we first proposed a resource-based PE methodology. We still 
believe, as we have previously stated, that the inclusion of 
specialties that perform a very small proportion of a service has no 
discernible impact on the PE calculation.
    We agree that it would be inappropriate to assign full service 
counts to a specialty that only performs the postoperative work of a 
given surgical procedure. For this reason, we have always adjusted the 
per specialty utilization for a service using the appropriate payment 
modifier (modifier -55) before the service is used to weight the 
practice costs of the various specialties performing a given service. 
For example, if a specialty performs 100,000 postoperative-only 
services for a specific procedure (that is, uses modifier -55), those 
services would be counted based upon the code-specific postoperative 
percentage multiplied by the 100,000 services. If the postoperative 
percentage was 10 percent, the specialty performing 100,000 
postoperative-only services will be weighted with only 10,000 services. 
Therefore, we do not believe that any further adjustments are needed.
    Comment: One commenter recommended that the indirect PE allocation 
be distributed from the global services to the professional and 
technical services based upon the share of billings for each service.
    Response: Although we are unsure of what, exactly, the commenter is 
suggesting, it is not clear to us how this recommendation could result 
in an appropriate resource-based PE RVU (for example, if the majority 
of services furnished were for the PC of a procedure, we believe the 
commenter is suggesting that it would then be necessary for the PC to 
have a higher PE RVU then the TC). Therefore, we will retain our 
current methodology for the allocation of indirect PE for services with 
TC and PCs, but we welcome further clarification regarding this 
suggestion.
(5) Transition Period
    Comment: The majority of commenters expressed support for the 
proposal to transition the PE methodology changes over a 4-year period. 
One commenter recommended that if the work RVU changes associated with 
the 5-Year Review are not transitioned, then the PE RVUs should also 
not be transitioned.
    Response: We are concerned that, when combined with the negative 
update adjustment factor (UAF) for CY 2007 and the impact of changes to 
the work RVUs under the 5-Year Review, the shifts associated with the 
PE methodology changes could potentially cause some disruption for 
medical practices. For this reason, we will finalize the proposed 4-
year transition to the PE methodology.
    Comment: One comment supported the use of supplemental survey data, 
but requested that this supplemental survey data be implemented with no 
transition, since this data was originally accepted 1-2 years ago.
    Response: The supplemental survey data is not independently 
transitioned in the proposed PE methodology. Rather, the RVUs resulting 
from all the changes to the methodology, which are to some degree 
interdependent, would be transitioned over 4 years. It would be very 
difficult to isolate one aspect of our proposed methodology and exempt 
it from the transition. In addition, we are concerned that such an 
approach could lead to inequities whereby, for a given specialty, a PE 
methodology change that has a positive impact would be transitioned 
over 4 years, while a change with a negative impact would not. For 
these reasons, we will finalize the 4-year transition as proposed.
(6) Other Comments on the PE Methodology
    Comment: Several commenters requested that one budget neutrality 
factor (BNF) be applied for PE as opposed to applying a direct 
adjuster, an indirect adjuster, and a final BN adjustment.
    Response: The separate adjusters for the direct and indirect pools 
of RVUs are not pure BN adjustments but are more appropriately viewed 
as scaling factors. The purpose of the separate direct and indirect 
adjustments is to scale the pool of direct input RVUs and the pool of 
indirect RVUs to the direct and indirect RVUs that are available, as 
determined by the total direct and indirect dollars from the SMS and 
supplemental surveys. For this reason, the adjustments should be viewed 
as direct and indirect scaling factors, as opposed to BN adjustments. 
If we only applied one BN/scaling factor to the final PE RVUs, there 
would not be the appropriate balance between the direct and indirect PE 
RVUs and services with more direct RVUs would be paying for those 
services with less direct RVUs, since the indirect scaler is greater 
then the direct scaler.
    Since the direct and indirect RVU pools are scaled and made 
``budget neutral'' in these initial steps, the final BN adjustment is 
very small. The only reason the final adjustment is needed is because 
the RVUs associated with specialties that are not used in the rate 
setting process need to be incorporated back into the system. This 
introduction of additional RVUs causes a very small adjustment in the 
final step. For these reasons, we will finalize the proposal to utilize 
three separate adjustments in the calculation of resource-based PE 
RVUs.
    Comment: Several commenters applauded our proposals relating to the 
PE methodology for being more intuitive and transparent, but requested 
that we go one step further toward pure transparency by publishing the 
PE/HR figures and the specialty indirect practice cost indices.
    Response: We appreciate the support for the intuitive and 
transparent nature of the revised methodology. Following our original 
intention of making this methodology resource-based, intuitive, and 
transparent, we will publish both the PE/HR figures and the indirect 
practice cost indices on the homepage of the CMS Web site.
    Comment: A few commenters requested that either their services be 
``frozen'' at the current 2006 PE RVUs or that a floor be placed on the 
percent reduction associated with any given service due to the revised 
methodology.
    Response: We do not believe it would be equitable to maintain 
current values for certain codes or to place a floor on the percentage 
reduction associated with a given service in a resource-based system. 
However, in order to minimize any potential disruptive effects that 
could be caused by sudden shifts in RVUs, we will be finalizing our 
proposal to transition to the bottom-up methodology over a 4-year 
period. This transition period will allow interested

[[Page 69642]]

parties an opportunity to review the data elements associated with 
their services. For these reasons, we will not institute a floor on the 
reduction in PE RVUs for a service, nor will we freeze any services at 
their CY 2006 PE RVUs.
    Comment: Several commenters have requested that, for purposes of 
calculating resource-based PE RVUs, certain services should be assigned 
to specialties with higher PEs then those that are reported in the 
Medicare claims data.
    Response: Unless there is evidence that the Medicare claims data is 
incorrect, or that there is something unique about the services in 
question, we do not believe it would be appropriate to override our 
existing utilization data. The Medicare claims data identifies what 
specialties are furnishing what services and this is an essential 
component in the development of our resource-based system. If 
interested specialties contend that persons within their specialty are 
reporting their specialty designation incorrectly, we urge those 
specialties to work with their respective organizations to educate 
their membership about the importance of correct reporting of their 
specialty designation when billing Medicare.
    Comment: Several commenters contended that the independent 
diagnostic testing facility (IDTF) survey data does not reflect the 
costs of cardiac event monitoring services, because issues such as 
hours of operation, intense staffing needs and equipment usage are not 
taken into account.
    Response: We agree with the commenters that cardiac event 
monitoring services are unique and are not appropriately represented by 
the IDTF survey data. For this reason, we will use the PE data 
associated with cardiology to value these services. Additionally, as 
discussed in more detail in the section on direct cost inputs (section 
II.A.4.f. of this final rule with comment period), we are revising the 
direct inputs for these services to reflect that the PEs are not 
limited to direct patient encounters.
    Comment: Some commenters recommended that we review the crosswalk 
used for both interventional pain management and pain medicine in the 
CY 2007 PFS proposed rule. The commenters suggested that the 
appropriate crosswalk for these specialties is the ``all physician'' 
PE/HR.
    Response: We agree with this comment and will crosswalk both 
interventional pain management and pain medicine to the ``all 
physician'' PE/HR.
    Comment: Several commenters supported the use of revised 2005 
utilization data. A few commenters expressed concerns that the use of 
this revised single year data might cause problems with the stability 
of the PE RVUs and requested that we delay using this data until the 
impact on the stability of PE RVUs can be determined.
    Response: We will finalize our proposal to incorporate the most 
current Medicare utilization data into the calculation of resource-
based PE RVUs. We have always attempted to use the most current data 
available in rate-setting. Although we understand the concerns conveyed 
by the few comments that requested a delay in the use of the 2005 
utilization data, we do not believe that the use of this data will 
destabilize the PE RVUs to the extent that a delay would be warranted.
    Comment: Some commenters contended that we are in violation of the 
MMA when reducing the PE RVUs of drug administration services by 
adopting a new methodology. The commenters stated that, because the 
oncology supplemental survey is not being used for the same purpose as 
it was when MMA directed us to use the survey, all drug administration 
services must be exempt from any impact associated with the revised PE 
methodology.
    Response: We disagree with this comment. Although the MMA was 
enacted prior to these changes in our PE methodology, the MMA did not 
prescribe the use of any particular resource-based PE RVU methodology 
or constrain our rulemaking authority. The MMA directed us to use the 
oncology survey data in determining PE RVUs. We have, in fact, used the 
survey data (in exactly the way the Congress envisioned when it passed 
MMA) to establish PE RVUs for services furnished during CYs 2004, 2005 
and 2006. In addition, under the revised PE methodology, we are 
utilizing the survey data in the calculation of the indirect PE RVUs. 
Thus, we do not believe that the use of the survey data within our 
revised methodology violates the provisions of MMA.
    Comment: Several commenters contended that the proposed indirect 
practice costs may not be appropriate for cardiology practices that 
operate free-standing cardiac catheterization labs. The commenters 
further stated that the nonfacility technical billings for cardiac 
catheterization are dominated by IDTFs, but the IDTF supplemental 
survey data was primarily based on imaging centers. The commenters 
recommended that the cardiac catheterization services be based solely 
upon the PE data for cardiology.
    Response: We agree with these comments. We currently do not have 
direct cost input data for the nonfacility setting for these services. 
Until we are able to obtain such data, we will carrier-price the 
cardiac catheterization codes. We urge interested parties to continue 
to work with the RUC to develop direct cost inputs for these services 
in the future.
    Comment: One commenter recommended that we reinstate the clinical 
labor costs associated with physicians bringing their own staff to the 
hospital and contended that not counting these costs is in violation of 
the statute.
    Response: We have indicated that we will not pay for clinical staff 
brought by physicians to the hospital for the following reasons: (1) 
These costs are already paid to the hospital and would thus be a double 
payment; (2) we already pay for physician extender staff through the 
physician work RVUs; and (3) we pay physician assistants (PAs) directly 
when they serve as assistants at surgery. In response to this decision, 
the thoracic surgeons contended that hospitals are no longer providing 
the staff to furnish adequate care. We asked the Office of Inspector 
General (OIG) to conduct an independent assessment of the staffing 
arrangements between hospitals and thoracic surgeons. In response to 
our request, in an April 2002 report, the OIG clearly supported our 
position to exclude the costs of clinical staff brought to the hospital 
from the PE calculations. For these reasons we will continue to exclude 
the clinical labor costs associated with physicians bringing their own 
staff to the hospital from the calculation of resource-based PE RVUs.
    Comment: One commenter recommended that the practice costs 
associated with the handling of pharmaceuticals should be incorporated 
into the cost categories associated with the calculation of resource-
based PE RVUs.
    Response: The commenter did not offer any recommended inputs or 
strategies on how to incorporate these costs into the methodology. For 
this reason we will not incorporate any additional costs related to the 
handling of pharmaceuticals into the methodology at this time.
    Comment: One commenter recommended that administrative staff time 
should be counted as a direct cost.
    Response: Administrative staff time was included in the original 
CPEP data as direct PE. However, because of the difficulty in 
accurately assigning the

[[Page 69643]]

administrative time to individual procedures, we then converted this 
expense to an indirect cost. We agree that, in principle, it could be 
helpful to treat as many of the practice costs as possible as direct, 
rather than indirect PE, and we would be willing to consider such 
recommendations if the PERC or RUC would agree to undertake the task of 
assigning administrative staff times to each code.
    Comment: One commenter recommended that special resource 
considerations for screening services should be factored into the 
calculation of the PE RVUs.
    Response: We have attempted to account for all resource cost in the 
calculation of the PE RVUS for all services. Unfortunately, the 
commenter did not supply any documentation regarding additional 
resources that the commenter believes should be included for screening 
services. Therefore, we will not add additional resources as requested 
at this time.
    Comment: Many specialty societies expressed concern that the 
Medicare database currently does not permit the collection of nurse 
practitioner (NP) specialty-specific data. The commenters contended 
that this limitation unfairly excludes NPs from participating in 
certain demonstration projects and other programs. The commenters also 
state that they are ready to work with us on this and any related 
issues.
    Response: It is not clear from the comment exactly what specialty-
specific data is at issue. However, we would certainly be willing to 
work with the commenters to address their concerns.
4. Additional PE Issues for CY 2007
a. RUC Recommendations for Direct PE Inputs and Other PE Input Issues
    In the CY 2007 PFS proposed rule (71 FR 48982), we proposed the 
following concerning direct PE inputs.
(i) RUC PE Recommendations
    The AMA's Relative Value Update Committee (RUC) established a new 
subcommittee, the Practice Expense Review Committee (PERC), to assist 
the RUC in recommending direct PE inputs (clinical staff, supplies, and 
equipment) for new and existing CPT codes. The RUC reviews and gives 
final approval for all PERC recommendations.
    The PERC reviewed the PE inputs for over 2000 existing codes, some 
of which were unresolved PE issues from the CY 2006 PFS final rule with 
comment period, at their meetings held in September 2005, February 2006 
and April 2006.
    We reviewed the PERC recommendations that were forwarded by the RUC 
and proposed to adopt all of them. We have worked with the AMA staff to 
correct any typographical errors and to ensure that previously PEAC-
accepted standards are incorporated in the recommendations.
    The complete PERC recommendations and the revised PE database can 
be found on our Web site. (See the SUPPLEMENTARY INFORMATION section of 
this final rule with comment period for directions on accessing our Web 
site.)
    Comment: We received comments from many of the specialty societies 
thanking us for our acceptance of the PERC recommendations.
    Response: We thank the specialty societies for their positive 
remarks and we look forward to our continuing relationship with the 
PERC and the societies.
(ii) Standard Supplies and Equipment for 90-Day Global Codes
    In our proposed rule of August 22, 2006, we proposed to revise the 
CPEP supply and equipment inputs for those 90-day global procedures for 
which the RUC had only refined the clinical labor direct PE inputs. We 
proposed to apply the standard supply and equipment inputs for the 
facility setting for 90-day global services to these remaining 
unrefined 90-day global procedure codes. As recommended by the PERC at 
its April 2006 meeting, for supplies, we proposed to include one 
minimum supply visit package for each postoperative visit assigned to 
each code and a postsurgical incision care kit (suture, staple, or 
both) where appropriate, along with additional items reviewed and 
recommended by the PERC for certain procedures. For equipment, we 
proposed to include an exam table and light as the standard equipment, 
as well as other equipment items recommended by the PERC that were 
identified by the specialty societies as necessary during the 
postoperative visit period. However, there are several issues on which 
we requested input from the PERC or the specialty before we finalized 
the recommended standards. For example, for many of the 90-day codes in 
question, the current supply input data contain supplies in far larger 
quantities than are contained in either the visit package or incision 
care kit. For other codes, the current data include items that are not 
contained in the package or kit. In other cases, the PERC 
recommendations contain additional items in quantities that appear 
excessive. We plan to work with all the concerned specialties to ensure 
that the finalized inputs do represent the typical supplies needed to 
perform each procedure.
    Because the application of the 90-day global standard supplies and 
equipment would result in the deletion of some original CPEP inputs, we 
requested that all the medical specialties examine the direct PE inputs 
on our Web site and inform us if there are additional items from the 
original CPEP data that are a necessary part of the postoperative care 
and if the PERC-recommended PE inputs were listed correctly.
    Comment: Several commenters expressed concern regarding the 
accuracy of our PE database for the specialty-specific PERC 
recommendations and the application of the standard supplies and 
equipment that we proposed to include in the 90-day global codes. One 
commenter representing urologists noted that several supply items 
approved by the PERC were missing in the PE database and provided us 
with specific supply inputs for CPT codes 57310, 57311, 57320, and 
57330. Another commenter representing prosthetic urologists recommended 
that the standard supplies used for infection control or patient 
comfort be included for each postoperative visit, such as gloves for 
the physician and clinical staff, table paper, patient drapes and 
gowns, and also questioned the accuracy of the number of ``multi-
specialty visit package'' (MSVP) associated with their services. They 
believe that their services entail more postoperative visits than the 
current number of MSVPs reflected in the PE database. A society 
representing gynecologic oncologists also recommended that the standard 
supplies for their procedures should be modified to include additional 
supplies that are associated with their procedures, such as a pelvic 
exam kit and a patient drape. Lastly, a medical society representing 
ophthalmologists urged us to incorporate the PERC-recommended supply 
and equipment direct inputs for the 90-day global ophthalmologic codes.
    Response: We thank the urology specialty for reviewing the PE 
database and providing us with the specific supply items missing from 
their four CPT codes. These PERC-approved supplies have been added as 
requested. We have addressed the prosthetic urologists' concerns 
regarding the inclusion of supplies for infection control and patient 
comfort by ensuring that one MSVP was included in the PE database for 
each postoperative visit for these services. The MSVP contains, among 
other things, 2 pairs of gloves, table paper, and a patient gown. We 
also note that the inclusion of a patient

[[Page 69644]]

drape is a standard for the codes identified by the specialty for 
gynecology and obstetrics. To the extent that prosthetic urologists 
believe a patient drape is needed in their 90-day global codes, we 
encourage them to work through the RUC process to correct possible 
discrepancies. In regard to the request for additional MSVPs for each 
procedure performed by the urologic prosthetists, we believe the 
commenter is mistaken, as there is one MSVP for each of the RUC-
recommended postoperative visits entered in the PE database. With 
respect to the comments about the absence of specific supplies in 
gynecologic oncology procedures, we would note that the 90-day CPT 
codes identified by the specialty for gynecology and obstetrics all 
contain these specific items as part of the standard packages, as 
approved by the RUC and accepted by CMS. We would again suggest that 
the commenter work through the RUC process to assure that the necessary 
inputs are included in these services. In response to the request from 
the society representing ophthalmologists to implement the PERC-
recommended supply and equipment changes for ophthalmology services, we 
have already incorporated these changes into the PE database and they 
are reflected in the PE RVUs. However, we would note that further 
equipment adjustments were not made for the ophthalmology CPT codes, as 
the PERC recommendations did not include any changes to the current 
equipment or ophthalmology lane assignments.
b. Payment for Splint and Cast Supplies
    In the CY 2000 and CY 2001 PFS final rules (64 FR 59380 and 65 FR 
65376, respectively), we removed splint and cast supplies from the PE 
database for the CPT codes for fracture management and cast/strapping 
application procedures. Because splint and cast supplies could be 
separately billed using Healthcare Common Procedure Coding System 
(HCPCS) codes (Q4001 through Q4051) that were established for payment 
of these supplies under section 1861(s)(5) of the Act, we did not want 
to make duplicate payment under the PFS for these items.
    In the CY 2006 PFS proposed rule (70 FR 45764), we proposed to 
reinstate payment for all splints and cast supplies through the PE 
component of the PFS because we believed we may have unintentionally 
prohibited remuneration for these supplies when they are not used for 
reduction of a fracture or dislocation (covered under section 
1861(s)(5) of the Act), but rather are provided (and covered) as 
``incident to'' a physician's service under section 1861(s)(2)(A) of 
the Act. This proposal was not finalized; however, in our CY 2006 final 
rule with comment period (70 FR 70116) we asked the medical specialties 
and the PERC to determine the typical supplies for splints and casts 
necessary for each of the fracture management codes and the cast/
strapping application codes because we wanted to make certain that the 
supply inputs were correct before we proceeded with rulemaking for the 
CY 2007 PFS. At its February 2006 meeting, the PERC reviewed and 
approved the supply inputs submitted by the American Academy of 
Orthopaedic Surgeons (AAOS) for each CPT code for fracture management 
and cast/strapping application and these were forwarded to us as PERC 
recommendations. During this interim period we also reassessed the 
options for payment of materials for splints and casts.
    We believe that the majority of the splint and cast supplies that 
are currently paid through the Q-codes are furnished in relationship to 
cast/strapping procedures for the management of fractures and 
dislocations. However, we did not intend for the medically necessary 
splint and cast supplies used for other reasons (for example, serial 
casting, wound care, or protection) not to be paid. Because it may be 
difficult for the contractors to identify the purpose for the cast/
strapping application procedure on a claim form, we believe that 
contractors may have been paying for the splint and cast supply Q-codes 
when the service is performed for other purposes than treatment of 
fractures and dislocations.
    Since these splint and cast supplies can be covered under both 
sections 1861(s)(5) and 1861(s)(2)(A) of the Act, we proposed to 
include payment for both statutory benefits using the separate HCPCS Q-
codes. This would allow for payment for these medically necessary 
supplies whether based on sections 1861(s)(5) or 1861(s)(2)(A) of the 
Act, while ensuring that no duplicate payments are made. Physicians 
will continue to bill the HCPCS Q-codes, in addition to the cast/
strapping application procedure codes, to be paid for these materials.
    The following supplies will continue to be paid separately using 
the HCPCS Q-codes and would not be included in the PE database:
     Fiberglass roll.
     Cast padding.
     Cast shoe.
     Stockingnet/stockinette.
     Plaster bandage.
     Denver splint.
     Dome paste bandage.
     Cast sole.
     Elastoplast roll.
     Fiberglass splint.
     Ace wrap.
     Kerlix.
     Webril.
     Malleable arch bars and elastics.
    The splint and cast supplies will not be included in the PEs for 
the following CPT codes:
     24500 through 24685.
     25500 through 25695.
     26600 through 26785.
     27500 through 27566.
     27750 through 27848.
     28400 through 28675.
     29000 through 29750.
    We specifically requested input, from medical specialties and 
contractors on our proposal.
    Comment: Commenters offered their appreciation and support of our 
proposal to pay for medically necessary splint and cast supplies using 
HCPCS Q-codes for both statutory benefits, that is, sections 1861(s)(5) 
and 1861(s)(2)(A) of the Act. However, one commenter requested that we 
clarify ``whether this separation applied to the rehabilitation non-
physician service codes.'' In addition, a few commenters noted that the 
supplies for the Unna-boot have been excluded from payment under the Q-
codes, because they are assigned HCPCS A-codes, and asked that we 
clarify if the Unna-boot supplies will now be included in the Q-codes. 
One commenter suggested that we omit the cast shoe from the list of 
supplies that are covered under either benefit. Another commenter asked 
us to temporarily include the A-HCPCS codes, A-6441 though A-6457, as 
billable HCPCS codes in conjunction with the strapping and casting CPT 
procedures codes.
    Response: We will proceed with our proposal to pay for the splint 
and cast supplies using the existing HCPCS Q-codes for all medically 
necessary splints and casts, as appropriate. While we appreciate the 
comments received, we have questions about and do not understand the 
request concerning whether this applied to the ``rehabilitation 
nonphysician service codes.'' We apologize that our listing of the 
applicable CPT code ranges in the proposal caused confusion about 
whether the Unna-boot supplies that currently are identified with HCPCS 
A-codes would change and be paid using the Q-codes. For clarification 
purposes, we would like to note that our proposal does not change the 
existing Q-code descriptors or their pairing with certain CPT codes for 
payment purposes. For CPT code 29580, (Strapping; Unna boot) physicians 
and other qualified providers

[[Page 69645]]

will continue to use the A-codes designed for the Unna-boot supplies. 
We appreciate the comments from the commenter asking us to remove the 
cast shoe from the PE database since shoes are statutorily noncovered 
items, except for certain diabetic shoes and those that are attached to 
braces. The cast shoe was erroneously identified as a supply item 
separately paid using the Q-codes in the listing in our proposed rule. 
We now realize that the listing in the proposed rule, in reality, 
merely identifies the supply inputs to be removed from the PE database 
rather than those that are separately billable. We agree with the 
commenter, and will remove the cast shoe item from our PE database (27 
codes). While we appreciate a commenter's request to include certain A-
codes as separately billable under our proposal, these items were never 
included in the PE database and it would not be appropriate to include 
them in the existing Q-codes.
c. Medical Nutrition Therapy Services
    In 2000, the Health Care Professional Advisory Committee (HCPAC) 
recommended that we assign work RVUs to three new medical nutrition 
therapy (MNT) CPT codes: 97802, Medical nutrition therapy; initial 
assessment and intervention, individual, face-to-face with the patient, 
each 15 minutes at 0.45 RVUs; 97803, Medical nutrition therapy; re-
assessment and intervention, individual, face-to-face with the patient, 
each 15 minutes at 0.37 RVUs; and 97804, Medical nutrition therapy; 
group (two or more individuals), each 30 minutes at 0.25 RVUs. However, 
during rulemaking for the CY 2001 PFS final rule, we indicated that MNT 
was not covered because there was no statutory benefit category that 
would allow medical nutritionists to bill these services. We also did 
not accept the HCPAC recommendations for work RVUs for these MNT 
services because the codes were designed for use only by nonphysicians. 
The following year, section 105(c) of the Medicare, Medicaid, and State 
Child Health Insurance Program Benefits Improvement Protection Act of 
2000 (BIPA) (Pub. L. 106-554) provided for the coverage of MNT services 
when furnished by registered dietitians or nutritional professionals at 
85 percent of the amount that a physician would be paid for the same 
services. As a result, we established values for these MNT services for 
the CY 2002 PFS. In keeping with our earlier decision, we did not 
assign the HCPAC-recommended work values. However, the associated work 
value for each code was utilized in the conversion of work to clinical 
labor time for MNTs as part of the PE component. At that time we 
received several comments, including one from the American Dietetic 
Association (ADA), urging us to adopt the work values recommended by 
the HCPAC.
    More recently, the ADA has requested us to reconsider our decision 
not to accept the HCPAC recommended work RVUs. The ADA contends that 
the payment rate established by section 105(c) of BIPA, 85 percent of 
the PFS amount that would be paid for the same service if furnished by 
a physician, is based on the premise that work values are inherent to 
these MNT services. The ADA believes that without work RVUs, the 
payment for these services does not reflect 85 percent of what a 
physician would be paid for performing the same service. Because these 
MNT codes were created specifically for MNT professionals, the ADA 
compared the work associated with their services to physician E/M 
services of CPT codes 99203 and 99213, which have respective work RVUs 
of 1.34 and 0.67.
    After reviewing the issues and relevant arguments raised by the 
ADA, we are persuaded that it would be appropriate to include work RVUs 
for the MNT services. Consequently, we proposed to establish work RVUs 
for each code at the level previously recommended by the HCPAC, as 
follows:
     CPT code 97802 = 0.45 RVUs.
     CPT code 97803 = 0.37 RVUs.
     CPT code 97804 = 0.25 RVUs.
    Because we proposed to add the work RVUs to these services, the MNT 
clinical labor time in the direct input database will be removed. 
Additionally, two HCPCS codes, G0270, MNT subs tx for change dx and 
G0271, Group MNT 2 or more 30 mins were created to track MNT services 
following the second referral in the same year and these HCPCS codes 
correspond to CPT codes 97803 and 97804, respectively. Therefore, we 
also proposed to add the same work RVUs to these HCPCS codes and to 
delete the MNT clinical labor inputs from the PE database upon adoption 
of this policy. We encouraged specialty societies and other 
professional groups to comment on this proposal.
    Comment: We received comments from the ADA, several MNT providers, 
one drug company, the National Kidney Foundation and one Congressional 
member all supporting our decision to establish work RVUs for the MNT 
services. Further, several commenters joined the ADA in requesting an 
increase in the proposed work RVUs. In justification of their request, 
the ADA and other commenters compared these services to CPT codes 99213 
(mid-level E/M service) and 90804 (individual psychotherapy service). 
These commenters also requested that the total work RVUs for 97802, 
97803, and G0270 be equal and the total work RVUs for CPT code 97804 
and HCPCS code G0271 also be equal. In addition, the ADA provided 
specific supplies and equipment to be added to the PE database in order 
to facilitate correct PE calculations for these codes.
    Response: We appreciate that the commenters acknowledge and support 
our decision to establish work RVUs for the 5 MNT services. However, we 
do not believe it would be appropriate to accommodate the request to 
increase these work RVUs. We believe that the HCPAC work 
recommendations best represent the MNT services and encourage the ADA 
to utilize the established RUC or HCPAC processes to further assess 
valuation of their services. For this reason, we will maintain the 
proposed work values for all MNT CPT/HCPCS codes. However, we have 
added the supplies and equipment to the PE database as requested.
d. Surgical Pathology Codes
    The College of American Pathologists commented on the equipment 
times assigned to CPT codes 88304 and 88305 in the basic surgical 
pathology family of codes. While all six codes in this family have been 
refined by the PEAC, this refinement occurred at four separate PEAC 
meetings. CPT codes 88304 and 88305 were refined at the first PEAC 
meeting in April 1999 before time standards were established for the 
equipment at subsequent PEAC meetings when the other four CPT codes 
88300, 88302, 88307, and 88309 were reviewed. Using our proposed 
bottom-up PE methodology to value these codes, the lack of the 
equipment time standards for CPT codes 88304 and 88305 create a rank-
order anomaly in this family. Consequently, the College of American 
Pathologists, after reviewing and applying current standards for the 
equipment times, submitted suggested revised equipment times to us. We 
proposed to accept these times and the times will be reflected in the 
PE database on our Web site (See the SUPPLEMENTARY INFORMATION section 
of this final rule with comment period for directions on accessing our 
Web site.)
    Comment: The College of American Pathologists expressed 
appreciation for these revisions to the equipment time to the surgical 
pathology CPT codes.
    Response: We appreciate the College of American Pathologists's 
review of the PE direct inputs, which led to our

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proposal. We are finalizing our proposal for these changes in the 
equipment times in the PE database.
e. PE Issues from Rulemaking for CY 2006
    In the CY 2006 PFS final rule with comment period (70 FR 70116), we 
explained that we were not implementing the PERC or other proposed PE 
changes for CY 2006 due to issues with the PE methodology. In the CY 
2007 PFS proposed rule, we proposed that the PERC and other PE changes 
originally proposed for CY 2006 would be implemented and effective with 
the CY 2007 PFS (71 FR 48987). The following subsections, (i) through 
(x), summarize the PE proposals from the CY 2006 PFS final rule with 
comment period.
    (i) PE Recommendations on CPEP Inputs for CY 2006
    We proposed to use a clinical labor time of 167 minutes for the 
service period for CPT code 36522, Extracorporeal Photopheresis; 
maintain the nonfacility setting PE RVUs for CPT code 78350, single 
photon bone densitometry; and remove the PE inputs for the nonfacility 
setting for CPT codes 76975, GI endoscopic ultrasound, and 15852, 
Dressing change not for burn. (70 FR 70136 through 70137)
(ii) Supply Items for CPT Code 95015 (Which is Used for Intradermal 
Allergy Tests with Drugs, Biologicals, or Venoms)
    We proposed to implement the allergy and immunology specialty's 
recommendation to change the test substance in CPT code 95015 to venom, 
at $10.70 (from single antigen, at $5.18) and the quantity to 0.3 ml 
(from 0.1 ml) (70 FR 70138).
(iii) Flow Cytometry Services
    Based on information from the society representing independent 
laboratories, we proposed to implement the following direct PE inputs:
     Clinical Labor: We proposed to change the staff type in 
the service (intra) period in both CPT codes 88184 and 88185 to 
cytotechnologist, at $0.45 per minute (currently lab technician, at 
$0.33 per minute).
     Supplies: We proposed to change the antibody cost for both 
CPT codes 88184 and 88185 to $8.50 (from $3.544).
     Equipment: We proposed to add the following equipment to 
CPT code 88184:
     Computer.
     Printer.
     Slide strainer.
     Biohazard hood.
     Wash assistant.
     FAC loader.
    We proposed to add a computer and printer to the equipment for CPT 
code 88185 (70 FR 70138).
(iv) Low Osmolar Contrast Media (LOCM) and High Osmolar Contrast Media 
(HOCM)
    Because separate payment is available for both types of contrast 
media, we proposed to delete LOCM and HOCM from the PE database in this 
final rule with comment period (70 FR 70138).
    Comment: Several specialty organizations expressed their 
appreciation for implementing the recommendations for the PE changes in 
section (i) of this section to CPT codes 36522, 78350, 76975 and 15852; 
in section (ii) of this section for changing the amount and test 
substance inputs in CPT 95015; in section (iii) of this section for 
implementing the PE changes to the flow cytometry CPT codes 88184 and 
88185; and in section (iv) of this section for removing the LOCM and 
HOCM from the PE database because they are separately reimbursed.
    Response: We will implement these changes for CY 2007.
(v) Imaging Rooms
    We proposed to implement the updates for the contents and prices of 
5 ``rooms'' used in imaging procedures including--
     Basic radiology room;
     Radiographic-fluoroscopic room;
     Mammography room;
     Computed tomography (CT) room; and
     Magnetic resonance imaging (MRI) room (70 FR 70139).
    Comment: Two commenters questioned why the contents and prices for 
ultrasound ``rooms'' were not being updated in CY 2007 proposed rule.
    Response: The imaging rooms proposals that appeared in this year's 
proposed rule were deferred from the previous year. These imaging rooms 
all contained equipment without updated pricing information. The two 
ultrasound rooms, general and vascular, were valued during the 
repricing of the equipment for the PE database that occurred during 
rulemaking for CY 2005.
(vi) Equipment Pricing for Select Services and Procedures
    We proposed to accept the following equipment pricing information 
provided by various specialty societies for select services and 
procedures as discussed in the CY 2006 PFS final rule with comment 
period (70 FR 70139).
     Equipment pricing for certain radiology services received 
from the ACR as presented in Table 15 of the CY 2006 PFS proposed rule.
     Equipment pricing on the ultrasound color doppler 
transducers and vaginal probe received from the American College of 
Obstetrics and Gynecology (ACOG).
     Equipment pricing for CPT code 36522, extracorporeal 
photopheresis.
     Pricing of the EMG botox machine used in CPT code 92265 as 
presented by the American Academy of Ophthalmology (AAO).
(vii) Supply Item for In Situ Hybridization Codes (CPT Codes 88365, 
88367, and 88368)
    We proposed to implement the Society for Clinical Pathologists' 
request to change the probe quantity to 1.5 for CPT code 88367, In situ 
hybridization, auto, which is equal to the quantity in the other two 
codes in the family.
(viii) Supply Item for Percutaneous Vertebroplasty Procedures (CPT 
codes 22520 and 22525)
    Based on documentation provided by the Society for Interventional 
Radiology, we proposed to implement a new price of $696.00 for the 
vertebroplasty kit, to replace a temporary price of $660.50 that was a 
placeholder price from the CY 2006 PFS final rule with comment period 
(70 FR 70139).
(ix) Clinical Labor for G-Codes Related to Home Health and Hospice 
Physician Supervision, Certification and Recertification
    We proposed to apply the refinements made to the PE inputs to CPT 
codes 99375 and 99378 for home health and hospice supervision to four 
G-codes that are related to home health and hospice physician 
supervision, certification and recertification, G0179, GO180, GO181, 
and GO182. These G-codes are incorrectly valued for clinical labor. 
These G-codes are crosswalked from CPT codes 99375 and 99378, which 
underwent PEAC refinement in January 2003 for the CY 2004 PFS. However, 
at that time we inadvertently did not apply the new refinements to 
these specific G-codes (70 FR 70139 through 70140).
(x) Programmers for Implantable Neurostimulators and Intrathecal Drug 
Infusion Pumps
    Although we had initially proposed in the CY 2006 PFS proposed rule 
to remove two programmers from the PE database (EQ208 for medication 
pump from two codes (CPT codes 62367 and 62368) and EQ209 for the 
neurostimulator from 8 codes (CPT codes 95970 through 97979)), based on 
comments received as discussed in the

[[Page 69647]]

CY 2006 PFS final rule with comment period (70 FR 70140), we determined 
that we will retain these programmers in the database. In addition, we 
added ``with printer'' to the description of EQ208, based on comments 
received. We proposed to implement these decisions for CY 2007.
    Comment: Commenters expressed appreciation for the implementation 
of these changes that had been deferred from the previous year.
    Response: We will implement the PE changes noted in sections (vi) 
through (x) of this section for CY 2007.
f. Other PE Issues for CY 2007
(i) Clarification With Respect to Non-Facility PE RVUs
    In the CY 2006 PFS final rule with comment period (70 FR 70335), we 
provided a clarification in Addendum A concerning use of ``NA'' in the 
PE RVU columns for Addendum B. Commenters requested that further 
clarification be made concerning the payment amount for procedures 
performed in the non-facility setting if there is an ``NA'' in the non-
facility PE RVU column. In the CY 2007 PFS proposed rule, we clarified 
that our policy is that the service will be paid at the facility PE RVU 
rate if the Medicare carrier pays for the service in the non-facility 
setting. In the CY 2007 PFS proposed rule (71 FR 48982), we proposed 
revisions to Addendum A to include this clarification.
    Comment: Commenters expressed appreciation for this clarification.
    Response: We have modified Addendum A to include this 
clarification.
(ii) Supply for CPT Code 50384, Removal (Via Snare/Capture) of 
Internally Dwelling Ureteral Stent Via Percutaneous Approach, Including 
Radiological Supervision and Interpretation
    Upon review of the RUC-recommended direct PE inputs for CPT code 
50384, a new procedure for the 2006 CPT codes, we identified the 
inappropriate inclusion of a ureteral stent that we proposed to delete 
for CY 2007. We believe that the addition of the ureteral stent, valued 
by the specialty at $162, to CPT code 50384, which is the procedure for 
the removal of a stent, was an inadvertent error by the specialty 
during the April 2005 RUC meeting.
    Comment: The commenters agreed with the deletion of the ureteral 
stent from this service.
    Response: This stent will be removed from CPT code 50384 in the PE 
database.
(iii) Cardiac Monitoring Services
    We requested more specific PE information on remote cardiac event 
monitoring services in the CY 2007 PFS proposed rule as a result of a 
comment and response discussion in last year's final rule related to 
these services and an inappropriate fit with the direct PE model used 
for typical physicians' services. These services are overwhelmingly 
performed by specialized IDTFs that are paid under the PFS, but 
frequently maintain more extensive operating hours than the typical 
physician office due to the characteristics of cardiac monitoring 
services. Specifically, we requested data to indicate the typical 
number and type of transmissions or other encounters per day between 
the beneficiary and the IDTF for each of the remote monitoring 
services. We also requested the number and type of clinical staff, as 
well as the corresponding times, that are necessary to ensure that 
appropriate services are available for each patient. Additionally, we 
requested assistance in identifying any other direct PE inputs for 
typical supplies and equipment relating to these services, and any data 
that would reflect indirect PE, such as overhead and non-clinical 
payroll expenses. Because we believe that the following codes, 
predominately performed by specialized IDTFs, represent atypical PE 
scenarios, we requested PE information for these services:
     Cardiac event monitoring (CPT codes 93271, 93012 and 
93270).
     Pacemaker monitoring (CPT codes 93733 and 93736).
     Holter monitoring (CPT codes 93232, 93226, 93231 and 
93225).
     INR monitoring (HCPCS codes G0248 and G0249).
    Comment: Several commenters voiced concern about the dramatic 
decrease in the PE RVUs for these services and most agreed that the 
remote cardiac monitoring services do not fit the PE model for 
physicians' services and believed that the information that we 
requested could be useful to value these technical services. One 
commenter submitted the requested information after conducting a survey 
of 7 large IDTFs specializing in these remote cardiac monitoring 
services. For each of the 11 CPT/HCPCS codes referenced above in this 
section, the commenter provided recommendations for the direct PE 
inputs, including the type of clinical labor and the related minutes 
for their service, the needed disposable supplies and the equipment 
costs, the number of minutes in use, and the respective life of each 
piece of equipment. In addition, two commenters suggested that CPT code 
92326 (remote, real-time, wireless cardiac monitoring) be added to the 
above list of services:
    Response: We appreciate that the provider group conducted such a 
detailed survey to capture the costs of these services. We have 
reviewed the direct inputs that were forwarded by the commenter and 
have accepted many of their recommendations, some with modifications, 
for all these codes. For example, we used the ``discounted'' purchase 
prices for the equipment which is our standard policy rather than the 
additional list prices that were also included. The specific direct 
inputs for the following CPT/HCPCS codes: 93012, 93271, 93270, 93733, 
93736, 93232, 93226, 93231, 93225, G0248 and G0249 are included in the 
PE database that is posted with this rule on the CMS Web site. We will 
consider these inputs interim, for CY 2007, and will continue to work 
with the provider group to appropriately value these services. For the 
request to include CPT code 93236 in this list of codes, we would note 
that this procedure is not valued in the nonfacility setting and has no 
direct inputs. CPT code 93236 is discussed in the following comment and 
response.
g. Specific PE Concerns Raised by Commenters
(i) Wireless Cardiac Monitoring
    Comment: One commenter expressed concern about the impact of the PE 
methodology proposal and stated that there is not a CPT code that 
accurately represents ``remote, real-time cardiac monitoring through 
wireless communications and computerized arrhythmia detection 
technology'' service. The commenter requested that a HCPCS code be 
created specifically for this service and provided direct input 
recommendations that could be used to price this new code. In the event 
that we could not create a HCPCS code, the commenter requested that the 
direct inputs be applied to the CPT code 93236 which is currently being 
used to bill for this service.
    Response: We are reluctant to create a HCPCS code at this time 
because the commenter has not demonstrated a compelling need for a 
distinct code for this service. Because this code is currently not 
valued in the nonfacility setting, we proposed to carrier price this 
service for CY 2007. We suggest that if the commenter believes a 
distinct code is necessary to describe this service, the provider 
should work with the specialty and contact the CPT Editorial Panel to 
pursue this matter. We will maintain

[[Page 69648]]

our proposal to carrier price this service for CY 2007.
(ii) Endovenous Ablation Services, CPT Codes 36475, 36476, 36478, and 
36479
    Comment: We received numerous comments with concerns about the 
decrease in PE RVUs proposed for CY 2007. In addition, a few commenters 
noted a disparity between the cost of supplies for the RF and the laser 
ablation procedures, CPT codes 36475 and 36478, respectively. One 
commenter supplied documentation to support that the price of the 
endovascular laser kit, at $677, in the PE database is not typical. 
This commenter presented a range of prices from $275 to $315 as 
typical. The commenter also demonstrated that 3 other supplies listed 
for CPT code 36478 were duplicated as they are part of the kit. Another 
commenter noted a price of $360 for the laser kit.
    Response: We reviewed the supplies in the laser kit and the other 
supplies for this endovenous service and believe that the hydrophilic 
guide wire, the vascular sheath and the vessel dilator are duplicated. 
These items were removed from the database for CPT code 36478. In 
addition, based on the information and documentation supplied, we used 
the $360 laser kit to average with the existing price of $677 to obtain 
the new price of $519. We have also made this change to the PE 
database. While we realize that the PE RVUs were negatively impacted by 
the change in the PE methodology, it is also important to ensure that 
the direct inputs accurately reflect the typical resources used to 
provide each service.
(iii) Development of Nonfacility PE for Arthroscopic Procedures
    Comment: We received comments requesting that we establish direct 
PE inputs for five arthroscopy codes for the nonfacility setting, 
including CPT codes 29870, 29805, 29830, 29840 and 29900.
    Response: The RUC discussed this request at its October 2006 
meeting and determined that the procedures are not safe to perform in 
the physician's office. We support the RUC's decision not to value 
these arthroscopy procedures in the nonfacility setting and will 
continue to use the ``NA'' indicator in the PE RVU column for the 
nonfacility setting in Addendum B.
(iv) Audiologist Wage Rate
    Comment: One commenter requested that we add 25 percent to the 
professional audiologists wage rate per minute which is now $0.52. The 
commenter contended that the fringe benefits factor was not applied at 
the time we established the clinical labor rates for CY 2002.
    Response: We used data from the Bureau of Labor Statistics (BLS) to 
establish the base wage rate for audiologists when we repriced the 
clinical staff wage rates for CY 2002. We also applied a 33.6 percent 
fringe benefit factor to all wage rates, including the wage rate for 
audiology. Therefore, we will maintain the wage rate for audiologists 
until the time that all clinical labor wages are updated in future 
rulemaking.
(v) Medical Physicists Wage Rate
    Comment: Several commenters recommended that we accept the 2005 
survey data on hourly wages, inflated to 2006, that was presented by 
the association representing medical physicists. They contend that we 
inappropriately used the wage rate for health physicists, instead of 
medical physicists, when we updated the clinical labor wage rates for 
CY 2002.
    Response: In the PFS final rule for CY 2002, we finalized our 
proposal to price the physicist staff type on the average salary data 
for all certified health physicists from the 1999 survey conducted by 
the American Academy of Health Physics and the American Board of Health 
Physics. At the time we were revising the wage rates, this was the best 
information available. Further, the source of the majority of wage 
rates in the CY 2002 PFS final rule was the BLS. In the case of medical 
physicists, we were unable to obtain salary data from BLS. We agree 
with the commenters that this revised 2005 salary data is more 
appropriate than our current salary data. We will utilize this revised 
data, deflated to 2002, to keep all salary data on the same scale. As a 
result of this information, we will change the wage rate per minute for 
the two following clinical staff types: (a) Medical physicists from 
$1.21 to $1.523; and (b) medical dosimetrists/medical physicists from 
$0.92 to $1.075.
(vi) Home Visit E/M Services
    Comment: We received a comment that stated that the home care 
clinical labor times are incorrectly reported in our PE database with 
each lacking 6 minutes in the pre-service period. In addition, the 
commenter stated that a supply item, specula tips, is missing in one 
service. Another commenter voiced support for the efforts of the home 
care physician group.
    Response: We have verified that our PE database is correct. For the 
CPT codes 99341, 99342, and 99343, there is a total 12 minutes labor 
for each code, with 6 minutes assigned to the pre-service period and 6 
minutes assigned to the postservice period. Also, the supply item the 
commenters reported as missing is included in the PE database.
(vii) Supply Inputs for CPT 31730
    Comment: Prior to the publication of the CY 2007 PFS proposed rule, 
we received documentation from the association representing pulmonary 
physicians that specified the contents of the fast track supply tray 
for CPT code 31730. The specialty was complying with our request for 
information on supply items needing specialty input in last year's 
final rule.
    Response: We thank the specialty group for its submission of the 
fast track supply tray contents and note that we accepted this 
documentation and the $750 price in our proposed rule. However, we 
regret that we did not remove the duplicated supply items from the PE 
database at that time. The following supplies will be removed from the 
inputs for CPT 31730 because they are already contained in the fast 
track tray: alcohol pads, 6 cc syringe with needle, 27G needle and 4x4 
gauze pads. The PE RVUs that appear in this rule reflect the removal of 
these supply items.
(viii) Supply Costs for CPT Code 58565
    Comment: One commenter noted that the cost of the kit used for 
hysteroscopic tubal implant for sterilization (supply code SA076) has 
increased in price from $980 to $1245. The specialty society 
representing gynecology and obstetrics services did not supply 
supporting documentation.
    Response: We appreciate that this commenter has reviewed the direct 
inputs for accuracy. However, lacking any documentation to substantiate 
this request for a higher price, we will maintain the $980 price for 
the kit in the PE database for CY 2007. We will add this supply to the 
table requiring specialty input and will review any documentation 
provided by the specialty as part of a future rulemaking.
(ix) Bone Density Testing Services
    Comment: Many commenters requested that we review the costs related 
to bone density testing (DXA) services, particularly related to CPT 
codes 76075 and 76076 used for detection and quantification of 
osteoporosis. These commenters state that the current direct inputs in 
the PE database identify the low cost pencil beam technology ($41,000) 
as the equipment utilized in performing these DXA services in place of 
the higher cost fan beam technology ($85,000). Commenters contended 
that the

[[Page 69649]]

majority of densitometers sold are of the higher cost fan beam variety. 
Another commenter noted that the DXA services using the fan beam 
technology should also contain ``phantom'' equipment to be used to 
perform the daily quality check on this equipment.
    Response: We have changed the PE database to reflect the fan beam 
DXA technology for CPT codes 76075 and 76076. In addition, we have 
added, on an interim basis, the ``solid water calibration check 
phantom'' to the equipment file in the PE database for the family of 
codes using the fan beam technology for 15 minutes each, based on the 
survey information presented by one commenter noting that these DXA 
services are performed, on average, twice daily. We ask the medical 
specialty to provide us with the correct information on the specific 
``phantom'' used for the fan beam DXA technology, including pricing 
verification. While reviewing the PE database for these services, we 
discovered a rank order anomaly between CPT code 76075 and 76076 that 
apparently is due to a change in the clinical labor from the April 2006 
PERC meeting where CPT code 76075 was used as a reference code. We have 
added back the 5 minutes of labor time in the PE database to CPT code 
76075 to correct this rank order anomaly.
(x) PE Missing for CPT Code 28890
    Comment: One commenter stated that the non-facility inputs for CPT 
code 28890, Extracorporeal shock wave, high energy, performed by a 
physician, requiring anesthesia other than local, including ultrasound 
guidance, involving the plantar fascia, lacked enough clinical staff to 
assist the physician with applying the regional (anesthetic) block and 
that the ultrasound equipment was not included in the PE database for 
this ``shock-wave'' service.
    Response: In the CY 2006 PFS final rule with comment, we assigned 
nonfacility PE inputs for CPT code 28890, because we believed these 
services were being performed in the office. (This assignment of PE for 
CPT 28890 is discussed in a subsequent section of this rule.) Since the 
``shock-wave'' machine was the only equipment listed in the PE 
database, we added the ultrasound equipment for 36 minutes, to the PE 
database, but we question whether additional staff is needed to assist 
the physician during the procedure since one nurse ``blend'' (RN/LPN/
MTA) staff type is currently assigned for this procedure. We would 
entertain future discussions on this issue with interested parties, 
including the specialty organization involved in performing this 
procedure in the office. For CY 2007, we have maintained the current 
clinical labor assignment in the PE database.
h. Concerns About Decreases in PE RVUs for Women's Health and Other 
Services
    Many commenters raised concerns regarding payment for services that 
affect women's health:
    Comment: We received many comments regarding the proposed decrease 
in PE RVUs for either specific services or for given specialties. Many 
commenters raised concerns regarding payment for services that affect 
women's health.
    Commenters opposed the proposed decrease in payment for the axial 
bone density testing (DXA) service, CPT code 76075, which is used for 
detection and quantification of osteoporosis, and CPT code 76077, which 
is used for vertebral fracture assessment. The commenters raised the 
concern that the proposed decrease in payment for these services would 
severely restrict patient access to bone density testing, thereby 
undermining our effort to effectively screen Medicare beneficiaries for 
osteoporosis and vertebral fractures. These commenters identified what 
they believed to be flaws in the direct input data and with the 
utilization rate applied to the DXA machine. The commenters also 
requested that we keep the payment for these services at the current 
level.
    We received several comments that expressed concern about the 
decrease in payment for computer-aided detection (CAD) services, CPT 
codes 76082 and 76083, both add-on procedures that are billed in 
combination with an appropriate mammography service. The commenters 
stressed that CAD systems for mammography are diagnostic tools that can 
increase breast cancer detection rates, especially in the early stages. 
One commenter contended that the decrease in payment for this service 
could cripple the ability of physicians to offer this highest quality 
screening service to the broadest patient population.
    Several commenters expressed concern about the proposed RVUs for 
the various radiation therapy codes involved in breast brachytherapy, 
as well as brachytherapy for ovarian and cervical cancer. A society 
representing brachytherapy stated that the proposed reductions may 
force providers to resort to other less beneficial cancer treatments. 
One commenter contended that the proposals could deny a greater number 
of African American women access to an important, patient friendly and 
proven breast cancer treatment. The above concerns were echoed in 
comments from a society representing NPs and a society concerned with 
research on women's health.
    We also received several comments regarding a related service, CPT 
code 19296, Placement of a radiotherapy afterloading balloon catheter 
into the breast for interstitial radioelement application. Commenters 
expressed concern regarding the proposed decrease in payment for this 
service and predicted that this decrease from 129.74 RVUs in 2006 to 
89.31 RVUs in 2010 would cause the service not to be offered in a 
physician's office to Medicare patients.
    We received comments that expressed concern regarding the proposed 
decrease in payments for a number of other services. These include: The 
surgical hysteroscopy service, CPT code 58565; the chemodenervation 
procedures, CPT codes 64612, 64613 and 64614; the EMG-guided Botox 
therapy, CPT 92265; and endovenous ablation procedures, CPT codes 
36475, 36476, 36478 and 36479.
    We also received comments regarding the effect on certain 
specialties of our proposed payments. One commenter stated that the 
proposed cuts could diminish Medicare patients' access to cardiac care. 
Many commenters requested that we reconsider the cuts for 
interventional radiology, and others requested that we reverse any 
decrease for anesthesiology. Another commenter expressed concern 
regarding the decreases for this specialty. Commenters opposed the 
changes to the RVUs that would cause a total 14 percent decrease in 
payment for clinical social workers. In addition, other commenters 
expressed concern regarding our proposed payments for gastroenterology, 
neonatology, pain management, radiosurgery and phlebology.
    Response: We understand the concern expressed by all of these 
commenters. However, payments made for services on the PFS can only 
reflect, in a budget neutral manner, the relative resources required to 
perform each service. With the exception of the requested changes to 
the equipment direct inputs for the DXA service, the commenters have 
not provided specific information regarding the relative resources 
required for the services in question that would support the requested 
changes in payment. We also do not believe it would be equitable to 
keep the payment for any specific service at the current rate when 
there are many other services that will see decreases in payment. We 
would note that one of the main reasons for the proposed 4-year 
transition of our new PE methodology was to give specialties

[[Page 69650]]

and practitioners the opportunity to work with us to determine whether 
any changes in our payment calculation for such services is warranted 
and we are open to further discussion on this issue.
    We also applaud the commenters who have stressed the importance of 
women's health issues. We certainly share their commitment to ensuring 
that those services that meet the health care needs of women remain 
accessible to our beneficiaries. In addition, we appreciate the 
important role that all of the preventive screening services play in 
helping to maintain the health of these beneficiaries. In response to 
comments, we have revised our equipment database to reflect the correct 
DXA equipment. It should also be noted that, although payment for the 
CAD service itself is decreasing, payment for most mammography services 
is increasing, which could potentially offset any reductions to the 
providers of CAD. However, we will request that the RUC review again 
the PE inputs for the DXA and CAD services to ensure that the direct 
inputs associated with these services are accurately reflected in our 
PE database.
i. Equipment Utilization and Interest Rate Assumptions
    Comment: Many specialty societies, MedPAC, and the RUC all offered 
comments about the 11 percent interest rate and the 50 percent 
utilization rate used to calculate the price per minute for each piece 
of equipment. MedPAC stressed the importance of obtaining a reliable 
source for updating the yearly interest rate that physicians would pay 
when borrowing money to buy equipment. They believe that we should 
select the Federal Reserve Board because of the frequent updating, 
issued quarterly. MedPAC notes that interest rates, of more than one 
year, ranged from 5.3 percent to 6.0 percent over the past 5 years. 
Other commenters suggested that we adopt the prime interest rate plus 2 
percent, while the RUC and several specialty societies noted that we 
should select a competitive market rate. One commenter suggested using 
caution in our selection process and requested that the interest rate 
be examined before future changes are made.
    For updating the current 50 percent utilization rate, many 
commenters, including the MedPAC and the RUC, suggested that this rate 
should be higher. These comments stressed that by using the assumption 
that equipment is in use 50 percent of the time when the utilization is 
actually higher, our price per minute would be too high. The RUC 
recommended we use a rate higher than 50 percent and permit individual 
specialty societies to present support for lower rates for specific 
equipment items. While the overall comments contained a broad array of 
suggested revisions to the utilization rate, a few specialty 
organizations believed that the utilization rate should be lower than 
50 percent. Several comments, specific to equipment for bone density 
testing (DXA), believe the utilization rate to be closer to 20 percent 
for these services performed in primary care physicians' offices and 
requested that we review this utilization to more appropriately measure 
the actual utilization of this equipment. MedPAC suggested that we 
begin our updating process by looking at the higher-priced equipment, 
and noted a study it conducted of imaging providers in six markets that 
indicated 70 percent and 90 percent utilization rates for CT and MRI, 
respectively. A few commenters noted that they would like for us to 
assign code-specific equipment utilization rates, although they did not 
forward possible avenues for us to follow in making the determinations 
of these assignments.
    Response: We agree with commenters that the proposed interest rate 
of 11 percent and the proposed 50 percent utilization rate should be 
examined for accuracy. We are committed to working with all interested 
parties to define the most accurate utilization and interest rate 
information for equipment used in the performance of physicians' 
services. We do not believe that we have sufficient empirical evidence 
to justify a change in this final rule, but we will continue to work 
with the physician community to examine, and potentially revise, these 
estimates in future rulemaking. We have used the 11 percent interest 
rate and the 50 percent utilization rate to determine the valuation for 
equipment reflected in the PE RVUs in Addendum B.
j. Further Review of PE Direct Inputs
    Comment: Several commenters, including the RUC and MedPAC, 
recommended that we establish an update process to ensure that the 
direct PE inputs--wage rates of clinical staff, purchase price of 
supplies, and purchase price of equipment--are updated for completeness 
and accuracy. MedPAC requested that we establish a timeline, recurring 
at least every 5 years, for the comprehensive review of the PE database 
direct inputs. Both MedPAC and the RUC made suggestions that the new, 
higher-priced supplies and equipment may need to be updated more 
frequently because their prices may decrease over time as other 
companies manufacture them.
    Response: We appreciate the commenters' remarks regarding the 
establishment of a regular update process for the direct inputs 
utilized in the calculation of resource-based PE RVUs. We plan to 
examine this issue with both the RUC and interested specialty 
organizations, as well as with the medical community to determine the 
most useful approach to updating our direct PE inputs. Additionally, we 
encourage interested parties to continue working with the RUC to 
develop direct inputs for those services absent inputs and to correct 
any errors contained in our direct input database.
k. Supply and Equipment Items Needing Specialty Input
    We have identified certain supply and equipment items for which we 
were unable to verify the pricing information in Table 3: Supply Items 
Needing Specialty Input for Pricing and Table 4: Equipment Items 
Needing Specialty Input for Pricing. In our CY 2007 PFS proposed rule, 
we listed both supply and equipment items for which pricing 
documentation was needed from the medical specialty societies and, for 
many of these items, we received sufficient documentation in the form 
of catalog listings, vendor Web sites, invoices, and manufacturer 
quotes. We have accepted the documented prices for many of these items 
and these prices are reflected in the PE RVUs in Addendum B of this 
final rule with comment period. For the items listed in Tables 3 and 4, 
we are requesting that commenters provide pricing information on items 
in these tables along with acceptable documentation, as noted in the 
footnote to each table, to support recommended prices.
    In Tables 5 and 6, we have listed new supplies and equipment from 
the new CPT codes for CY 2007 that are discussed elsewhere in this 
final rule with comment period. These items have been added to the PE 
database and, where priced, are reflected in the PE RVUs in Addendum B.

BILLING CODE 4120-01-P

[[Page 69651]]

[GRAPHIC] [TIFF OMITTED] TR01DE06.004


[[Page 69652]]


[GRAPHIC] [TIFF OMITTED] TR01DE06.005


[[Page 69653]]


[GRAPHIC] [TIFF OMITTED] TR01DE06.006

BILLING CODE 4120-01-C

[[Page 69654]]



                          Table 5.--Practice Expense Supply Item Additions for CY 2007
----------------------------------------------------------------------------------------------------------------
                                                                                   *CPT
                                                                                 code(s)
    Equip code         Supply description            Unit         Unit price    associated     Supply category
                                                                                with item
----------------------------------------------------------------------------------------------------------------
NA...............  Agent, embolic \1\.......  Vial.............  ............        37210  Accessory,
                                                                                             Procedure.
NA...............   Bolster covers,           Item.............          0.06        96904  Gown, drape.
                    disposable.
NA...............   Filter, mouthpiece......  Unit.............          4.6         95012  Infection control.
NA...............   Gas, argon..............  Cu ft............          0.25        19105  Accessory,
                                                                                             Procedure.
NA...............   Kit, capsule, ESO,        Kit..............        450           91111  Kit, Pack, Tray.
                    endoscopy w-application.
NA...............   Kit, gold markers,        Kit..............        119           55876  Kit, Pack, Tray.
                    fiducial, 3 per kit.
NA...............   Probe, cryoablation,      Item.............       1589           19105  Accessory,
                    (Viscia ICE 30 or 40).                                                   Procedure.
----------------------------------------------------------------------------------------------------------------
*CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved.
  Applicable FARS/DFARS77373y.
1. Price verification needed. Item(s) added to table of equipment requiring specialty input.


                         Table 6.--Practice Expense Equipment Item Additions for CY 2007
----------------------------------------------------------------------------------------------------------------
                                                                                 *CPT
                                                                               code(s)
     Equip code          Equipment description         Life      Unit price   associated    Equipment category
                                                                              with item
----------------------------------------------------------------------------------------------------------------
 
NA..................  AV projection system                   5         3800        70554  IMAGING EQUIP.
                       (integrated headphone,
                       video goggles, transducer,
                       control unit w-remote-
                       Cinema Vision).
NA..................  camera mount-floor \2\.....           15     \1\ 2300        96904  OTHER EQUIPMENT.
NA..................  cross slide attachment \2\.           10      \1\ 500        96904  OTHER EQUIPMENT .
NA..................  cryoablation system,                   3        24950        19105  OTHER EQUIPMENT.
                       fibroadenoma.
NA..................  dermal imaging software \2\            5     \1\ 4500        96904  OTHER EQUIPMENT.
NA..................  dermoscopy attachments \2\.            5      \1\ 650        96904  OTHER EQUIPMENT.
NA..................  Gammaknife.................            7      3870000        77371  IMAGING EQUIP.
NA..................  generator, spine, IDET, w-             5        28299        22526  OTHER EQUIPMENT.
                       extension.                                                  22527
NA..................  genetic counseling,                    5  ...........        96040  DOCUMENTATION.
                       pedigree, software \2\.
NA..................  image-acquisition software             3       108807        70554  IMAGING EQUIP.
                       and hardware (Brainwave
                       RealTime, PA, Hardware).
NA..................  lens, macro, 35-70 mm \2\..            5  ...........        96904  OTHER EQUIPMENT.
NA..................  monitoring system, nitric              5        39200        95012  OTHER EQUIPMENT.
                       oxide w-computer (Acerine,
                       NIOX).
NA..................  radioactive source \3\.....  ...........  ...........        77371  IMAGING EQUIP.
NA..................  speakers, sound field                  5         1775        92640  OTHER EQUIPMENT.
                       (brainstem implant).
NA..................  SRS system, Lincac.........            7      4350000        77372  IMAGING EQUIP.
NA..................  SRS system, SBRT, six-                 7      4000000        77373  IMAGING EQUIP.
                       systems, average.
NA..................  strobe, 400 watts                     10     \1\ 1500        96904  OTHER EQUIPMENT.
                       (Studio)(2) \2\.
----------------------------------------------------------------------------------------------------------------
*CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved.
  Applicable FARS/DFARS77373y.
1. Prices interim for CY 2007--Acceptable documentation required for price verification.
2. Price verification needed. Item(s) added to table of equipment requiring specialty input.
3. Discussion with CMS necessary to establish appropriate value.

B. Geographic Practice Cost Indices (GPCIs)

    Section 1848(e)(1)(A) of the Act requires us to develop separate 
GPCIs to measure resource cost differences among localities compared to 
the national average for each of the three fee schedule components. 
While requiring that the PE and malpractice GPCIs reflect the full 
relative cost differences, section 1848(e)(1)(A)(iii) of the Act 
requires that the physician work GPCIs reflect only one-quarter of the 
relative cost differences compared to the national average.
    Section 1848(e)(1)(C) of the Act requires us, in consultation with 
appropriate physician representatives, to review the GPCIs at least 
every 3 years and allows us to make adjustments based on our review. 
This section of the Act also requires us to phase-in the adjustment 
over 2 years, implementing only one-half of any adjustment in the first 
year if more than 1 year has elapsed since the last GPCI revision. CMS 
is currently working with Acumen, LLC to review and revise the GPCIs in 
accordance with the requirement that GPCIs be revised at least every 3 
years. We expect to implement any revisions based on our review in 
January 2008.
    In addition, section 412 of the MMA amended section 1848(e)(1) of 
the Act to establish a floor of 1.0 for the work GPCI for any locality 
where the GPCI would otherwise fall below 1.0 for purposes of payment 
for services furnished on or after January 1, 2004 and before January 
1, 2007. Beginning on January 1, 2007, the 1.00 floor will be removed 
and the work GPCI will revert to the fully implemented value. The 
values for the work GPCI and subsequent changes to the geographic 
adjustment factor (GAF) published in the CY 2007 PFS proposed rule 
reflect the removal of the 1.0 floor. For many payment localities, this 
change had no impact on the GAF; however, the GAFs for a number of 
payment localities were reduced due to this change. The impact of this 
change on the GAFs for those payment localities was shown in Table 3 of 
the CY 2007 PFS proposed rule (71 FR 48993).
    In the CY 2007 PFS proposed rule, we also published the proposed 
GPCIs for

[[Page 69655]]

2007 in Addendum D and the proposed GAFs for 2007 in Addendum E (71 FR 
49246 through 49249). The GPCIs shown in Addendum D represent the fully 
implemented value and reflect 2007 BN scaling coefficients provided by 
our Office of the Actuary.
    In the CY 2005 PFS proposed rule, we discussed issues relating to 
changes to the GPCI payment localities (69 FR 47504). In that proposed 
rule, we noted that we look for the support of a State medical society 
as the impetus for changes to existing payment localities. Because the 
GPCIs for each locality are calculated using the average of the county-
specific data from all of the counties in the locality, removing high 
cost counties from a locality will result in lower GPCIs for the 
remaining counties. Therefore, because of this redistributive impact, 
we have refrained, in the past, from making changes to payment 
localities unless the State medical association provides evidence that 
any proposed change has statewide support.
    We requested suggestions on alternative ways that we could 
administratively reconfigure payment localities that could be developed 
and proposed in future rulemaking. In addition, MEDPAC and the General 
Accounting Office (GAO) have both expressed interest in studying the 
physician payment localities. We intend to work with both groups to 
study our current methodology and develop alternative options.
    We received the following comments in response to our GPCI 
proposals.
    Comment: During the comment period, commenters advised us of two 
errors in Table 3 (there were two entries for Kansas and there was a 
mistake in the equation for calculating the GAF). We were also advised 
of typographical errors in Addendum D.
    Response: We appreciate that these were brought to our attention. 
Table 7 contains the corrected information and we have corrected 
Addendum D in this final rule.

  TABLE 7.--Payment Localities With Negative Percent Change in GAF \1\
      Between 2006 and 2007 Due to Removal of the 1.000 Work Floor
------------------------------------------------------------------------
                                                               Percent
          Locality name             2006  GAF    2007  GAF      change
------------------------------------------------------------------------
Fort Worth, TX...................        0.998        0.996        -0.17
Rest of Michigan.................        0.986        0.984        -0.20
Rest of New York.................        0.952        0.950        -0.21
Rest of Maryland.................        0.982        0.978        -0.36
Metropolitan St. Louis, MO.......        0.978        0.974        -0.41
Rest of Pennsylvania.............        0.950        0.946        -0.44
Ohio.............................        0.970        0.966        -0.44
Austin, TX.......................        1.020        1.015        -0.47
New Hampshire....................        1.010        1.005        -0.50
Minnesota........................        0.980        0.975        -0.53
Galveston, TX....................        0.991        0.986        -0.54
Metropolitan Kansas City, MO.....        0.987        0.981        -0.56
Fort Lauderdale, FL..............        1.022        1.016        -0.59
Arizona..........................        0.999        0.993        -0.65
Wisconsin........................        0.956        0.950        -0.65
Colorado.........................        0.998        0.991        -0.67
East St. Louis, IL...............        1.003        0.996        -0.68
New Orleans, LA..................        0.984        0.977        -0.73
Rest of Washington...............        0.984        0.976        -0.77
Indiana..........................        0.937        0.930        -0.79
Beaumont, TX.....................        0.951        0.942        -0.96
Alabama..........................        0.923        0.914        -0.99
Virginia.........................        0.958        0.948        -1.06
Southern Maine...................        0.992        0.981        -1.09
Rest of Georgia..................        0.943        0.932        -1.14
Tennessee........................        0.933        0.921        -1.27
Utah.............................        0.960        0.948        -1.30
South Carolina...................        0.930        0.917        -1.41
Rest of Illinois.................        0.952        0.938        -1.43
Rest of Florida..................        0.982        0.968        -1.45
West Virginia....................        0.942        0.928        -1.47
North Carolina...................        0.951        0.936        -1.55
New Mexico.......................        0.947        0.932        -1.57
Rest of Louisiana................        0.936        0.919        -1.78
Kentucky.........................        0.932        0.915        -1.80
Kansas*..........................        0.936        0.919        -1.81
Rest of Oregon...................        0.946        0.929        -1.81
Vermont..........................        0.968        0.950        -1.82
Virgin Islands...................        1.007        0.989        -1.83
Rest of Texas....................        0.947        0.929        -1.87
Idaho............................        0.922        0.904        -1.91
Iowa.............................        0.927        0.909        -1.97
Rest of Maine....................        0.936        0.916        -2.14
Oklahoma.........................        0.913        0.893        -2.14
Mississippi......................        0.919        0.898        -2.31
Arkansas.........................        0.905        0.884        -2.34
Puerto Rico......................        0.905        0.883        -2.44
Nebraska.........................        0.925        0.902        -2.44
Wyoming..........................        0.934        0.910        -2.55

[[Page 69656]]

 
Montana..........................        0.928        0.902        -2.83
Rest of Missouri*................        0.910        0.883        -2.97
North Dakota.....................        0.924        0.895        -3.16
South Dakota.....................        0.922        0.891        -3.35
------------------------------------------------------------------------
\1\ Calculation for the GAF: (0.52466*work gpci) + (0.03865*mp gpci) +
  (0.43669*pe gpci)

    Comment: We received several comments indicating that the GPCIs for 
Puerto Rico are inadequate because they do not take into consideration 
the higher costs of living in Puerto Rico. Commenters are concerned 
that physicians in Puerto Rico will relocate to areas with higher 
GPCIs. Their comments focused on suggested revisions to the data used 
in calculating the GPCIs for Puerto Rico with the intent of raising the 
GPCI for Puerto Rico.
    Response: We want to ensure that beneficiaries have access to high 
quality care in all parts of the United States; however, we do not use 
relative costs of living in the calculation of the GPCIs as the 
commenters are requesting. Relative costs of living among payment 
localities are already accounted for within other measures of relative 
resource cost that we use in calculating GPCIs, and we do not believe 
it would be appropriate to use different measures of resource cost for 
some localities than are used for others.
    Comment: We received numerous comments reflecting concerns about 
the negative impact on physician payments resulting from removal of the 
MMA-mandated floor of 1.0 on the physician work GPCI. Comments also 
stated that GPCIs should not be applied to physician work as a general 
policy.
    Response: The 1.000 floor is being removed for services furnished 
after December 31, 2006, because the MMA provision established the 
floor only for services furnished on or after January 1, 2004, and 
before January 1, 2007. We do not have the legal authority to extend 
application of the floor beyond the statutory timeframe. In addition, 
application of GPCIs to the work RVUs is required by the statute.
    Comment: We received numerous comments requesting that we 
administratively change the relative values for codes that have a TC 
and a PC. The focus of the comments was that for many codes the TC has 
a higher malpractice relative value than the PC. A suggestion was made 
that we administratively change the TC RVU to equal the PC RVU.
    Response: The commenters are suggesting a change in methodology for 
calculating the malpractice RVUs. We did not make any proposals 
relating to this methodology; therefore, comments relating to 
malpractice RVU policy are outside the scope of this rule. We 
appreciate the commenters' suggestions, and if we were to propose 
changes to malpractice RVU policy, we would consider the commenters' 
suggestions in future rulemaking.
    Comment: Commenters indicated that they were troubled about the 
data used in developing the GPCIs. Specifically, the proxy categories 
used in the wage determination and the real estate data used in the 
rent portion of the PE GPCI are of the greatest concern. They stated 
that our data do not reflect true costs and, therefore, put many 
practitioners in rural areas at a disadvantage and create inequities 
between payment localities.
    Response: We have previously addressed the issue of rental data in 
the CY 2005 PFS final rule (69 FR 66261). We stated that the Department 
of Housing and Urban Development (HUD) rental data may be the subject 
of concern, but we believe it remains the best data source to fulfill 
our requirements that the data be available for all areas, be updated 
annually, and retain consistency area-to-area and year-to-year. In that 
same rule, we discussed our belief that the wage proxies we use are the 
best tools available for the development of the GPCIs. However, we will 
consider the possibility of using different wage proxies or wage data 
sources for some future update of the GPCIs.

C. Medicare Telehealth Services

    As discussed in the CY 2007 PFS proposed rule (71 FR 48994), 
section 1834(m)(4)(F) of the Act defines telehealth services as 
professional consultations, office visits, and office psychiatry 
services (identified as of July 1, 2000 by CPT codes 99241 through 
99275, 99201 through 99215, 90804 through 90809, and 90862) and any 
additional service specified by the Secretary. In addition, the statute 
requires us to establish a process for adding services to or deleting 
services from the list of telehealth services on an annual basis.
    In the December 31, 2002 Federal Register (67 FR 79988), we 
established a process for adding services to or deleting services from 
the list of Medicare telehealth services. This process provides the 
public an ongoing opportunity to submit requests for adding services. 
We assign any request to make additions to the list of Medicare 
telehealth services to one of the following categories:
     Category #1: Services that are similar to office and other 
outpatient visits, consultation, and office psychiatry services. In 
reviewing these requests, we look for similarities between the proposed 
and existing telehealth services for the roles of, and interactions 
among, the beneficiary, the physician (or other practitioner) at the 
distant site and, if necessary, the telepresenter. We also look for 
similarities in the telecommunications system used to deliver the 
proposed service, for example, the use of interactive audio and video 
equipment.
     Category #2: Services that are not similar to the current 
list of telehealth services. Our review of these requests includes an 
assessment of whether the use of a telecommunications system to deliver 
the service produces similar diagnostic findings or therapeutic 
interventions as compared with the face-to-face ``hands on'' delivery 
of the same service. Requestors should submit evidence showing that the 
use of a telecommunications system does not affect the diagnosis or 
treatment plan as compared to a face-to-face delivery of the requested 
service.
    Since establishing the process, we have added the following to the 
list of Medicare telehealth services: Psychiatric diagnostic interview 
examination; ESRD services with two to three visits per month and four 
or more visits per month (although we require at least one visit a 
month by a physician, CNS, NP, or PA to examine the vascular access 
site); and individual medical nutritional therapy.

[[Page 69657]]

    Requests to add services to the list of Medicare telehealth 
services must be submitted and received no later than December 31 of 
each CY to be considered for the next proposed rule. For example, 
requests submitted before the end of CY 2005 are considered for the CY 
2007 proposed rule. For more information on submitting a request for an 
addition to the list of Medicare telehealth services, visit our Web 
site at http://www.cms.hhs.gov/telehealth.
    We received the following requests for additional approved services 
in CY 2005: Nursing facility care; speech language pathology; 
audiology; and physical therapy services.
    After reviewing the public requests, we explained that section 
1834(m)(4)(C)(ii) of the Act defines a telehealth originating site as a 
physician's or practitioner's office; or a hospital, critical access 
hospital (CAH), rural health clinic, or Federally qualified health 
center (FQHC). SNFs are not defined in the statute as originating 
sites. The authority to allow SNFs to serve as telehealth originating 
sites is dependent upon HHS submitting the Report to Congress on 
permitting a SNF to be an originating site (as required by the section 
418 of the MMA) and the Secretary concluding in the Report that it is 
advisable to include a SNF as a Medicare telehealth originating site 
and that mechanisms could be established to ensure that use of a 
telecommunications system does not serve as a substitute for the 
required in-person physician or practitioner visits to SNF residents.
    As discussed in the CY 2007 PFS proposed rule, given that SNFs are 
not defined in the statute as a telehealth originating site and HHS is 
currently reviewing the Report to Congress, it would not be appropriate 
to approve nursing facility care for telehealth at this time.
    In addition, we explained that the statute permits only a 
physician, as defined by section 1861(r) of the Act or a practitioner 
as described in section 1842(b)(18)(C) of the Act (CNS, NP, PA, nurse 
midwife, clinical psychologist, clinical social worker, registered 
dietitian or other nutrition professional), to furnish Medicare 
telehealth services. Since speech language pathologists, audiologists 
and physical therapists are not permitted under the statute to provide 
and receive payment for Medicare telehealth services at the distant 
site, we could not fully consider the request to add speech therapy, 
audiology services and physical therapy to the list of Medicare 
telehealth services (71 FR 48994).
    We received the following comments on the Medicare telehealth 
services.
    Comment: Some commenters stated that the process for adding 
services to the list of Medicare telehealth services does not require 
an originating site to be approved prior to the approval of a service 
for telehealth (and mentioned that we previously approved ESRD-related 
visits furnished under the monthly capitation payment (MCP) for 
telehealth without the approval of a dialysis center as an originating 
site). The commenters believe that approving nursing facility services 
for telehealth is mutually exclusive from the Report to Congress on 
permitting a SNF to be a Medicare telehealth originating site and that 
the findings of the report are not necessary to approve services for 
telehealth. Moreover, the commenters requested that we approve nursing 
facility care for telehealth (initial nursing facility care, subsequent 
nursing facility care, nursing facility discharge services and other 
nursing facility services) prior to the completion of the Report to 
Congress on permitting a SNF to be an originating site.
    Response: As previously discussed in this section, the MMA 
specifically requires an evaluation of SNFs as potential originating 
sites for the furnishing of telehealth services, and a Report to 
Congress on such evaluation. The law provides the authority to add SNFs 
as an originating site if the Secretary concludes in the report that it 
is advisable to do so, and that mechanisms could be established to 
ensure that the use of telehealth does not substitute for the required 
in-person physician or practitioner visits to SNF residents (which 
could have significant implications for the type of services we would 
approve for telehealth). As such, we believe that a decision to add (or 
not add) nursing facility care to the list of Medicare telehealth 
services is related to the conclusions reached in the Report to 
Congress on permitting a SNF to serve as an originating site. Given 
that the conclusions of the Report to Congress are not final, we do not 
believe that it would be appropriate to consider the request to add 
nursing facility care to the list of Medicare telehealth services at 
this time. We intend to review and consider the recommendations of the 
Report to Congress once it is issued and would address the request to 
approve nursing facility care for telehealth in future rulemaking.
    Comment: One commenter expressed support for expanding telehealth 
services and for allowing SNFs to serve as a telehealth originating 
site.
    Response: We appreciate the comment on the use of SNFs as 
telehealth originating sites. As discussed earlier in this section, the 
Report to Congress that could permit an SNF to serve as an originating 
site is currently under review within HHS. We expect to address this 
issue in future rulemaking after the Report to Congress is issued.
    Comment: Two commenters requested clarification on whether the 
public would need to resubmit a request to approve nursing facility 
care for telehealth if it is determined that SNFs could be added as an 
originating site.
    Response: After the Report to Congress is issued regarding SNFs as 
a telehealth originating site, we will address the requests to approve 
nursing facility care for telehealth and discuss our review through 
future rulemaking. It would not be necessary to resubmit a request to 
approve nursing facility care for telehealth.
    Comment: Commenters stated that we added medical nutritional 
therapy (MNT) to the list of telehealth services in the CY 2006 PFS 
rule without nutrition professionals being authorized to furnish 
telehealth services. The commenters note that physical therapists, 
audiologists, and speech language pathologists currently cannot furnish 
Medicare telehealth services and requested an explanation as to why we 
cannot also consider approving audiology, speech language pathology, 
and physical therapy services for telehealth.
    Response: The statute permits a physician, as defined by section 
1861(r) of the Act or a practitioner as described in section 
1842(b)(18)(C) of the Act (that is, CNS, NP, PA, nurse midwife, 
clinical psychologist, clinical social worker, registered dietitian or 
other nutrition professional), to furnish Medicare telehealth services. 
Registered dietitians or nutrition professionals are included in the 
statutory definition of practitioner under section 1842(c)(18)(C)(vi), 
and thus, are permitted under the statute to furnish telehealth 
services (and are the only practitioners permitted by the statute to 
furnish MNT). As such, when approving individual MNT for telehealth, 
registered dietitians and nutrition professionals as defined in Sec.  
410.134 were added to the list of practitioners that may furnish and 
receive payment for a telehealth service in the CY 2006 PFS final rule 
with comment period (70 FR 70160).
    In contrast, speech language pathologists, audiologists and 
physical therapists are not permitted under the statute to provide and 
receive payment for Medicare telehealth services at the

[[Page 69658]]

distant site. Therefore, we do not believe it would be appropriate to 
consider adding audiology, speech language pathology, and physical 
therapy services for telehealth.
    Comment: Two commenters requested that we provide clarification on 
when the telehealth Report to Congress, as required by section 223(d) 
of the BIPA, would be completed and submitted to Congress. Another 
commenter urged us to expedite the completion of the telehealth report 
(as required by the BIPA).
    Response: The Report to Congress on additional sites and settings, 
practitioners, and geographic areas that may be appropriate for 
Medicare telehealth payment, as required by section 223(d) of the BIPA, 
is under development. We will work to expedite the completion of this 
report.

D. Miscellaneous Coding Issues

    The following sections address specific coding issues related to 
payment for services under the PFS.
1. Global Period for Remote Afterloading High Intensity Brachytherapy 
Procedures
    CPT code 77783, Remote afterloading high intensity brachytherapy; 
9-12 source positions or catheters, resides in a family of codes with 
varying numbers of source positions. All of the codes in the family, 
CPT codes 77781 through 77784, are currently designated as 90-day 
global services. CPT codes 77781 through 77784 are used to treat many 
clinical conditions, but primarily patients with prostate cancer, 
breast cancer and sarcoma. Patients with any of these conditions 
usually receive several treatments (2 through 10) over a 2 to 10-day 
period of time. Due to the increasing variability in treatment 
regimens, it is difficult to assign RVUs for a ``typical'' patient 
based on a global period of 90 days.
    Therefore, we proposed that this family of codes (CPT codes 77781, 
77782, 77783 and 77784) be assigned a global period of ``XXX'', which 
will permit separate payment each time the services are provided and 
allow payment to be based on the actual service(s) provided. We will 
request that the RUC revalue the work RVUs and the PE inputs for these 
services if a change in the global period is finalized. However we 
proposed, on an interim basis, to revise the work RVUs and PE inputs to 
reflect the removal of the postoperative visit, CPT code 99212 that is 
currently assigned to these services. The interim work RVUs for these 
services are as follows:
     CPT code 77781 = 1.21
     CPT code 77782 = 2.04
     CPT code 77783 = 3.27
     CPT code 77784 = 5.15
    We proposed to delete the registered nurse (RN) time in the 
postservice period, as well as the patient gowns for the postservice 
visit. We also noted that, to the extent that these services are 
performed as staged procedures, providers may make use of applicable 
modifiers.
    We received the following comments on these coding issues.
    Comment: Many commenters concurred with our proposal. However, some 
commenters wanted either a reconsideration of the proposed work RVU 
reduction, or if needed, a reduction in the CF. One commenter agreed 
with the global period revision but recommended establishment of a 
threshold for brachytherapy codes at a maximum of 10 percent per year. 
Another commenter concurred with the change in the global period; 
however, the commenter recommended no change in the work RVUs or a 
reduction to the 1992 levels, and prior to any work RVU changes it was 
recommended that such changes be reviewed by the RUC. In addition, the 
RUC, in its comments, agreed to include a review of the brachytherapy 
codes on its April 2007 meeting agenda and several commenters expressed 
an interest in working with the RUC on the work RVUs and PE inputs.
    Response: We believe that the commenters misunderstood the intent 
of the proposed work RVU reductions. They are designed to allow the 
billing of the brachytherapy physician service codes on a more frequent 
basis than is currently permitted, and are reflective of the present 
course of treatment regimens. The current codes have a 90-day global 
period and are to be billed only once for the entirety of physician 
services provided during the specified time period.
    Comment: Some commenters expressed concern that the PE inputs for 
the brachytherapy codes should not be reduced to reflect the removal of 
a post-operative visit because there is no visit.
    Response: A post-operative visit is included within the current PE 
inputs for the current 90-day global period brachytherapy codes. The 
change to a global period of ``XXX'' necessitates the removal of this 
visit from the PE inputs because the codes could be billed several 
times during a course of treatment, and each occurrence would not 
include a post-operative visit.
    The brachytherapy family of codes (CPT codes 77781, 77782, 77783 
and 77784) will be assigned a global period of ``XXX'', which will 
permit separate payment each time the services are provided and allow 
payment to be based on the actual service(s) provided. Because of the 
change in the global period a request will be made to the RUC for a 
revaluation of the work RVUs and the PE inputs for these services. On 
an interim basis the work RVUs and the PE inputs will be revised as 
delineated in the proposed rule. In addition, the RN time in the 
postservice period, as well as the patient gowns for the postservice 
visit will be deleted from the PE database as proposed.
    Separate payment will be made for medically necessary post-therapy 
visits based on the documented level of E/M service for the post 
procedure encounter(s).
    We also note that appropriate modifiers are to be used when these 
services are performed as staged procedures.
2. Assignment of RVUs for Proton Beam Treatment Delivery Services
    As discussed in the CY 2006 PFS proposed rule, we have received a 
request to assign PE inputs for the non-facility setting to Proton Beam 
treatment delivery services represented by CPT codes 77520 through 
77525. These services are currently carrier-priced; therefore, payment 
in the facility or non-facility setting is established by each carrier. 
To the extent that physicians and suppliers wish to have national RVUs 
assigned for these services, we encourage them to use the established 
process at the AMA-RUC.
    Comment: We received several comments in response to this 
discussion. Two commenters stated that due to the relatively limited 
availability of these services in freestanding environments given the 
small number of proton therapy centers at this point in time, these 
services should remain carrier priced. However, one commenter indicated 
that allowances established by carriers do not appear to account for 
capital and operating costs. This commenter referenced payment amounts 
proposed for hospital OPDs under the Outpatient Prospective Payment 
System (OPPS), and urged us to provide guidance to carriers in 
establishing appropriate payment for these services under the PFS.
    Other commenters suggested that RVUs should be established for 
these services. Many of these commenters expressed agreement with the 
payment rate for these services under OPPS. These commenters were 
concerned that since each State has its own CMS-contracted carrier, 
variations exist in proton therapy coverage and reimbursement under the 
PFS. These

[[Page 69659]]

commenters requested that we provide payment rates for carriers to use 
when these services are furnished in freestanding centers so that 
payments are consistent with payment rates under OPPS.
    We also received comments from the AMA-RUC and ASTRO regarding this 
discussion. The RUC reiterated the process that is used to develop RVUs 
and ASTRO indicated it would be willing to participate in the 
development of RVUs for these services.
    Response: As discussed in the CY 2006 PFS proposed rule, at the 
present time payment for these services is established at the carrier 
level. The carriers have discretion to establish payment using 
available information about these services. Should providers wish to 
have RVUs established for these services, we would request that they 
use the AMA-RUC process that has been established for recommending RVUs 
and direct PE inputs used to compute national RVUs for PFS services to 
CMS.

E. Deficit Reduction Act (DRA)

    The Deficit Reduction Act of 2005 (DRA) (Pub. L. 109-171), was 
enacted February 8, 2006 and included provisions that affect the 
Medicare program. The following section addresses the specific DRA 
provisions that were addressed in the CY 2007 PFS proposed rule (71 FR 
48996).
1. Section 5102--Adjustments for Payments to Imaging Services
    Section 5102 of the DRA includes two provisions that affect 
payments of imaging services under the Medicare PFS. The first 
provision addresses payment for certain multiple imaging procedures for 
CY 2007 and application of BN while the second provision addresses 
limiting the payment amount under PFS to the OPD payment amount for the 
TC of certain imaging services.
a. Payment for Multiple Imaging Procedures for 2007
    In general, Medicare prices diagnostic imaging procedures in the 
following three ways:
     The PC represents the physician's interpretation (PC-only 
services are billed with the 26 modifier).
     The TC represents PE and includes clinical staff, 
supplies, and equipment (TC-only services are billed with the TC 
modifier).
     The global service represents both PC and TC.
    As discussed in the CY 2006 PFS final rule with comment period (70 
FR 70261), in the CY 2006 PFS proposed rule (70 FR 45764 through 
46064), we had proposed to reduce payment for the TC of selected 
diagnostic imaging procedures belonging to one of eleven imaging 
families when the procedures are performed on contiguous body areas by 
50 percent for CY 2006. However, in the final rule with comment period, 
we stated that we would phase-in the 50 percent reduction over 2 years 
beginning with a 25 percent reduction in 2006. We also sought 
additional data and comments on the appropriateness of 50 percent as 
the final level of reduction. The reduction applies to the TC and the 
technical portion of the global service, but does not apply to the PC 
of the service. Currently, we make full payment for the highest priced 
procedure and reduce payment for each additional procedure by 25 
percent, when more than one procedure from the same imaging family is 
performed during the same session on the same day.
    As described in the CY 2006 PFS final rule with comment period, at 
the time, the statute required us to make changes such as this in a 
budget neutral manner, meaning that the estimated savings generated by 
the application of the multiple imaging procedure payment reduction 
were used to increase payment for other physician fee schedule 
services. We increased the CY 2006 PE RVUs by 0.3 percent to offset the 
estimated savings generated by the multiple imaging payment reduction 
policy.
    Subsequent to the publication of the CY 2006 PFS final rule with 
comment period, section 5102(a) of the DRA (Multiple Procedure Payment 
Reduction for Imaging Exempted From Budget Neutrality), required that 
``effective for fee schedules established beginning with 2007, reduced 
expenditures attributable to the multiple procedure payment reduction 
for imaging under the CY 2006 PFS final rule with comment period (42 
CFR 405, et al.) insofar as it relates to the PFSs for 2006 and 2007'' 
are exempted from the BN provision. As a result, we proposed to remove 
the 0.3 percent increase to the CY 2006 PE RVUs from the CY 2007 PE 
RVUs in accordance with the statute.
    In addition, in response to our request for data on the 
appropriateness of the 50 percent reduction in the CY 2006 PFS final 
rule with comment period (70 FR 70261), the ACR provided information 
for 25 code combinations supporting a reduction of between 21 and 44 
percent. Given the expected interaction between the multiple procedure 
imaging policy and the further imaging payment reductions mandated by 
section 5102(b) of the DRA, along with the new information we have 
received from the ACR on the multiple imaging procedure policy as it 
applies to common combinations of imaging services, we believe it would 
be prudent to maintain the multiple imaging payment reduction at its 
current 25 percent level while we continue to examine the appropriate 
payment levels. Therefore, we proposed to continue the multiple imaging 
payment reduction for CY 2007 at the 25 percent level. We would proceed 
through future rulemaking in the event we determine that revisions to 
the policy are warranted.
b. Reduction in TC for Imaging Services Under the PFS to OPD Payment 
Amount
    Section 5102(b)(1) of the DRA amended section 1848 of the Act and 
requires that, for imaging services, if--
    ``(i) The technical component (including the technical component 
portion of a global fee) of the service established for a year under 
the fee schedule * * * without application of the geographic adjustment 
factor * * *, exceeds
    (ii) The Medicare OPD fee schedule amount established under the 
prospective payment system for hospital outpatient department services 
* * * for such service for such year, determined without regard to 
geographic adjustment * * *, the Secretary shall substitute the amount 
described in clause (ii), adjusted by the geographic adjustment factor 
[under the PFS] * * *, for the fee schedule amount for such technical 
component for such year.''
    As required by the statute, for imaging services (described below 
in this section) furnished on or after January 1, 2007, we will cap the 
TC of the PFS payment amount for the year (prior to geographic 
adjustment) by the CY 2007 OPPS payment amount (prior to geographic 
adjustment). We will then apply the PFS geographic adjustment to the 
capped payment amount.
    Section 5102(b)(2) of the DRA exempts the estimated savings from 
this provision from the PFS BN requirement. Section 5102(b)(1) of the 
DRA defines imaging services as ``* * * imaging and computer-assisted 
imaging services, including X-ray, ultrasound (including 
echocardiography), nuclear medicine (including positron emission 
tomography), MRI, CT, and fluoroscopy, but excluding diagnostic and 
screening mammography.''
    To apply section 5102(b) of the DRA, we needed to determine the CPT 
and alpha-numeric HCPCS codes that fall within the scope of ``imaging 
services'' defined by the DRA provision. In general, we believe that 
imaging services provide visual information regarding areas of the body 
that are not

[[Page 69660]]

normally visible, thereby assisting in the diagnosis or treatment of 
illness or injury. We began by considering the CPT 7XXXX series codes 
for radiology services and then adding in other CPT codes and alpha-
numeric HCPCS codes that describe imaging services. We then excluded 
nuclear medicine services that were either non-imaging diagnostic or 
treatment services. We also excluded all codes for unlisted procedures, 
since we would not know in advance of any specific clinical scenario 
whether or not the unlisted procedure was an imaging service. We 
excluded all mammography services, consistent with the statute. We 
excluded radiation oncology services that were not imaging or computer-
assisted imaging services. We also excluded all HCPCS codes for imaging 
services that are not separately paid under the OPPS since there would 
be no corresponding OPPS payment to serve as a TC cap. We excluded any 
service where the CPT code describes a procedure for which fluoroscopy, 
ultrasound, or another imaging modality is either included in the code 
whether or not it is used or is employed peripherally in the 
performance of the main procedure, for example, CPT code 31622 for 
bronchoscopy with or without fluoroscopic guidance and CPT code 43242 
for upper gastrointestinal endoscopy with transendoscopic ultrasound-
guided intramural or transmural fine needle aspiration/biopsy(s). In 
these cases, we are unable to clearly distinguish imaging from non-
imaging services because, for example, a specific procedure may or may 
not utilize an imaging modality, or the use of an imaging technology 
cannot be segregated from the performance of the main procedure. Note 
that we included carrier priced services since these services are 
within the statutory definition of imaging services and are also within 
the statutory definition of PFS services (that is, carrier-priced TCs 
of PET scans).
    A list of proposed codes that identify imaging services defined by 
the DRA OPPS cap provision was found in Addendum F of the proposed 
rule.
    To the extent changes are made to codes for services already on the 
list, we proposed to update the list through program instructions to 
our contractors. To the extent that the same imaging service is coded 
differently under the PFS and the OPPS, we proposed to crosswalk the 
code under the PFS to the appropriate code under the OPPS that could be 
reported for the same service provided in the hospital outpatient 
setting. These crosswalks are listed in Table 8.

                          Table 8.--Crosswalks
------------------------------------------------------------------------
     MFS Code         Descriptor         OPPS Code            Desc
------------------------------------------------------------------------
74185............  Mri angio, abdom  C8900............  MRA w/cont, abd.
                    w or w/o dye.
76093 *..........  Magnetic image,   C8905............  MRI w/o fol w/
                    breast.                              cont, brst, un.
76094 *..........  Magnetic image,   C8908............  MRI w/o fol w/
                    both breasts.                        cont, breast.
71555............  Mri angio chest   C8909............  MRA w/cont,
                    w or w/o dye.                        chest.
73725............  Mr ang lwr ext w  C8912............  MRA w/cont, lwr
                    or w/o dye.                          ext.
72198............  Mr angio pelvis   C8918............  MRA w/cont,
                    w/o & w/dye.                         pelvis.
------------------------------------------------------------------------
* Note: These codes have been renumbered for CY 2007. New code number is
  reflected in Addendum F.

c. Interaction of the Multiple Imaging Payment Reduction and the OPPS 
Cap
    For CY 2007 imaging services potentially subject to both the 
multiple imaging reduction and the OPPS cap, we proposed to first apply 
the multiple imaging payment reduction and then apply the OPPS cap to 
the reduced amount as illustrated in Table 9.

                                                     Table 9
----------------------------------------------------------------------------------------------------------------
                                                                   25% Multiple
                      HCPCS                        Pre-OPPS cap       imaging      OPPS cap rate    Final MPFS
                                                     MPFS rate       reduction                        payment
----------------------------------------------------------------------------------------------------------------
7XXX1...........................................         $341.89         $256.42         $316.55         $256.42
7XXX2...........................................          552.86          414.65          391.83          391.83
----------------------------------------------------------------------------------------------------------------

    We considered first applying the OPPS cap and then applying the 
multiple procedure reduction. However, as indicated in the CY 2006 OPPS 
final rule, we received public comments suggesting that the OPPS 
payment rates may implicitly include at least some multiple imaging 
discount. While we continue to examine this issue, we believe the most 
appropriate policy is to apply the multiple imaging payment reduction 
prior to the application of the OPPS cap.
i. OPPS Cap
    Comment: Many commenters criticized the OPPS cap, maintaining that 
OPPS rate was never intended to reflect the cost of providing 
individual physicians' services. They indicated that it is 
methodologically unjustifiable, and that it undermines the resource-
based system.
    One commenter noted that physician costs are determined on a per 
procedure basis, whereas hospital costs are not determined on a per 
procedure basis because expensive capital equipment is allocated over 
other procedures within a revenue center. Given this methodological 
difference, the commenter indicated that it is not surprising that the 
cost of a procedure under the PFS is greater than under OPPS. Another 
commenter noted that we need to recognize that the delivery of care has 
shifted from the hospital to physicians' offices; that there is an 
increased complexity of care; and the need to practice defensive 
medicine due to the threat of malpractice lawsuits. One commenter noted 
that hospital and IDTF payments should not be the same.
    Various commenters indicated that the cap will have a devastating 
impact and threatens the future viability of outpatient imaging. 
Commenters predicted that the consequences will include:
     Reduced patient access to diagnostic technologies capable 
of

[[Page 69661]]

preventing the onset of more serious conditions, requiring more complex 
and expensive treatment later.
     Shifting of procedures back to hospitals.
     Increased volume to offset the affects of the payment 
cuts.
     Conversion of IDTFs ownership and legal structure to allow 
billing under OPPS, negating any savings from the cap.
    A few commenters requested a delay in implementing the cap and 
requested that we consider co-sponsoring H.R.5704 that calls for a 2-
year moratorium on imaging cuts.
    Response: We acknowledge the commenters concerns and appreciate 
their comments. However, we are obligated to implement the statutory 
provision. We will continue to work with the Congress and specialty 
societies to ensure equitable payments and proper access to care.
    Comment: Several commenters requested that the following procedure 
codes be excluded from the OPPS cap:
     Non-invasive vascular diagnostic study codes (CPT codes 
93875-93990 and G0365) because they either contain no imaging or are 
predominately non-imaging in nature. Particularly noted were 
transcranial Doppler procedures and duplex scans.
     Imaging guidance procedures that are integral to the 
performance of interventional treatment or diagnostic procedures. CPT 
codes cited were: 75894, 75896, 75901-75945, 75952, 75954, 75962, 
75966, 75970, 75989-75996, 76940-76948 and 76965.
     Nuclear medicine codes 78020, 78135, 78140, 78190, and 
78282, based on the fact that other nuclear medicine codes, such as 
radioisotope lab codes were excluded.
     Codes performed in conjunction with radiation therapy (CPT 
codes 76370, 76950, 76965, 77417, and 77421) because they are never 
performed for diagnostic purposes. The commenters were pleased that we 
excluded radiation oncology codes.
     Positron Emission Tomography (PET), PET/ CT, and CT/
Computed Tomographic Angiography (CTA) and Category III codes used to 
report emerging technologies because they are carrier-priced codes and, 
therefore, not paid under the PFS.
     Codes for imaging service that are not separately paid 
under OPPS since there is no corresponding OPPS payment to serve as a 
TC cap. Codes cited were cardiac catheterization codes 93555 and 93556 
and code 0152T.
    Additionally, several commenters proposed the following definition 
of medical imaging procedures for the purpose of the DRA provision: 
``Medical imaging uses noninvasive techniques to view all parts of the 
body and thereby diagnose an array of medical conditions. These 
techniques include the use of ionizing radiation (X-rays and CT scans), 
MRI, ultrasound and scans obtained after the injection of radio 
nucleotides (such as bone scans and PET).''
    Response: The DRA defines imaging service subject to the OPPS cap 
as ``imaging and computer-assisted imaging services, including x-ray, 
ultrasound (including echocardiography), nuclear medicine, (including 
positron emission tomography [PET], magnetic resonance imaging [MRI], 
computed tomography [CT], and fluoroscopy, but excluding diagnostic and 
screening mammography.'' The DRA does not distinguish between 
diagnostic and therapeutic imaging. We have no authority to modify the 
statutory definition of imaging services. Therefore, we cannot exclude 
certain non-invasive diagnostic study procedures, imaging guidance 
procedures, nuclear medicine procedures, and radiation oncology imaging 
procedures. However, in our review of the codes in response to 
comments, we determined that there are certain non-invasive vascular 
diagnostic study codes that do not involve the generation of an image, 
(that is, codes 93875, 93922, 93923, 93924 and 93965.) Therefore, we 
are removing these codes from the list of codes subject to the OPPS 
cap.
    Additionally, we note that imaging guidance procedures that are 
separately billed, are appropriately included on the list of codes 
subject to the cap. However, codes 75952, 75954, and 75993-75996 were 
inadvertently included on the list. These codes do not have a TC and we 
are removing them from the list.
    Regarding carrier-priced services, all physicians' services (as 
defined by the statute under section 1848(j)(3) of the Act) are paid 
under the PFS, regardless of how they are priced. Carrier-priced 
services are services for which an alternative methodology is used to 
arrive at TC payment under the PFS, and, therefore, they are subject to 
the DRA provision. The same is true of Category III codes to the extent 
that they are carrier-priced (and to the extent they are not carrier-
priced, there is no basis to exempt these codes from application of the 
cap).
    Regarding codes that are not separately paid under the OPPS, we 
agree that there is no corresponding OPPS payment to serve as a TC cap. 
Because these codes meet the statutory definition of procedures subject 
to the OPPS cap, we will retain these codes on the list of procedures 
subject to the cap, but payments for the procedures will not be 
affected by the cap.
    Comment: One commenter noted that the Ambulatory Payment 
Classification (APC) groups are intended to set an average payment, 
where some lower cost procedures are paid at a higher average rate, and 
some higher cost procedures are paid at a lower average rate. In 
crosswalking from the PFS to the OPPS payment, the commenter noted that 
it would be more equitable to crosswalk to the median cost by CPT code, 
rather than using the median cost per the APC grouping payment.
    One commenter requested exclusion of codes bundled under OPPS 
having no additional APC payment, but having a TC amount under PFS. The 
commenter noted that the list of bundled services under the APC 
payments will vary from year-to-year and it is inappropriate to not 
make a payment under PFS as there is no packaging of the service into 
another procedure. Another commenter noted that drugs and 
radiopharmaceuticals are bundled into some OPPS procedures. They 
indicated that these should be unbundled to achieve more parity in the 
payment systems.
    Response: The DRA is specific in its requirements to compare the TC 
of a service for a year to the Medicare OPD fee schedule amount. 
Therefore, we will crosswalk the TC to the corresponding OPD fee 
schedule service and use that rate as a cap. For the same reason, we 
must use the OPD payment amount even if there are drugs or 
radiopharmaceuticals bundled into a particular OPD payment amount.
    In regard to the concern that bundled services vary year to year, 
we intend to review the relevant OPD and PFS codes to determine the 
appropriate crosswalk for a given year. We recognize that there will be 
changes and we believe our process will help to ensure that TC codes 
are being crosswalked to the most appropriate OPD codes.
ii. Multiple Procedure Payment Reduction
    Comment: Many commenters expressed appreciation for our decision to 
apply the multiple procedure payment reduction prior to application of 
the OPPS cap, and for maintaining the reduction at 25 percent. However, 
the commenters also indicated that the multiple procedure payment 
reduction is duplicative, inappropriate and excessive in light of the 
OPPS cap, and requested its elimination. Other

[[Page 69662]]

commenters requested continued evaluation, indicating a 25 percent 
reduction is greater than what is justified by any efficiencies 
achieved in, performing multiple procedures. One commenter noted we had 
previously stated that our multiple procedure analysis does not 
disprove earlier assertions by physician and industry representatives 
that some portion of multiple procedure efficiencies may be already 
reflected in OPPS payment rates. Conversely, MedPAC indicated that it 
is unclear why the DRA OPPS cap justifies maintaining the 25 percent 
reduction since the DRA policy applies only to those services where the 
TC exceeds the OPPS rate. In addition, MedPAC requested more 
information on the ACR data cited in the CY 2007 PFS proposed rule (71 
FR 48996).
    Response: When we proposed the multiple procedure payment reduction 
last year, as recommended by MedPAC, our data supported a 50 percent 
payment reduction. However, we agreed to phase-in the reduction over 
two years to allow for a transition of the changes in payment for these 
services attributable to the reduction policy and to provide further 
opportunity for public comment. Subsequently, the Congress passed the 
DRA provision capping imaging procedures at the OPPS payment rate. In 
view of the DRA provision, and additional data received from ACR, we 
determined that it is more appropriate to retain the multiple procedure 
payment reduction at 25 percent, rather than to increase it to 50 
percent as previously proposed. We share the concerns of the providers 
of imaging services that excessive reductions could be harmful to both 
physicians and patients. Therefore, we believe it is more appropriate 
to maintain the 25 percent reduction level while we continue to examine 
this issue.
    The list of codes that identify imaging services defined by the DRA 
OPPS cap provision can be found in Addendum F to this final rule with 
comment period. Note that the list in the proposed rule was affected by 
the renumbering of CPT codes that is effective January 1, 2007. 
Addendum F in this final rule with comment period reflects the 
renumbering of CPT codes that is effective January 1, 2007, and also 
reflects the removal of certain codes in response to comments, as 
discussed previously in this section. Payment for an individual service 
on this list will only be capped if the PFS TC payment amount exceeds 
the OPPS payment amount.
2. Section 5107--Revisions to Payments for Therapy Services
    Section 1833(g) of the Act applies an annual per beneficiary 
combined cap beginning January 1, 1999 on outpatient physical therapy 
and speech-language pathology services and a similar separate cap on 
outpatient occupational therapy services. These caps apply to expenses 
incurred for the respective therapy services under Medicare Part B, 
with the exception of outpatient hospital services. The caps were in 
effect from January 1, 1999 through December 31, 1999, from September 
1, 2003 through December 7, 2003, and beginning January 1, 2006. In 
2000 through 2002, and from December 8, 2003 through December 31, 2005, 
the Congress placed moratoria on implementation of the caps. Section 
1833(g)(2) of the Act provides that, for 1999 through 2001, the caps 
were $1500, and for years after 2001, the caps are equal to the 
preceding year's cap increased by the percentage increase in the 
Medicare Economic Index (MEI) (except that if an increase for a year is 
not a multiple of $10, it is rounded to the nearest multiple of $10).
    As discussed in the CY 2006 PFS proposed rule, we implemented the 
separate statutory limits of $1740 for outpatient physical therapy and 
speech-language pathology services and $1740 for occupational therapy 
on January 1, 2006. The DRA was enacted on February 8, 2006. Section 
5107(a) of the DRA required the Secretary to develop an exceptions 
process for the therapy caps effective January 1, 2006. The exceptions 
process applies only to expenses incurred in 2006. Details of the 
exceptions process were published in a manual change on February 13, 
2006 (CR 4364). The change request consists of three transmittals with 
current numbers of--
     Transmittal 855, CR 4364, Pub. L. 100-04;
     Transmittal 47, CR 4365, Pub. L. 100-02; and
     Transmittal 140, CR 4364, Pub. L. 100-08.
    The transmittals are available on the CMS Web site at http://www.cms.hhs.gov/Transmittals/.
    In accordance with the statute, the therapy caps will remain in 
effect, but without the exceptions process, for expenses incurred 
beginning on January 1, 2007. The dollar amount of each therapy cap in 
CY 2007 will be $1780 (which is the CY 2006 rate ($1740) increased by 
the percentage increase in the MEI), rounded to the nearest multiple of 
$10. As noted previously in this section, under the statute, the 
exceptions process will not apply to therapy services after December 
31, 2006, but the therapy caps will remain inapplicable to therapy 
services provided in the outpatient hospital setting as provided under 
section 1833(g) of the Act.
    Comment: We received six comments about therapy caps. All indicated 
that the cap exception process was working well to assure provision of 
needed therapy services. Some commenters acknowledged that we do not 
have the authority to extend therapy cap exceptions, but they requested 
that we be aggressive in urging the Congress to intervene to extend the 
exceptions or remove the caps.
    Several commenters urged us to place a high priority in resources 
and funding on continuing to conduct research that could be used to 
identify alternatives to the cap that would ensure that patients 
receive medically necessary therapy services. Some commenters cited the 
Medicare Payment Advisory Commission (MedPAC) recommendations of June 
2006 regarding continued research into measuring patient condition and 
treatment outcomes as a basis for reforming the payment system. 
Commenters also mentioned the Government Accountability Office 
publication issued in November 2005 (GAO-06-59) recommending that DHHS 
``expedite development of a process for ensuring that these services 
were considered in its efforts to standardize existing patient 
assessment instruments.'' Specifically, the one commenter, while 
recognizing important priorities in allocating limited funds, strongly 
urged us to conduct research and pilot studies leading to alternatives 
to therapy caps that ensure the needs of patients are met through high 
quality care. Another commenter agreed and also noted strong support 
for development of a condition-based payment as a viable alternative to 
caps. We received no negative comments concerning the exception process 
or our efforts to develop alternative payment systems based on the 
patient's need for services.
    Response: As commenters noted, we do not have the authority to 
extend the exceptions process beyond the December 31, 2006, statutory 
expiration date. We will continue, to the extent that resources allow, 
pursuing a payment policy that encourages provision of high quality, 
covered services to all beneficiaries who need them.
    Section 5107(b) of the DRA requires the Secretary to implement 
edits for clinically illogical combinations of

[[Page 69663]]

procedure codes and other edits to limit inappropriate payment for 
therapy services by July 1, 2006. As explained in the CY 2006 PFS 
proposed rule, in January 2006, we implemented Correct Coding 
Initiative (CCI) edits for the therapy providers that bill the fiscal 
intermediaries, thus, addressing the section 5107 of the DRA 
requirement for edits for clinically illogical combinations of 
procedure codes. Adoption of these code edits ensures that these 
providers of outpatient Part B therapy services, including SNFs, 
comprehensive outpatient rehabilitation facilities, certain outpatient 
physical therapy and speech-language therapy providers (rehabilitation 
agencies) and home health agencies (HHAs) (where beneficiary is not 
under a Part A plan of care) meet the same CCI edit requirements as 
those that have been in place for physicians, private practice 
therapists, and OPPS hospitals. We also noted that we are considering 
the implementation of other edits in the future to further address 
concerns about inappropriate payment for therapy services.
    Comment: MedPAC indicated that the CCI code-pair edits we have 
implemented are a good start in controlling inappropriate billing, but 
encouraged further work and consultation with experts to develop other 
clinically appropriate edits for therapy services.
    Response: We appreciate the MedPAC's remarks and will consider its 
suggestions in the implementation of future edits.
3. Section 5112--Addition of Ultrasound Screening for Abdominal Aortic 
Aneurysm (AAA)
a. Coverage
    Section 5112 of the DRA amended section 1861 of the Act to provide 
for coverage under Part B of ultrasound screening for AAAs, effective 
for services furnished on or after January 1, 2007, subject to certain 
eligibility and other limitations. This screening test will be 
available even if the qualifying patient does not present signs or 
symptoms of disease or illness.
    To conform the regulations to the statutory requirements of section 
5112 of the DRA, we proposed to include an exception in Sec.  
411.15(a)(1) to permit coverage for ultrasound screening for AAAs that 
meet the conditions for coverage that we proposed to specify under new 
Sec.  410.19(b) (Conditions for coverage of an ultrasound screening for 
abdominal aortic aneurysms). We also proposed to add a new Sec.  
411.15(k)(12).
    As provided in the DRA, this new coverage allows payment for a one-
time only screening examination. We proposed new Sec.  410.19(b) to 
provide for the coverage of the screening examinations for AAAs as 
specified in section 5112 of the DRA. We also proposed to add new Sec.  
410.19(c) (Limitation on coverage of ultrasound screening for abdominal 
aortic aneurysms.) to provide the limitation on coverage for an 
individual who is not an eligible beneficiary as defined in new Sec.  
410.19(a).
    We proposed the definitions set forth in new Sec.  410.19(a) to 
implement the statutory provisions and to help the reader in 
understanding the provisions of this regulation. The definitions 
include the following terms:
     Eligible beneficiary.
     Ultrasound screening for abdominal aortic aneurysms.
    Specifically, section 5112(a)(1) of the DRA amended section 1861 of 
the Act to provide that coverage of ultrasound screening for AAAs will 
be available for an individual: (1) Who receives a referral for such as 
ultrasound screening as a result of an initial preventive physical 
examination (IPPE) (as defined in section 1861(ww)(1) of the Act); (2) 
who has not been previously furnished such as ultrasound screening 
under this title; and (3) who has a family history of AAA or manifests 
risk factors included in a beneficiary category recommended for 
screening by the United States Preventive Services Task Force (USPSTF) 
regarding AAAs.
    Section 5112(a)(2) of the DRA also adds a definition of the term 
``ultrasound screening for an Abdominal Aortic Aneurysm'' to mean, 
``(1) a procedure using sound waves (or other procedures using 
alternative technologies, of commensurate accuracy and cost, that the 
Secretary may specify) provided for the early detection of abdominal 
aortic aneurysm; and (2) includes a physician's interpretation of the 
results of the procedure.''
    Based on this provision, we reviewed the 2005 USPSTF 
recommendations and related material on ultrasound screening for AAAs 
which includes--
     A recommendation for a one-time ultrasound screening for 
men aged 65 to 75 who have smoked at least 100 cigarettes in their 
lifetime;
     No recommendation for, or against, ultrasound screening 
for AAAs for men who have not smoked at least 100 cigarettes in their 
lifetime; and
     A recommendation against routine screening for AAAs in 
women.
    Based on the statutory language and the USPSTF recommendations 
outlined in this section, we proposed to define the term ``eligible 
beneficiary'' for coverage of ultrasound screening examinations for AAA 
to mean an individual who--
     Has received a referral for an ultrasound screening as a 
result of an IPPE (as defined in section 1861(ww)(1) of the Act);
     Has not been previously furnished such a covered 
ultrasound screening examination under the Medicare program; and
     Is included in at least one of the following risk 
categories:
    + Has a family history of an AAA.
    + Is a man age 65 to 75 years who smoked at least 100 cigarettes in 
his lifetime.
    + Is an individual who manifests other risk factors that are 
described in a benefit category recommended by the USPSTF regarding an 
AAA that has been determined by the Secretary through the NCD process.
    To facilitate our consideration of possible expansions of coverage 
in the future for identifying other risk factors in a benefit category 
recommended for screening for the early detection of AAAs by the 
USPSTF, and alternative screening technologies to ultrasound screening 
for AAAs of commensurate accuracy and cost, we proposed to add language 
to our regulations that would allow us to make determinations through 
the NCD process. The NCD process would allow the Secretary to expand 
coverage more quickly following an assessment of those subjects than is 
possible under the standard rulemaking process. We intend to use the 
NCD process, which includes an opportunity for public comments, for 
evaluating the medical and scientific issues relating to the coverage 
of alternative screening technologies and the identification of other 
risk factors for AAAs recommended by the USPSTF that may be brought to 
our attention in the future. Use of an NCD to establish a change in the 
scope of benefits is authorized by section 1871(a)(2) of the Act. An 
aggrieved party can challenge an NCD under the procedures established 
by section 1869(f) of the Act. We proposed to add these coverage 
provisions in new Sec.  410.19 (a)(1)(i) and Sec.  
410.19(a)(2)(iii)(C).
    Section 5112(b) of DRA also amended section 1861(ww)(2) of the Act 
(the IPPE benefit) by adding the new ultrasound screening benefit to 
the list of preventive services for which physicians and other 
qualified nonphysician practitioners (NPPs) must provide ``education, 
counseling and referral'' to new beneficiaries who take advantage of 
the IPPE benefit within the first 6 months after the effective date of

[[Page 69664]]

their first Part B coverage period. Therefore, we also proposed to 
amend Sec.  410.16(a)(7) of the regulations so that it reflects the 
additional responsibilities that physicians and qualified NPPs will 
have under the IPPE benefit for the new ultrasound screening benefit.
    We received 14 comments that generally supported the proposal to 
implement section 5112 of the DRA that provides for Medicare coverage 
of ultrasound screening for AAAs. Several commenters had suggestions 
for revising certain specific coverage provisions of the proposal.
    Comment: Several commenters addressed the issue of the need for 
certification of qualification requirements for the Medicare providers 
or suppliers who furnish beneficiaries with the new ultrasound 
screening for AAAs. A commenter referenced the USPSTF recommendations 
that state, ``There is good evidence that abdominal ultrasonography, 
performed in a setting with adequate quality assurance (that is, in an 
accredited facility with credentialed technologists), is an accurate 
screening test for AAA.'' The commenter noted that the proposed rule 
did not mention the qualifications of the people performing the 
screening and strongly recommended that quality standards be applied to 
any laboratories performing this testing.
    Response: Section 5112 of the DRA provides for coverage of a one-
time ultrasound screening for AAAs for beneficiaries, subject to 
certain eligibility and other limitations. However, section 5112 does 
not expressly address the subject of quality standards for the 
providers or suppliers of these services and, therefore, in the absence 
of a clearly demonstrated need for quality or qualification standards 
that are specifically targeted to ultrasound screenings for AAAs, we do 
not believe it is appropriate to establish at this time such detailed 
standards for these services. We believe that any Medicare provider or 
supplier that is authorized to provide covered diagnostic ultrasound 
services is qualified to provide covered ultrasound screening services 
for AAAs. The ultrasound test is conducted in a similar manner whether 
the test is for a screening or diagnostic purpose. We are adding 
language at Sec.  410.19(b) to reflect this condition.
    Comment: Two commenters expressed concern that many beneficiaries 
who became entitled to Medicare Part B coverage for the first time 
before the IPPE benefit became effective (January 2005) will not be 
able to qualify for coverage of the ultrasound screenings for AAAs 
because of the IPPE referral requirement for the exam.
    Response: The commenters are correct that the IPPE referral 
requirement for coverage of the ultrasound screening for AAAs will 
preclude many older beneficiaries from qualifying for coverage of the 
exam, but that requirement is specified in section 5112 of the DRA. It 
would require a change in the statute to permit us to expand the scope 
of the benefit to older beneficiaries who do not satisfy this 
requirement.
    Comment: Several commenters suggested that we should implement 
safeguards against providers billing for duplicative testing for the 
AAA screening and an abdominal or retroperitoneal ultrasound exam (with 
a diagnosis such as abdominal pain) later the same or the next day.
    Response: We agree that the potential for duplicative billing for 
the screening and the diagnostic ultrasound test of the same type does 
exist. Therefore, we will work with our contractors to implement the 
necessary safeguards to insure that this type of billing does not 
occur.
    Comment: Several commenters are concerned that the proposed rule 
does not provide any guidance on the meaning of the statutory IPPE 
referral requirement for coverage of the AAA screening service. The 
commenter suggests that the term ``referral'' should be interpreted to 
include a practitioner's ``direction to receive care from a qualified 
provider'' that may be provided orally or in written form during or 
after the eligible beneficiary receives his or her IPPE service.
    Response: Section 410.16(a)(7) (as modified in this final rule) 
provides that each eligible beneficiary who takes advantage of that 
benefit is entitled (among other things) to education, counseling, and 
referral, including a brief written plan such as a checklist provided 
to the beneficiary for obtaining appropriate screening and other 
preventive services that are covered as separate Medicare benefits, 
such as the ultrasound screening for AAAs. Based on this referral 
provision for the IPPE benefit, we believe there is considerable 
flexibility that is allowed the IPPE provider in making referrals to 
qualified Medicare providers of screening and other preventive 
services, such as the AAA screening service. However, at a minimum, we 
believe Sec.  410.16(a)(7)of the IPPE regulation requires that the 
referral include a brief written plan provided the beneficiary for 
obtaining, if appropriate, the AAA screening service from a qualified 
Medicare provider.
    Comment: Several commenters recommended that we monitor the 
utilization of the new AAA screening benefit over the next couple of 
years to determine if beneficiary access to this service is a concern 
that requires our efforts to ensure appropriate beneficiary awareness 
and utilization of the benefit.
    Response: We agree that we should monitor use of this benefit to 
ensure that there is appropriate beneficiary awareness and use of the 
service.
    Comment: A commenter urged us to implement a targeted campaign to 
educate beneficiaries and physicians about the new screening benefit 
and to encourage their use of it.
    Response: We will release the appropriate manual and transmittal 
instructions and other information, including a ``Medicare Learning 
Network (MLN) Matters'' provider education article, an updated new 
``Medicare Preventive Services Guide,'' and other information. We would 
encourage the medical community to contribute to this effort by 
distributing their own communications, bulletins, or other publications 
to physicians, qualified NPPs, and beneficiaries.
    Except for the additional language added at Sec.  410.19(b) 
relating to the ability of a provider or supplier to furnish ultrasound 
diagnostic services, we are finalizing this section as proposed to 
provide for coverage of the AAA screening service for beneficiaries 
under the statute, subject to the statutory eligibility and other 
limitations.
b. Payment
    Beginning January 1, 2007, we proposed to pay for ultrasound 
screening for AAAs through the use of a new HCPCS code G0389, 
Ultrasound, B-scan and/or real time with image documentation; for 
abdominal aortic aneurysm (AAA) screening. We proposed that payment for 
this service be made at the same level as CPT code 76775, Ultrasound, 
retroperitoneal (eg, renal, aorta, nodes), B-scan and/or real time with 
image documentation; limited. CPT code 76775 is used to bill for the 
service when it is provided as a diagnostic test, and we believe the 
service associated with the HCPCS codereflects equivalent resources and 
work intensity to those contained in CPT code 76775.
    In addition, since the DRA provides that the Medicare Part B 
deductible will not apply for ultrasound screening for AAA (as defined 
in section 1861(bbb) of the Act), we proposed to revise Sec.  410.160 
to include an exception from the Medicare Part B deductible for the 
ultrasound screening for AAA as described in Sec.  410.19 (Conditions 
for

[[Page 69665]]

coverage of an ultrasound screening for abdominal aortic aneurysms).
    Comment: Commenters were in agreement with the proposed payment 
amount for this service.
    Response: We will adopt the proposed values for this new HCPCS code 
(that is, make it equivalent to CPT code 76775). This service will be 
identified by the following code number and descriptor G0389, 
Ultrasound, B-scan and/or real time with image documentation; for 
abdominal aortic aneurysm (AAA) screening.
    We will also finalize the proposed revisions to Sec.  410.160 to 
include an exception from the Medicare Part B deductible for the 
ultrasound screening for AAA as described in Sec.  410.19.
4. Section 5113--Non-Application of the Part B Deductible for 
Colorectal Cancer Screening Tests
    Current Medicare policy requires that, with limited exceptions, 
incurred expenses for covered part B services are subject to, and count 
toward meeting the Part B annual deductible. Section 5113 of the DRA 
amended section 1833(b) of the Act to provide for an exception to the 
application of the Part B deductible for colorectal cancer screening 
tests. Beginning January 1, 2007, colorectal cancer screening services, 
as described in section 1861(pp)(1) of the Act, are no longer subject 
to the Part B deductible. The conditions for and limitations on 
coverage for colorectal cancer screening tests under Medicare Part B 
are described in Sec.  410.37.
    To conform our regulations to this statutory change, we proposed to 
revise Sec.  410.160 to include an exception from the Part B annual 
deductible for the colorectal cancer screening services described in 
Sec.  410.37.
    Comment: Commenters were supportive of this conforming change. 
However, it was pointed out that we had failed to address the situation 
where a colorectal cancer screening service actually results in a 
beneficiary having a biopsy or a growth removed, requiring the service 
to be coded as a diagnostic procedure. Clarification was requested as 
to whether in such situations, the deductible would still be waived.
    Response: Section 1834(d)(3)(D) of the Act states ``if during the 
course of such screening colonoscopy, a lesion or growth is detected 
which results in a biopsy or removal of the lesion or growth, payment 
under this part shall not be made for the screening colonoscopy but 
shall be made for the procedure classified as a colonoscopy with such 
biopsy or removal.'' Based on this statutory language, in such 
instances the test or procedure is no longer classified as a 
``screening test.'' Thus, the deductible would not be waived in such 
situations.
    After reviewing the public comments, we are finalizing Sec.  
410.160 as proposed.
5. Section 5114--Addition of Diabetes Outpatient Self-Management 
Training Services (DSMT) and Medical Nutrition Therapy (MNT) for the 
FQHC Program
    Section 5114 of the DRA amended section 1861(aa)(3) the Act to add 
DSMT and MNT services to the list of Medicare covered and reimbursed 
services under the Medicare FQHC benefit, effective for services 
provided on or after January 1, 2006. Although this statutory change 
has already been implemented in administrative instructions, we 
proposed to conform the regulations to the new statutory requirement.
    FQHCs certified as DSMT and MNT providers have been allowed to 
bundle the cost of those services into their FQHC payment rates. But 
before the enactment of the DRA, the provision of these services would 
not generate a separate FQHC visit payment. Effective for services 
furnished on or after January 1, 2006, FQHCs that are certified 
providers of DSMT and MNT services can receive per visit payments for 
covered services furnished by registered dietitians or nutrition 
professionals. That is, if all relevant program requirements are met, 
these services are included under the Medicare FQHC benefit as billable 
visits.
    In public response to the proposed rule, we received a small number 
of comments expressing support for our proposal. Therefore, we will 
finalize the changes as proposed.
    To conform the regulations, we are amending Sec.  405.2446(b) to 
expand the scope of FQHC services to include certified providers of 
DSMT and MNT services by adding a new paragraph (b)(10). We are also 
revising Sec.  405.2463 by--
     Revising paragraph (a) to expand the definition of an FQHC 
visit to include certified providers of DSMT and MNT services under new 
paragraph (a)(1)(ii)(B). We are also revising the definition of an 
rural health clinic (RHC) visit in new paragraph (a)(1)(i) to include a 
face-to-face encounter between a patient and a clinical psychologist or 
clinical social worker to conform to statutory language at section 
1861(aa)(1)(B) of the Act. We also proposed to redesignate and revise 
paragraphs (b) and (c) as new paragraphs (a)(2) and (a)(3), 
respectively.
     We are incorporating paragraph (a)(2) into (a)(1), and 
redesignating and revising current paragraph (a)(3) as new paragraph 
(b). We also clarify that it is generally permissible for both FQHCs 
and RHCs to furnish, when necessary, most types of medical and other 
health visits on the same day to the same patient. We also amend this 
paragraph to permit a separate additional FQHC visit for DSMT and MNT 
services (which may occur on the same date of service when the 
beneficiary receives care from their FQHC physician or NPP) when 
reasonable and necessary, consistent with the Congressional mandate 
under section 5114 of the DRA to provide coverage and adequate access 
to these services in the FQHC setting.
     Finally, we are redesignating and revising current 
paragraph (a)(4) as new paragraph (c).

F. Payment for Covered Outpatient Drugs and Biologicals (ASP Issues)

    Medicare Part B covers a limited number of prescription drugs and 
biologicals. For the purposes of this final rule with comment period, 
the term ``drugs'' will hereinafter refer to both drugs and 
biologicals. Medicare Part B covered drugs not paid on a cost or 
prospective payment basis generally fall into the following three 
categories:
     Drugs furnished incident to a physician's service.
     Durable medical equipment (DME) drugs.
     Drugs specifically covered by statute (for example, 
certain immunosuppressive drugs).
    Beginning in CY 2005, the vast majority of Medicare Part B drugs 
not paid on a cost or prospective payment basis are paid under the 
average sales price (ASP) methodology. The ASP methodology is based on 
data submitted to us quarterly by manufacturers. In addition to the 
payment for the drug, Medicare currently pays a furnishing fee for 
blood clotting factors, a dispensing fee for inhalation drugs, and a 
supplying fee to pharmacies for certain Part B drugs.
    In January 2006, the drug coverage available to Medicare 
beneficiaries expanded with the implementation of the Medicare Part D 
benefit. The Medicare Part D benefit does not change Medicare Part B 
drug coverage.
    This section of the preamble discusses changes and issues related 
to the determination of the payment amounts for covered Part B drugs 
and furnishing blood clotting factor. This section also discusses 
changes to how manufacturers calculate and report ASP data to us.

[[Page 69666]]

1. ASP Issues

    Section 303(c) of the MMA amended title XVIII of the Act by adding 
new section 1847A. This new section revised the payment methodology for 
the vast majority of drugs and biologicals not paid on a cost or 
prospective payment basis furnished on or after January 1, 2005. The 
ASP reporting requirements are set forth in section 1927(b) of the Act. 
Manufacturers must submit ASP data for each 11-digit NDC to us 
quarterly. The manufacturers' submissions are due to CMS no later than 
30 days after the last day of each calendar quarter. The methodology 
for developing Medicare drug payment allowances based on the 
manufacturers' submitted ASP data is described in the regulations in 
part 414, subpart K. We update the Part B drug payment amounts 
quarterly based on the data we receive.
    On April 6, 2004, we published the Manufacturer's Submission of 
Average Sales Price Data for Medicare Part B Drugs and Biologicals 
(ASP) interim final rule with comment period (IFC) (69 FR 17935) to 
implement the ASP calculation and reporting requirements. Manufacturers 
were required to submit their initial quarterly ASP data to us shortly 
thereafter, by April 30, 2004. We received comments on the April 6, 
2004 IFC from drug manufacturers, pharmacies, physicians, national 
associations of the pharmaceutical industry, national associations of 
physicians, and consultants. These comments addressed a variety of 
aspects of calculating and reporting ASPs. On September 16, 2004, we 
published the Manufacturer's Submission of Average Sales Price Data for 
Medicare Part B Drugs and Biologicals (ASP) final rule (69 FR 55763) 
addressing only the comments pertaining to the methodology for 
estimating lagged price concessions. We have also addressed ASP 
calculation and reporting requirements in other proposed and final 
rules and information collection notices, including rulemaking to 
implement the Competitive Acquisition Program for Part B Drugs and 
Biologicals (CAP) (70 FR 39069, 70 FR 45842, 70 FR 70215, 70 FR 70477, 
and 71 FR 48130). In addition, we have posted official agency guidance, 
including responses to frequently asked questions, on our Web site to 
implement the ASP provisions in accordance with section 1847A(c)(5)(C) 
of the Act.
    In the CY 2007 PFS proposed rule, we stated that we intended to 
finalize the April 6, 2004 IFC in the near future and that we may 
publish the final rule as part of this rulemaking, or as a separate 
final rule. We also stated that because the comments received during 
the comment period in response to the April 6, 2004 IFC were made 
during the initial months of manufacturers' experience with calculating 
and reporting ASPs and prior to publication of payment amounts based on 
the ASP methodology, we believed there was good reason to give the 
public an opportunity to provide additional comments. Therefore, we 
sought comments on the ASP reporting provisions in the April 6, 2004 
IFC, as well as several topics specifically discussed in the CY 2007 
PFS proposed rule. These topics included: Fees not considered price 
concessions, excluded sales known on a lagged basis, nominal sales, and 
other price concession issues. In this final rule with comment period, 
we are responding to comments received on the April 6, 2004 IFC and the 
CY 2007 PFS proposed rule and revising provisions related to the 
estimation methodology for price concessions known on a lagged basis, 
which were finalized in the September 16, 2004 final rule. Except as 
otherwise specified in this final rule with comment, we are finalizing 
the provisions of part 414, subpart J as presented in the April 6, 2004 
IFC.
a. Comments Not Related to ASP Reporting
    As stated in the CY 2007 PFS proposed rule, we received numerous 
comments on the use and potential impacts of the ASP payment 
methodology. The April 6, 2004 IFC implemented provisions of the MMA 
related to how manufacturers calculate ASP and report their ASP data. 
Thus, comments about the appropriateness and use of 106 percent of the 
ASP as a basis for Medicare Part B drug payment rates are outside the 
scope of the final ASP reporting rule. Implementation of the ASP 
payment methodology as the basis for establishing payment amounts for 
the vast majority of Part B drugs was discussed in notice and comment 
rulemaking in the CY 2005 PFS proposed and final rules (69 FR 47520 and 
69 FR 66299). Comments about the ASP payment methodology that address 
issues other than how manufacturers calculate and report their ASPs are 
outside the scope of this rulemaking. Other topics for which we 
received comments that are not within the scope of this rulemaking and 
are not otherwise addressed are as follows:
     How the ASP-based payment rates are calculated;
     How NDCs are assigned to billing codes;
     Requests for billing codes for specific products;
     Whether alternative payment methodologies or exceptions to 
the ASP-based payment should be considered;
     Billing and claims processing and adjudication issues;
     Variation in local coverage policies:
     Whether Part B policies apply to Medicaid and/or Part D;
     Issues related to Competitive Acquisition of Outpatient 
Drugs and Biologicals Under Part B (CAP); and
     Issues pertaining to the content and format of the 
quarterly Part B drug pricing files.
b. Fees Not Considered Price Concessions
    Section 1847A(c)(5)(A) of the Act states that the ASP is to be 
calculated by the manufacturer on a quarterly basis. As a part of that 
calculation, manufacturers must take into account price concessions 
such as--
     Volume discounts;
     Prompt pay discounts;
     Cash discounts;
     Free goods that are contingent on any purchase 
requirement;
     Chargebacks; and
     Rebates (other than rebates under the Medicaid drug rebate 
programs).
    If the data on these price concessions are lagged, then the 
manufacturer is required to estimate costs attributable to these price 
concessions using the required ratio methodology as specified in Sec.  
414.804(a)(3). This methodology was finalized in the September 16, 2004 
final rule based on comments submitted in response to the April 6, 2004 
IFC. In the CY 2007 PFS proposed rule, we proposed modifications to the 
requirements for estimating lagged price concessions specified Sec.  
414.804(a)(3) to conform with other proposals put forth in the proposed 
rule. Comments received in response to the proposed rule related to 
potential impacts on the estimation of lagged price concessions are 
discussed in the appropriate subsections in this section.
    In response to the April 6, 2004 IFC, commenters representing drug 
manufacturers, national associations of wholesalers and distributors, 
and physicians and other health care providers requested clarification 
and detailed guidance on the treatment of administrative fees, service 
fees and fees paid to pharmacy benefit managers (PBMs) in the ASP 
calculation. We posted guidance on our Web site (http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg) to clarify that in the 
absence of specific guidance in the Act or Federal regulations, the 
manufacturer may make reasonable assumptions in its

[[Page 69667]]

calculations of ASP, consistent with the general requirements and 
intent of the Act, Federal regulations, and its customary business 
practices. These assumptions should be submitted along with the ASP 
data. In December 2004, we posted further guidance on our Web site 
addressing service fees and administrative fees paid to buyers (http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg).
    On July 6, 2005, we restated our guidance on service fees in the 
preamble of the Competitive Acquisition of Outpatient Drugs and 
Biologicals Under Part B (CAP) interim final rule with comment (70 FR 
39069). Subsequently, we received requests for clarification on how 
fees paid to entities such as group purchasing organizations (GPOs) or 
PBMs must be treated for purposes of the ASP calculation.
    Therefore, we proposed to further clarify in the final ASP 
reporting rule that, beginning with the ASP reporting for sales during 
the first quarter of CY 2007, bona fide service fees that are paid by a 
manufacturer to an entity, whether or not the entity takes title to the 
drug, are not considered price concessions under Sec.  414.804(a)(2) 
insofar as, and to the extent that, they satisfy the definition of a 
bona fide service fee that we proposed at Sec.  414.802. In Sec.  
414.802, we proposed to define bona fide service fees as fees paid by a 
manufacturer to an entity that represent fair market value for a bona 
fide, itemized service actually performed on behalf of the manufacturer 
that the manufacturer would otherwise perform (or contract for) in the 
absence of the service arrangement, and that are not passed on, in 
whole or in part, to a client or customer of an entity, whether or not 
the entity takes title to the drug. We further proposed that our 
current guidance, which provides that bona fide service fees means 
expenses that would have generally been paid for by the manufacturer at 
the same rate had these services been performed by other entities, 
would remain in effect unless we adopted an alternative approach. 
Further, we proposed to clarify in the final ASP reporting rule that 
fees, including service fees, administrative fees and other fees, paid 
to GPOs or PBMs are not considered price concessions under Sec.  
414.804(a)(2) insofar as, and to the extent that, they satisfy the 
definition of a bona fide service fee that we proposed at Sec.  
414.802.
    In the CY 2007 PFS proposed rule, we discussed comments to the 
April 6, 2004 IFC that provided some insight into the types of 
activities that are performed in the distribution of drugs. We noted 
that these comments did not provide detailed information about whether 
and how one would determine the extent to which these activities are 
bona fide services actually performed on behalf of the manufacturer. To 
better understand the scope of appropriate bona fide services and how 
they may vary across categories of drugs, we sought comment on the 
specific types of services entities performed on behalf of the 
manufacturer and the necessity of those services in the efficient 
distribution of drugs. We also stated that we were considering 
providing further guidance on the types of services that may qualify as 
bona fide services for purposes of the ASP calculation. We also 
indicated that we were considering providing further guidance on or 
revising the approach or methodology manufacturers must use to 
determine the fair market value of bona fide services performed on 
their behalf and whether the service fee paid was passed on in whole or 
in part, as well as activities that should not be considered bona fide 
services performed on behalf of manufacturers, and bona fide services 
that may be appropriate for all or specific types of products or 
circumstances. We also sought comments on the costs and relative costs 
of services performed on behalf of manufacturers. Specifically related 
to the determination of whether or not a fee represents fair market 
value for ASP purposes, we solicited comments on the potential 
appropriateness of fees tied to performance of a service, fixed fee, 
revenue generated by product sales, or other basis. In addition, we 
requested comments on the appropriate methods for determining whether a 
fee is passed on in whole or in part and on how Medicare's guidance on 
the treatment of service fees for ASP calculation purposes may differ 
with the treatment of service fees for financial accounting or other 
purposes, and any implications that this may have for manufacturers.
    Comment: We received numerous comments on the topic of service 
fees. Among the commenters there was general agreement with our 
clarification that the treatment of bona fide service fees in the ASP 
calculation should not be conditioned on whether or not the entity 
takes title to the drug. However, many commenters objected to a 
definition of bona fide service fee that would limit in any way the 
services or amount of fee that a manufacturer would establish in a 
contract with any partner in the distribution of drugs or that 
otherwise would limit flexibility and evolution in the industry. Many 
of the commenters on this issue were opposed to establishing a list of 
bona fide services; while a few commenters requested that certain 
services such as ``pick, pack and ship,'' chargeback administration, 
data services, and patient care programs be specifically included in a 
list of bona fide services. A few commenters stated that such a list, 
even if the list were illustrative, would be helpful in standardizing 
the treatment of service fees across manufacturers' ASP calculations. 
Other commenters cautioned that establishing a list of bona fide 
services would require ongoing refinement in order for manufacturers to 
accurately calculate ASPs as service fee arrangements evolved.
    Several commenters recommended that we adopt a more general 
standard for evaluating whether an arrangement represents a bona fide 
service fee arrangement. However, very few suggestions for modifying 
the wording of the proposed definition of bona fide service fee were 
offered. One commenter recommended changing ``itemized'' to ``supply 
chain'' to address concerns regarding how fair market value may be 
determined, and several commenters recommended that we delete the 
requirement that the fees not be passed on; these comments are 
discussed in more detail below in this section.
    In discussing how a more general standard might be applied, several 
commenters suggested allowing the marketplace to decide the appropriate 
scope of services and fair market value. These commenters stated that 
this approach would result in a satisfactory means of determining fees 
that are not price concessions (that is, are bona fide and not passed 
on) by virtue of the competitiveness of the market for drug 
distribution service. Under this approach, any service and price agreed 
to in an arm's-length contract with the manufacturer would be 
sufficient for determining that the services were bona fide and at fair 
market value for ASP purposes.
    Other commenters, who support a general standard, suggest that so 
long as a service is ``reasonably necessary'' or ``necessary and 
useful'' in meeting a manufacturer's business needs, it should be 
considered to be both bona fide and a service performed on behalf of 
the manufacturer. These commenters emphasize that the purpose of the 
service should determine whether it was performed on behalf of the 
manufacturer. As a result, in the opinion of these commenters, all 
activities related to distributing drugs are services a manufacturer 
would either have to perform or contract for if it did not have the 
capacity to perform

[[Page 69668]]

the activity or chose not to perform the activity.
    Some of the comments in support of a general standard pointed to 
the personal services safe harbor from anti-kickback penalties as 
specified in 42 CFR 1001.952(d)(7) as a potential benchmark for 
purposes of identifying services and fees that would be excluded from 
the ASP calculation. Other commenters recommended that any reasonable 
method of determining fair market value should be acceptable. However, 
several commenters requested that we specify the acceptable methods for 
determining fair market value. A small number of commenters requested 
that we specifically address whether the income method, market method 
or cost method could be used to estimate the range for fair market 
value of the bona fide service fee arrangement for ASP purposes. These 
commenters did not provide details on the applicability of these three 
methods for estimating fair market value for commonly performed drug 
distribution services. Many commenters stated that, regardless of the 
method used to determine fair market value, manufacturers should be 
permitted to calculate fair market value across a set of services (in 
lieu of determining fair market value for each itemized service 
specified in an arrangement), and that it would be impossible to 
calculate fair market value adequately for certain low-volume or value-
added services or certain services that can only be performed by the 
purchaser (for example, in the case of wholesalers, compiling, and 
sharing retail customer data). Some commenters noted that service fee 
contracts may be broadly constructed for a set of services across a 
number of drugs without itemizing each service or activity. To reflect 
market practices and trends, as noted above in this section, one 
commenter recommended that we revise the proposed definition of bona 
fide service fees to remove the word ``itemized'' and, in its place, 
insert ``supply chain.''
    Several commenters supported our proposed definition of bona fide 
service fees in general, while also suggesting that we refine or 
eliminate the ``not passed on'' requirement because it is not needed if 
the services included in an arrangement are bona fide and the fee 
represents fair market value. A number of commenters offered that 
including ``itemized'' in the definition was unnecessary for the same 
reason. While a few commenters stated that specific requirements not to 
pass on fees and terms requiring disclosure of any fees passed on could 
be written in the bona fide service fee contracts. In contrast, several 
commenters stated that for a variety of reasons, manufacturers may not 
know or be able to accurately certify that a fee is not passed on in 
whole or in part. These commenters identified anti-trust constraints as 
one such reason.
    Commenters asked that: (1) We clarify that services that can only 
be performed by the party that takes possession of the drug from the 
manufacturer may be considered to be bona fide services; and (2) we 
remove the limitation in our current guidance that bona fide service 
fees must be at the same rate had these services been performed by 
other entities.
    We did not receive comments on services that should not be 
considered bona fide services, or on the costs or relative costs of 
services performed on behalf of manufacturers.
    Response: After consideration of the comments received, we are 
finalizing our proposed definition of bona fide service fees at Sec.  
414.802 which specifies that in order for a fee to be determined not to 
be a price concession, and thus to be excluded from the calculation of 
the ASP, the following conditions must be met:
     The fee paid must be for a bona fide, itemized service 
that is actually performed on behalf of the manufacturer;
     The manufacturer would otherwise perform or contract for 
the service in the absence of the service arrangement;
     The fee represents fair market value; and
     The fee is not passed on in whole or in part to a client 
or customer of any entity.
    We believe that if a fee satisfies the definition of bona fide 
services fees it can be excluded from the calculation of the ASP. We 
believe the specificity and scope of this definition provides an 
appropriate safeguard against the potential risk for inappropriately 
higher ASPs, while adopting a more general standard, a more limited 
definition or relying solely on market forces, as some commenters 
suggested, would not. This is because, taken together, this four 
elements describe those situations in which we believe a fee paid is 
compensation for services rather than a price concession for drugs. We 
disagree with the comments that recommended alternative standards 
because a definition with greater breadth or less specificity or both 
would not as clearly distinguish bona fide services fees from price 
concessions and could result in inappropriately high ASPs and 
insconsistent treatment of services fees (for example, if we were to 
permit a fee for any services at any price to be excluded from the 
calculation of ASP or to eliminate the ``not passed on'' or 
``itemized'' requirements.) However, we found many of the comments 
informative with respect to how our definition of a bona fide service 
fee is met and we discuss below in this section how these comments have 
been incorporated into our guidance. In codifying the definition of 
bona fide service fees, we seek to clarify a framework for 
differentiating between those price concessions that must be included 
in the calculation of ASP and bona fide service fees,which are not 
included in the calculation of ASP. Beginning with the effective date 
of this final rule with comment, the definition of bona fide service 
fees will apply to the ASP reporting for sales during the first 
calendar quarter of 2007. Additional guidance is discussed below.
(1) Bona fide, Itemized, Actually Performed on Behalf of the 
Manufacturer and ``Otherwise Performed''
    The first and second elements of the definition of bona fide 
service fees relate to the scope of bona fide services for which a fee 
paid does not represent a price concession for ASP purposes. To be 
considered a bona fide service fee, the fee must be for services that 
are: Bona fide, itemized, actually performed on behalf of the 
manufacturer, and those the manufacturer would otherwise perform or 
contract for in the absence of the service arrangement. Some commenters 
requested further guidance on these elements. We were persuaded by 
comments that referenced the necessity or usefulness of services. 
Therefore, we interpret these elements of the definition to encompass 
any reasonably necessary or useful services of value to the 
manufacturer that are associated with the efficient distribution of 
drugs. In response to commenters' concerns, we are clarifying that 
services ``on behalf of'' the manufacturer include both those the 
manufacturer has the capacity to perform, and those that can only be 
performed by another entity.
    Although some commenters provided us with general information on 
what they would view to be bona fide services, to avoid inadverently 
limiting the scope of what could constitute a bona fide service, we 
will not establish a list of ``bona fide services'' at this time.
(2) Fair Market Value
    The third element of the definition of bona fide service fees 
specifies that the fees must represent fair market value. In response 
to comments, we are refining our current guidance to address

[[Page 69669]]

concerns that it may not permit exclusion from ASP of fees for services 
that can only be performed by the entity to which the fee is paid. 
Therefore, our guidance is that bona fide service fees means expenses 
that generally would have been paid for by the manufacturer at the same 
rate had these services been performed by other or similarly situated 
entities.
    In addition, we tend to agree with the commenters that, in certain 
circumstances, it may be appropriate to calculate fair market value for 
a set of itemized bona fide services, rather than fair market value for 
each individual itemized service, when the nature of the itemized 
services warrants such treatment. We also tend to agree that the 
appropriate method or methods for determining whether a fee represents 
fair market value may depend upon the specifics of the contracting 
terms, such as the activities the entity will perform and the agreed-
upon mechanism for establishing the payment (for example, percentage of 
goods purchased). We believe manufacturers are well-equipped to 
determine the most appropriate, industry-accepted method for 
determining fair market value of drug distribution services for which 
they contract. Therefore, we are not mandating the specific method 
manufacturers must use to determine whether a fee represents fair 
market value for purposes of excluding bona fide service fees from the 
calculation of ASP.
(3) ``Not Passed On''
    We appreciate the commenter views on the fourth element of the 
definition of bona fide service fees, which specifies that the bona 
fide service fee must not be passed on, in whole or in part, to a 
client or customer of an entity. At this time, we understand that there 
may be significant barriers that limit a manufacturer's ability to 
determine whether a fee that otherwise meets the definition of ``bona 
fide service fee'' described in this rule is passed on, in whole or in 
part, to a client or customer of any entity. Nevertheless, we believe 
that it is essential to retain the ``not passed on'' element in the 
definition of bona fide service fees. The ``not passed on'' element is, 
in our view, a key factor in distinguishing a price concession from a 
bona fide service fee because, if a fee that is passed on is excluded 
from the ASP calculation, then there is a greater risk of the ASP being 
inappropriately higher.
    However, we recognize that, in some instances, manufacturers may 
have no effective way of knowing whether a fee paid that meets the 
other elements of the definition of ``bona fide service fee'' is passed 
on. Although we decided to retain the ``not passed on'' requirement in 
the definition of bona fide service fees because of its importance in 
distinguishing bona fide service fees from price concessions, we 
believe it is appropriate to seek to balance our goal of ensuring 
appropriate Medicare payments are made with the level of burden a 
manufacturer would have to undertake to validate that a fee was not 
passed on. Therefore, with respect to certifying to the accuracy of 
their ASP calculations when it is unknown to the manufacturer whether 
the fee paid was passed on in whole or in part to a client or customer 
of any entity, we are clarifying, in this preamble, how manufacturers 
may address this concern. If a manufacturer has determined that a fee 
paid meets the other elements of the definition of ``bona fide service 
fee,'' then the manufacturer may presume, in the absence of any 
evidence or notice to the contrary, that the fee paid is not passed on 
to a client or customer of any entity.
    Comment: Several commenters indicated that some of the fees that 
they believe would meet our definition of bona fide services fees for 
ASP purposes would be treated as a reduction to revenues for financial 
accounting purposes. Commenters asked us to clarify that the treatment 
of service fees for ASP purposes and financial accounting purposes may 
be different, and that if a fee meets our definition of a bona fide 
service fee it can be excluded from the ASP regardless of its treatment 
for financial accounting purposes.
    Response: Fees that meet our definition of bona fide service fees 
are not considered price concessions for purposes of the ASP 
calculation, regardless of how they are treated for financial 
accounting purposes.
    Comment: Many commenters asserted that all fees and other payments 
to GPOs and PBMs should be excluded from ASP because the statute 
requires only that sales to purchasers be included in ASP, and, they 
argue, GPOs and PBMs are not purchasers, do not take title to and 
possession of products, and the fees paid to GPOs and PBMs are not 
passed on to physicians (or other providers) in a manner that can be 
attributable to a particular purchase or drug. Commenters asked that, 
if we consider fees paid to GPOs and PBMs to be price concessions 
(except to the extent that the fees are bona fide service fees for 
purposes of the ASP calculation), we allow fees paid to the GPOs and 
PBMs under arrangements that meet the anti-kickback safe harbor for 
purchasing arrangements to be excluded from the ASP calculation without 
having to meet our definition of bona fide service fees. Other 
commenters expressed concern that considering GPO and PBM fees to be 
price concessions could artificially deflate ASP such that it would not 
accurately reflect the costs incurred by physicians and other 
providers. Another commenter suggested that we provide additional 
guidance on payments to managed care organizations.
    Response: We note that we did not make a specific proposal with 
respect to how PBM and GPO fees must be treated for ASP purposes other 
than to say that to the extent that such fees meet the definition of 
``bona fide service fee,'' they are excluded from the calculation of 
ASP. We are continuing to develop our understanding of the variety of 
agreements made with entities such as PBMs and GPOs and the possible 
effects of these arrangements on the calculation of ASP and provider 
acquisition costs. For this reason, at this time we believe it is 
premature for us to provide specific guidance with respect to treatment 
of fees paid by manufacturers to PBMs and GPOs in the ASP calculation 
(other than to specify, as we proposed, that PBM and GPO fees that meet 
the definition of ``bona fide service fees'' are excluded from the 
calculation of ASP). Instead, we will continue to consider the comments 
received and to study the matter further. In addition, we may take into 
consideration how fees paid to these entities are addressed in the 
context of the Medicaid drug rebate program. We also note that the 
MedPAC commented that in the upcoming year it would be continuing to 
examine the issue of the average prices physicians pay and the effect 
of price concessions that might not be passed on to physicians.
    In the absence of specific guidance, the manufacturer may make 
reasonable assumptions in its calculations of ASP, consistent with the 
general requirements and the intent of the Act, Federal regulations, 
and its customary business practices. These assumptions should be 
submitted along with the ASP data.
    Recognizing that the treatment of fees to PBMs and GPOs in the ASP 
calculation may have implications for the integrity of the ASP payment 
methodology, we will be paying close attention to this issue and may 
provide more specific guidance in the future through rulemaking or 
through program instruction or other guidance (consistent with our 
authority under section 1847A(c)(5)(C) of the Act).
    Comment: Many commenters noted that the Congress excluded 
wholesaler

[[Page 69670]]

prompt pay discounts from the calculation of average manufacturer price 
(AMP) under the DRA. Commenters asserted that we have the authority to 
extend this provision to ASP reporting and thus could exclude 
wholesaler prompt pay discounts from ASP reporting.
    Response: We do not agree that extending the DRA provision to ASP 
reporting would be consistent with Congressional intent. Section 
1847A(c)(3) does not specify a carve-out for prompt pay discounts 
extended to wholesalers. Therefore, along with all other prompt pay 
discounts, prompt payment discounts extended to wholesalers must be 
included in the calculation of ASP.
c. Estimation Methodology for Lagged Exempted Sales
    Section 1847A(c)(2) of the Act requires manufacturers to exclude 
from the calculation of ASP those sales that are exempt from inclusion 
in the determination of Medicaid best price (BP). In the comments on 
the April 6, 2004 IFC, commenters requested more guidance on the method 
manufacturers should use to exclude exempted sales that are known on a 
lagged basis. Manufacturers identify exempted sales based on direct 
sales and through chargeback and rebate data that may not be 
sufficiently available at the time the ASP is calculated. In the 
absence of specific guidance on how to account for lagged exempted 
sales (that is, exempted sales identified through chargeback or rebate 
processes), manufacturers have relied upon assumptions in accordance 
with their customary business practices to develop their approach for 
excluding these sales from the ASP calculation. In our work with 
manufacturers that submit ASP data, we understand that some 
manufacturers have used a ratio methodology for estimating exempted 
sales known on a lagged basis that is similar to the ratio methodology 
manufacturers must use to estimate price concessions known on a lagged 
basis.
    To establish a uniform approach, we proposed to require, in the 
final ASP reporting rule, that all manufacturers use a 12-month (or 
less, if applicable) rolling average ratio methodology to estimate 
exempted sales known on a lagged basis (through chargebacks or rebates) 
to more accurately exclude these sales from the ASP calculation. 
Specifically, for exempted sales known on a lagged basis, the 
manufacturer would sum the lagged exempted sales for the most recent 
12-month period available (or the number of months the NDC has been 
sold for NDCs with less than 12 months of sales, except for 
redesignated NDCs as described in section II.F.1.e.). The manufacturer 
then calculates a percentage using this summed amount as the numerator 
and the sales (the number of units after non-lagged exempted sales have 
been subtracted from total sales) for the same period (12 months or 
less, if applicable) as the denominator. The result would be a rolling 
average percentage estimate for lagged exempted sales that is applied 
to the sales (the number of units after non-lagged exempted sales have 
been subtracted from total sales) for the quarter being reported. The 
product that results from multiplying the rolling average percentage 
estimate of lagged exempted sales and sales (the number of units after 
non-lagged exempted sales have been subtracted from total sales) would 
determine the number of lagged exempted sales (in units) to be excluded 
from the denominator of the ASP calculation. Manufacturers would be 
required to make a corresponding adjustment to the numerator of the ASP 
calculation to ensure that the total in dollars for the reporting 
quarter does not include revenue related to lagged, exempted sales 
excluded from the denominator using the proposed estimation 
methodology. Further, manufacturers would be required to remove the 
dollar value of lagged exempted sales from their estimates of lagged 
price concessions by subtracting the dollar value of estimated lagged 
exempted sales from the denominator as specified in Sec.  
414.804(a)(3)(i).
    Our proposed methodology for excluding lagged, exempted sales is 
similar to the methodology manufacturers are required to use to 
estimate price concessions known on a lagged basis, and was recommended 
by manufacturers. We believe requiring similar methods to estimate both 
lagged exempted sales and lagged price concessions would be reasonable 
and reduces potential errors in the manufacturers' ASP calculations, 
while ensuring that exempted sales are appropriately removed from the 
ASP calculation. In addition, using an estimation methodology to remove 
lagged exempted sales would reduce the likelihood of quarter-to-quarter 
variations in the ASP.
    We sought comments on the proposed methodology for excluding 
exempted sales known on a lagged basis from the ASP calculation and 
estimate of lagged price concessions. We also solicited suggestions on 
appropriate alternative methodologies that may be less complex.
    Comment: We received comments that were supportive of our approach. 
However, some commenters stated that the proposed methodology would be 
overly complex and inappropriate for certain types of exempted sales 
known on a lagged basis. Several commenters stated that the proposed 
methodology would be helpful and useful for accurately excluding from 
the ASP calculation sales excluded based on the type of entity to which 
the sale is made and known on a lagged basis (for example, sales 
relating to subclauses (I), (II), and (IV) of section 1927(c)(1)(C)(i) 
of the Act). However, most of these commenters cautioned that use of 
the proposed methodology to estimate and exclude from the ASP 
calculation sales which are excluded on the basis of rebates paid to 
State pharmacy assistance programs and Part D plans or qualified 
retiree prescription drug plans (for example, prices under clauses 
(III) and (VI) of section 1927(c)(1)(C)(i) of the Act) and known on a 
lagged basis would be: (1) Inadequate to fully and accurately account 
and adjust for other price concessions applicable to these sales; and 
(2) may lead to an inappropriately low ASP if a manufacturer is unable 
to identify and remove all price concessions associated with an 
exempted sale. Some commenters supported an alternative, two-pronged 
approach. Lagged sales excluded based on the type of entity to which 
the sale is made would be removed from the ASP using the proposed 
methodology if the manufacturer determined that a 12-month rolling 
average estimation methodology was necessary to accurately exclude 
these lagged exempted sales from the ASP calculation. On the other 
hand, the manufacturer would either not make any adjustment for or use 
reasonable assumptions to determine the best method for excluding any 
prices under a State pharmaceutical assistance program, and any prices 
charged which are negotiated by a prescription drug plan under Part D 
of title XVIII, by an MA-PD plan under Part C of title XVIII or by a 
qualified retiree prescription drug plan as defined in section 1860D-
22(a)(2) of the Act. Several commenters suggested we adopt an approach 
that would permit manufacturers not to exclude certain exempted sales 
because: (1) Current information sources may not distinguish all 
exempted sales; (2) certain sales may satisfy more than one of the 
exemptions from the determination of BP so there would be a potential 
for over counting excluded sales (for example, a sale to a 340B

[[Page 69671]]

hospital that is also reimbursed by Medicare Part D); and (3) in some 
instances the manufacturer may be unable to fully identify and adjust 
for the price concessions granted along the distribution chain 
associated with certain exempted sales (for example, the portion of 
volume discounts granted to distributors and pharmacies that were based 
on excluded sales). In addition, a few commenters noted that we did not 
specify a standard method for making the necessary corresponding 
adjustment to the numerator of the ASP calculation to ensure that the 
total in dollars for the reporting quarter does not include revenue 
related to lagged, exempted sales excluded from the denominator using 
the proposed estimation methodology. These commenters suggested that 
the excluded sales be valued at the manufacturer's wholesale 
acquisition cost (less customary prompt pay discounts) for purposes of 
making the necessary adjustment.
    A few manufacturers supported our proposal for calculating excluded 
sales known on a lagged basis; however, one manufacturer requested that 
we consider requiring use of a revenue-based ratio instead of or as an 
alternative to the proposed units-based ratio. This commenter 
recommended that manufacturers be given a choice between a revenue-
based or a units-based method to fit their data systems. Another 
manufacturer noted that a revenue-based ratio would result in 
unintended results if the price of the drug changed during the 12-month 
period used to establish the estimation ratio; therefore, a ratio 
methodology based on units such as the one we proposed should be 
required.
    Response: Section 1847A(c)(2) of the Act requires that 
manufacturers exclude certain sales from their ASP calculations. The 
statute does not make the exclusion of these sales from the ASP 
calculation optional. Therefore, we do not have the discretion to 
permit manufacturers not to exclude sales from ASP that are exempt from 
the determination of BP. Manufacturers must comply with the 
requirements in Sec.  414.804(a)(4)(i). In this final rule with comment 
period we are revising Sec.  414.804(a)(4)(i) by adding a reference to 
nominal prices, as well as sales exempt from inclusion in the 
determination of BP. We believe that this revision conforms the 
regulatory text to the language of the statute.
    To establish a uniform approach for excluding exempted sales known 
on a lagged basis, we proposed to amend Sec.  414.804(a)(4) to require 
that all manufacturers use a 12-month (or less, if applicable) rolling 
average ratio methodology to more accurately estimate and exclude these 
sales from the ASP calculation. Our proposal was based on comments we 
received in response to the April 6, 2004 IFC and subsequent feedback 
from a few manufacturers. The comments received in response to the 
proposed rule reflect a broader set of manufacturers' perspectives. 
Some commenters indicated that for certain types of exempted sales the 
proposed methodology for excluding lagged exempted sales from the ASP 
calculation might lead to inaccuracies in the ASP calculation in their 
particular circumstances. At the same time, a number of commenters 
supported the proposed methodology. We recognize these commenters' 
concerns regarding the difficulties in tracking both the exempted sale 
and its associated price concessions. Given the range of comments, we 
do not believe it is not advisable to mandate the use of the 
methodology, which we proposed at Sec.  414.804(a)(4)(iii), for 
excluding lagged exempted sales. We recognize the proposed ratio 
methodology may not be the most accurate method for identifying and 
excluding certain types of exempted sales known on a lagged basis. 
However we also believe that our proposed ratio methodology may be 
appropriate for identifying and excluding lagged exempted sales in some 
instances. For this reason, we are not including the methodology in our 
regulations, but are allowing the manufacturers to use the methodology 
where applicable. We did not receive specific comments on our proposed 
modifications to Sec.  414.804(a)(1) and (3) clarifying further that 
exempted sales are excluded from the ASP calculation. We are finalizing 
those clarifications as proposed.
d. Nominal Sales
    Section 1847A(c)(2)(B) of the Act requires manufacturers to exclude 
from the ASP calculation sales that are merely nominal in amount, as 
applied for purposes of section 1927(c)(1)(C)(ii)(III) of the Act, 
except as the Secretary may otherwise provide. In the preamble to the 
April 6, 2004 IFC, we stated that, for ASP purposes, sales to an entity 
that are nominal in amount are defined in the Medicaid drug rebate 
agreement (see sample agreement at http://www.cms.hhs.gov/MedicaidDrugRebateProgram/downloads/rebateagreement.pdf). That is, for 
ASP purposes, a sale at a nominal price is a sale at a price less than 
10 percent of the AMP in the same quarter for which the AMP is 
computed.
    Effective January 1, 2007, the DRA revises the AMP calculation (to 
omit customary prompt pay discounts extended to wholesalers), adds a 
monthly AMP reporting requirement, and establishes limitations on 
nominal sales (only sales to certain entities may qualify as nominal 
sales). Section 1927(c)(1)(D) of the Act limits the nominal sales 
exclusion to sales at a nominal price made to the following entities:
     Covered entities as described in section 340B(a)(4) of the 
Public Health Services Act.
     Intermediate care facilities for the mentally retarded 
(ICFs/MR).
     State-owned or operated nursing facilities.
     Any other facility or entity that the Secretary determines 
is a safety net provider to which sales of such drugs at a nominal 
price would be appropriate based on the factors described in section 
1927(c)(1)(D)(ii) of the Act.
    In light of the DRA changes affecting which sales may be considered 
sales at a nominal price or merely nominal in amount, for purposes of 
section 1927(c)(1)(C)(ii)(III), the CY 2007 PFS proposed rule sought to 
clarify the method manufacturers must follow in 2007 to identify such 
sales for ASP reporting purposes and to exclude sales at a nominal 
price from the calculation of ASP. For 2007 and beyond, we proposed to 
continue to rely on the Medicaid threshold (less than 10 percent of 
AMP) to determine whether a sale is at a nominal price and to apply the 
limitations in section 1927(c)(1)(D) of the Act for determining the 
types of sales that can be considered to be sales at a nominal price 
for purposes of the ASP calculation. We made this proposal for several 
reasons.
    As we indicated in the CY 2007 PFS proposed rule, we believe this 
approach helps maintain continuity in the ASP calculation and minimizes 
manufacturers' reporting burden, as Medicare continues to follow the 
Medicaid approach for identifying sales at a nominal price and 
manufacturers can use a single method for identifying nominal sales for 
both ASP and AMP purposes.
    In addition, we believe the DRA modifications to section 1927 of 
the Act will have minimal effect on reported ASPs. We expect that the 
exclusion of customary prompt pay discounts extended to wholesalers 
from AMP would lead to a modest increase in AMP, and as a result a 
modest increase in the nominal price threshold for purposes of ASP 
reporting. At the same time, we anticipate that the limitation on the 
types of entities to which the

[[Page 69672]]

nominal sales exclusion may apply, as specified in section 
1927(c)(1)(D) of the Act, will result in a modest reduction in the 
number of sales that qualify for the nominal sales exclusion for 
purposes of ASP reporting because we believe that the entities outlined 
in section 1927(c)(1)(D) of the Act generally represent the types of 
entities to which manufacturers sell at a nominal price. Consequently, 
we expect these two countervailing changes would have a minimal overall 
impact on nominal sales that would be excluded from the ASP 
calculation. For these reasons, we proposed to continue to rely on the 
application of section 1927(c)(1)(C)(ii)(III) of the Act (as limited by 
section 1927(c)(1)(D) of the Act) for identifying sales to an entity at 
a nominal price for purposes of excluding such sales from the 
manufacturer's calculation of the ASP.
    We solicited comments on our proposal to continue use of the AMP as 
the basis for identifying the threshold for sales at a nominal price 
for purposes of the exclusion from the ASP calculation and on whether 
an alternative threshold is necessary or desirable to ensure the 
accuracy of the ASP payment methodology. Specifically, we sought 
comments on whether sales at less than 10 percent of the ASP (instead 
of the AMP) should be used as the threshold for determining whether a 
sale to an entity identified in section 1927(c)(1)(D) of the Act is at 
a nominal price. We also sought comments on our belief that the new 
limitations in section 1927(c)(1)(D) of the Act, if applied for ASP 
purposes, will have minimal impact on reported ASPs.
    Comment: We received comments supporting our proposals to continue 
to rely on the application of section 1927(c)(1)(C)(ii)(III) of the 
Act, as modified by section 1927(c)(1)(D) of the Act, to identify and 
exclude sales at a nominal price from the ASP calculation. These 
commenters agreed that using the same standard for Medicare and 
Medicaid purposes would reduce reporting burden.
    Response: We appreciate the comments in support of our proposal. We 
are adopting our proposal to continue to rely on the Medicaid threshold 
(less than 10 percent of AMP) to determine whether a sale is at a 
nominal price, and to apply the limitations in section 1927(c)(1)(D) of 
the Act for purposes of identifying sales at a nominal price in 
determining the ASP.
    Comment: We received a few comments suggesting that the Secretary 
provide a list of additional types of safety net providers that would 
qualify for the nominal sales exclusion.
    Response: The issue of whether the Secretary should designate 
additional types of entities that would qualify as safety net providers 
for purposes of section 1927(c)(1)(D) of the Act is outside of the 
scope of this rulemaking.
    Comment: We received a comment suggesting that because of the short 
timeframe for performing the ASP calculation, manufacturers should be 
allowed to identify sales at a nominal price for ASP purposes using the 
AMP for the previous quarter provided that the manufacturer does this 
consistently across all of its products.
    Response: We are concerned that the commenter's suggestion that we 
allow use of last quarter's AMP to identify sales at a nominal price in 
the current quarter could have an adverse impact on the accuracy of the 
ASP calculation. It is possible for the AMP to change substantially 
from one quarter to the next (for example, when generic products first 
become available). In such situations, using the current quarter's AMP, 
as opposed to last quarter's AMP, would generally result in a more 
accurate identification of sales at a nominal price. Consequently, we 
are continuing to require that for ASP calculation purposes nominal 
sales in a reporting quarter be identified based on the AMP for the 
same quarter.
    In the CY 2007 PFS proposed rule, we also responded to requests for 
clarification on a technical aspect related to the identification of 
nominal sales. Specifically, some manufacturers have asked whether 
sales at a nominal price are identified by performing a series of 
calculations once or whether the manufacturer repeats the series of 
calculations until no remaining ASP eligible sales are below the 
nominal threshold. Manufacturers must identify sales at a nominal price 
by performing the following steps once--
     The manufacturer calculates the AMP for the reporting 
quarter to identify the dollar amount that represents 10 percent of the 
AMP for that reporting period.
     The manufacturer then identifies sales at prices below 
this amount and excludes these sales from the ASP calculation.
     Beginning in 2007, only those sales that meet the criteria 
discussed previously and are to an entity identified in section 
1927(c)(1)(D) of the Act shall be excluded from the calculation of ASP.
    We received no comments concerning this clarification; therefore we 
are finalizing the clarification as proposed.
e. Other Price Concession Issues
    In our ongoing work with manufacturers that submit ASP data, some 
manufacturers have posed questions or raised concerns about how the 
estimate of lagged price concessions is done prior to having 12 months 
of data for a NDC and, when a product is redesignated with a new NDC, 
whether price concessions from the prior NDC must be included in 
calculating the ASP for the new NDC. Manufacturers and other 
stakeholders have also asked us about how Medicare's ASP guidance 
concerning price concessions is to be applied when drugs are sold under 
bundling arrangements.
    In response, we proposed clarifications and solicited comment on 
these issues.
(1) Price Concessions for NDCs With Less Than 12 Months of Sales
    To address situations when a NDC with price concessions known on a 
lagged basis has not been sold for a full 12 months, we proposed to 
revise Sec.  414.804(a)(3) to specify that the period used to estimate 
lagged price concessions is the total number of months the NDC has been 
sold. We proposed to require that manufacturers use less than 12 months 
of data in the estimation methodology for lagged price concessions for 
NDCs with less than 12 months of sales (except when the manufacturer 
has redesignated the product's NDC, as discussed in this section). We 
also clarified in the preamble of the proposed rule that manufacturers 
may include the current ASP reporting quarter in the most recent 12-
month period (or less for NDCs with less than 12 months of sales) so 
long as the manufacturer follows this approach in calculating the ASP 
for all of its reported NDCs.
    Comment: We received a number of comments supporting our proposal.
    Response: We are finalizing our proposal. We will require that 
manufacturers use less than 12 months of data in the estimation 
methodology for lagged price concessions for NDCs with less than 12 
months of sales (except when the manufacturer has redesignated the 
product's NDC, as discussed in this section).
(2) Redesignated NDCs
    From time to time, a manufacturer may change the NDC assigned to a 
specific product and package size while continuing or offering price 
concessions that span across sales of the product under its prior and 
redesignated NDCs. For example, an NDC may be changed to reflect a 
change in the labeler code

[[Page 69673]]

while lagged price concessions in place under the prior NDC remain in 
effect and carry over to the redesignated NDC. Another example would be 
a manufacturer that modifies its package design or other non-drug 
feature of the NDC and assigns a new NDC to reflect the revised 
packaging.
    We proposed to clarify in the final ASP reporting rule that, when 
an NDC is changed (except when a product is repackaged or relabeled by 
a different manufacturer or relabeler or is privately labeled) and 
lagged price concessions offered for the prior NDC remain in effect, 
the manufacturer must use 12 months (or the total number of months of 
sales of the prior and redesignated NDCs if the total number of months 
of sales is less than 12 months) of sales and price concession data 
from the prior and redesignated NDCs to estimate lagged price 
concessions applicable to the redesignated NDC. In establishing this 
methodology, we are relying on our authority under section 
1847A(c)(5)(A) of the Act.
    We sought comments on our proposed refinements to the estimation of 
lagged price concessions for NDCs with less than 12 months of sales and 
when a manufacturer redesignates the NDC assigned to a product. We also 
solicited suggestions for potentially clarifying these policies 
further.
    Comment: We received a number of comments supporting our proposal. 
In addition, some commenters asked for more guidance concerning what 
circumstances the policy regarding redesignated NDCs would or would not 
apply to. In particular, some commenters suggested the policy should 
not apply when there is a change in the 9-digit NDC (that is, a change 
in the product code). We also received comments asking for 
clarification on how manufacturers should combine price concessions in 
situations where the NDC is redesignated and both products are sold for 
a time concurrently. Some commenters asked whether the lagged price 
concessions for the prior and redesignated NDCs should be combined to 
create a single lagged price concession ratio to be used to estimate 
lagged price concessions for the prior and redesignated NDC, and if so, 
how long this practice should occur. In addition, some commenters noted 
that the Food and Drug Administration (FDA) has issued a proposed rule 
concerning the assignment of NDC codes, and that the issue of 
redesignated NDCs and the ASP calculation may need to be revisited when 
the FDA finalizes its regulation.
    Response: In making our proposal, we intended our proposal to apply 
in instances when a manufacturer redesignates an NDC meaning the 
manufacturer establishes a new NDC as a replacement for a prior NDC for 
the same product and package size. After reviewing the comments, we are 
finalizing our proposal. When a manufacturer redesignates an NDC 
(except when a product is repackaged or relabeled by a different 
manufacturer or relabeler or is privately labeled) for a specific drug 
product and package size and lagged price concessions offered for the 
prior NDC remain in effect, the manufacturer must use 12 months (or the 
total number of months of sales of the prior and redesignated NDCs if 
the total number of months of sales is less than 12 months) of sales 
and price concession data from the prior and redesignated NDCs to 
estimate lagged price concessions applicable to the redesignated NDC. 
Several commenters recommended that we clarify that this policy would 
never apply to a change in the product code for an NDC. We disagree and 
believe the policy could apply to a change in the product code 
depending on the circumstances. When an NDC is redesignated as a 
replacement for a prior NDC for a specific drug product and package 
size and lagged price concessions for the prior NDC remain in effect, 
we believe the policy described previously should apply regardless of 
which segment of the NDC code is changed.
    Several commenters asked for guidance concerning how to handle 
situations where the redesignated NDC and prior NDC are for a time sold 
concurrently. If the redesignated NDC is a replacement for the prior 
NDC and if the two NDCs are sold for only a limited time concurrently, 
then we agree with commenters' suggestion that lagged price concessions 
that are based on sales of the prior NDC and redesignated NDC should be 
combined to calculate a single lagged price concessions ratio (for the 
applicable price concessions) that would be applied to the ASP 
calculation for the prior NDC and for the redesignated NDC. In this 
situation, the manufacturer should combine the lagged price concession 
data that are based on sales of the prior NDC and redesignated NDC as 
described previously until the last lot sold of the prior NDC expires. 
Finally, we agree that the FDA's proposed regulations concerning the 
assignment of NDC codes, once they are finalized, may have implications 
for our policy concerning redesignated NDCs, and we may revisit this 
issue in the future, if we believe it is warranted.
(3) Bundled Price Concessions
    The statute requires that the ASP include volume discounts, prompt 
pay discounts, cash discounts, free goods that are contingent on any 
purchase requirement, chargebacks, and rebates (other than rebates 
under section 1927 of the Act). Thus far, we have not provided specific 
guidance in the ASP context on the issue of how to allocate price 
concessions across drugs that are sold under bundling arrangements. In 
the absence of specific guidance, the manufacturer may make reasonable 
assumptions in its calculations of ASP, consistent with the general 
requirements and the intent of the Act, Federal regulations, and its 
customary business practices. Manufacturers should include these 
assumptions in their ASP submissions.
    As we indicated in the CY 2007 PFS proposed rule, we expect 
manufacturers of drugs reimbursed by Medicare Part B to comply with all 
applicable laws, regulations, and legal decisions including, but not 
limited to the Stark law, other relevant anti-kickback laws, antitrust 
laws, and laws governing fair trade practices (71 FR 49003). Our 
discussion of this issue in the proposed rule or in this final rule 
with comment period should not be construed as an endorsement or 
authorization of any pricing practices that contravene any laws, legal 
decisions, or regulations.
    In the CY 2007 PFS proposed rule, we indicated that we would like 
to better understand how bundling affects sales of Part B drugs and the 
ASP calculation, and any concerns stakeholders may have on this issue 
(71 FR 49003). Furthermore, we indicated that we are considering 
providing guidance, through rulemaking or through program instruction 
or other guidance (consistent with our authority under section 
1847A(c)(5)(C) of the Act) on the methodology manufacturers must use 
for apportioning price concessions across Part B drugs sold under 
bundling arrangements for purposes of the calculation of ASP. We also 
noted that in considering this issue our goal is to ensure that the ASP 
is an accurate reflection of market prices for Part B drugs and that 
the treatment of bundled price concessions in the ASP calculation does 
not create inappropriate financial incentives.
    In the CY 2007 PFS proposed rule, we solicited comments on a number 
of issues related to bundled price concessions, including how 
frequently Part B drugs are sold under bundling arrangements, the 
different structures of bundling arrangements that may exist (for 
example, the number of products

[[Page 69674]]

included in a bundling arrangement; whether the price concessions are 
contingent on the purchase of only one product, the purchase of 
multiple products, or the inclusion of one or more products on a 
formulary; and the timing of the price concessions), and the extent to 
which sales of Part B drugs are bundled with sales of non-Part B drugs 
or non-drug products. We also sought comments on what effect bundling 
arrangements may have on the ASP calculation, on beneficiary access to 
high quality, appropriate care (including access to drugs that may not 
have clinical alternatives), and on costs to the Medicare program and 
beneficiaries. In addition, we solicited comments on whether additional 
guidance on apportioning bundled price concessions for purposes of the 
calculation of ASP is needed and potential methodologies that Medicare 
could consider requiring. Furthermore, we solicited comments on how 
variation in the structure of bundling arrangements may affect the 
impact of potential apportionment methodologies on the ASP calculation.
    Comment: Some commenters recommended that we provide guidance on 
the treatment of bundled price concessions in the ASP calculation. A 
number of these commenters stated that having specific guidance on this 
issue would promote consistency in ASP reporting across manufacturers. 
In addition, many commenters believed that we should issue another 
proposed rule with a specific proposal and offer an opportunity for 
public comment before finalizing any policy. Many of these commenters 
were also concerned about how the treatment of bundled price 
concessions in the ASP calculation would affect providers who do not 
purchase the drug as part of a bundling arrangement.
    Some commenters did not take a position on whether specific 
guidance was needed on the treatment of bundled price concessions in 
the ASP calculation, citing both the general desirability of having 
guidance on various ASP reporting issues and concerns that a specific 
methodology with regard to bundled price concessions and ASP might be 
inflexible and hinder beneficial arrangements.
    While most commenters did not offer a specific suggestion on a 
potential methodology for the treatment of bundled price concessions in 
the ASP calculation, a few commenters did. One commenter suggested that 
Medicare adopt for ASP purposes the apportionment methodology that the 
Medicaid rebate program requires manufacturers to use in the 
calculation of AMP and BP. The current Medicaid National Drug Rebate 
Agreement states that ``for Bundled Sales, the allocation of the 
discount is made proportionately to the dollar value of the units of 
each drug sold under the bundled arrangement.''
    Another commenter suggested that we adopt the current Medicaid 
rebate program methodology for apportioning bundled price concessions 
described above, but create an exception for dominant drugs without 
significant clinical alternatives. This commenter stated that drug 
manufacturers do not have an incentive to provide discounts on dominant 
drugs that do not have significant clinical alternatives. As a result, 
the commenter believes that in situations where a ``dominant'' drug is 
bundled with non-dominant drugs, none of the bundled price concessions 
should be apportioned to the ``dominant'' drug. Furthermore, the 
commenter stated that if the Medicaid methodology were employed without 
an exception for dominant drugs, there would be the potential to lower 
the ASP for a dominant drug in a bundle while increasing the ASP for 
the other, non-dominant drugs in that bundle. The commenter believes 
such a policy would result in an unfair competitive advantage and would 
impose additional costs on the public health system and the Medicare 
program. The commenter stated that determining whether a bundling 
arrangement contained a dominant drug would be relatively easy for 
manufacturers, and suggested a number of criteria such as a drug's 
indication and risk profile, whether it is a single source product, its 
patent-protected status, the drug's market share, the relative 
magnitude of incentives provided on the drug both before and after it 
is inclusion in the bundle, the effect of the introduction of the drug 
into the bundle on the sales volume of other products in the bundle, 
and Medicare expenditures on the drug relative to potential 
alternatives.
    In contrast, another commenter urged us not to adopt a methodology 
where price concessions offered on drugs sold under bundling 
arrangements are allocated across those drugs based on specified 
criteria. The commenter stated that the ASP is intended to reflect the 
prices available in the market for each product, and they believe 
reallocating discounts across drugs is unnecessary and could result in 
inaccurate ASPs, impaired beneficiary access, and inappropriate 
financial incentives. Another commenter stated that manufacturers 
should be allowed to make reasonable assumptions concerning the 
treatment of bundled price concessions in the ASP calculation, and that 
any bundled price concessions that meet a safe harbor to the OIG anti-
kickback statute should be handled like nonbundled price concessions 
for ASP calculation purposes.
    We also received some comments expressing satisfaction with current 
contracts with drug manufacturers, and raising concerns that the 
establishment of guidelines concerning the treatment of bundled price 
concessions in the ASP calculation may require them to renegotiate 
those contracts. In addition, we received some comments expressing 
concern about the affect of bundling arrangements on physician and 
health care provider's choice of products.
    A number of commenters also raised the issue of Part B drugs being 
bundled with non-Part B drugs or other products. Some stated that when 
Part B drugs are bundled with other products, the bundled price 
concessions should not be apportioned from other products to Part B 
drugs, citing concerns that the Part B drug payment rates would be 
inappropriately low. However, another commenter believes that bundled 
price concessions should be allocated from non-Part B drug products to 
Part B drugs, stating that it otherwise results in government 
overpayments. A number of other commenters offered suggestions on how a 
bundle should be defined, with several commenters suggesting that 
discounts contingent on the placement of one or more products on a 
formulary should not constitute a bundle. We also received comments 
recommending that for the purposes of the ASP calculation we only 
consider bundling arrangements to exist in situations where several 
different products are sold for a single price, and the individual 
products do not have separately identifiable prices.
    Finally, we note that the MedPAC commented that it would be 
examining the issue of bundled price concessions and the ASP in the 
upcoming year.
    Response: In considering the issue of bundled price concessions, 
our goal is to ensure the accuracy of the ASP calculation and to 
prevent the treatment of bundled price concessions in the ASP 
calculation from creating inappropriate financial incentives. A number 
of comments suggested, that potential bundling arrangements may be 
complex and vary widely in terms of the structure and types of 
performance requirements upon which a bundled discount may be 
conditioned, the magnitude of price concessions, and the 
characteristics of the drugs or other products included in the bundle 
(for example, whether the bundle includes

[[Page 69675]]

Part B drugs only or other products, the market position of products in 
the bundle, the relative sales volume of products in the bundle, and 
how commonly a particular product is sold under a bundling 
arrangement). Given the potentially wide range of bundling arrangements 
that might exist, based on the information we currently have about such 
arrangements, we are not in a position to determine, at this time, 
whether there is a universal approach for treating bundled price 
concessions in the ASP calculation that would address all potential 
structures of bundling arrangements in a manner that would achieve our 
goal of ensuring the accuracy of the ASP payment methodology and 
preventing inappropriate financial incentives.
    Furthermore, we note that we received a comment suggesting that 
Medicare adopt a special policy concerning the treatment of bundled 
price concessions in the ASP calculation for bundling arrangements that 
include dominant drugs without significant clinical alternatives. We do 
not believe it would be feasible for the Medicare program to establish 
a definition of a dominant drug without significant clinical 
alternatives that would be precise enough to clearly delineate when a 
product was or was not dominant, especially given the potential for 
great variation in the structure of bundling arrangements and the 
characteristics of drugs included in those arrangements.
    Since we do not yet fully understand the variety of bundling 
arrangements that exist in the marketplace and how they are likely to 
evolve over time, we believe it is important to be cautious in 
establishing a specific methodology that all manufacturers must follow 
for ASP purposes. Consequently, we are not establishing a specific 
methodology that manufacturers must use for the treatment of bundled 
price concessions for purposes of the ASP calculation at this time. In 
the absence of specific guidance, the manufacturer may make reasonable 
assumptions in its calculations of ASP, consistent with the general 
requirements and the intent of the Act, Federal regulations, and its 
customary business practices. Our intent in not being prescriptive in 
this area at this time is to allow manufacturers the flexibility to 
adopt a methodology with regard to the treatment of bundled price 
concessions in the ASP calculation that, based on their particular 
circumstances, will best ensure the accuracy of the ASP calculation and 
not create inappropriate financial incentives.
    Recognizing that the treatment of bundled price concessions in the 
ASP calculation has implications for the integrity of the ASP payment 
methodology, we will be paying close attention to this issue and may 
provide more specific guidance in the future through rulemaking or 
through program instruction or other guidance (consistent with our 
authority under section 1847(c)(5)(C) of the Act) if we determine it is 
warranted. Furthermore, as we continue to monitor this issue, we want 
to be sure we are aware of concerns from all stakeholders, and thus we 
encourage the public to relay additional information or concerns to us 
on this issue as they may arise. In addition, we note that MedPAC has 
indicated it will be studying this issue in the upcoming year, and we 
look forward to its work in this area.
    Finally, we emphasize that we expect manufacturers of drugs 
reimbursed by Medicare Part B to comply with all applicable laws, 
regulations, and legal decisions including, but not limited to the 
Stark law, other relevant anti-kickback laws, antitrust laws, and laws 
governing fair trade practices. Our discussion of this issue should not 
be construed as an endorsement or authorization of any pricing 
practices that contravene any laws, legal decisions, or regulations.
f. Other ASP Reporting Issues
    Comment: Several commenters stated that it can be difficult for 
manufacturers to determine which drugs are subject to the ASP reporting 
requirements, considering that section 1927(b)(3)(A)(iii) of the 
statute states that ASP data must be reported for drugs that are 
described in subparagraph (C), (D), (E), or (G) of section 1842(o)(1), 
or 1881(b)(13)(A)(ii) of the Act.
    Response: In general, these subparagraphs refer to broad categories 
of drugs covered by Medicare Part B such as drugs that are administered 
incident to a physician's service in physician offices; certain 
immunosuppressive, oral anticancer, and oral anti-emetic drugs supplied 
by pharmacies; infusion drugs furnished through an item of DME; 
intravenous immune globulin (IVIG), inhalation drugs furnished through 
an item of DME, and separately payable drugs furnished by ESRD 
providers. Because Medicare Part B drugs are subject to local coverage 
determinations (LCDs) by the local claims processing contractors and 
the scope of Part B drug coverage varies among contractors, we do not 
maintain a list of all drugs covered under Part B at any given time in 
all contractor jurisdictions. However, the following resources may be 
helpful and can be retrieved at http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/02_aspfiles.asp#TopOfPage.
    The NDC to HCPCS crosswalk is posted quarterly on our Web site and 
lists a majority of billing codes used by providers to submit claims 
for drugs. We welcome ongoing feedback on the accuracy of the 
crosswalk. We also publish a list of many of the frequently 
administered drugs that are billed using the not otherwise classified 
billing codes.
    Comment: Several commenters suggested that we develop a formal 
process for requesting a determination of whether for a particular NDC 
the ASP reporting requirements apply. These commenters contend such a 
process is necessary particularly for drugs that may be typically self-
administered, may be used for prevention or cosmetic purposes, are 
available in potentially noncovered forms, and new drugs for which LCDs 
have not yet been made.
    Response: Medicare Part B drug coverage under title XVIII is 
generally limited to certain drugs within specific benefit categories 
as described at the beginning of this section. For the most part, we 
believe manufacturers have identified the drugs for which they have an 
ASP reporting obligation. Medicare has established processes for 
issuing national, as well as local, coverage determinations for Part B 
drugs and other services. Therefore, we are not persuaded by the 
commenters that an entirely separate process is necessary for assisting 
manufacturers in determining whether a drug qualifies for coverage 
under Part B as a means of determining whether it is subject to the ASP 
reporting requirements. We encourage manufacturers to contact us 
directly to discuss the specifics of their ASP reporting concerns.
    Comment: One commenter asked us to clarify whether manufacturers 
have to include in their calculation of the ASP for a given NDC sales 
of that NDC that are used for purposes not covered by Medicare Part B. 
The commenter also wanted to know if NDCs that are labeled for Medicare 
noncovered indications are subject to the ASP reporting provisions.
    Response: With respect to whether a manufacturer may exclude sales 
for noncovered uses from its calculation of the ASP for an NDC and 
whether NDCs that are labeled for cosmetic or other typically 
noncovered use (for example, contraception) are exempt from the ASP 
reporting requirements, we believe the statute provides no such 
exclusion.

[[Page 69676]]

    Comment: Another commenter suggested that we clarify whether 
manufacturers are required to report ASP data for infusion drugs 
administered via DME and for a drug that is usually self-administered 
and not covered by Medicare Part B (even if Medicare utilization data 
suggests that there are small levels of utilization which a 
manufacturer believes are contractor mistakes).
    Response: Section 1927(b)(3)(A)(iii) of the Act specifies the drugs 
for which manufacturers have to report ASP data, and it includes 
infusion drugs furnished through an item of DME (by reference to 
section 1842(o)(1)(D) of the Act). Manufacturers must report ASP data 
for these drugs quarterly.
    With respect to drugs that a manufacturer believes are noncovered 
by Medicare despite a local claims processing contractor's payments for 
the drug, we are aware of one such situation and have been working 
closely with the manufacturer to resolve the matter. We encourage 
manufacturers to contact us directly so that we can consider these 
issues on a case-by-case basis.
    Comment: One manufacturer expressed concern that submitting ASP 
data for a noncovered drug may be viewed as a claim for coverage.
    Response: We do not believe that reporting ASP data for a drug, in 
the absence of other actions, would be a claim of coverage for the 
drug.
    Comment: A few commenters requested clarification regarding when a 
manufacturer's reporting obligation for an NDC ends. One commenter 
noted that ASP will not be a positive number unless there is product 
sold in a quarter, and suggest there is no need to report the ASP after 
the last lot is sold.
    Response: In the March 3, 2006 Federal Register (71 FR 10975), we 
clarified that manufacturers would no longer report ASP data for an NDC 
beginning the reporting period after they report the ASP data for the 
quarter during which the expiration date of the last lot sold occurs. 
We are aware that a manufacturer's ASP will not be a positive value 
unless a reportable sale occurs in the reporting period. However, for 
single source drugs, manufacturers not only have a requirement to 
report ASP but also wholesale acquisition cost (WAC).
    Comment: Several commenters requested that we clarify whether the 
manufacturer that holds title to the NDC is always responsible for 
reporting the ASP data, and whether certain exceptions are permissible 
such as when manufacturers establish licensing agreements or a 
manufacturer divests a product but the NDC's labeler code is not 
changed. Some commenters stated that the title-holding manufacturer 
should determine which entity has the ASP reporting obligation. In 
addition, a commenter requested that manufacturers not be required to 
certify ASP data that they did not have access to or did not generate. 
One commenter suggested that a manufacturer's ASP reporting obligation 
would cease upon the transfer of the product to another manufacturer 
with control over its pricing.
    Response: For ASP purposes, the definition of manufacturer has the 
same definition set forth in section 1927(k)(5) of the Act, which is 
the definition included in the Medicaid drug rebate statute. We believe 
that likewise the ASP reporting obligation should follow the process 
established under the Medicaid drug rebate program, and we see no 
reason to establish separate guidance at this time. Further, we believe 
that manufacturers have means of dealing with these issues within their 
business arrangements.
    Comment: One commenter recommended that we provide guidance that 
sales between wholly-owned subsidiaries of a common parent company 
would not constitute a sale for ASP reporting and calculation purposes.
    Response: We will consider the issue and any broader implications 
it may have for the ASP calculation, and may issue additional guidance 
if we determine it is appropriate.
    Comment: Some manufacturers supported maintaining the same 
definition of manufacturer for ASP purposes and for Medicaid AMP and BP 
purposes. Several commenters requested that we formally state that 
wholesalers and distributors do not have to report ASP data. A retail 
pharmacy chain requested that retail pharmacies be excluded from the 
definition of manufacturer in so far as they repackage drugs for 
purposes of dispensing drugs to customers under state law. Similarly, a 
mail order pharmacy requested that we clarify that mail order 
pharmacies are not considered manufacturers. One commenter suggested 
that only the holders of the product's New Drug Approval, Abbreviated 
New Drug Approval, or Biologic License Application should be considered 
manufacturers or repackagers for the purposes of reporting ASP.
    Response: Under section 1847A of the Act, entities that fall under 
the definition of manufacturers in section 1927(k)(5) of the Act must 
report ASP data. This definition is separate from the FDA process for 
drug applications. We interpret manufacturer for ASP purposes to have 
the same meaning as under the Medicaid Rebate Agreement. Therefore, 
wholesalers that relabel or repackage NDCs and pharmacies must report 
ASP data to the extent that they qualify as manufacturers for Medicaid 
drug rebate purposes.
    Comment: A few commenters requested that we formalize our guidance 
on whether sales in the United States include sales to purchasers in 
the territories.
    Response: We are not addressing this issue in the regulations text.
    Comment: A few commenters requested that we incorporate into the 
regulation our current guidance on the treatment of returned units.
    Response: We issued guidance on our Web site in September 2004 
instructing manufacturers not to make adjustments to the ASP 
calculation to account for returns. We stated in that guidance 
beginning with the data submission for sales during the third quarter 
of 2004 and thereafter, manufacturers should not subtract the value of 
the returns from the numerator of the ASP calculation and should not 
subtract the number of units returned from the denominator. In other 
words, the value of returns should not be included in the numerator and 
the number of returned units should not be included in the denominator 
when calculating the ASP for a reporting quarter. This continues be our 
guidance as we study the issue further, but we have decided not to 
place this guidance into the regulation text at this time.
    Comment: Some of the commenters noted that, at this time, 
manufacturers' reasonable assumptions continue to be an important 
principle in ensuring that the calculation of ASP is appropriate. 
Several commenters suggested we include in the final rule guidance we 
have previously provided through Q&A that in the absence of guidance 
manufacturers may make reasonable assumptions and should provide those 
assumptions in their ASP submission.
    Response: We agree with these commenters; manufacturers' reasonable 
assumptions remain an important aspect of ASP reporting. The 
complexities of each calculation can differ across manufacturers. 
Therefore, it is essential that each manufacturer examine the facts and 
complexities of its business practices and products to determine how it 
will comply with the ASP reporting requirements. We posted a frequently 
asked question on our Web site to inform manufacturers of the 
importance of reasonable assumptions. In that guidance we state, ``In 
the absence of specific guidance in the Act or Federal regulations, the 
manufacturer

[[Page 69677]]

may make reasonable assumptions in its calculations of ASP, consistent 
with the general requirements and the intent of the Act, Federal 
regulations, and its customary business practices. These assumptions 
should be submitted along with the ASP data and the signed 
certification form.''
    Comment: Some commenters wanted to know whether data on nominal 
sales must be reported at this time as required under section 
1927(b)(3)(A)(iii)(III) of the Act.
    Response: We currently consider the requirements of section 
1927(b)(3)(A)(iii)(III) of the Act for the reporting of nominal prices 
for purposes of ASP to be met when the manufacturer reports its ASPs, 
to the extent that the ASPs accurately account for nominal prices that 
are excluded from the ASP calculation. Thus, we are not currently 
requiring this information to be separately reported from the ASP. As 
we gain more experience with the ASP system, we may require this 
information to be separately reported in the future. We note that our 
interpretation of the reporting requirement for nominal prices for 
purposes of ASP has no effect on any Medicaid reporting requirement.
    Comment: Several commenters stated that the statute does not 
require certification of the ASP by the manufacturer's chief financial 
officer (CFO), chief executive officer (CEO) or individual who has 
delegated authority to sign for and reports directly to either the CFO 
or CEO. A large international manufacturer commented that it was 
impractical to have ASP reports certified by international executives. 
Another manufacturer commented that its organizational structure did 
not have executives matching the specified titles, and therefore, it 
was impossible to comply with this requirement. Further, many 
commenters stated that it was inappropriate to require certification of 
the ASP data until sufficient guidance on how to calculate the ASP has 
been established. A few commenters suggested that the certification 
language should be revised to acknowledge that reasonable assumptions 
had been made and to reflect the limited ability of manufacturers to 
accurately estimate lagged price concessions and determine whether fees 
were passed on in whole or in part. Another commenter stated that the 
penalties for failing to report accurate ASP data are a sufficient 
deterrent to abuse, and the certification is unnecessary and should be 
eliminated.
    Response: Because of the consequences for failing to submit 
accurate and timely ASP data, we continue to believe there is good 
reason to require that each ASP report be certified by the manufacturer 
at this time. With the ASP data being the basis of Medicare payment 
rates for the vast majority of Part B covered drugs and biologicals, we 
believe that certification requirement is an important program 
safeguard. We acknowledge the operational constraints some 
manufacturers may experience in obtaining certain senior executive 
level signatures to coincide with the quarterly ASP reporting 
deadlines, although our experience is that nearly all manufacturers are 
able to do so without causing a delay in reporting their ASP data 
timely.
    Comment: Several commenters noted that the Medicaid AMP and BP can 
be restated within the specified time period. These commenters 
requested that we establish procedures to identify potentially errant 
ASP data and to allow for corrections of ASP data.
    Response: If a manufacturer has good cause for resubmitting its 
quarterly ASP data, it may do so following the submission instructions 
available at http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg. 
Resubmission of ASP data does not constitute a release from liability 
for failure to submit timely and accurate ASP data.
    Comment: Several manufacturers suggested that the reasonable 
assumptions submitted along with the ASP data be afforded the same 
confidential protections as specified for the ASP data.
    Response: We provided guidance on our Web site addressing this 
issue. That guidance states, ``As indicated in section 1927(b)(3)(D) of 
the Act, as amended by MMA section 303(i)(4)(D), information disclosed 
by the manufacturer in connection with the requirement for ASP data 
submission is confidential and, not withstanding other laws, shall not 
be disclosed by the Secretary (or contractor therewith) in a form which 
discloses the identity of a specific manufacturer or wholesaler, prices 
charged for drugs by such manufacturer or wholesaler, except as 
necessary by the Secretary to carry out the provisions of section 1847A 
or 1847B of the Act, and to permit the OIG, the Comptroller General, 
and the Director of the Congressional Budget Office to review the 
information provided. http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg. 
As is good practice with any sensitive material, manufacturers should 
clearly mark their reported ASP data, if applicable, to indicate that 
the information contained therein is confidential, proprietary, or 
contains trade secrets, for example, as appropriate.
    Comment: One commenter asked that we clarify that the number units 
to be reported are the number of units sold excluding exempted sales.
    Response: The commenter is correct. Effective with the publication 
of the FY 2007 IPPS final rule (August 18, 2006, 71 FR 47870), we 
revised the definition of unit in Sec.  414.802. ``Unit'' means the 
product represented by the 11-digit NDC. During the first 3 years of 
the CAP (as defined in Sec.  414.902), the method of counting units 
excludes units of CAP drugs (as defined in Sec.  414.902) for use under 
the CAP (as defined in Sec.  414.902). The CAP is the Competitive 
Acquisition for Outpatient Part B Drug and Biologicals which began in 
July 2006. Units of drugs sold to an approved CAP vendor for use under 
the CAP are excluded from the ASP calculation. Manufacturers must 
report the number of units sold after adjusting for exempted sales, 
including exempted sales known on a lagged basis.
    Comment: In response to the April 6, 2006 IFC, a commenter stated 
that some manufacturers submit AMP and then restate it in subsequent 
periods to take into account rebates. The commenter requested that we 
provide assurance that they will not be liable for misrepresentation of 
nominal sales, if the manufacturer bases its nominal sales on AMP for 
the reporting quarter and then the manufacturer modifies AMP 
subsequently to take into account rebates.
    Response: Nominal sales for ASP purposes are calculated based on 
the AMP for the reporting quarter. We have not provided guidance on how 
a manufacturer should handle identification of nominal sales if current 
reporting quarter AMP is subsequently restated for Medicaid purposes. 
We did not receive comments on this issue in response to our request in 
the proposed rule regarding the method manufacturers must use to 
identify nominal sales. We believe that maunfacturers may have 
considered this issue in making their comments in support of continued 
use of the AMP as the basis for determining nominal sales excluded from 
the calculation of ASP. We will continue to work with manufacturers to 
determine if further guidance on this issue is warranted. With regard 
to the comment concerning liability, if the Secretary determines that a 
manufacturer has made a misrepresentation in the reporting of its ASP 
for a drug, the Secretary may apply a civil money penalty as specified 
in section 1847A(d)(4) of the Act.
    Comment: One commenter suggests we explore methods of receiving ASP 
data by e-mail. This commenter also

[[Page 69678]]

recommends we include information in the final rule on where and how to 
submit ASP data.
    Response: At this time, we do not permit electronic mail submission 
of ASP data because the confidentiality of the ASP data would not be 
assured. However, we continue to explore opportunities for enhancing 
the efficiency of the ASP submission process. Procedural information on 
how and where to submit ASP data is provided in a Q&A on our Web site. 
We believe it is best to provide information on the logistics of how 
and where to submit the ASP data through our Web site, which can be 
updated more quickly than a regulation.
    Comment: We received comments recommending we provide guidance in 
the final regulation on requirements related to the reporting of WAC 
and urged Addendum A to be revised to include this information.
    Response: In the CY 2006 PFS final rule, we clarified that 
manufacturers must report WAC for all single source drugs (including 
new drugs) each reporting period in addition to reporting ASP. 
Manufacturers must report the WAC in effect on the last day of the 
reporting period. Effective July 2006, we revised the reporting 
template, Addendum A, to include a specific column for reporting WAC. 
Addendum A can be found on our Web site at-- http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/.
    Comment: We received comments suggesting that we publicize the NDC-
HCPCS crosswalk and have a process for informing manufacturers of where 
changes have occurred, and a process for soliciting and responding to 
input on the crosswalk. Also, they suggest establishing procedures so 
manufacturers can determine whether we are defining package codes 
correctly.
    Response: Every quarter, we publish on the CMS Web site a crosswalk 
of NDCs to HCPCS codes. Included in the crosswalk is information on the 
package size and package quantity that we believe is reflected by each 
NDC. The crosswalk file provides an e-mail address 
([email protected]) to which individuals can send comments. 
Furthermore, as of July 2006, manufacturers are now required to report 
with their ASP submission specific information on the package size of 
each NDC as specified in more detail in the Appendix A data elements 
guide on our Web site.
    Comment: We received comments requesting clarification of how and 
when civil monetary penalties would apply in certain situations where 
ASP was misreported.
    Response: If the Secretary determines that manufacturer has made a 
misrepresentation in the reporting of its ASP for a drug, the Secretary 
may apply a civil money penalty in section 1847A(d)(4) of the Act.
    Comment: One commenter suggested that we consider requiring 
manufacturers to report ASP data monthly.
    Response: Section 1927(b)(3) of the Act sets forth the quarterly 
reporting requirement. We believe changes to the frequency of ASP 
reporting would require a statutory change.
    Comment: One commenter noted that for Medicaid BP determinations 
manufacturers may not exempt prices given to State pharmacy assistance 
programs that we have not identified as a State Pharmaceutical 
Assistance Program excluded from the Medicaid BP and may not exclude 
Medicaid supplemental rebates that are not under an approved 
supplemental rebate agreement. This commenter asked whether the same 
rule applies to excluding exempt sales from the ASP calculation.
    Response: To be excluded from the ASP calculation, the Medicaid 
supplemental rebates must be under an approved supplemental rebate 
agreement authorized by us through a Medicaid State plan, and the State 
pharmacy assistance programs must be identified by us as State 
Pharmaceutical Assistance Program excluded from the Medicaid BP.
    Comment: We received a comment in response to the April 6, 2004 
IFC, asking us to provide more clarification on a methodology that we 
indicated manufacturers should use in situations where a manufacturer 
is unable to associate price concessions with individual 11-digit NDCs. 
The commenter requested information on several technical aspects of the 
formula, including one scenario involving bundled price concessions.
    Response: In the April 6, 2004 IFC with comment, we indicated that 
if a manufacturer is unable to associate price concessions to the 
individual NDC level, the manufacturer should associate those price 
concessions within the group of NDCs for which it can associate the 
price concessions based on the percentage of sales (in dollars) for the 
group of NDCs that is attributable to each individual NDC. This 
guidance was issued in the early stages of ASP implementation, and was 
intended to address situations where manufacturers are unable to 
associate price concessions to the 11-digit NDC level such as when a 
manufacturer reporting maintains data on rebates at the drug level 
rather than at the 11-digit NDC level.
    In response to the commenter's request for clarification on a 
technical aspect of the methodology described above in a situation 
involving bundled price concessions, we are clarifying in this final 
rule with comment that this policy was not intended to be guidance on 
the treatment of bundled price concessions (for example, when price 
concessions on one drug are contingent on the purchase of one or more 
other drugs) in the ASP calculation. As discussed in more detail 
elsewhere in this preamble, we have not provided specific guidance on 
the methodology manufacturers should use for the treatment of bundled 
price concessions in the ASP calculation. In terms of the commenter's 
request for additional clarification on other technical aspects of the 
calculation described above, we believe the level of detail prescribed 
on the technical aspects of the calculation is sufficient, given the 
variation in price concession offerings across manufacturers.
    After consideration of the public comments, we are finalizing 
subpart J (Sec. Sec.  414.800 through 414.806) by--(1) revising Sec.  
414.802 and Sec.  414.804 as specified in this section of the preamble 
to this final rule with comment; and (2) incorporating the provisions 
of Sec.  414.800 and Sec.  414.806 as specified in the April 6, 2004 
IFC without change.
2. Intravenous Immune Globulin (IVIG)
    Comment: We received several comments urging the continuation of 
the 1-year temporary preadministration-related services fee for IVIG 
that we established for 2006. Commenters stated that there continue to 
be concerns with IVIG access and availability and that eliminating the 
fee will have an adverse impact on beneficiary access to care. 
Furthermore, some indicated that we did not provide any rationale in 
the proposed rule for why the fee was no longer needed.
    A number of commenters expressed concerns about the adequacy of 
Medicare's drug and drug administration payment rates for IVIG, and 
made some suggestions for changes to these payment rates that they have 
previously expressed to us. For example, some urged us to take actions 
such as establishing separate HCPCS codes for each IVIG product, 
increasing payment for IVIG administration in physicians' offices, and 
instituting a payment adjustment to the ASP-based payment rates for 
IVIG.
    One commenter provided information from a survey conducted of 800 
patients with primary immune deficiency

[[Page 69679]]

syndrome. The commenter stated that since the beginning of 2005, 
Medicare patients receiving IVIG have been more likely than patients 
with other types of insurance to report a shift in site of care, 
increased intervals between infusions, reduced IVIG dosages, and 
adverse health effects, and they believe that this is the result of 
Medicare reimbursement issues.
    Response: We recognize the importance of IVIG to patients who need 
it and we are concerned about reports of problems with IVIG access and 
availability. Since 2005, we have taken several specific actions that 
are within our statutory authority in response to the IVIG concerns 
that have been raised, including creating separate billing codes for 
lyophilized and non-lyophilized IVIG in April 2005, having discussions 
with manufacturers about their ASP data to confirm that their ASPs have 
been developed in accordance with applicable guidance, and for 2006 
establishing a temporary additional payment for IVIG preadministration-
related services to compensate physicians and hospital OPDs for extra 
resources expended on locating and obtaining appropriate IVIG products 
and on scheduling patients infusions during a period where there may be 
temporary market instability. In addition, we continue to work with 
manufacturers, patient groups, and stakeholders to understand the 
present situation and to assess potential actions that could help 
ensure an adequate supply of IVIG and patients receiving appropriate, 
high quality care.
    Furthermore, there are currently two studies underway in HHS 
concerning IVIG. The HHS Assistant Secretary for Planning and 
Evaluation has commissioned a study to better understand the market for 
IVIG and evaluate the demand, supply, and access to IVIG. The HHS OIG 
is also conducting a study on availability and pricing of IVIG. We 
anticipate that these studies will provide more information on IVIG 
supply, demand, and pricing.
    With several studies on IVIG not yet completed and with comments 
from stakeholders suggesting that some beneficiaries are experiencing 
IVIG access issues such as delayed treatments and site of service 
shifts, we believe it is appropriate to continue the temporary IVIG 
preadministration-related services payment into CY 2007 to help ensure 
continued patient access to IVIG. We will continue to review IVIG 
access during CY 2007 as additional information becomes available, and 
we will discontinue this temporary preadministration-related service 
payment during CY 2007 through rulemaking if we determine it is no 
longer warranted. Consequently, in 2007, we will temporarily allow a 
separate payment for each day of IVIG administration to physicians and 
hospital OPDs that administer IVIG to Medicare beneficiaries. This 
payment is for the extra resources expended on locating and obtaining 
appropriate IVIG products and on scheduling patients' infusions during 
this time when there may continue to be transient disruptions in the 
marketplace. In 2007, the preadministration-related service payment 
will continue to be billed under the same HCPCS code as 2006: G0332, 
preadministration-related services for intravenous infusion of 
immunoglobulin, per infusion encounter (This service is to be billed in 
conjunction with administration of immunoglobulin). This payment will 
on average be about $71 per day of IVIG administration in physicians' 
offices. The payment for preadministration-related services is in 
addition to the separate payments Medicare makes for the IVIG product 
itself and its administration.
    We note that for 2007 we reviewed and revised the resource based 
relative value units crosswalk for G0332. We continue to believe the 
administrative resources associated with IVIG preadministration-related 
services are similar to the clinical staff resources associated with 
ESRD management services, where both types of services are typically 
conducted over the course of a month, without requiring face-to-face 
visits with clinical staff for this ongoing preparation for treatment 
of these patients. Considering the expected staff resources required to 
prepare for IVIG infusions for patients who require them, we believe 
those resources are greater than the lowest level ESRD-related service 
described by HCPCS code G0319, End stage renal disease (ESRD) related 
services during the course of treatment, for patients 20 years of age 
and over; with one face-to-face physician visit per month, but we do 
not believe they are as great as those required by the mid-level ESRD-
related code G0318, End stage renal disease (ESRD) related services 
during the course of treatment, for patients 20 years of age and over; 
with 2 or 3 face-to-face physician visits per month. Therefore, for 
2007, we have crosswalked G0332 to a 50 percent blend of the 2007 
transitional PE RVUs for G0318 and G0319. As we did for 2006, we have 
not allocated physician work RVUs to G0332 since we do not believe 
there is physician work associated with G0332.
    We believe that continuation of this temporary separate payment 
provided through G0332 in CY 2007 for the physician office and hospital 
outpatient resources associated with additional IVIG preadministration-
related services will help facilitate beneficiary access to care in 
this current period where there may be continuing market fluctuations 
for IVIG products. At the same time, we will continue to work with the 
IVIG community, manufacturers, providers, and other stakeholders, and 
will be monitoring IVIG market developments and access to care closely.
    Commenters made several suggestions for changes to Medicare IVIG-
related payments. Regarding comments requesting the establishment of 
brand-specific HCPCS codes for IVIG products, while HCPCS coding is 
outside the scope of this rulemaking, we note that HCPCS coding 
procedures do not provide for brand-specific coding. For further 
discussion of HCPCS coding procedures, see http://www.cms.hhs.gov/medicare/hcpcs/codpayproc.asp.
    Commenters also expressed concern regarding Medicare ASP+6 percent 
payment rates for IVIG, suggesting we make an adjustment to the payment 
rate. Section 1847(o)(1)(E) of the Act specifies that the payment 
amount for IVIG furnished in physicians' offices and the home will be 
the amount provided under section 1847A of the Act. With limited 
exceptions not applicable here, section 1847A of the Act specifies that 
the payment amount is 106 percent of a drug's ASP. We do not have the 
discretion to adjust the payment rate upward by adjusting the 
percentage that is added on to the ASP to arrive at the payment rate. 
While some commenters suggested we use inherent reasonableness 
authority to increase the IVIG payment rate, we do not believe that we 
have the data to support a determination concerning inherent 
reasonableness. Finally, we received several comments requesting that 
we classify IVIG therapy as a biological response modifier. We note 
that the term ``biological response modifier'' is used in the text 
preceding CY 2006 CPT codes, and as such, we refer commenters to the 
AMA CPT Editorial Panel, as they are the creators and maintainers of 
CPT codes and CPT code instructions.
3. Clotting Factor Furnishing Fee
    Section 303(e)(1) of the MMA added section 1842(o)(5) of the Act 
which requires the Secretary, beginning in CY 2005, to pay a furnishing 
fee, in an amount the Secretary determines to be appropriate, to 
hemophilia treatment

[[Page 69680]]

centers and homecare companies for the items and services associated 
with the furnishing of blood clotting factor. Section 1842(o)(5)(C) of 
the Act specifies that the furnishing fee for clotting factor for years 
after CY 2006 and subsequent years will be equal to the fee for the 
previous year increased by the percentage increase in the consumer 
price index (CPI) for medical care for the 12-month period ending with 
June of the previous year.
    The 2006 furnishing fee for clotting factor is $0.146. The percent 
increase in the CPI for medical care for the 12-month period ending 
with June 2006 is 4.1 percent. Consequently, the furnishing fee will be 
$0.152 per unit clotting factor for CY 2007. While the furnishing fee 
payment rate is calculated at 3 digits, the actual amount paid to 
providers and suppliers is rounded to 2 digits.
4. Widely Available Market Prices (WAMP) and Average Manufacturer Price 
(AMP) Threshold
    Section 1847A(d)(1) of the Act states that ``the Inspector General 
of HHS shall conduct studies, which may include surveys to determine 
the widely available market prices (WAMP) of drugs and biologicals to 
which this section applies, as the Inspector General, in consultation 
with the Secretary, determines to be appropriate.'' Section 1847A(d)(2) 
of the Act states that, ``based upon such studies and other data for 
drugs and biologicals, the Inspector General shall compare the ASP 
under this section for drugs and biologicals with--
     The WAMP for these drugs and biologicals (if any); and
     The AMP (as determined under section 1927(k)(1) of the 
Act) for such drugs and biologicals.''
    Section 1847A(d)(3)(A) of the Act states that, ``the Secretary may 
disregard the ASP for a drug or biological that exceeds the WAMP or the 
AMP for such drug or biological by the applicable threshold percentage 
(as defined in paragraph 1847A(d)(3)(B)).'' The applicable threshold is 
specified as 5 percent for CY 2005. For CY 2006 and subsequent years, 
section 1847A(d)(3)(B) of the Act establishes that the applicable 
threshold is the percentage applied thereafter, subject to such 
adjustment as the Secretary may specify for the WAMP or the AMP, or 
both. In CY 2006, we specified an applicable threshold percentage of 5 
percent for both the WAMP and AMP. We based this decision on the 
limited data available to support a change in the current threshold 
percentage.
    For CY 2007, we proposed to specify an applicable threshold 
percentage of 5 percent for the WAMP and the AMP. At present, the OIG 
is continuing its comparison of both the WAMP and the AMP. Currently, 
we do not have data that suggests that another level is more 
appropriate. Therefore, we believe that continuing the 5 percent 
applicable threshold percentage for both the WAMP and AMP is 
appropriate.
    We received numerous comments regarding our decision to maintain 
the WAMP and AMP threshold at 5 percent, as well as our request for 
comments regarding operational issues surrounding implementation of the 
5 percent threshold.
    Comment: Several comments supported our decision to continue using 
5 percent as the threshold and commended us for requesting comments on 
the important operational issues associated with price comparisons. 
Other commenters acknowledged that that there are many operational 
issues involved with implementation of the 5 percent threshold and 
advised us to proceed cautiously before adjusting payment amounts. 
These commenters stated that the AMP and the ASP use different 
methodologies when accounting for price concessions and such 
differences could result in varied ASP and AMP values. They also 
indicated that we have never issued a final rule describing how the AMP 
is calculated. The commenters indicated that such differences must be 
accounted for prior to substituting the WAMP or the AMP for the ASP. 
Commenters also encouraged us to provide stakeholders with an 
opportunity to comment through rulemaking prior to proceeding with the 
substitutions of payment allowances. Commenters were particularly 
interested in the methodology utilized by the OIG in conducting its 
surveys.
    Response: We understand that there are complicated operational 
issues associated with potential payment rate substitutions. Therefore 
we will proceed cautiously and provide stakeholders, particularly 
manufacturers of drugs impacted by potential price substitutions, with 
adequate notice of our intentions regarding such, including the 
opportunity to provide input with regard to the processes for 
substituting the WAMP or the AMP for the ASP. As required by statute, 
we are finalizing our proposal to establish the WAMP and AMP threshold 
at 5 percent for CY 2007.
5. Payment for Drugs Furnished During CY 2006 and Subsequent Years in 
Connection With the Furnishing of Renal Dialysis Services if Separately 
Billed by Renal Dialysis Facilities
    In the CY 2006 PFS final rule (70 FR 70116), we stated that payment 
for a drug furnished during CY 2006 in connection with renal dialysis 
services and separately billed by freestanding renal dialysis 
facilities and hospital-based facilities would be based on section 
1847A of the Act. For CY 2007, we clarified that the policy would 
extend for CY 2006 and subsequent years until otherwise specified. We 
received comments regarding our policy clarification of the policy, as 
well as our intention to extend the policy beyond CY 2006 until 
otherwise specified.
    Comment: Several commenters supported our decision to clarify that 
the payment policy for separately-billed ESRD drugs applied to CY 2006 
and subsequent years until otherwise specified. These commenters viewed 
the current payment policy as the best option available under the 
statute, citing consistency with the methodology used to pay for other 
Part B drugs. Commenters indicated that the current methodology was 
more accurate and easier to administer than attempting to update a 
prior year's acquisition cost data. Other commenters, while applauding 
our decision to clarify the policy, explicitly encouraged us to be more 
direct and expressly state that the payment for drugs furnished in 
connection with renal dialysis services and separately billed by 
freestanding renal dialysis facilities and hospital-based facilities 
will be based on ASP+6 percent. They indicated that stating that 
payment would be based on ASP+6 percent rather than stating that 
payment will be based on section 1847A of the Act would avoid 
confusion, provide clarity for the provider community, and ensure 
consistency with current regulatory language.
    Response: We appreciate the commenters who acknowledge that the 
current payment methodology is the most appropriate option available. 
We also thank the commenters who noted the discrepancy between the 
preamble language and regulatory text. We acknowledge that we 
inadvertently made reference to ASP+6 percent in our regulatory text 
instead of referring to section 1847A of the Act. In accordance with 
section 1881(b)(13)(A)(iii), payment for drugs furnished in 2006 and 
subsequent years will be based on the acquisition costs or the amount 
determined under section 1847A of the Act, as the Secretary may 
specify. The

[[Page 69681]]

amount determined under section 1847A of the Act, except in limited 
circumstances, is ASP+6 percent. Therefore, we are revising the 
regulatory text to state that payment for a drug furnished during CY 
2006 and subsequent years, until otherwise specified, in connection 
with renal dialysis services and separately billed by freestanding 
renal dialysis facilities and hospital-based facilities is based on 
section 1847A of the Act.
    Comment: MedPAC expressed concern that there is no recent evidence 
that ASP+6 percent reflects the variation in the acquisition of costs 
of physicians and dialysis providers and thus, the current payment rate 
should not be set indefinitely. They also recommended that in the 
future we periodically collect acquisition cost data from providers to 
gauge the appropriate percentage of ASP for the payment amount, 
acknowledging that an analysis of this data could lead to a different 
percentage amount for the payment rate.
    Response: We acknowledge MedPAC's recommendations. We will continue 
to monitor the payment methodology in relation to the acquisition costs 
of physician and dialysis providers for future analysis.
6. Other Issues
    Comment: We have received several comments requesting the creation 
or revision of billing codes for certain drug products.
    Response: Requests for the creation of new or revised billing codes 
for drug products is outside the scope of this rulemaking. There is a 
separate, well-established, process for the public to make requests for 
new or revised billing codes for drug products through the HCPCS panel. 
More information on the HCPCS coding process can be obtained at the 
following Web site: http://www.cms.hhs.gov/MedHCPCSGenInfo/.
    Comment: We received a few comments recommending that Medicare 
increase the pharmacy supplying fee it pays for immunosuppressive, oral 
anti-cancer, and oral-antiemetic drugs for 2007. We also received a 
comment suggesting that we have a process in place to increase the 
supplying fee over time so that it remains adequate. In addition, we 
received a comment asking that we make clear in the final rule that we 
will continue to reimburse the supplying fee in 2007 at the 2006 rates.
    Response: We pay a supplying fee for Medicare Part B drugs and 
biologicals eligible for a supplying fee are immunosuppressive drugs 
described in section 1861(s)(2)(J) of the Act, oral anticancer 
chemotherapeutic drugs described in section 1861(s)(2)(Q) of the Act, 
and oral anti-emetic drugs used as part of an anticancer 
chemotherapeutic regimen described in section 1861(s)(2)(T) of the Act. 
For 2006, we pay a supplying fee of $24 per prescription for the first 
prescription in a 30-day period, and $16 per prescription for all 
subsequent prescriptions in a 30-day period. Medicare also pays a 
special supplying fee rate of $50 for the first immunosuppressive 
prescription after a Medicare covered transplant. Since we did not 
propose a change to these rates for 2007, they will continue to be in 
effect in 2007.
    Comment: We received a comment asking that we clarify how infusion 
drugs administered through DME will be paid in 2007, in light of the 
competitive bidding program that is authorized to be phased-in 
beginning in 2007.
    Response: Beginning in 2004, infusion drugs furnished through an 
item of DME covered under section 1861(n) of the Act are paid at 95 
percent of the AWP in effect as of October 1, 2003. These payment rates 
continue until such time as the Secretary establishes a competitive 
acquisition program for these drugs in specific competitive acquisition 
areas, in which case the payment rates in the competitive acquisition 
areas will be determined under the CAP. Beginning in 2007, the 
Secretary has the authority, under section 1847 of the Act, to phase-in 
implementation of the competitive acquisition program, which will be 
the subject of separate rulemaking.

G. Revisions Related to Payment for Renal Dialysis Services Furnished 
by End Stage Renal Disease (ESRD) Facilities

    In the CY 2007 PFS proposed rule (71 FR 48982), we outlined the 
proposed updates to the case-mix adjusted composite rate payment system 
established under section 1881(b)(12) of the Act, added by section 623 
of the MMA. These included updates to the drug add-on component of the 
composite rate system, as well as the wage index values used to adjust 
the labor component of the composite payment rate.
    Specifically, we proposed the following provisions which are 
described in more detail below in this section.
     A method to annually calculate the growth update to the 
drug add-on adjustment required by section 1881(b)(12) of the Act, as 
well as an estimated growth update adjustment to the add-on amount for 
CY 2007.
     An update to the wage index adjustments to reflect the 
latest hospital wage data, including a BN adjustment to the wage index 
for CY 2007.
    We received a total of 10 comments from the ESRD community that 
represented major organizations and concerned individuals. The comments 
and responses are summarized in the following sections.
    Comment: Several comments focused on the need to specify that 
payment for separately billable ESRD drugs in CY 2007 will continue at 
ASP +6 percent. The comments cross referenced a section in the CY 2007 
PFS proposed rule (71 FR 49004) that discussed proposals for 
establishing the ASP rate for WAMPs and AMP. This proposal preceded the 
section outlining the proposed payment changes for ESRD facilities, and 
thus led to some confusion regarding the use of the ASP-based payment 
methodology for separately billable ESRD drug payments in CY 2007.
    Response: As noted in section II.E.5., entitled, ``Payment for 
Drugs Furnished during CY 2006 and Subsequent Years in Connection with 
the Furnishing of Renal Dialysis Services if Separately Billed by Renal 
Dialysis Facilities,'' we proposed no policy changes to the approach 
that we currently use to pay for separately billed ESRD drugs. 
Therefore, for CY 2007, payment for separately billable drugs furnished 
by ESRD facilities will continue at ASP+6 percent in accordance with 
section 1847A of the Act.
    Comment: We received a comment recommending that we implement the 
MedPAC's recommendation that the composite rate be equalized between 
hospital-based and independent dialysis facilities. The commenter 
stated that, notwithstanding the language under 1881(b)(7) of the Act, 
we had the statutory authority to administratively revise the current 
hospital-based/independent facility rate structure to provide the same 
rate to both facility types.
    Response: While section 1881(b)(7) of the Act provided some 
discretion in establishing the initial composite payment rates, it did 
specify the need to differentiate between hospital-based and other 
renal dialysis facilities. Therefore, based on our analysis of cost 
differences, we established separate composite rates for hospital-based 
facilities and independent facilities. Section 1881(b)(12) of the Act, 
added by section 623(d) of MMA, established a new basic case-mix 
adjusted payment system. The statute instructed us to use, as one of 
the elements of the new system, the services comprising the

[[Page 69682]]

composite rate established under section 1881(b)(7) of the Act. We 
believe that the statute requires that we carry forward the composite 
rate structure established in accordance with section 1881(b)(7) of the 
Act prior to enactment of MMA. The statute directed us to substitute, 
in place of a payment system based solely on the composite rate 
established under section 1881(b)(7) of the Act, a payment system 
comprised of the original composite rate, incorporating the services 
included under that composite rate, plus a drug add-on component. 
Moreover, the 1.6 percent update established under section 623(a) of 
MMA clearly contemplated that the update would be applied to ``such 
composite rate payment amounts * * *'' in effect in the prior year. 
Therefore, in accordance with section 1881(b)(12) of the Act, we will 
continue to maintain the separate composite rates for hospital-based 
and freestanding facilities that were established under section 
1881(b)(7) of the Act.
1. Growth Update to the Drug Add-On Adjustment to the Composite Rates
    Section 623(d) of the MMA added section 1881(b)(12)(B)(ii) of the 
Act which required the establishment of an add-on to the composite rate 
to account for changes in the drug payment methodology stemming from 
enactment of the MMA. Section 1881(b)(12)(C) of the Act provides that 
the drug add-on must reflect the difference in aggregate payments 
between the revised drug payment methodology for separately billable 
ESRD drugs (acquisition costs in CY 2005; ASP+6 percent in CY 2006) and 
the AWP payment methodology in effect in CY 2004.
    In addition, section 1881(b)(12)(F) of the Act requires that, 
beginning in CY 2006, we establish an annual update to the drug add-on 
to reflect the estimated growth in expenditures for separately billable 
drugs and biologicals furnished by ESRD facilities. This growth update 
applies only to the drug add-on portion of the case-mix adjusted 
payment system.
    The CY 2006 drug add-on adjustment to the composite rate is 14.5 
percent. The drug add-on adjustment for CY 2006 incorporates an 
inflation adjustment of 1.4 percent. This computation is explained in 
detail in the CY 2006 PFS final rule with comment period (70 FR 70162). 
We note that the drug add-on adjustment of 14.7 percent that was 
published in the CY 2006 PFS final rule with comment period did not 
account for the 1.6 percent update to the composite rate portion of the 
basic case-mix adjusted payment system that was subsequently enacted by 
the DRA, effective January 1, 2006. Since we compute the drug add-on 
adjustment as a percentage of the weighted average base composite rate, 
the drug add-on percentage was decreased to account for the higher 
composite payment rate resulting in a 14.5 percent add-on adjustment 
for CY 2006. This adjustment was necessary to ensure that the total 
drug add-on dollars remained constant.
a. Estimating Growth in Expenditures for Drugs and Biologicals for CY 
2007
    In developing the growth update to the drug add-on for CY 2006, we 
conducted a trend analysis of prior years' ESRD drug expenditure data 
(2001 through 2004). All 4 years of data used for the trend analysis 
reflected expenditures associated with payment for separately billed 
drugs and biologicals under the AWP methodology. Therefore, we could 
develop growth estimates for CY 2006 using comparable historical 
expenditure data. To extend the trend analysis for CY 2007, we would 
need to include drug expenditure data from CY 2005. However, in CY 
2005, section 1881(b)(13)(A)(ii) of the Act required that we use a 
different drug payment methodology, based on average acquisition costs, 
rather than the AWP methodology used in prior years. Therefore, ESRD 
drug expenditure data for CY 2005 are not comparable to expenditure 
data for CY 2001 through CY 2004 for trend analysis purposes. This data 
issue will extend to subsequent years' data as well since we are now 
paying for separately billable drugs using ASP+6 percent. Because we do 
not have comparable data on which to base continuing trend analysis, we 
decided to re-evaluate our methodology for updating the drug add-on 
adjustment.
    Section 1881(b)(12)(F) of the Act specifies that the drug update 
must reflect ``the estimated growth in expenditures for drugs and 
biologicals that are separately billable * * *'' By referring to 
``expenditures'', we believe the statute contemplates that the update 
would account for both increases in drug prices, as well as increases 
in utilization of those drugs.
    In order to meet this requirement, we proposed an update 
methodology that uses the producer price index (PPI) for prescription 
drugs as a proxy measure of drug pricing growth, in conjunction with an 
estimate of per patient growth in drug utilization. We proposed to 
estimate growth in per patient utilization of drugs by using historical 
data from 2004 and 2005.
    In addition, we indicated that we would reconsider our methodology 
for updating the drug add-on component of the payment system when we 
have sufficient historical data reflecting the revised drug payment 
methodology using ASP pricing.
    Comment: Commenters were generally favorable toward using a 
standard index to update the drug add-on adjustment, but were concerned 
about the calculation of the utilization factor. They suggested that we 
use our National Health Expenditures (NHE) projection that uses only 
the Medicare Part B component of the projection to estimate 
prescription drug expenditures.
    Response: We do not believe that the Part B drug projections 
included in the NHE projections would be the best proxy for the growth 
in ESRD drug expenditures. The NHE projections are based on the 
economic, demographic and Medicare spending projections contained in 
the Medicare Trustees Report, as opposed to an independent forecast of 
economic assumptions, such as the Global Insights projections of the 
PPI for prescription drugs that are used in our Medicare market basket 
forecasts to update many of our payment systems. The NHE projection 
modeling approach is at an aggregate level. It does not capture the 
nuances of both labor and economic markets as accurately as does the 
specific PPI forecast from Global Insights, Inc. We believe that using 
the PPI is a more accurate predictor of ESRD drug pricing growth. In 
addition, we believe that estimating utilization from reported ESRD 
claims data, as discussed below in this section, is superior to using 
NHE's Part B projections.
b. Estimating Growth in Per Patient Drug Utilization
    To isolate and project the growth in per patient utilization of 
ESRD drugs for CY 2007, we needed to remove the enrollment and price 
growth components from the latest historical drug expenditure data and 
consider the residual utilization growth. We proposed to use total drug 
expenditure data from CYs 2004 and 2005 to estimate per patient 
utilization growth for CY 2007.
    We first estimated total drug expenditures. For the CY 2007 PFS 
proposed rule (71 FR 49007), we used the final CY 2004 ESRD facility 
claims data and the latest available CY 2005 ESRD facility claims data, 
updated through December 31, 2005. That is, for CY 2005 we used claims 
that were received, processed, paid, and passed to the National Claims 
History File as of December 31, 2005. For this final rule with comment 
period, we are using

[[Page 69683]]

more updated CY 2005 claims with dates of service for the same time 
period. This updated CY 2005 data file includes claims that were 
received, processed, paid, and passed to the National Claims History 
File as of June 30, 2006.
    For the proposed rule, we adjusted the December 2005 file to 
reflect our estimate of what the total drug expenditures would be using 
the final June 30, 2006 bill file for CY 2005. The net adjustment we 
applied to the CY 2005 claims data was an increase of 13 percent to the 
December 2005 expenditure data. For this final rule, we are using the 
CY 2005 claims file as of June 30, 2006, which represents the final 
claims file for that year. Next, we removed the enrollment and price 
growth components from total estimated drug expenditures for CYs 2004 
and 2005.
    To calculate the per patient utilization growth, we removed the 
enrollment component by using the growth in enrollment data between 
2004 and 2005. This was approximately 3 percent. To remove the price 
effect, we used a two-step process. For the proposed rule, we first 
calculated a weighted average between erythopoeitin (EPO) and non-EPO 
price growth factors to account for the growth in pre-MMA pricing 
between 2004 and 2005. Since EPO was priced at $10 per thousand units 
prior to the implementation of the MMA, there was no growth for EPO 
between 2004 and 2005. For the non-EPO drugs, we used the PPI as a 
proxy for the growth between the 2 years to maintain consistency with 
the established methodology for calculating the drug add-on adjustment 
for CY 2005 which used the PPI to estimate the price growth in 
separately billable drugs (69 FR 66321). For the proposed rule, we next 
incorporated the estimated negative 13 percent weighted price 
difference between 2005 AWP and 2005 AAP pricing as was published in 
the CY 2005 PFS final rule with comment period (69 FR 66319 through 
66334). This two-step process accounts for the price effect from 2004 
to 2005, that is, an overall 12 percent reduction in price between 2004 
and 2005.
    For the proposed rule, following the removal of the enrollment and 
price effects from the expenditure data, we expected the residual 
growth to reflect the per patient utilization growth. To remove the 
enrollment and price effects, we divided the product of the enrollment 
growth of 3 percent (1.03) and the price reduction of 12 percent (1.00 
- 0.12 = 0.88) into the total drug expenditure decrease between 2004 
and 2005 of 9 percent (1.00 - 0.09 = 0.91). The result was a proposed 
utilization factor equal to 1.00 ((0.91/1.03)/0.88) = 1.0).
    We observed no growth in per patient utilization of drugs between 
2004 and 2005. Therefore, we projected no growth in per patient 
utilization for CY 2007.
    Comment: On commenter suggested that we should use the drug 
expenditure weights we developed in computing the drug add-on 
adjustment related to ASP pricing for 2006, rather than the weights 
developed by the OIG with respect to acquisition costs for 2005. This 
would have resulted in an overall price reduction of 13.2 percent 
rather than the overall reduction of 12 percent we used in our 
calculation.
    Response: We believe it would be more appropriate to use the 
published OIG weights as they represent the weights that were used to 
develop the 2005 drug add-on adjustment. If we were to use updated 
weights, it would be more appropriate to use actual 2005 weights. 
Preliminary analysis suggests that if we were to develop weights based 
on the most recent 2005 expenditure data, the resulting price reduction 
factor would be well under 13.2 percent. However, as discussed above in 
this section, we believe the price reduction calculation should be 
consistent with the calculation used to develop the 2005 drug add-on 
adjustment. Therefore, for this final rule with comment we are using 
the same 12 percent price reduction factor calculated in the proposed 
rule.
    Comment: One commenter indicated that their analysis resulted in a 
slightly different value for the reduction in total drug expenditures 
than we calculated between 2004 and 2005. Rather than the 9 percent 
reduction we calculated for the proposed rule, this commenter computed 
a 9.198 percent reduction using the 2004 5 percent sample file compared 
to the 2005 ESRD file.
    Response: Although the 2004 5 percent file may have contained a 
significant number of ESRD claims, our analysis uses 100 percent of the 
2004 ESRD facility claims. As such, we believe the results calculated 
by the commenter are consistent with our results, but that slight 
differences would be expected when an incomplete file is used. For the 
final rule, using the latest, complete ESRD claims file for CY 2005 
(June 30, 2006), we computed a 9.5 percent reduction in total ESRD 
facility drug expenditures between CY 2004 and CY 2005.
    Comment: We received one comment that the source of the 3 percent 
enrollment growth we projected for CY 2007 was unclear, and did not 
match the Part B enrollment growth included in the 2006 Trustees 
Report.
    Response: The 3 percent enrollment growth projection represents the 
estimated growth factor specific to dialysis patients between CY 2004 
and CY 2005.
    Comment: One comment expressed concern that we were basing payment 
policy on the assumption that the new EPO monitoring policy would 
decrease utilization of drugs.
    Response: The determination of the CY 2007 update was not based on 
an assumption that the new EPO monitoring policy would decrease 
utilization. The discussion of the EPO monitoring policy was only 
intended to illustrate the need to use the latest data available to 
determine utilization, especially since new policies such as the EPO 
monitoring could affect utilization growth in the future. The potential 
effect of the monitoring policy was not incorporated into the 
computation of the CY 2007 adjustment factor.
i. Applying the Growth Update to the Drug Add-On Adjustment
    For CY 2006, we estimated the growth update by trending drug 
expenditures forward based on four years of AWP payment data (CY 2001 
through CY 2004). We then applied the estimated growth update 
percentage to the total amount of drug add-on dollars established for 
CY 2005 to come up with a dollar amount for the CY 2006 growth update. 
In addition, we projected the growth in dialysis treatments for CY 2006 
based on the projected growth in ESRD enrollment. We divided the 
projected total dialysis treatments for CY 2006 into the projected 
dollar amount of the CY 2006 growth to develop the per treatment growth 
update amount. This growth update amount, combined with the CY 2005 per 
treatment drug add-on amount, resulted in an average drug add-on amount 
per treatment of $18.88 (or a 14.5 percent adjustment to the composite 
rate) for CY 2006.
    Beginning in CY 2007, we proposed to annually update the per 
treatment drug add-on amount of $18.88 established in CY 2006 and 
convert the update to an adjustment factor as stipulated in section 
1881(b)(12)(F) of the Act. By proposing to apply the update to the CY 
2006 per treatment add-on amount, the need to estimate growth in 
dialysis treatments is eliminated for CY 2007 and future years.
    We received no comments on this proposed change and are therefore 
adopting this provision in this final rule.

[[Page 69684]]

ii. Update to the Drug Add-On Adjustment
    In the proposed rule, we estimated no growth in per patient 
utilization of ESRD drugs for CY 2007. Using the projected growth of 
the CY 2007 PPI for prescription drugs of 4.9 percent, we projected 
that the combined growth in per patient utilization and pricing for CY 
2007 would result in an update equal to the PPI growth or 4.9 percent 
(1.0 x 1.049 = 1.049). This proposed update factor was applied to the 
CY 2006 average per treatment drug add-on amount of $18.88 (reflecting 
a 14.5 percent adjustment in CY 2006), resulting in a proposed weighted 
average increase to the composite rate of $0.93 for CY 2007 or a 0.6 
percent increase in the CY 2006 drug add-on percentage. Thus, the total 
proposed drug add-on adjustment to the composite rate for CY 2007, 
including the growth update, was 15.2 percent (1.145 x 1.006 = 1.152).
    In addition, we proposed to continue to use this method to estimate 
the growth update to the drug add-on component of the case-mix adjusted 
payment system until we have at least 3 years worth of ASP-based 
historical drug expenditure data that could be used to conduct a trend 
analysis to estimate the growth in drug expenditures. Given the time 
lag in the availability of ASP drug expenditure data, we expect that 
the earliest we could consider using trend analysis to update the drug 
add-on adjustment would be 2010. We proposed to reevaluate our 
methodology for estimating the growth update at that time.
    Comment: We received comments requesting clarification concerning 
the PPI projections we use in calculating the growth update to the drug 
add-on adjustment.
    Response: We use the PPI for prescription drugs developed by Global 
Insight for the fourth quarter of 2007, which represents a four quarter 
average percent change projection between 2006 and 2007. For the final 
rule we are using the latest projection for 2007 which is 4.03 percent.
    Comment: A number of comments recommended that a mechanism be 
established to provide for forecasting error adjustment of prior 
estimates. This adjustment would be applied only for the years covered 
by the proposed interim methodology for updating the drug add-on 
adjustment. The comments suggest that once stable expenditure data is 
available to use historical trend analysis for updating the drug add-on 
adjustment, the forecast error adjustment would no longer be necessary.
    Response: We have not accepted this recommendation. While we 
appreciate the concern related to accuracy of an update based on proxy 
measures for price and the proposed utilization computations, the very 
nature of estimating future expenditures under a prospective payment 
system requires that those estimates are based on the best historical 
data available. As such, we believe we have met our obligation under 
the statue in estimating the growth in ESRD drug expenditures for CY 
2007. Moreover forecast error adjustments are rarely made in any of 
CMS' prospective payment systems.
    We also note that even after ASP expenditure data become available 
for purposes of using trend analysis to estimate future expenditures, 
those estimates may not be the same as actual expenditures. That could 
also be the case for the 2006 update currently in effect. While the 
commenters are not suggesting that we revisit the 2006 update, we 
believe that once we set the policy of adjusting any year's estimated 
update, we would need to do so for all years, not just those covered by 
the proposed interim update methodology.
    Comment: One commenter wanted an update on the steps we were taking 
to obtain drug utilization data from hospital-based ESRD facilities for 
purposes of refining the drug add-on adjustment related to those 
providers. In last year's final rule we indicated that we would pursue 
options for obtaining that data (70 FR 70163).
    Response: We have determined that a separate data collection of 
historical drug dosing data for hospital based facilities would be both 
burdensome and costly. Therefore, we decided not to pursue that avenue 
for estimating the drug add-on amount related to those facilities. 
However, once we have 2006 ASP data, we will evaluate the difference in 
payments to hospital-based ESRD facilities under cost reimbursement 
compared to ASP-based payments to determine if our drug add-on estimate 
was reasonable.
iii. Final Growth Update to the Drug Add-On Adjustment for 2007
    Similar to the proposed rule, we estimated no growth in per patient 
utilization of ESRD drugs for CY 2007. We removed the enrollment and 
price effects from the expenditure data to determine the per patient 
utilization growth. To do this, we divided the product of the 
enrollment growth of 3 percent (1.03) and the price reduction of 12 
percent (1.00-0.12 = 0.88) into the total drug expenditure decrease 
between 2004 and 2005 of 9.5 percent (1.0-0.095 = 0.0905). The result 
is a utilization factor equal to 1.0 ((0.905/1.03)/0.88) = 1.0).
    Using the projected growth of the CY 2007 PPI for prescription 
drugs of 4.03 percent, we projected that the combined growth in per 
patient utilization and pricing for CY 2007 would result in an update 
equal to the PPI growth or 4.03 percent (1.0 x 1.0403 = 1.0403). This 
update factor was applied to the CY 2006 average per treatment drug 
add-on amount of $18.88 (reflecting a 14.5 percent adjustment in CY 
2006), resulting in a weighted average increase to the composite rate 
of $0.76 for CY 2007 or a 0.5 percent increase in the CY 2006 drug add-
on percentage. Thus, the total drug add-on adjustment to the composite 
rate for CY 2007, including the growth update, is 15.1 percent (1.145 x 
1.005 = 1.151).
c. OIG Report on New Drug Codes
    Section 623(c)(1) of the MMA mandated that the OIG conduct two 
studies to determine the difference between the Medicare payment amount 
for separately billable ESRD drugs and the facilities' acquisition 
costs for these drugs, as well as estimating the growth rate of 
expenditures for these drugs. The initial study, ``Medicare 
Reimbursement for Existing End Stage Renal Disease Drugs'' (OEI-03-04-
00120), was completed in May 2004, and reported on existing ESRD drugs. 
This report was used to set the CY 2005 payment rates for ESRD drugs 
billed by independent dialysis facilities (69 FR 66322). The second 
study (``Medicare Reimbursement for New ESRD Drugs'' (OEI-03-06-00200)) 
focused on new drugs. New drugs for the purpose of this study were 
defined as an ESRD drug that did not have a billing code prior to 
January 1, 2004.
    One drug, darbepoetin alfa (Aranesp) accounted for the majority of 
all payments for new drugs. Therefore, this was the only new ESRD drug 
studied. The OIG report found that use of this drug was limited to a 
small number of facilities (only 157 facilities reported using this 
drug with concentrated use in approximately 55 of these facilities). 
Because of the recent changes we made to the drug payment methodology 
and the lack of comparable historical data, the OIG report made no 
estimate of an expenditure growth rate for this drug.
    Darbepoetin alfa (Aranesp) is currently paid as a separately 
billable drug at ASP+6 percent. Because of the recent (CY 2006) 
implementation of the ASP+6 percent drug payment methodology, the small 
number of facilities using this drug for ESRD

[[Page 69685]]

patients, and the lack of historical data for trending purposes, we 
have no data to indicate that any difference in payment methods for 
Aranesp (between CY 2004 and CY 2006) would affect our calculation of 
the drug add-on or of the growth update. Moreover, since Aranesp was 
approved in 2001 for use in ESRD patients, we believe that expenditures 
for Aranesp were reflected in the historical data used to establish the 
CY 2005 drug add-on under a generic drug code. Therefore, we proposed 
to make no additional changes to the drug add-on adjustment for CY 
2007. We received no comments on this issue.
2. Update to the Geographic Adjustments to the Composite Rates
    Section 1881(b)(12)(D) of the Act, added by section 623(d) of the 
MMA, gave the Secretary the authority to revise the wage indexes 
previously applied to the ESRD composite rates. The wage indexes are 
calculated for each urban and rural area. The purpose of the wage index 
is to adjust the composite rates for differing wage levels covering the 
areas in which ESRD facilities are located.
a. Updates to the CBSA Definitions
    In the CY 2007 proposed rule (71 FR 49008), we published revised 
CBSA-based geographic areas which reflected all of the changes 
announced by OMB in Bulletins 05-02 and 06-01 issued February 22, 2005 
and December 5, 2005, respectively. Those bulletins changed the titles 
of several of the MSAs and Metropolitan Divisions used in connection 
with the urban wage index.
b. Updated Wage Index Values
    In the CY 2006 PFS final rule with comment period, we stated that 
we intended to update the wage index values annually (70 FR 70167). 
Current ESRD wage index values for CY 2006 were developed from FY 2002 
wage and employment data obtained from the Medicare hospital cost 
reports. The values are calculated without regard to geographic 
reclassifications authorized under sections 1886(d)(8) and (d)(10) of 
the Act and utilize pre-floor hospital data that is unadjusted for 
occupational mix.
    The methodology for calculating the CY 2006 wage index values was 
described in the CY 2006 PFS final rule with comment period (70 FR 
70168). We proposed to use the same methodology for CY 2007, with the 
exception that FY 2003 hospital data will be used to develop the CY 
2007 ESRD wage index values. For a detailed description of the 
development of the CY 2007 ESRD wage index values based on FY 2003 
hospital data see the FY 2007 IPPS final rule entitled, ``Changes to 
the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 
Rates,'' (71 FR 48016). Section F of the preamble to that final rule 
describes the cost report schedules, line items, data elements, 
adjustments, and wage index computations. The wage index data affecting 
ESRD composite rates for each urban and rural locale may also be 
accessed on the CMS Web site at: http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp. The wage data are located in the 
section entitled, ``FY 2007 Final Rule Occupational Mix Adjusted and 
Unadjusted Average Hourly Wage and Pre-Reclassified Wage Index by 
CBSA''.
    Comment: One commenter criticized our use of hospital wage and 
employment data to develop the ESRD wage index. The commenter 
maintained that the use of hospital data presumed that wage levels in 
hospitals and freestanding ESRD facilities are similar, a conclusion 
which has not been substantiated. The commenter urged us to locate an 
alternative data source that reflects information directly tied to ESRD 
facilities.
    Response: Although the mix of occupations in hospitals is broader 
and more diverse, ESRD facilities compete with hospitals for labor. 
While the use of wage and employment data from freestanding ESRD 
facility cost reports would result in the development of a wage index 
which reflected ESRD wage levels among independent facilities, the 
administrative burden posed by the need for the Medicare fiscal 
intermediaries to engage in a separate data collection to compile, 
edit, and validate ESRD wage and employment data would be considerable. 
Given the similarity of the labor market for professional, technical, 
and nursing staff between hospitals and ESRD facilities, we believe our 
use of hospital wage and employment data obtained from the Medicare 
cost reports to develop the ESRD wage index is appropriate.
(i) Wage Index Values for Areas With No Hospital Data
    In CY 2006, while adopting the CBSA designations, we identified a 
small number of ESRD facilities in both urban and rural geographic 
areas where there is no hospital wage data on which to base the 
calculations of the CY 2006 ESRD wage index values.
    The first situation was rural Massachusetts. Because there were no 
reasonable proxies for rural data within Massachusetts, we used the 
prior year's acute care hospital wage index value for rural 
Massachusetts. For CY 2007, we proposed to continue to use this value 
and requested public input on an alternative methodology.
    Since there may be additional rural areas in the future similarly 
impacted by a lack of hospital wage data on which to derive a hospital 
wage index, we stated that we were considering alternative 
methodologies for imputing a rural wage index for areas in States where 
no hospital wage data are available. We also described an alternative 
methodology whereby we would impute a rural wage index value by using a 
simple average CBSA-based rural wage index value at the Census Division 
level. For CY 2007, hospital wage data are not available to compute a 
rural wage index for ESRD facilities in rural Massachusetts, and this 
proposed alternative methodology could be applied in this case. 
Massachusetts is located in Census Division I (New England).
    Under this proposed alternative methodology, the States in Census 
Division I for which rural wage index values are available would be 
used; this would result in a simple average proposed rural wage index 
value of 1.0227 (1.0770 after applying BNF).
    Rural Puerto Rico is similar to rural Massachusetts in that there 
are ESRD facilities where there are no acute care hospitals and, 
therefore, no hospital data. However, the situation for facilities in 
rural Puerto Rico is different in that the floor would be applied to 
rural Puerto Rico ESRD facilities. All areas in Puerto Rico that have 
an index are eligible for the floor because they have wage-index values 
that are less than 0.8000. For CY 2007, we proposed to apply the floor 
to rural Puerto Rico.
    The third situation involves an urban area in Hinesville, GA (CBSA 
25980). For CY 2006, we used a wage index value based on the average of 
the wage index values in all of the other urban areas within the same 
State to serve as a reasonable proxy for the urban areas without 
hospital wage index data. Specifically, we used the average wage index 
value for all urban areas within the State of Georgia as the urban wage 
index for purposes of calculating the value for Hinesville for CY 2006. 
For CY 2007, we proposed to continue using this method for Hinesville, 
GA (CBSA 25980).
    We solicited comments on maintaining our current policy for 
establishing wage index values for rural and urban areas without 
hospitals or adopting an alternative approach. We also indicated that 
we would continue to evaluate existing hospital wage data and, 
possibly, wage data from other

[[Page 69686]]

sources, such as the Bureau of Labor Statistics, to determine if other 
methodologies of imputing a wage index value where hospital wage data 
are not available may be feasible.
    We received no comments on maintaining our current policy for 
establishing wage index values for rural and urban areas without 
hospitals, or an alternative approach for developing wage index values 
for rural areas without hospitals for CY 2007 and subsequent years. 
Therefore, for CY 2007, we will maintain our current policies for 
establishing wage index values for rural and urban areas:
     For rural Massachusetts, we will continue to use the prior 
year's acute care hospital wage index value for rural Massachusetts.
     For rural Puerto Rico, we will apply the CY 2007 ESRD wage 
index floor.
     For Hinesville, GA (CBSA 25980), we will use the average 
wage index value for all urban areas within the State of Georgia as the 
urban wage index for purposes of calculating the value for Hinesville 
for CY 2007.
(ii) Second Year of the Transition
    For each transition year, the share of the blended wage-adjusted 
base payment rate that is derived from the MSA-based and CBSA-based 
wage index values is shown in Table 10. In the CY 2007 PFS proposed 
rule, we proposed no changes to the transition. CY 2007 is the second 
year of the 4-year transition period. Consistent with the transition 
blends, we are implementing a 50/50 blend between an ESRD facility's 
MSA-based composite rate, and its CY 2007 CBSA-based rate reflecting 
its revised wage index values.
    For CY 2007, we are reducing the wage index floor to 0.80. As we 
stated in the CY 2006 PFS final rule with comment period, we intend to 
reassess the continuing need for a wage index floor in CY 2008 and CY 
2009 (70 FR 70169 through 70170). The wage index floors, caps, and 
blended shares of the composite rates applicable to all ESRD facilities 
during CYs 2007 through 2009 are shown in Table 10. They are identical 
to the values shown in Table 20 of the CY 2006 PFS final rule with 
comment period (70 FR 70170) for the applicable years.

                                     Table 10.--Wage Index Transition Blend
----------------------------------------------------------------------------------------------------------------
                                                                                          Old MSA      New CBSA
             CY payment                        Floor                   Ceiling           (percent)    (percent)
----------------------------------------------------------------------------------------------------------------
2007................................  0.80*..................  None...................           50           50
2008................................  Reassess...............  None...................           25           75
2009................................  Reassess...............  None...................            0         100
----------------------------------------------------------------------------------------------------------------
*Each wage index floor is multiplied by a BN adjustment factor. For CY 2007 the BN adjustment is 1.052818
  resulting in an actual wage index floor of 0.8423.

    The following is an example of how the wage-adjusted composite 
rates would be blended during CY 2007 and the 2 subsequent transition 
years.
    Example: An ESRD facility has a wage-adjusted composite rate 
(without regard to any case-mix adjustments) of $135.00 per treatment 
in CY 2006. Using CBSA-based geographic area designations, the 
facility's CY 2007 wage-adjusted composite rate, reflecting its wage 
index value as shown in Addendum H, would be $145.00. During the 
remaining 3 years of the 4-year transition period to the new CBSA-based 
wage index values, this facility's blended rate through CY 2009 would 
be calculated as follows:

CY 2007 = (0.50 $135.00) + (0.50 x $145.00) = $140.00
CY 2008 = (0.25 x $135.00) + (0.75 x $145.00) = $142.50
CY 2009 = (0.00 x $135.00) + (1.00 x $145.00) = $145.00
    We note that this hypothetical example assumes that the calculated 
wage-adjusted composite rate of $145.00 for CY 2007 does not change in 
CYs 2008 and 2009. In actuality, the wage-adjusted composite rate would 
change because of annual revisions to the wage index. However, the 
example serves only to demonstrate the effect on the composite rate of 
the CBSA-based wage index values which will be phased-in during the 
remaining 3 years of the transition period.
    Comment: One commenter representing a number of dialysis facilities 
in Puerto Rico disagreed with our proposal to reduce the wage index 
floor to 0.80, pointing out that wage index values have not been 
realistically updated in quite some time. The commenter was concerned 
with further reductions in composite payments and recommended that the 
reduction in the wage index floor for CY 2007 be suspended. Another 
commenter also recommended that the impact of any further planned 
proposed reductions in the wage index floor be thoroughly considered 
before implementation because of potential impact on the ability of 
dialysis facilities to recruit and retain qualified personnel.
    Response: We believe that the ESRD wage index should not be 
artificially constrained by the application of floors and ceilings. We 
eliminated the cap of 1.30 because of the effect it had on restricting 
payments in high wage areas. While we would like to eliminate the floor 
as well, we recognized that its immediate elimination could 
substantially reduce composite payments in locales where prevailing 
labor costs are lower. Accordingly, in CY 2006 we implemented a 
reduction in the wage index floor to 0.85, and proposed a further 
reduction to 0.80 in CY 2007. We plan to reassess the continuing 
application of the wage index floor in connection with the CY 2008 and 
CY 2009 updates to the composite payment rates.
    The actual wage index values for urban locales in Puerto Rico, 
without application of any floor and prior to the application of the CY 
2007 the BN adjustment, are shown in Table 11.

      Table 11.--Wage Index Values for Urban Locales in Puerto Rico
------------------------------------------------------------------------
         CBSA code                    Urban area            Wage index
------------------------------------------------------------------------
10380......................  Aguadilla-Isabela-San                0.3922
                              Sebastian.
21940......................  Fajardo....................          0.4044
25020......................  Guayama....................          0.3241
32420......................  Mayaguez...................          0.3857
38660......................  Ponce......................          0.4851

[[Page 69687]]

 
41900......................  San German-Cabo Rojo.......          0.4893
41980......................  San Juan-Caguas-Guaynabo...          0.4397
49500......................  Yauco......................          0.3861
------------------------------------------------------------------------

    The proposed CY 2007 wage index floor of 0.80 is substantially 
higher than each of the above wage index values. After application of 
the BN adjustment to the wage index floor of 0.80, each area in Puerto 
Rico has a wage index of 0.8423 reflected in its composite rate. 
Therefore, we believe that the CY 2007 wage index floor of 0.80 
compared to actual wage levels will not adversely affect access to care 
for dialysis patients in Puerto Rico.
    With respect to the commenter's concern that the wage index values 
have not been updated in quite some time, we point out that the CY 2007 
wage index values were developed from the latest available FY 2003 
hospital wage and employment data obtained from the Medicare cost 
reports. While we will not suspend application of the proposed 0.80 
wage index floor in CY 2007, we intend to carefully assess the 
potential impact of any further proposed reductions in the wage index 
floor for CY 2008 and following years.
c. Budget Neutrality (BN) Adjustment
    Section 1881 (b)(12)(E)(i) of the Act, as added by section 623(d) 
of the MMA, requires that any revisions to the ESRD composite rate 
payment system as a result of the MMA provision (including the 
geographic adjustment) be made in a budget neutral manner. This means 
that aggregate payments to ESRD facilities in CY 2007 should be the 
same as aggregate payments that would have been made if we had not made 
any changes to the geographic adjusters. We note that the BN adjustment 
discussed in this final rule only addresses the impact of changes in 
the geographic adjustments. A separate BN adjustment was developed for 
the case-mix adjustments, currently in effect. Since we did not propose 
any changes to the case-mix measures for CY 2007, the current case-mix 
BN will remain in effect for CY 2007. For CY 2007, we again proposed to 
apply a BNF directly to the ESRD wage index values, as we did in CY 
2006. As we explained in the CY 2006 PFS final rule with comment period 
(70 FR 70170 through 70171), we believe this is the simplest approach 
because it allows us to maintain our base composite rates during the 
transition from the current wage adjustments to the revised wage 
adjustments described earlier in this section. Because the ESRD wage 
index is only applied to the labor-related portion of the composite 
rate, we computed the proposed BNF adjustment based on that proportion 
(53.711 percent).
    To compute the proposed CY 2007 wage index BNF, we used the 
proposed wage index values, 2005 outpatient claims (paid and processed 
as of December 31, 2005), and geographic location information for each 
facility.
    Using treatment counts from the 2005 claims and facility-specific 
CY 2006 composite rates, we computed the estimated total dollar amount 
each ESRD provider would have received in CY 2006 (the first year of 
the 4-year transition). The total of these payments became the target 
amount of expenditures for all ESRD facilities for CY 2007. Next, we 
computed the estimated dollar amount that would have been paid to the 
same ESRD facilities using the ESRD wage index for CY 2007 (the second 
year of the 4-year transition). The total of these payments became the 
second year new amount of wage-adjusted composite rate expenditures for 
all ESRD facilities.
    After comparing these dollar amounts (target amount divided by 
second year new amount), we calculated an adjustment factor that, when 
multiplied by the applicable CY 2007 ESRD wage index, would result in 
aggregate payments within the target amount of composite rate 
expenditures. The proposed BN adjustment factor for the CY 2007 wage 
index was 1.053069.
    To ensure BN we also must apply the BNF to the wage index floor of 
0.8000 which resulted in a proposed adjusted wage index floor of 0.8425 
for CY 2007.
    Comment: We received comments asking that we clarify the 
calculation of the wage index BNF so that commenters could understand 
that the BNF is being calculated correctly. One commenter asked that we 
provide both the data and the methodology so that they could assess the 
accuracy of our computations.
    Response: During the comment period on the CY 2007 PFS proposed 
rule, we made available an ESRD Composite Payment System File. This 
file contained select claim level data from the 2005 ESRD facility 
outpatient claims, updated through December 31, 2005. For more 
information on this file, see the following link: http://www.cms.hhs.gov/IdentifiableDataFiles/05.asp#TopOfPage.
    After the publication of this final rule with comment period, we 
intend to make available the updated version of the CY 2005 outpatient 
claims (paid and processed as of June 30, 2006) that were used to 
compute the BNF.
    To compute the final CY 2007 ESRD wage index BNF, we used FY 2003 
pre-floor, pre-reclassified, non-occupational mix-adjusted hospital 
wage data to compute the wage index values, 2005 outpatient claims 
(paid and processed as of June 30, 2006), and geographic location 
information for each ESRD facility which may be found through Dialysis 
Facility Compare. The FY 2003 hospital wage index data for each urban 
and rural locale by CBSA may also be accessed on the CMS Web site at: 
http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp. The wage index 
data are located in the section entitled, ``FY 2007 Final Rule 
Occupational Mix Adjusted and Unadjusted Average Hourly Wage and Pre-
Reclassified Wage Indexes by CBSA''.
    Dialysis Facility Compare can be found by going to the following 
CMS Web site: http://www.cms.hhs.gov/DialysisFacilityCompare/.
    Using treatment counts from the latest 2005 claims file and 
facility-specific CY 2006 composite rates, we computed the estimated 
total dollar amount each ESRD provider would have received in CY 2006 
(the first year of the 4-year transition). The total of these payments 
became the target amount of expenditures for all ESRD facilities for CY 
2007. Next, we computed the estimated dollar amount that would have 
been paid to the same ESRD facilities using the ESRD wage index for CY 
2007 (the second year of the 4-year transition). The total of these 
payments became the second year new amount of wage-adjusted composite 
rate expenditures for all ESRD facilities.
    After comparing these dollar amounts (target amount divided by 
second year new amount), we calculated an adjustment factor that, when 
multiplied by the applicable FY 2007 wage index value, will result in 
aggregate payments to ESRD facilities that will remain

[[Page 69688]]

within the target amount of composite rate expenditures. When making 
this calculation, the ESRD wage index floor value of 0.8000 is used 
whenever appropriate.
    The final BN adjustment factor for the CY 2007 wage index is 
1.052818.
    To ensure BN we also must apply the BNF to all index values, 
including the wage index floor of 0.8000, which results in an adjusted 
wage index floor of 0.8423 for CY 2007.
d. ESRD Wage Index Tables
    Addenda F and G show the CY 2007 ESRD wage index, including the BNF 
adjustment, for urban areas (Addendum F) and rural areas (Addendum G).

H. Private Contracts and Opt-Out Provision--Practitioner Definition

    Section 4507 of the BBA amended section 1802 of the Act to permit 
certain physicians and practitioners to opt-out of Medicare if certain 
conditions were met, and to provide through private contracts services 
that would otherwise be covered by Medicare. Before enactment of the 
BIPA (Pub. L. 106-554), section 1802(b)(5)(C) of the Act, which refers 
to the definition of ``practitioner'' at section 1842(b)(18)(C) of the 
Act, did not include registered dietitians or nutrition professionals 
among the practitioners who may choose to opt-out of Medicare. Section 
105(d) of the BIPA amended the definition of practitioner located at 
section 1842(b)(18)(c) of the Act to include registered dietitians or 
nutrition professionals. Because section 1802(b)(5)(C) of the Act 
references section 1842(b)(18)(c) of the Act in order to define the 
term practitioner for purposes of opting out of Medicare, current law 
permits registered dietitians or nutrition professionals to opt-out of 
Medicare. Because the definition of practitioner located at Sec.  
405.400 does not include registered dietitians or nutrition 
professionals, we proposed to amend that section so that it is 
consistent with section 1802(b)(5)(C) of the Act.
    Commenters were very supportive of our proposals. Therefore, we are 
finalizing the changes to Sec.  405.400 as proposed.

I. Changes to Reassignment and Physician Self-Referral Rules Relating 
to Diagnostic Tests

    In the CY 2007 PFS proposed rule, we stated that recent changes to 
our rules on reassignment of the right to receive Medicare payment may 
have led to some confusion as to whether the anti-markup and purchased 
interpretation requirements apply to certain situations where a 
reassignment has occurred under a contractual arrangement. We also 
stated that we were concerned about the existence of certain 
arrangements that are not within the intended purpose of our physician 
self-referral rules, which allow physician group practices to bill for 
services furnished by a contractor physician in a ``centralized 
building'' as defined at Sec.  411.351. We are concerned that allowing 
physician group practices or other suppliers to purchase or otherwise 
contract for the provision of diagnostic tests and then to realize a 
profit when billing Medicare may lead to patient and program abuse in 
the form of over utilization of services and result in higher costs to 
the Medicare program.
    We proposed to amend our reassignment regulations to clarify how 
the purchased test and purchased interpretation rules apply in the case 
of a reassignment made under the contractual arrangement exception set 
forth at Sec.  424.80(d)(2). In addition, we proposed to change the 
definition of ``centralized building'' at Sec.  411.351 of the 
physician self-referral regulations to place certain restrictions on 
what types of space ownership or leasing arrangements will qualify for 
purposes of the physician self-referral in-office ancillary services 
exception and physician services exception. We received numerous 
comments on our proposals. Instead of issuing final regulations at this 
time, we are studying the issues further and plan to issue final 
regulations in the near future. We remain committed to addressing 
revenue-driven arrangements that may be facilitating over utilization 
of diagnostic services, but do not wish to unduly impact legitimate 
group practice arrangements that enable Medicare beneficiaries to have 
the convenience of receiving medical services at one location.

J. Supplier Access to Claims Billed on Reassignment

    Section 1842(b)(6) of the Act generally provides that Medicare may 
pay Part B benefits only to the physician or other supplier who 
performed the service, or to the beneficiary. This provision, known as 
the prohibition on reassignment, contains several exceptions. Section 
952 of the MMA amended section 1842(b)(6)(A)(ii) of the Act to allow a 
physician or other person who was in a contractual arrangement rather 
than in an employee-employer relationship to reassign his or her right 
to bill and receive payment, irrespective of whether the services were 
performed on the premises of the entity. In implementing section 952 of 
the MMA, we amended Sec.  424.80(d) to provide that a supplier, who 
reassigns his or her right to bill Medicare to an entity with which he 
or she is employed as an independent contractor, has the right to 
access the entity's billing information concerning the services the 
supplier is alleged to have performed and for which the entity billed 
Medicare. We extended such a right in order to give added assurance 
that the services for which such an entity billed Medicare were in fact 
performed and were performed as billed. In the CY 2007 PFS proposed 
rule, we stated that we believe that employees, in addition to 
independent contractors, should have access to records on billings for 
services furnished by them (71 FR 49057 through 49058). We proposed 
changing the title of Sec.  424.80(d) and amending Sec.  424.80(d)(2) 
of our regulations to state that the individual supplier who reassigns 
his or her right to bill and receive Medicare payment to an entity has 
unrestricted access to claims information submitted by that entity for 
services furnished by the individual supplier, irrespective of whether 
the supplier is an employee or an independent contractor of the entity 
receiving payment. Under our proposal, if an entity receiving the 
reassigned benefits were to refuse to provide the billing information 
to the employee supplier requesting the information, the entity's right 
to receive reassigned benefits could be revoked under Sec.  
424.82(c)(3) (which is currently the case with respect to an entity's 
refusal to provide billing information to an independent contractor 
supplier).
    We are adopting the proposal without modification.
    Comment: Two commenters who support the proposal stated they are 
unsure how having unrestricted access to submitted claims data will 
correspond to improved program integrity. They believe that a more 
practical approach to ensure Medicare program integrity would be to 
incorporate physician involvement in compliance programs that are 
structured to address risk areas particular to their operations. These 
commenters are also concerned that providing unrestricted access to 
submitted claims data is not a clear requirement for a billing entity 
to meet.
    Response: We believe that by allowing a physician or other supplier 
access to billing information concerning services allegedly performed 
by that physician or other supplier, we gain more assurance that 
entities that are billing on reassignment are billing for services 
actually performed and are otherwise billing accurately for such 
services.

[[Page 69689]]

With respect to the commenters' suggestion that physician involvement 
in compliance programs offers a more practical approach to ensure 
Medicare program integrity, we believe that physicians should be 
engaged already in compliance programs, and that such involvement 
should include the physician regularly requesting access to billing 
records for services that he or she allegedly performed and that are 
being billed to Medicare, through a reassignment, by the entity that 
employs the physician as an independent contractor or employee. We 
disagree that our proposal would pose an unclear requirement for 
entities to meet. An entity that bills Medicare for services that were 
allegedly performed by a physician or other supplier in the entity's 
employ may not unreasonably refuse to provide access (or unreasonably 
delay in providing access) to the physician or other supplier with 
respect to the relevant billing information. We do not believe it is 
practical or necessary to attempt to define by regulation just how soon 
after a request an entity has to provide access, or whether, in a given 
case, an entity would be justified in refusing to provide access if the 
physician or supplier has already gained access to the records. Rather, 
we believe that entities should be guided by common sense and when in 
doubt may wish to err on the side of providing access, because an 
entity that unreasonably refuses to provide billing information or does 
not provide it in a timely manner may have its right to receive 
reassigned benefits revoked under Sec.  424.82(c)(3).
    Comment: We received one comment opposing the proposal. According 
to this commenter, in section 952 of the MMA, the Congress authorized 
us to make changes to the reassignment rules with respect to contractor 
arrangements only. The Congress evidenced no intent to change the 
reassignment rules with respect to employees, and nor is there any 
evidence of which the commenter is aware that right of access by 
employee suppliers is a current program integrity issue. The commenter 
also believes that access to billing information is a matter that 
should be left to the terms of a provider's employment contract.
    Response: For the reasons stated in the CY 2007 PFS proposed rule 
(71 FR 49057), we believe we are permitted, but not required, to make 
payment under the reassignment provisions. Moreover, we are under a 
statutory command, through section 1833(e) of the Act, to not make 
payment unless we are satisfied that payment is correct. Our rulemaking 
authority for our proposal is not based on section 952 of the MMA, but 
rather on our general rulemaking authority found at sections 1102(a) 
and 1871(a) of the Act. We also believe for the reasons stated in the 
proposed rule that the same program integrity concerns with respect to 
contractor access to billing records also apply to employee access to 
billing records. And, we reiterate that we are aware of allegations of 
employee suppliers being denied access to their billing records. 
Moreover, we do not believe it is sufficient to leave it to physicians 
and other suppliers to negotiate access to billing records as a 
condition of their employment, as the parties may have unequal 
bargaining power.
    Comment: A commenter stated that if the supplier has claims 
liability, he or she should have access to the billing records, but 
that if the supplier does not have claims liability he or she should 
not have access to the billing records.
    Response: Irrespective of whether the supplier has claims 
liability, we have an interest in knowing whether we are paying 
correctly for services that were furnished or furnished as billed. 
Therefore, we wish to provide a right of access to billing information 
to all suppliers who are furnishing services and reassigning payment to 
their employers, and we encourage them to avail themselves of this 
right in order to ensure that we are paying properly.

K. Coverage of Bone Mass Measurement

    In an IFC entitled ``Medicare Coverage of and Payment for Bone Mass 
Measurements'' published in the Federal Register on June 24, 1998 (63 
FR 34320), we implemented section 4106 of the BBA by establishing a new 
section, Sec.  410.31, Bone Mass Measurement: Conditions for Coverage 
and Frequency Standards. Section 4106 of the BBA statutorily defined 
BMM and individuals that are qualified to receive a BMM. The June 24, 
1998 IFC, under the ``reasonable and necessary'' provisions of section 
1862(a)(1)(A) of the Act, also established conditions for coverage of 
the tests that must be ordered by physicians or NPPs. Lastly, as 
directed by section 4106 of the BBA, we established frequency standards 
governing the time period when qualified individuals would be eligible 
to receive covered BMMs.
1. Provisions of the June 24, 1998 IFC
    The June 24, 1998 IFC implemented section 4106 of the BBA by 
establishing conditions for coverage and frequency standards for BMMs 
to ensure that they are paid for uniformly throughout the Medicare 
program and that they are reasonable and necessary for Medicare 
beneficiaries who are eligible to receive these measurements. This 
section summarizes the provisions discussed in the June 24, 1998 IFC.
a. Coverage Conditions and Frequency Standards
    We established conditions for coverage and frequency standards for 
medically necessary BMMs for five categories of Medicare beneficiaries 
in Sec.  410.31.
    In Sec.  410.31(a), we defined ``bone mass measurement'' based on 
the statutory definition in section 4106 of the BBA. In accordance with 
the ``reasonable and necessary'' provisions of section 1862(a)(1)(A) of 
the Act, we established the conditions for coverage of BMMs in Sec.  
410.31(b) of the regulations. Consistent with Sec.  410.32 (Diagnostic 
x-ray tests, diagnostic laboratory tests, and diagnostic tests: 
Conditions), we provided that coverage be available for the BMM only if 
it is ordered by the physician or a qualified NPP (as defined in Sec.  
410.32(a)) treating the beneficiary following an evaluation of the 
beneficiary's need for the test, including a determination as to the 
medically appropriate procedure to be used for the beneficiary. We 
believed that BMMs were not demonstrably reasonable and necessary 
unless (among other things) they are ordered by the physician treating 
the beneficiary following a careful evaluation of the beneficiary's 
medical need, and they are employed to manage the beneficiary's care.
    To ensure that the BMM is performed as accurately and consistently 
in accordance with appropriate quality assurance guidelines as 
possible, we required that it be performed under the appropriate 
supervision of a physician as defined in Sec.  410.32(b)(3). To ensure 
that the BMM is medically appropriate for the five categories specified 
in the law, we provided that it be reasonable and necessary for 
diagnosing, treating, or monitoring the condition of the beneficiary 
who meets the coverage requirements specified in Sec.  410.31(d).
    Furthermore, in Sec.  410.31(c), we set forth limitations on the 
frequency for covering a BMM. Generally, we cover a BMM for a 
beneficiary if at least 23 months have passed since the month the last 
BMM was performed. However, we allow for coverage of follow-up BMMs 
performed more frequently than once every 23 months when medically 
necessary. We listed the following examples of situations where more 
frequent BMMs procedures may be medically necessary to include:
     Monitoring beneficiaries on long-term glucocorticoid 
(steroid) therapy of more than 3 months.

[[Page 69690]]

     Allowing for a confirmatory baseline BMM (either central 
or peripheral) to permit monitoring of beneficiaries in the future if 
the initial test was performed with a technique that is different from 
the proposed monitoring method.
b. Beneficiaries Who May Be Covered
    In Sec.  410.31(d), we amended our regulations to conform to the 
statutory requirement that the following categories of beneficiaries 
may receive Medicare coverage for a medically necessary BMM:
     A woman who has been determined by the physician or a 
qualified NPP treating her to be estrogen-deficient and at clinical 
risk for osteoporosis, based on her medical history and other findings.
     An individual with vertebral abnormalities as demonstrated 
by an x-ray to be indicative of osteoporosis, osteopenia, or vertebral 
fracture.
     An individual receiving (or expecting to receive) 
glucocorticoid (steroid) therapy equivalent to 7.5 mg of prednisone, or 
greater, per day, for more than 3 months.
     An individual with primary hyperparathyroidism.
     An individual being monitored to assess the response to or 
efficacy of an FDA-approved osteoporosis drug therapy.
c. Waiver of Liability
    Section 410.31(e) provides that Medicare payment would be denied 
for a BMM in accordance with section 1862(a)(1)(A) of the Act if the 
regulatory standards are not satisfied. Existing regulations concerning 
limitation on liability are set forth in Sec.  411.400 through Sec.  
411.406 and are applicable to denial of BMMs under Sec.  410.31.
d. Payments for BMMs
    Medicare payments for covered BMMs are paid for under the PFS (42 
CFR part 414) as required by statute. In the June 24, 1998 IFC, we 
revised the definition of ``physician services'' in Sec.  414.2 to 
include bone mass measurements. When BMM procedures are furnished to 
hospital inpatients and outpatients, the TCs of these procedures are 
payable under existing payment methods for hospital services. These 
methods include payments under the prospective payment system, on a 
reasonable cost basis, or under a special provision for determining 
payment rates for hospital outpatient radiology services.
    In the June 24, 1998 IFC, we revised Sec.  414.50(a), regarding 
physician billing for purchased diagnostic tests, to clarify that the 
section does not apply to payment for BMMs.
e. Conforming Changes
    In the June 24, 1998 IFC, to allow for appropriate placement in the 
CFR of the BMM coverage requirements, we redesignated Sec.  410.31 
(Prescription drugs used in immunosuppressive therapy) as Sec.  410.30.
2. Additional Scientific Evidence
    In 2004, the Surgeon General issued a report, Bone Health and 
Osteoporosis (U.S. Department of Health and Human Services, Bone Health 
and Osteoporosis: A Report of the Surgeon General. Rockville, MD: U.S. 
Department of Health and Human Services, Office of the Surgeon General, 
2004). This report provides scientific evidence related to the 
prevention, assessment, diagnosis, and treatment of bone disease. The 
report states that identification of those at risk of bone disease and 
fracture is important so that appropriate interventions can be 
implemented. However, as the report states, ``Assessing the risk of 
bone disease and fracture remains a challenge. Not all of the risk 
factors have been identified, and the relative importance of those that 
are known remains unclear.''
    As bone strength is not measured directly, bone mineral density 
(BMD) remains the single best predictor of fracture risk, with the most 
widely accepted method for measuring BMD being the dual energy x-ray 
absorptiometry (DXA) for a bone density study at the axial skeleton 
(for example, hips and spine). As there are many sources of variability 
in the measurement of BMD, a quality control system related to both the 
methodology and reporting of test results is important to ensure the 
validity of DXA analysis.
    In addition to DXA of the axial skeleton, bone mass can also be 
measured using other techniques. These other techniques include DXA 
bone density study for the appendicular skeleton (for example, radius, 
wrist, heel); quantitative computerized tomography (QCT), BMD study for 
the axial skeleton or appendicular skeleton; radiographic 
absorptiometry (photodensitometry, radiogrammetry); single-photon 
absorptiometry (SPA); single energy x-ray absorptiometry (SXA) for the 
appendicular skeleton; and ultrasound BMD study for the appendicular 
skeleton. For these techniques (except for SPA which was not 
discussed), the 2004 Surgeon General report states, ``While these 
methods do assess bone density and may provide an indication of 
fracture risk, it is important to note that the WHO [World Health 
Organization] recommendations and other guidelines for using BMD and 
interpreting BMD results for diagnosis are based on DXA measurements of 
the hip or spine.'' The report further states, ``Incorporating these 
techniques for bone assessment into future clinical trials and 
observational studies will help in better understanding their 
appropriate use as a means of predicting the risk of bone disease and 
fracture.''
3. Changes to the June 24, 1998 IFC
    We received 18 public comments on the June 24, 1998 IFC. The 
majority of the comments had specific recommendations for changes to 
the IFC. Based on the comments received on the IFC, the Surgeon 
General's report, and other evidence, we proposed changes to Sec.  
410.31. We solicited comments on these proposals.
4. Analysis of and Response to Comments on the June 24, 1998 IFC and 
the CY 2007 PFS Proposed Rule
    In this final rule, we are responding to the public comments that 
we received on our proposed revisions to Sec.  410.31. In addition, as 
we stated in CY 2007 proposed rule, we are responding to the public 
comments received on the June 24, 1998 IFC. We received approximately 
35 timely public comments on our proposed revisions to the regulations 
regarding coverage for bone mass measurements (Sec.  410.31). Most 
commenters supported the proposed coverage revisions and noted their 
specific concerns and provided suggested revisions to several of the 
coverage provisions. However, most of the commenters expressed 
significant concerns regarding proposed payment reductions for these 
tests that would result from initiatives described in other sections of 
the proposed rule relative to PE and other payment calculations. 
Comments and our responses regarding the proposed payment reductions 
are detailed in section II.A.4. of the preamble to this final rule. The 
following is a summary of our proposals and the comments received and 
our responses on the coverage for bone mass measurement:
a. ``BMM'' Definition (Sec.  410.31(a))
    At Sec.  410.31(a)(2), we proposed to revise the definition of 
``bone mass measurement'' to remove coverage for the use of SPA, which 
uses isotope sources to measure BMD. Many medical experts indicate that 
SPA has largely been replaced by the newer techniques of DXA, which are 
believed to be superior in accuracy and precision. Medicare claims data 
in recent years

[[Page 69691]]

continue to show a steady decline in the use of the SPA procedure by 
the beneficiary population. Further, there is a lack of evidence to 
support continued use of SPA, an older procedure where the metrics have 
not been correlated with fracture rate.
    We proposed to revise the definition of a ``bone mass measurement'' 
to read, ``Is performed with either a bone densitometer (other than a 
single-photon or dual-photon absorptiometry) or with a bone sonometer 
system that has been cleared for marketing for this use by the FDA 
under 21 CFR part 807, or approved for marketing by the FDA for this 
use under 21 CFR part 814.''
    Comment: We requested comments on our proposal to noncover SPA, 
including any evidence of benefit for this technique, particularly in 
comparison with other alternatives. Most of the commenters supported 
the position that SPA has largely been replaced by the newer, more 
accurate, and precise techniques such as SEXA and DXA, and we should 
not continue to cover them. However, a commenter from the June 24, 1998 
IFC suggested that while use of SPA devices (at the wrist) is declining 
as newer and faster equipment is becoming available, we should continue 
to cover their use indefinitely based on the view that their accuracy 
and precision are close to that of x-ray based techniques at the wrist 
and heel and that their radiation exposure is low.
    Response: We agree with the more recent comments concerning SPA and 
note that we proposed to noncover SPA tests beginning in CY 2007. In 
response to the June 24, 1998 IFC comment regarding continuing coverage 
indefinitely, we note that Medicare claims data in recent years 
continue to show a steady decline in the use of the SPA procedure by 
the beneficiary population as the more accurate and precise procedures 
have become much more widely available. We agree that there is a lack 
of evidence to support continued use of the older SPA procedure where 
the metrics have not been correlated with fracture risk. Therefore, we 
are revising the definition of ``bone mass measurement'' in Sec.  
410.31(a) to remove coverage for the use of SPA. As a result, the 
status indicator for CPT code 78350 will change from active (A) to 
noncovered (N) effective January 1, 2007.
    Comment: A June 24, 1998 IFC commenter expressed the view that 
available research and their experience had demonstrated that the use 
of peripheral DXA at the heel is superior to any other BMD test taken 
at any other peripheral site. The commenter believes that the heel DXA 
is a superior approach for the initial osteoporosis screening because 
of its--(1) strong correlation to fracture probability; (2) the 
reactive nature of the heel to bone mass changes; (3) patient 
preference for a less threatening exam; (4) the elimination of 
radiation exposure to the abdomen that results from a central bone mass 
measurement; and (5) the ability of the peripheral heel DXA to deliver 
a service at a lower cost than most other BMM technologies.
    Response: Based on our review of the available medical literature, 
we have determined that there is insufficient evidence to conclude that 
peripheral DXA at the heel is a superior method of BMD measurement when 
compared to other peripheral sites. Thus, we are not making any changes 
to our proposal based on this comment.
    Comment: A commenter expressed concern about our statement in the 
June 24, 1998 IFC indicating that QCT can measure bone density at the 
spine and hip. The commenter indicated that only central (axial) DXA 
can measure BMD at the spine or hip and QCT is limited to the spine or 
the wrist. The commenter also stated that spine QCT exposes the patient 
to a significantly higher dose of radiation and that the technique is 
significantly less precise than central DXA or peripheral DXA or 
ultrasound. The commenter recommended that we drop coverage of this 
technique once there is sufficient geographic overlap between QCT and 
the alternative techniques, which are believed to be less costly, 
safer, and a more precise means of measuring bone mass than the QCT 
technique.
    Response: On the basis of our review of the existing medical 
literature, we have determined that QCT can provide both central (spine 
and hip) and peripheral BMD measurements but does expose the patient to 
significantly higher doses of radiation. Though the appropriate use of 
QCT has yet to be defined, it may be used as an alternative to spine 
and hip DXA measurements as a method for measuring BMD (Surgeon 
General's Report, 2004). Therefore, we are not making any changes to 
our proposal as a result of this comment.
    Comment: Another commenter from the June 24, 1998 IFC stated that 
there is insufficient evidence to support the clinical utility of BMD 
measurements of an individual's finger, tibia, or patella, which are 
performed by the use of either a peripheral x-ray or an ultrasound 
device, and suggested that measurement of those peripheral sites not be 
covered under Medicare.
    Response: Measurement of peripheral bone density for screening and 
initial diagnosis can be accomplished by various techniques, though the 
appropriate use of these technologies in the prediction of bone disease 
and the risk of fracture has yet to be clearly defined. Therefore, we 
are not revising our proposal based on this comment.
b. Conditions for Coverage (Sec.  410.31(b))
    In Sec.  410.31(b), we proposed to revise the conditions for 
coverage for BMMs by requiring that for a medically necessary BMM to be 
covered for an individual being monitored to assess the response to or 
efficacy of an FDA-approved osteoporosis drug therapy (Sec.  
410.31(d)(5)) the individual would be required to meet the present 
conditions for coverage under Sec.  410.31(b), and the monitoring would 
have to be performed by the use of an DXA system (axial system).
    We recognized that in the June 24, 1998 IFC, we allowed the 
physician or qualified NPP treating the beneficiary more flexibility in 
ordering those diagnostic measurements, but we proposed to limit that 
flexibility for the type of BMM that is used for monitoring individuals 
receiving osteoporosis drug therapy and other purposes (as discussed 
later in this section) because of new evidence and other information 
received since publication of the June 24, 1998 IFC that supports the 
need for requiring the use of the DXA measurement (axial skeleton) in 
those circumstances. In addition to the 2004 Surgeon General's Report 
that recognized the superiority of the DXA (axial skeleton) for 
measuring bone mass over time, the International Society for Clinical 
Densitometry currently recommends that if an individual has a low bone 
mass using a peripheral measurement (appendicular skeleton) he or she 
should have a DXA (axial skeleton) performed for monitoring or 
confirmatory diagnostic purposes.
    Therefore, we also proposed to revise Sec.  410.31(b) by adding a 
requirement that in the case of any individual who qualifies for a BMM 
as provided for in Sec.  410.31(d) and who receives a confirmatory 
baseline BMM to permit monitoring in the future, Medicare may cover a 
medically necessary BMM for that individual, if the present conditions 
for coverage under Sec.  410.31(b) are met, and the BMM is performed by 
a DXA system (axial skeleton) (if the initial measurement was not 
performed by this system).
    As indicated previously in this section, the most widely accepted 
method for measuring BMD is the use of DXA (Surgeons General's Report 
2004) at axial skeletal sites. DXA (axial skeleton) measures BMD at the 
hip and

[[Page 69692]]

spine (sites likely to fracture in patients who have osteoporosis). DXA 
is precise, safe, and low in radiation exposure, and permits more 
accurate and reliable monitoring of individuals over time. DXA of the 
femoral neck is the best validated test to predict hip fracture and is 
comparable to forearm measurements for predicting fractures at other 
sites (Evidence Report/Technology Assessment No 28, Agency for 
Healthcare Research and Quality (AHRQ), January 2001).
    Comment: Several June 24, 1998 IFC commenters expressed concern 
regarding the following statement from the June 24, 1998 IFC that 
``there is a consensus that measurements of the central skeletal sites 
is the preferred method of assessment'' as compared with measurements 
of peripheral skeletal sites. These commenters stated that peripheral 
devices provide basically the same measurement benefits as central 
devices and have the added advantages of being easier to use, allowing 
greater patient accessibility, and reducing patient radiation exposure. 
However, the majority of the commenters on both the IFC and the 
proposed rule, strongly supported the aforementioned statement from the 
IFC and expressed specific concern that the IFC allowed for coverage of 
peripheral BMMs that have not been demonstrated to be useful in 
monitoring patients who are receiving osteoporosis drug therapies. 
These commenters agreed that only central devices (especially the DXA 
device) were useful in monitoring patients receiving pharmacologic 
therapy and they specifically recommended that peripheral tests be 
limited to screening for osteoporosis, and not be used for monitoring 
patients receiving FDA-approved osteoporosis drug therapy.
    Response: As we indicated in the proposed rule, we agree that the 
most widely accepted method for measuring BMD is the use of dual x-ray 
absorptiometry (DXA) (Surgeon General's report 2004) at central 
skeletal sites. DXA measures BMD at the hip and spine (sites likely to 
fracture in patients who have osteoporosis), is precise, safe, and low 
in radiation exposure, and permits monitoring over time. DXA of the 
femoral neck is the best validated test to predict hip fracture and is 
comparable to forearm measurements for predicting fracture at other 
sites (AHRQ report 2001). The World Health Organization (WHO) 
classification of BMD for the diagnosis of osteoporosis is based 
primarily on reference data obtained by DXA of the axial skeleton. When 
monitoring the effectiveness of therapy, these central skeletal sites 
are more likely than peripheral sites to show an increase in BMD over 
time. For these reasons, we believe that the use of DXA at central 
sites is the best method for measuring BMD for both monitoring patients 
receiving FDA-approved osteoporosis drug therapy, and confirming BMD 
measurements performed on peripheral devices for patients who may be 
monitored in the future. In view of the comments received and our 
review of the medical literature, and other information, we are 
adopting our revision of Sec.  410.31(b) without change.
    Comment: While most of the commenters supported our proposal to 
limit coverage of monitoring patients receiving osteoporosis drug 
therapy and for performing confirmatory baseline tests to the DXA of 
the central (axial) skeleton, several commenters urged us not to 
preclude coverage of QCT of the central (axial) skeleton for these 
purposes for individuals who have had an initial screening with a 
peripheral test. These commenters stated that the QCT technology has 
been relied upon for some time now by certain hospitals and imaging 
centers, and it would be unfair to them and their patients to preclude 
coverage for their tests in the final rule.
    Response: We agree with the commenters who supported our proposal 
to limit coverage of monitoring patients receiving osteoporosis drug 
therapy, for performing confirmatory baseline test to the DXA of the 
central (axial) skeleton, and to not allow coverage of the QCT for 
these purposes. (Surgeon General's Report, 2004). The radiation 
exposure is significantly higher, for example, with the use of the 
lumbar spine QCT than is the case with the use of the DXA at central 
skeletal sites (Surgeon General's Report, 2004). Therefore, we are not 
making any change to our proposal based on these comments.
    Comment: A commenter supported our proposal to change the 
conditions of coverage and standards on frequency of bone mass 
measurements to encourage the use of DXA of the axial skeleton for 
confirmatory baseline tests and for monitoring a patient's response to 
therapy, but cautioned that the medical literature does not support the 
use of DXA or other BMMs to assess efficacy of osteoporosis therapies. 
The commenter recommended that CMS clarify that BMM is not appropriate 
for monitoring the efficacy of osteoporosis therapies in preventing 
bone fractures.
    Response: We recognize that the goals of monitoring patients are to 
increase adherence to treatment regimens and determine treatment 
response even though monitoring by densitometry has not been 
demonstrated to be effective in improving compliance (NIH Consensus 
Panel, 2001). Importantly, BMD changes are not correlated with the 
fracture risk reduction resulting from antiresorptive treatment (Roux, 
Garnero 2005). Therefore, while the efficacy of antiresorptive 
treatments has been verified in large trial powered to show reductions 
in fracture risk, it does not appear that fracture risk can be measured 
in individual patients being treated for osteoporosis. We are not 
making any changes to the final rule based on this comment.
c. Bone Mass Measurement: Standards on Frequency of Coverage (Sec.  
410.31(c))
    To conform the examples of a BMM exception to the standards on 
frequency of coverage in Sec.  410.31(c)(2) to the regulation change we 
proposed in Sec.  410.31(b)(3), we proposed to revise the confirmatory 
baseline test example in Sec.  410.31(c)(2)(ii) to read, ``Allowing for 
a confirmatory baseline measurement to permit monitoring of 
beneficiaries in the future if the requirements of paragraph (b)(3) of 
this section are met.''
    Comment: A number of commenters offered recommendations on the 
exceptions in paragraph (c)(2) to the general rule in paragraph (c)(1) 
that provided that ``Except as allowed under paragraph (c) (2) of this 
section, Medicare may cover a bone mass measurement (BMM) for a 
beneficiary if at least 23 months have passed since the month the last 
BMM was performed.'' The exceptions specified were-- (1) monitoring 
beneficiaries on long-term glucocorticoid (steroid) therapy of more 
than 3 months; and (2) allowing for a confirmatory baseline BMM to 
permit monitoring of beneficiaries in the future. These commenters 
indicated that in addition to the exceptions specified in paragraph 
(c)(2), there were certain individuals who were at higher risk of bone 
loss due to a disease, drug therapy, or other reasons who should be 
measured more frequently than once every 2 years. Most of these 
commenters recommended that these individuals should have a follow-up 
measurement at least once every 12 or every 12 to 18 months. Another 
commenter asked us to make an exception under paragraph (c) (2) for 
individuals with hyperparathyroidism who due to their diagnosis require 
both a DXA of the axial and the appendicular skeleton upon initial 
testing.
    Response: In establishing the frequency of coverage general rule in 
Sec.  410.31(c)(1) of the IFC, we relied upon the guidance of the 
American Association of Clinical

[[Page 69693]]

Endocrinologists, the ACR, and the National Osteoporosis Foundation, 
which appeared to be generally in agreement for the need to follow 
certain clinical guidelines for performing follow-up BMMs to the 
initial BMM that is performed. Based on that information, we specified 
in the June 24, 1998 IFC a general frequency of coverage interval of 
one follow-up examination every 2 years, identifying examples of 
situations where more frequent BMMs may be covered when medically 
necessary. We have decided to basically retain that general frequency 
of coverage standard and continue to allow Medicare contractors to 
cover additional exceptions to the specified exception examples based 
on medical necessity, even though there is a lack of evidence that 
adjusting therapy based on serial densitometry at any level improves 
outcomes (AHRQ Report 2001). Follow-up testing should be done when the 
expected change in BMD is at least equal to or exceeds the least 
significant change, which is the smallest change in BMD that is beyond 
the range of error, as changes in BMD are usually small in proportion 
to the error inherent in the test itself (Baim, Wilson et al., 2005). 
Each DXA facility should determine its precision error and then 
calculate the least significant change (Baim, Wilson et al., 2005). 
Regarding the comment on individuals with hyperparathyroidism, we 
recognize that the mechanics of bone loss may be different for these 
patients than they are for estrogen-deficient post-menopausal women, 
resulting in fracture risks that may be different and more difficult to 
determine (Miller, Bilezikian, 2002). Thus, it may be medically 
necessary for a treating provider to perform both a DXA of the axial 
and the appendicular skeleton in the initial screening of patients with 
this diagnosis. However, we believe the evidence is insufficient to 
establish a national policy exception to the 2-year frequency standard 
for these individuals as specified in Sec.  410.31(c). Nonetheless, we 
have decided to allow the treating provider to determine what is 
medically necessary in any particular case, subject to the review of 
the local Medicare contractor.
    Comment: A June 24, 1998 IFC commenter questioned whether we would 
cover bone mass measurements for individuals on steroid therapy every 6 
months after the initial treatment, as well as a baseline exam at the 
start of therapy as was suggested in the reference to the 
recommendations of others in the June 24, 1998 IFC (63 FR 34234).
    Response: For those individuals on steroid therapy who are at high 
risk for osteoporosis, as well as for other medical circumstances where 
it might be appropriate to cover more than one BMM every 2 years, the 
treating provider currently has considerable flexibility in accordance 
with our regulations to determine the frequency of testing in any 
particular case, subject to the review of the local Medicare 
contractor. However, in the absence of sufficient evidence in the 
medical literature to support any specific frequency interval for 
individuals receiving steroid therapy, we are not establishing any 
specific frequency interval for coverage of these individuals in this 
regulatory example of possible exceptions to the general standard in 
section Sec.  410.31(c) of the final rule. Rather, we are leaving this 
to our local Medicare contractors, based on the best evidence that is 
available to them and their medical consultants.
    Comment: A June 24, 1998 IFC commenter expressed concern regarding 
our policy in Sec.  410.31(c)(2)(ii) that allows coverage of a 
confirmatory baseline BMM (either central or peripheral) to permit 
monitoring of beneficiaries in the future if the initial test was 
performed with a technique that is different from the proposed 
monitoring method. That is, a qualified individual may be tested 
initially with DXA at the hip and spine and then have a confirmatory 
test with a peripheral device on which the patient is to be monitored 
every 2 years. The commenter suggested that this policy be revised to 
preclude coverage of the confirmatory test by the use of a peripheral 
device because its precision is significantly poorer than the 
stationary table DXA. The commenter believes that peripheral devices 
are best suited for screening and initial diagnosis and not for 
monitoring a patient's response to drug therapy.
    Response: We agree that confirmatory testing with a peripheral 
device should be precluded from coverage. As stated in the Surgeon 
General's report, as well as recommendations by the International 
Society of Clinical Densitometry (Journal of Clinical Densitomery 2004; 
7:1-5), central skeletal sites are most appropriate for monitoring the 
effectiveness of therapy, as they are more likely than peripheral sites 
to show an increase in BMD in response to treatment. Therefore, we 
included a provision in the proposed rule revising Sec.  
410.31(c)(2)(ii) to preclude coverage of a confirmatory test that is 
performed with the use of a peripheral device and to limit such 
coverage to a central (axial) DXA. For the reasons described above, as 
well as the general support of the public commenters on the proposed 
rule, we are adopting this revision as final without change.
d. Bone Mass Measurement: Beneficiaries Who May Be Covered (Sec.  
410.31(d))
    The Congress has recognized that individuals receiving long-term 
glucocorticoid steroid therapy are qualified individuals for purposes 
of section 1861(rr)(1) of the Act. Therapy to prevent bone loss in most 
patients beginning long-term therapy has been recommended at a 
prednisone equivalent of greater than 5 mg/day for at least 3 months 
(McIlwain, 2003). Based on our review of the current evidence, we 
proposed to reduce the dosage equivalent in Sec.  410.31(d)(3) from an 
average of 7.5 mg/day of prednisone for at least 3 months to an average 
of 5.0 mg/day of prednisone for the same period.
    Comment: A number of commenters expressed concern that certain 
categories of individuals that warranted inclusion under the BMM 
benefit were not covered and they recommended that the IFC be revised 
to include them in the final rule. However, a commenter noted that the 
Medicare law needed to be amended so that the legal definition of 
``qualified'' individuals for BMM coverage keeps pace with additional 
current scientific and clinical evidence on who is at risk for 
osteoporosis. Overall, more than 27 additional categories of 
``qualified'' individuals were recommended for coverage of bone mass 
measurements under the benefit. These included patients diagnosed with 
male hypogonadism, Parkinson's disease, multiple sclerosis, myasthenia 
gravis, Gaucher's disease, mastocytosis, malabsorption syndromes, 
history of bulimia, chronic lung disease, renal disease, diabetes 
mellitus, rheumatoid arthritis, secondary hyperparathyroidism and 
nonvertebral fractures, tobacco dependence, as well as patients on 
heparin therapy, anticonvulsant therapy, methotrexate therapy, thyroid 
replacement therapy, and antiepileptic drug therapy, etc.
    Response: We have carefully reviewed the above additional 
categories of individuals who have been recommended for Medicare 
coverage under the final rule, and have concluded that they do not 
qualify for coverage under the specific statutory language mentioned 
above. Section 1861(rr) of the Act provides that the term ``qualified 
individual'' for purposes of this benefit means ``an individual who is 
(in accordance with regulations prescribed by the Secretary)--(A) an 
estrogen-deficient

[[Page 69694]]

woman at clinical risk for osteoporosis; (B) an individual with 
vertebral abnormalities; (C) an individual receiving long-term 
glucocorticoid steroid therapy; (D) an individual with primary 
hyperparathyroidism; or (E) an individual being monitored to assess the 
responsive to or efficacy of an approved osteoporosis drug therapy.'' 
Therefore, we believe a change in the Medicare statute would be 
required in order for us to cover these additional categories of 
individuals under the BMM benefit.
    Comment: Most of the commenters supported our broad interpretation 
of the statutory category of ``An estrogen-deficient woman and at 
clinical risk for osteoporosis'' that was specified in the interim 
final regulation provision Sec.  410.31(d)(1). A June 24, 1998 IFC 
commenter noted that because the risk factors associated with 
osteoporosis are so numerous and complex, it is appropriate to allow a 
woman's treating physician or other treating practitioner to determine 
whether she is estrogen-deficient or a clinical risk of osteoporosis. 
However, several June 24, 1998 IFC commenters were concerned about how 
the definition would be implemented by Medicare contractors. A 
commenter expressed concern that because there is not an existing ICD-
9-CM diagnosis code to describe the condition of estrogen-deficient, 
this could result in the need for practitioners to use several other 
ICD-9-CM codes that describe conditions likely to result from estrogen 
deficient, and in variations in Medicare coverage from carrier to 
carrier.
    Response: We allowed the treating physician or other treating 
practitioner the discretion and flexibility to determine whether a 
female beneficiary is estrogen-deficient and at clinical risk for 
osteoporosis. Creating a code specifically for reimbursement when the 
condition is described by other codes is not required. Therefore, we 
are not making any changes to our proposals based on these comments.
    Comment: Several IFC commenters indicated that the beneficiary 
category in Sec.  410.31(d)(5) of ``An individual being monitored to 
assess the response to or efficacy of an FDA-approved osteoporosis drug 
therapy'' is too limited and should be expanded to include coverage of 
individuals receiving other treatments, including certain medications 
that do not have FDA approval for osteoporosis treatment, and certain 
rehabilitation treatments such as therapy-weight lifting and similar 
interventions. A commenter noted, for example, that didronel, which has 
been approved by the FDA for the treatment of Paget's disease, is not 
FDA-approved for osteoporosis treatment but, its safety and efficacy in 
reducing or reversing steroid-induced osteoarthritis is supported by a 
large body medical literature.
    Response: We recognize that not all Medicare beneficiaries who are 
treated for osteoporosis are prescribed FDA-approved osteoporosis drug 
therapy. However, in implementing the statutory mandate in section 
1861(rr)(2) of the Act to include as a ``qualified individual'' for 
Medicare-covered bone mass measurements ``an individual being monitored 
to assess the response to, or efficacy of an approved osteoporosis drug 
therapy,'' we do not believe it is appropriate for us to extend such 
coverage to beneficiaries who are receiving non-FDA approved 
osteoporosis drug therapies. Thus, we are not adopting the changes 
recommended by the commenters.
    Comment: A number of commenters addressed our proposal to revise 
Sec.  410.31(d)(3) which stated that one of the categories of 
beneficiaries who was entitled to receive Medicare coverage for a 
medically necessary BMM was ``An individual receiving (or expecting to 
receive) glucocorticoid (steroid) therapy equivalent to 7.5 mg of 
prednisone, or greater, per day for more than 3 months.'' The majority 
of these commenters suggested that the minimum requirement of 7.5 mg of 
prednisone, or greater, per day provision was too strict, and that a 
dose requirement of 5.0 mg per day was more appropriate. However, 
several commenters stated that even lower dosage amounts than 5.0 mg 
have been shown to cause significant bone loss over prolonged periods 
of time, usually because of comorbidities such as rheumatoid arthritis. 
A commenter recommended that this beneficiary category be expanded to 
allow coverage for any patient taking steroids for longer than 3 months 
regardless of the dose that is taken by the patient. Another commenter 
was also concerned about the 7.5 mg of prednisone, or greater, per day 
provision, but suggested a minor change that would allow an individual 
receiving (or expecting to receive) glucocorticoid (steroid) therapy 
equivalent to an average of 7.5 mg of prednisone, or greater, per day 
for more than 3 months to be covered under the benefit. This commenter 
stated that use of the average measurement is more in line with the 
realities of modern medicine and would clarify that those individuals 
who are receiving the same dosage at different intervals (every other 
day) are eligible for coverage.
    Response: We agree that the minimum 7.5 mg of prednisone dose 
provision needs to be lowered and that use of an average dose 
measurement in specifying this standard is appropriate. Patients with 
glucocorticoid-induced osteoporosis appear to be at high risk for 
fractures. Researchers have reported that reductions in bone mass have 
been seen as early as 3 months after starting therapy (McIlwain, 2003). 
Therapy to prevent bone loss in most patients beginning long-term 
therapy has been recommended at a prednisone equivalent of >=5 mg/day 
for at least 3 months (McIlwain, 2003). Based on the comments that we 
have received and our review of the current evidence, we are adopting 
our proposal to revise Sec.  410.31(d)(3) to reduce the minimum dosage 
requirement from 7.5 mg to an average of 5.0 mg/day of prednisone for 
at least 3 months.
    Comment: Several IFC commenters expressed concern that Medicare 
beneficiaries at risk for osteoporosis due to their use of 
antiepileptic drugs are not eligible for an initial bone mass screening 
because they are not included in any of the five categories of patients 
defined as ``qualified individuals.'' The commenter indicates that if 
it is not possible to change this under current law is it possible for 
us to confirm that follow-up monitoring tests would be covered every 2 
years for a patient on anti-epileptic drugs who shows signs of 
osteoporosis and who is then placed on osteoporosis FDA-approved drug 
therapy.
    Response: We agree that patients on antiepileptic drugs may be at 
increased risk for fractures. Still, the current law does not generally 
address this group of patients as ``qualified'' individuals under 
section 1861(rr) of the Act. Monitoring of individuals on anti-
epileptic drugs who may also be FDA-approved drug therapy for 
osteoporosis, of course, may be covered as provided under the BMM 
benefit.
e. Use of the NCD Process (Sec.  410.31(f))
    To facilitate future consideration of coverage of additional BMM 
systems for purposes of proposed paragraphs Sec.  410.31(b)(2) and 
(b)(3), which will limit coverage of BMMs for monitoring individuals 
receiving osteoporosis drug therapy and for performing confirmatory 
baseline measurements, we proposed to identify additional BMM systems 
for those purposes through the NCD process. By using the NCD process, 
we could conduct a timely assessment of FDA-approved BMMs. Use of an 
NCD to add coverage of effective BMM systems for these purposes is 
authorized by the reasonable and necessary provision of

[[Page 69695]]

sections 1862(a)(1)(A) and 1871(a)(2) of the Act.
    Comment: One commenter requests that we give Medicare carriers 
discretion to cover new and advanced technologies that become available 
to screen for risk of fracture rather than requiring that such 
technologies be evaluated through the NCD as specified in the proposed 
rule. The commenter stated that the NCD process can be long and 
cumbersome, and that requiring that new technologies be added through 
this process could prevent beneficiaries from having access to these 
new and better technologies for some length of time.
    Response: The IFC implemented section 4106 of the BBA by 
establishing conditions for coverage and frequency standards for BMMs 
to ensure that (among other things) they are paid for uniformly 
throughout the Medicare program. To ensure that important new and 
advanced BMM technologies as defined under the statute and regulations 
are paid for uniformly under the program, we believe they should be 
identified and evaluated through the NCD process. By relying on the NCD 
process for this purpose, we believe we will able to conduct a timely 
assessment of FDA-approved BMMs for possible uniform coverage under the 
program that is not possible if we left this to local contractor 
discretion. In most circumstances, the NCD process is required to be 
completed within 9 to 12 months of the time that we accept a formal 
request for an NCD on a particular procedure.
    Comment: Several commenters noted that the WHO is currently in the 
process of developing a standardized methodology for determining 
fracture risk. A commenter indicated that although DXA is one important 
tool for measuring fracture risk, there are other clinical risk factors 
that are also important to evaluation, specifically to determine which 
patients are likely to best respond to treatment. The commenters 
suggested that employing the new risk assessment methodology may lead 
to better patient outcomes by helping providers better identify those 
patients who should be on therapy and they ask CMS to recognize this 
new assessment methodology for coverage under Medicare Part B when WHO 
completes its work on it.
    Response: We do not know enough about the parameters of the 
standardized methodology for determining fracture risk that the WHO is 
developing to respond very specifically to this comment. However, if 
this standardized methodology for measuring fracture risk relies on the 
use of a device or technique that meets our definition of a BMM as 
defined in Sec.  410.31(a), we believe it would be appropriate to 
consider evaluating any formal request for an NCD for such a device or 
technique, if it were submitted to us for evaluation.
f. Other Issues
    Comment: A commenter questioned why there was no discussion in the 
IFC about the importance of ethnicity as a risk factor for low bone 
mass and osteoporosis. The commenter suggests that ethnicity is one of 
the most important risk factors for low bone mass and osteoporosis.
    Response: We agree that ethnicity as well as many other risk 
factors may result in certain individuals being considered to be more 
likely to develop osteoporosis than other individuals. For example, the 
National Osteoporosis Foundation (NOF) and other medical professional 
organizations have reported that Caucasians and Asians appear to be 
more at risk for developing osteoporosis than other ethnic groups. 
However, the NOF has also indicated that significant risk has been 
reported in people of all ethnic backgrounds, including African-
Americans and Hispanic-Americans. The reason that this subject was not 
discussed in the IFC was that ethnicity was not specifically identified 
in the BMM Amendment that was enacted in 1997 as a risk factor or 
medical indication that warranted Medicare coverage of bone mass 
measurements. Therefore, a careful examination of this subject is 
beyond the scope of this final rule. However, we expect that in 
completing an evaluation of the beneficiary's need for the bone mass 
measurement, as provided in Sec.  410.31(b)(1), the physician or other 
qualified practitioner (as these terms are defined in the regulation) 
will take ethnicity and other significant risk factors into account in 
ordering medically necessary tests for individual patients to the 
extent that it is possible to do so under the statutory beneficiary 
categories specified in Sec.  410.31(d).
    Comment: Several commenters indicated that the IFC offered 
insufficient guidance on how to document the medical necessity of bone 
mass measurements performed on ``qualified individuals'' (Sec.  
410.31(d)) by the use of ICD-9-CM diagnosis codes. The commenter 
suggested that we develop national guidelines that would help providers 
in documenting the medical necessity of bone mass measurements.
    Response: The IFC did not provide guidance on the ICD-9-CM 
diagnosis codes that could be used by physicians or other providers in 
documenting Medicare claims for bone mass measurements. However, our 
original intent was that local Medicare contractors were to be 
responsible for developing those appropriate specific diagnostic coding 
guidelines for the physicians and other providers in their respective 
localities and for communicating those guidelines to them and to the 
general medical community, and they have been doing that successfully 
since 1998. We expect our contractors will continue to do this as 
necessary in the future.
    Comment: A commenter suggests the need for a unique CPT code or 
modifier to help distinguish a ``confirmatory baseline bone mass 
measurement'' from a BMM that may be in violation of the frequency of 
coverage standard of one follow-up monitoring test every 2 years.
    Response: We do not believe there is a need to establish a unique 
CPT code or modifier to distinguish a ``confirmatory baseline bone mass 
measurement'' for a BMM that may be in violation of the frequency of 
coverage standard of one follow-up monitoring test every 2 years 
because local Medicare contractors rely on the use of frequency screens 
(or edits) in determining whether follow-up tests are medically 
necessary for individual patients. These frequency screens (or edits) 
do not require the use of a unique CPT code or modifier by providers in 
billing for these follow-up tests in order for local contractors to be 
effective in making their medical necessity determinations.
    In view of the comments and our review of the medical literature, 
and other information, we are adopting our proposed revisions to Sec.  
410.31 as final without change.

L. Independent Diagnostic Testing Facility (IDTF) Issues

1. IDTF Changes
    During the course of a national review in 2003-2004, the OIG found 
a potential $71 million in improper payments made to IDTFs (Review of 
Claims Billed by Independent Diagnostic Testing Facilities for Services 
Provided to Medicare Beneficiaries During Calendar Year 2001 (A-03-03-
00002)). The OIG found that erroneous payments were made as the result 
of poor or missing documentation or lack of medical necessity. 
Moreover, in recent years, we have determined with the help of our 
contractors that a number of IDTFs in California and other States are 
perpetrating schemes to defraud the Medicare program.

[[Page 69696]]

    Since 2000, the number of IDTFs in California has increased by 40 
percent, which is a far greater percentage increase than the Medicare 
population in that State. The number of IDTFs billing Medicare in 
California alone increased more than 400 percent from 2000 to 2005. The 
increased use of IDTF services has not lowered the use of diagnostic 
testing within other settings. The increased rates of utilization 
within IDTFs are likely to be unrealistic due to an increase in the 
need for diagnostic testing within California's Medicare population. 
Also, these IDTFs are growing at a rate faster than we can survey these 
facilities. The actual growth of IDTFs is not a problem. However, the 
results of the OIG audit make it clear that we need to closely monitor 
IDTFs and establish standards to ensure quality care for Medicare 
beneficiaries. To address the erroneous payments identified by the OIG, 
we proposed to establish IDTF performance standards similar to those in 
Sec.  424.57 which we adopted for Durable Medical Equipment, 
Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers in the 
Additional Supplier Standards final rule published in the October 11, 
2000 Federal Register (65 FR 60366).
    In the CY 2007 PFS proposed rule, we proposed that each IDTF be 
required to be in compliance with the proposed fourteen suppler 
standards discussed in section II.L.2. of this final rule with comment 
period to obtain or retain enrollment in the Medicare program (71 FR 
49061). Accordingly, at Sec.  410.33(h), we proposed that if an IDTF 
fails to meet one or more of the standards at the time of enrollment or 
at the time of re-enrollment, then its enrollment application would be 
denied. Also, if at any time we determine that an enrolled IDTF no 
longer meets the performance standards, its billing privileges would be 
revoked.
    We believe that these performance standards are needed to ensure 
that minimum quality standards are met to protect beneficiaries, as 
well as the Medicare Trust Fund. These standards are merely good 
business practices that will help to ensure that suppliers are 
providing a quality care to Medicare beneficiaries. Examples of the 
kind of standards are a primary business phone number and address. 
Another example is a posting of standards for review by patients and 
the public.
    For IDTFs, we proposed to adopt a number of standards that we 
adopted for DMEPOS suppliers, including supplier standard number 6 
which requires a supplier to maintain a comprehensive liability 
insurance policy of $300,000 or 20 percent of its average annual 
Medicare billings, whichever amount is greater, that covers both the 
place of business and all customers and employees of the IDTF.
    Furthermore, we proposed in the new performance standard number 7 
that an IDTF agrees not to directly solicit patients. This provision 
does not preclude the IDTF from public advertisement or marketing its 
services to physicians and other suppliers, however it does prohibit 
recruitment of beneficiaries through direct solicitation.
    Additionally, the IDTF will be required to grant us, or our 
designated fee-for-service contractors, including our agents, to have 
access to the IDTF physical location, all equipment, and beneficiary 
medical records during normal business hours. For portable equipment, 
an IDTF will be required to maintain a catalog of portable equipment 
and be able to produce the cataloged equipment within 2 business days. 
If the IDTF denies this access, the IDTF's Medicare enrollment will be 
immediately revoked.
    To ensure that equipment used by an IDTF is maintained and operates 
properly, we sought public comments regarding IDTF supplier standard 
number 11, which requires that an IDTF must have its testing equipment 
calibrated per equipment instructions or in compliance with applicable 
industry standards. Specifically, we sought public comments regarding 
the organizations or entities that may currently establish testing 
specifications for diagnostics equipment. Further, if these 
organizations or entities do not exist, we invited public comments on 
the establishment of a supplier standard that relies on the 
manufacturer's maintenance and calibration standards.
2. Performance Standards for IDTFs
    The IDTF would be required to meet the following standards as of 
January 1, 2007 and any newly or reenrolling IDTF would be required to 
certify in its enrollment application that it meets and will continue 
to meet the standards. At Sec.  410.33, we proposed to specify that the 
IDTF is required to--
     Operate its business in compliance with all applicable 
Federal, State, and local licensure and regulatory requirements for the 
health and safety of patients;
     Provide complete and accurate information on its 
enrollment application as stated in the ``Requirements for Providers 
and Suppliers to Establish and Maintain Enrollment final rule'' (April 
21, 2006, 71 FR 20754). Any change in enrollment information must be 
reported to the designated fee-for-service contractor on the Medicare 
enrollment application within 30 calendar days;
     Maintain a physical facility on an appropriate site. For 
the purposes of this standard, a post office box or commercial mailbox 
is not considered a physical facility. The physical facility must 
contain space for equipment appropriate to the services designated on 
the enrollment application, facilities for hand washing, adequate 
patient privacy accommodations, and the storage of both business 
records and current medical records;
     Have all applicable testing equipment available at the 
physical site, excluding portable equipment. A catalog of portable 
equipment, including equipment serial numbers, must be maintained at 
the physical site. In addition, portable equipment must be made 
available for inspection within 2 business days of our inspection 
request. The IDTF will be required to maintain a current inventory of 
the equipment (including serial/registration numbers), provide this 
information to the designated fee-for-service contractor and notify the 
contractor of any changes in equipment;
     Maintain a primary business phone under the name of the 
business. The business phone must be located at the designated site of 
the business. The telephone number or toll free numbers must be 
available in a local directory and through directory assistance;
     Have a comprehensive liability insurance policy of at 
least $300,000 or 20 percent of its average annual Medicare billings, 
whichever amount is greater, that covers both the place of business and 
all customers and employees of the IDTF. The insurance policy must be 
carried by a non-relative owned company. The policy must list the 
serial numbers of any and all equipment used by the IDTF;
     Agree not to directly solicit patients, which includes, 
but is not limited to, a prohibition on telephone, computer, or in-
person contacts. The IDTF will accept only those patients referred for 
diagnostic testing by an attending physician, who is furnishing a 
consultation or treating a beneficiary for a specific medical problem 
and who uses the results in the management of the beneficiary's 
specific medical problem. NPPs may order tests as set forth in Sec.  
410.32(a)(3);
     Answer beneficiaries' questions and respond to their 
complaints. Documentation of those contacts must be maintained at the 
physical site;
     Openly post these standards for review by patients and the 
public;
     Disclose to the government, any person having ownership, 
financial or

[[Page 69697]]

control interest, or any other legal interest in the supplier at the 
time of enrollment or within 30 days of a change;
     Have its testing equipment calibrated per equipment 
instructions and in compliance with applicable national standards;
     Have technical staff on duty with the appropriate 
credentials to perform tests. The IDTF must produce the applicable 
Federal or State licenses and/or certifications of the individuals 
performing these services;
     Have proper medical record storage and be able to retrieve 
medical records upon request from CMS or its designated fee-for-service 
contractor within 2 business days; and
     Permit CMS, including its agents or its designated fee-
for-service contractors, to conduct unannounced, on-site inspections to 
confirm the IDTF's compliance with these standards. The IDTF is 
required to provide access, during regular business hours, to CMS and 
beneficiaries, as well as maintain a visible sign posting the normal 
business hours of the IDTF.
3. Supervision
    To ensure quality care is provided to Medicare beneficiaries, we 
proposed to revise Sec.  410.33(b)(1) to read that physicians will be 
limited to providing supervision to ``no more than three IDTF sites.''
4. Place of Service
    In addition to establishing specific performance standards for 
IDTFs, at Sec.  410.33(i), we proposed to define the ``point of the 
actual delivery of service'' as the correct ``Place of Service'' for 
the claim form in the case of diagnostic testing performed outside the 
IDTF's physical location. For example, when an IDTF performs a 
diagnostic test at a beneficiary's residence, we believe that it is 
reasonable to establish the beneficiary's residence as the ``Place of 
Service.'' Previously, there has been no set procedure, so therefore, 
we believe that the information is gathered at the collection point 
from the beneficiary, and this is the point service. While most 
diagnostic tests are performed in an office setting, we solicited 
public comments regarding the types of services that can be safely and 
appropriately used in a residential setting.
5. Analysis of and Responses to Public Comments
    Comment: Several commenters agreed with our proposal to limit the 
number of IDTFs that a physician can oversee to three. Conversely, some 
commenters expressed concern about our proposal to limit the number of 
IDTFs that a physician can oversee.
    Response: While we understand the concerns associated with limiting 
the number of IDTFs that a physician can oversee to three, we believe 
that limiting the number of IDTFs that a physician can oversee will 
promote quality of care. We are defining the supervising physician to 
be the person who is listed in Attachment 2, Section E on the CMS-855B 
enrollment application.
    Comment: Several commenters suggested that the proposed standards 
be revised to reflect that mobile IDTFs will have different needs and 
requirements from those IDTFs which are stationary.
    Response: We appreciate this comment and have revised our policy in 
this final rule with comment period to address IDTF performance 
standards for both fixed and mobile IDTFs.
    Comment: Several commenters recommended that we expand the proposed 
IDTF performance standards to all imaging services.
    Response: While we appreciate this comment, we will consider this 
change in a future rulemaking document.
    Comment: One commenter expressed concern regarding our proposal 
that an IDTF maintain a physical facility on an appropriate site and 
that IDTFs would be required to maintain a specified number of square 
feet per facility.
    Response: While we understand the commenter's concern, it was never 
our intent to establish a minimum square foot requirement. We believe 
that the size of an IDTF can vary depending on the services performed. 
Accordingly, we believe that the size of a fixed-based IDTF should be 
of sufficient size to provide the services offered by the IDTF, such as 
maintaining records, and performing administrative tasks.
    Comment: Several commenters recommended that physicians can be 
proficient in analyzing test results without being considered a 
specialist in the field relating to that specific type of diagnostic 
testing.
    Response: This issue is outside of the scope of the provisions of 
the proposed rule, and therefore, we are not providing a response at 
this time.
    Comment: In lieu of the specific performance standards proposed, 
several commenters recommended that we use accreditation as a method 
for improving compliance and limiting fraud and abuse with IDTFs.
    Response: While we appreciate this comment, we are not able to 
adopt this recommendation. We believe that it is essential that we 
obtain additional information from the public before adopting IDTF 
accreditation standards.
    Comment: Several commenters recommended establishing a grace period 
before carriers begin the revocation process for those IDTFs that fail 
to meet the new performance standards.
    Response: While we understand the concerns of the commenters, we do 
not believe that it is practical to delay implementation of these 
standards. With the publication of this final rule with comment period, 
all IDTFs are being notified of the new performance standards. 
Moreover, we believe that most IDTFs meet the performance standards 
that we are adopting, or that they can do so within the time period 
between the publication of this final rule with comment period and its 
effective date. In addition, as we put this policy into operation, we 
will consider phasing-in our implementation approach. In the event that 
an IDTF's billing privileges are revoked, the supplier can appeal the 
revocation.
    Comment: Several commenters expressed the concern that an 
unannounced site visit by CMS or our representatives could be 
potentially disruptive to an IDTF's operations.
    Response: We believe that unannounced site visits are a useful tool 
to ensure that IDTFs are meeting their enrollment requirements and 
performance standards. We will work closely with our contractors to 
limit any disruptions during a site visit.
    Comment: One commenter recommended that we eliminate the IDTF 
benefit.
    Response: We believe that establishing performance standards and 
the other changes in this regulation will improve quality and assist us 
in our efforts to reduce fraud and abuse in the Medicare program. 
Accordingly, we are finalizing this proposal.
    Comment: One commenter recommended eliminating the requirement to 
maintain a primary business phone located at the designated site for 
business, especially with regards to mobile IDTFs.
    Response: We believe that it is essential that fixed and mobile 
IDTFs maintain a primary business telephone number. Moreover, we 
believe the primary business telephone number for fixed-based IDTFs is 
located at the practice location for the IDTF. For mobile IDTFs, we 
believe that the primary business telephone number is the home location 
for the mobile facility.
    Comment: Several commenters recommended that we clarify where

[[Page 69698]]

mobile IDTFs would store patient records.
    Response: We believe that it is appropriate for a mobile IDTF to 
store patient records at their home location.
    Comment: In lieu of the proposed performance standards, several 
commenters recommended that we implement modality specific standards to 
address the diverse nature of the services provided by IDTFs.
    Response: We are not able to adopt this recommendation because we 
believe that it is essential that we obtain additional information from 
the public before adopting modality-specific standards.
    Comment: Several commenters stated that our proposal for a 
physician to be responsible for overall operations and administration 
of an IDTF has no basis, and that a physician should solely play a 
clinical or technical role.
    Response: We believe that a supervising physician, as identified in 
Attachment 2 of the CMS-855B Medicare enrollment application, is 
fundamentally responsible for the proper administration of an IDTF's 
services.
    Comment: Several commenters questioned our interpretation for the 
point-of-service for services provided outside the IDTF, specifically 
at the beneficiary's residence.
    Response: The beneficiary's location will be considered the place 
of service for pure, home-based testing. Those diagnostic tests which 
have another element outside of the testing location will continue to 
have the IDTF as the place of service of that diagnostic procedure.
    Comment: Several commenters recommended that there is a need for a 
supervising physician within an IDTF and that the language in the 
proposed rule stating that, ``a physician could oversee no more than 
three IDTFs,'' could be interpreted to mean that a physician does not 
have to oversee an IDTF.
    Response: We concur with this recommendation and believe that this 
standard should be interpreted as a physician will oversee one to no 
more than three IDTFs, not that an IDTF does not need a supervising 
physician.
    Comment: We received numerous comments concerning one aspect of 
performance standard 6. We proposed that the IDTF would have to 
maintain a comprehensive liability insurance policy of $300,000 or 20 
percent of the IDTF's Medicare billings, whichever amount is greater. 
We received comments suggesting the removal of the 20 percent condition 
as this would be an undue burden to the IDTF. Additionally, we received 
comments suggesting that we establish a flat rate such as the $300,000 
proposed, having a $300,000 policy for each facility, an increase to a 
$500,000 flat coverage, a comprehensive insurance policy of $1 million, 
or an aggregate rate of $3 million.
    Response: In order to reduce administrative burden associated with 
calculating comprehensive liability insurance for suppliers and to 
ensure compliance of this new standard, we will establish a 
comprehensive liability insurance amount of $300,000 per location for 
IDTFs. We agree with the recommendation that comprehensive liability 
insurance coverage of $300,000 per facility location is more 
appropriate, given that the likelihood of an incident occurring would 
increase as the number of facilities increases. We believe that the 
$300,000 per location represents the reasonable level of coverage for a 
facility's comprehensive liability insurance and we will change 
performance standard 6 to reflect this change.
    Comment: One commenter suggested that we eliminate the provision 
that insurance policy must be carried by a non-relative-owned company.
    Response: Consistent with our DMEPOS supplier standards, we believe 
the comprehensive liability insurance must be obtained from a verified 
third party to ensure that the coverage exists.
    Comment: Several commenters recommended our performance standards 
address State requirements, and that we should develop a Federal set of 
standards that would not vary from State to State.
    Response: While we understand this concern, we believe that each 
State should continue to establish its own licensing requirements. 
Further, we believe that all IDTFs must maintain compliance with 
applicable Federal, State, and local licensure and regulatory 
requirements.
    Comment: Several commenters expressed concern with our proposed 
supplier standard 7 which states that an IDTF agrees not to directly 
solicit patients, and these commenters recommended that we remove or 
clarify standard seven.
    Response: We understand the concerns of the commenters, but we are 
not attempting to prohibit public advertising. Supplier standard 7 is 
designed to prohibit an IDTF or its representative from direct, person-
to-person solicitation of beneficiaries by means of phone, computer, or 
in-person. Clearly, an IDTF can use public advertisement, including 
advertising on television, radio, internet, direct mailing, billboards, 
or newspapers.
    Comment: One commenter recommended that complaints by beneficiaries 
should be documented on paper and kept at a home office location.
    Response: At this time, we are not requiring that an IDTF collect 
and maintain a log of beneficiaries' questions and complaints because 
we did not propose this requirement in the CY 2007 PFS proposed rule. 
In a future rulemaking document, we will address a formal collection 
process for this documentation.
    Comment: Several commenters expressed concern regarding the storage 
and specifications of medical records (namely the comprehensive medical 
records of the beneficiaries they are currently treating or have 
treated), as well as how we would be defining current medical records, 
largely due to the additional burden of HIPAA requirements associated 
with a patient's comprehensive medical treatments.
    Response: We view current medical records as consisting of the 
services provided by the IDTF to its current and prior patients. Upon 
request, CMS or its contractors may request comprehensive medical 
records for an IDTF.
    Comment: Several commenters expressed support for IDTF supplier 
standard 11 which mandates the calibration of all IDTF testing 
equipment. These commenters recommended that we work with the National 
Electrical Manufacturers Association (NEMA) prior to establishing any 
calibration and maintenance requirements.
    Response: We appreciate these comments and intend to work with NEMA 
and other organizations in the development of calibration and 
maintenance requirements.
    Comment: We received a comment stating that IDTFs should not be 
required to post performance standards.
    Response: We believe that posting performance standards educates 
patients of an IDTF regarding their rights within the IDTF setting. 
Therefore, we will adopt this standard as proposed.
    Comment: Several commenters recommended that we postpone 
implementing the proposed IDTF performance standards in 2007 and work 
with industry to develop standards for the CY 2008 PFS.
    Response: Given the widespread support of IDTF performance 
standards, we believe it is appropriate to implement our proposed 
changes as soon as possible. Therefore, we will

[[Page 69699]]

implement the IDTF standards in this final rule with comment period.
    Comment: Several commenters recommended that our proposed 30-day 
timeframe for reporting changes in enrollment data was insufficient and 
that IDTFs should be allowed to continue to report changes within 90 
days.
    Response: Consistent with the reporting requirements for DMEPOS 
suppliers, and given the fraud and abuse concerns in this area, we 
believe that it is appropriate to adopt the 30-day timeframe for IDTFs 
to report changes in enrollment information.
6. Provisions of the Final Rule.
a. Performance Standards for IDTFs
    We received numerous valuable comments concerning the proposed 
supplier standards and have revised them to reflect the issues brought 
forth during the comment period. Therefore, we have amended these new 
standards to reflect the differences in an IDTF's setting and the 
services which they provide. We are adopting the provisions contained 
in the proposed rule as final with the following changes.
    We are revising supplier standard number 3 to address concerns 
regarding how performance standards affect mobile IDTFs, rather than 
fixed location IDTFs. Specifically, we are adopting a position that 
IDTF performance standards apply to the home location of the mobile 
IDTF, not the mobile vehicle. Accordingly, the home location of the 
mobile IDTF, not the mobile IDTF vehicle, is required to maintain 
patient records, a primary business phone, and meet all other 
performance standards met by fix location IDTFs.
    We are revising supplier standard number 6 to establish a set 
amount for comprehensive liability insurance in the amount of $300,000 
per location (an amount similar to the amount of insurance coverage for 
DMEPOS suppliers). We are adopting, for IDTFs, supplier standard number 
6 which requires a supplier to maintain a comprehensive liability 
insurance policy of $300,000 for each IDTF location, which covers both 
the place of business and all customers and employees of the IDTF. We 
believe that the second part of the proposed provision of 20 percent of 
its average annual Medicare billings, if greater than the $300,000 
would be a burdensome task for supplier to calculate on annual basis 
and lead to compliance concerns.
    We are clarifying supplier standard number 7 that an IDTF agrees 
not to directly solicit patients. While this provision does not 
preclude an IDTF from public advertisement or marketing of its services 
to beneficiaries, physicians and other suppliers, it does prohibit 
recruitment of beneficiaries through direct solicitation, namely 
through person-to-person contact, whether it be in-person, by computer, 
or telephone.
    Since we did not include the requirement in the CY 2007 PFS 
proposed rule, we are revising performance standard 8 and removing the 
sentence concerning the documentation of contacts concerning 
beneficiaries' questions and complaints because we believe it would be 
unfair and confusing to the public, and would present an undue 
paperwork burden.
    We are revising supplier standard number 11 to state that each 
piece of diagnostic testing equipment be maintained and calibrated to 
its manufacturer's standards. To ensure that equipment used by an IDTF 
is maintained and operates properly, we sought public comments 
regarding IDTF supplier standard number 11, which requires that an IDTF 
must have its testing equipment calibrated per equipment instructions 
or in compliance with applicable industry standards. Specifically, we 
sought public comments regarding the organizations or entities that may 
currently establish testing specifications for diagnostics equipment. 
We received a number of comments supporting this proposal with minor 
changes suggested by leaders within this industry. We are adopting a 
recommendation that we use each manufacturer's maintenance and 
calibration standards which they have determined are appropriate for 
the diagnostic testing equipment they manufacture for use within these 
IDTFs. We will continue to consult with industry leaders regarding the 
best approaches to ensure that all IDTF testing equipment is maintained 
and calibrated in accordance with manufacturer's specifications.
    We are clarifying supplier standard number 14 that fixed and mobile 
IDTFs are required to grant CMS, or our designated fee-for-service 
contractors, access to the IDTF physical location, all equipment, and 
beneficiary medical records during normal business hours. We also 
adopted the position that for portable equipment, an IDTF will be 
required to maintain a catalog of portable equipment and be able to 
produce the cataloged equipment within 2 business days. If the IDTF 
denies CMS or our designated fee-for-service contractor access to its 
fixed located or the home location for a mobile vehicle, the IDTF's 
Medicare enrollment will be denied if initially enrolling or revoked if 
currently enrolled in the Medicare program.
    Accordingly, at Sec.  410.33(h), we are stating that if an IDTF 
fails to meet one or more of the standards at the time of enrollment, 
then the enrollment application would be denied. Also, we are adopting 
the position that if at any time we determine that an enrolled IDTF no 
longer meets one or more of the IDTF performance standards, the IDTF's 
billing privileges would be revoked.
    As specified in Sec.  410.33, the IDTF will be required to meet the 
following standards as of January 1, 2007 and any newly or reenrolling 
IDTF will be required to certify in its enrollment application that it 
meets and will continue to meet the standards.
     Operate its business in compliance with all applicable 
Federal, State, and local licensure and regulatory requirements for the 
health and safety of patients;
     Provide complete and accurate information on its 
enrollment application as stated in the ``Requirements for Providers 
and Suppliers to Establish and Maintain Enrollment final rule'' 
published in the April 21, 2006 Federal Register (71 FR 20754). Any 
change in enrollment information must be reported to the designated 
fee-for-service contractor on the Medicare enrollment application 
within 30 calendar days;
     Maintain a physical facility on an appropriate site. For 
the purposes of this standard, a post office box or commercial mailbox 
is not considered a physical facility. The physical facility, including 
mobile units, must contain space for equipment appropriate to the 
services designated on the enrollment application, facilities for hand 
washing, adequate patient privacy accommodations, and the storage of 
both business records and current medical records within the office 
setting of the IDTF, or IDTF home office, not within the actual mobile 
unit;
     Have all applicable diagnostic testing equipment available 
at the physical site, excluding portable diagnostic testing equipment. 
A catalog of portable diagnostic testing equipment, including 
diagnostic testing equipment serial numbers, must be maintained at the 
physical site. In addition, portable diagnostic testing equipment must 
be made available for inspection within 2 business days of our 
inspection request. The IDTF will be required to maintain a current 
inventory of the diagnostic testing equipment (including serial/
registration numbers), provide this information to the designated fee-
for-service contractor and

[[Page 69700]]

notify the contractor of any changes in equipment;
     Maintain a primary business phone under the name of the 
business. The primary business phone must be located at the designated 
site of the business, or within the home office of mobile IDTF units. 
The telephone number or toll free numbers must be available in a local 
directory and through directory assistance;
     Have a comprehensive liability insurance policy of at 
least $300,000 per location that covers both the place of business and 
all customers and employees of the IDTF. The insurance policy must be 
carried by a non-relative owned company. The policy must list the 
serial numbers of any and all diagnostic equipment used by the IDTF, 
whether the equipment is stationary, in a mobile unit, or at the 
beneficiary's residence;
     Agree not to directly solicit patients, which includes, 
but is not limited to, a prohibition on telephone, computer, or in-
person contracts. The IDTF will accept only those patients referred for 
diagnostic testing by an attending physician, who is furnishing a 
consultation or treating a beneficiary for a specific medical problem 
and who uses the results in the management of the beneficiary's 
specific medical problem. NPPs may order tests as set forth in Sec.  
410.32(a)(3);
     Answer beneficiaries' questions and respond to their 
complaints;
     Openly post these standards for review by patients and the 
public;
     Disclose to the government, any person having ownership, 
financial or control interest, or any other legal interest in the 
supplier at the time of enrollment or within 30 days of a change;
     Have its testing equipment calibrated and maintained per 
equipment instructions and in compliance with applicable manufacturers 
suggested maintenance and calibration standards;
     Have technical staff on duty with the appropriate 
credentials to perform tests. The IDTF must produce the applicable 
Federal or State licenses and certifications of the individuals 
performing these services;
     Have proper medical record storage and be able to retrieve 
medical records upon request from CMS or our designated fee-for-service 
contractor within 2 business days; and
     Permit CMS, including our agents or our designated fee-
for-service contractors, to conduct unannounced, on-site inspections to 
confirm the IDTF's compliance with these standards. The IDTF is 
required to provide access, during regular business hours, to CMS and 
beneficiaries, as well as maintain a visible sign posting the normal 
business hours of the IDTF.
    While we understand that these additional standards could lead 
certain IDTFs to withdraw from the Medicare program rather than comply 
with the new standards, we believe that legitimate businesses would not 
oppose these changes. Moreover, we emphasize that services provided by 
an IDTF are also readily available to beneficiaries through other 
avenues such as physicians' offices, outpatient laboratories, 
outpatient radiology facilities, and outpatient clinics. We believe 
that the implementation of these standards would improve the quality of 
services provided to Medicare beneficiaries by IDTFs without any 
associated access concerns.
b. Supervision
    To ensure quality care is provided to Medicare beneficiaries, we 
are adopting the position to revise Sec.  410.33(b)(1) to read that 
physicians will be limited to providing supervision to ``no more than 
three (3) IDTF sites.'' This reference to the supervising physician 
applies to the individual listed as the supervising physician in the 
Medicare enrollment application (that is, CMS-855 B, Attachment 2, 
Section E), not the physician supervising the interpretation of a 
diagnostic test.
c. Place of Service
    In addition to establishing specific performance standards for 
IDTFs, we are defining the ``point of the actual delivery of service'' 
as the correct ``Place of Service'' on the claim form. In the case of 
diagnostic testing that is performed completely outside of a fixed 
facility location, we believe that the point of actual delivery of 
service is the beneficiary's' residence, or location where the test is 
being administered. As such, these services should be billed to the 
designated Medicare contractor. For example, when a diagnostic test is 
performed at a beneficiary's residence, we believe that it is 
reasonable to establish the beneficiary's residence as the ``Place of 
Service'' and that these services be billed to the designated Medicare 
contractor where the beneficiary resides. Previously, there has been no 
set policy regarding diagnostic testing performed by beneficiary. 
Accordingly, mobile IDTF and portable x-ray supplier services performed 
in beneficiary's residence would be billed to the designated Medicare 
contractor where the beneficiary resides, rather than the home location 
of the mobile IDTF or portable x-ray supplier.
    However, when a diagnostic test contains a home-based element (that 
is, the beneficiary performs a portion of the testing in his or her 
residence) and a facility-based element (that is, an IDTF reads or 
monitors the test results), the place of service is not clearly 
established and the fixed location of the IDTF will remain as the place 
of service for these tests. Accordingly, diagnostic tests containing 
both home-based and facility-based elements are billed to the 
designated Medicare contractor associated with the practice location of 
the fixed IDTF.
    In a future rulemaking effort, we will seek public input regarding 
the appropriate place of service for diagnostic testing when services 
are rendered in multiple parts in different locations.

M. Independent Laboratory Billing for the TC of Physician Pathology 
Services to Hospital Patients

    The TC of physician pathology services refers to the preparation of 
the slide involving tissue or cells that a pathologist will interpret. 
(In contrast, the pathologist's interpretation of the slide is the PC 
service. If this service is furnished by the hospital pathologist for a 
hospital patient, it is separately billable. If the independent 
laboratory's pathologist furnishes the PC service, it is usually billed 
with the TC service as a combined service.)
    In the CY 2000 PFS final rule (64 FR 59380 and 59408 through 
59409), we stated that we would implement a policy to pay only the 
hospital for the TC of physician pathology services furnished to 
hospital patients. Before that proposal, any independent laboratory 
could bill the carrier under the PFS for the TC of physician pathology 
services for hospital patients. As stated in the CY 2000 PFS final 
rule, this policy has contributed to the Medicare program paying twice 
for the TC service, first through the inpatient prospective payment 
rate to the hospital where the patient is an inpatient and again to the 
independent laboratory that bills the carrier, instead of the hospital, 
for the TC service.
    Therefore, in the CY 2000 PFS final rule at Sec.  415.130, we 
provided that, for services furnished on or after January 1, 2001, the 
carriers would no longer pay claims to the independent laboratory under 
the PFS for the TC of physician pathology services for hospital 
patients.
    Ordinarily, the provisions in the final PFS are implemented in the 
following year. However, in this case, the change to Sec.  415.130 was 
delayed one year (until

[[Page 69701]]

January 1, 2001), at the request of the industry, to allow independent 
laboratories and hospitals sufficient time to negotiate arrangements. 
Moreover, our full implementation of Sec.  415.130 was further delayed 
through CY 2006. Most recently, under section 732 of the MMA, we were 
required to pay separately under Medicare Part B for the TC of 
physician pathology services for services furnished during 2005 and 
2006.
    However, we continue to believe that hospital prospective payment 
amounts already compensate hospitals for the TC of physician pathology 
tests and that additional payment under the PFS is inappropriate. 
Therefore, we are amending Sec.  415.130 to provide that, for services 
furnished after December 31, 2006, an independent laboratory may not 
bill the carrier for the TC of physician pathology services furnished 
to a hospital inpatient or outpatient. Under Sec.  415.130(d), we will 
pay under the PFS for the TC of a physician pathology service furnished 
by an independent laboratory for services provided to an inpatient or 
outpatient of a ``covered hospital'' (as defined in Sec.  
415.130(a)(1)) on or before December 31, 2006.
    We received comments from individuals and groups.
    Comment: Several commenters stated that the policy, in the CY 2000 
PFS final rule, was based on flawed assumptions and facts, and that the 
hospital's inpatient payment rate does not include payment for this 
service.
    Response: We addressed specific comments regarding the 
establishment of the inpatient prospective payment system (IPPS) and 
the inclusion of the TC physician pathology costs in this payment 
system in the final rule published in the CY 2000 PFS final rule (64 FR 
59408 through 59409). We believe that our discussion in that final rule 
is still valid.
    Comment: Several commenters indicated that hospitals and 
independent laboratories will have to set up costly and 
administratively complex billing systems and procedures. These 
commenters and others asked us to allow hospitals and independent 
laboratories that have these grandfathered arrangements to continue 
bill in the same manner.
    Response: We are not requiring the hospitals to establish new 
billing procedures or systems. The billing of TC physician pathology 
services involves the same billing procedures and processes that the 
hospital may have established for any outsourced diagnostic tests for 
hospital inpatients, such as MRI, CT scan, and ultrasound scans. Only 
hospitals that have outsourced no other diagnostic services other than 
physician pathology services may have to establish new billing systems 
or procedures.
    Similarly, we are not requiring independent laboratories to 
establish new billing procedures and systems. Independent laboratories 
have similar billing systems in operation for clinical laboratory 
services that are provided to hospital inpatients. Also, neither 
individual laboratories nor any industry laboratory specialty group for 
independent laboratories has commented on this increased complexity, 
cost, and burden.
    Comment: One individual commented on a draft instruction that has 
been sent to the Medicare carriers for comment. The instruction 
implements the payment policy for physician pathology TC services 
beginning in 2007.
    Response: This item is not a subject of the proposed rule and we 
are not addressing this comment as part of this rule. The draft 
Internet Only Manual instructions are reviewed by carriers during their 
development. There is a formal review process for evaluation of these 
comments apart from the regulation process.
    Comment: Several commenters identified an issue involving proposed 
Sec.  415.130. The commenters expressed concern that the effect of the 
proposed regulation would not be limited to the TC of physician 
services. Proposed Sec.  415.130 reads, ``For services furnished after 
December 31, 2006, an independent laboratory may not bill the carrier 
for physician pathology services furnished to a hospital inpatient or 
outpatient.''
    Response: We appreciate the issue that the commenters have 
identified through their careful reading of the proposed rule. The 
quoted sentence omitted the reference to the ``technical component'' of 
physician pathology services. We are revising the regulation text 
accordingly as this was clearly our intent.

N. Public Consultation for Medicare Payment for New Outpatient Clinical 
Diagnostic Laboratory Tests

    Section 1833(h) of the Act requires the Secretary to establish fee 
schedules for clinical laboratory tests under Medicare Part B. We 
proposed to implement section 942(b) of the MMA which specifies annual 
procedures for consulting the public on how to establish payment for 
new clinical laboratory test codes to be included in the annual update 
of the clinical laboratory fee schedule.
1. Medicare, Medicaid, and SCHIP Benefits Improvement Protection Act of 
2000 (BIPA)
    Section 531(b) of BIPA mandated that we establish, no later than 1 
year after the date of enactment, procedures that permit public 
consultation for payment determinations for new clinical diagnostic 
laboratory tests under Medicare Part B in a manner consistent with the 
procedures established for implementing ICD-9-CM coding modifications. 
In the CY 2002 PFS final rule (66 FR 58743), we specified the 
procedures to implement section 531(b) of BIPA.
    These procedures were most recently used to determine the payments 
for new 2006 clinical laboratory fee schedule codes. First, we convened 
a public meeting to solicit expert input on the nature of the new tests 
before rate determinations were made. We have held these meetings each 
year since 2002 to receive this expert input on the next year's codes. 
Our most recent meeting was announced in the Federal Register on May 
27, 2005 (70 FR 30734) and occurred on July 18, 2005. In that meeting, 
we requested that presenters address the new test codes, each test's 
purpose, method, cost, and a recommendation for one of two methods 
(crosswalking or gapfilling) for determining payment for the new 
clinical laboratory codes. Crosswalking and gapfilling are discussed in 
section II.N.2.d of this final rule with comment period.
    Following the public meeting, we posted a summary of the new codes 
and the payment recommendations that were presented during the public 
meeting on our Web site. The summary also displayed our tentative 
payment determinations and indicated a comment period for interested 
parties to submit written comments. After reviewing the comments 
received, we issued Medicare Transmittal 750, 2006 Annual Update for 
Clinical Laboratory Fee Schedule, which provided all instructions and 
final rate determinations for the 2006 clinical laboratory fee schedule 
including the new codes and fees, on November 18, 2005.
2. Medicare Prescription Drug, Improvement, and Modernization Act of 
2003 (MMA)
    In the CY 2007 PFS proposed rule (71 FR 49064), we proposed to 
implement section 942(b) of the MMA which requires that we establish 
procedures for consulting the public on how to establish payment for 
new clinical laboratory test codes to be included in

[[Page 69702]]

the annual update of the clinical laboratory fee schedule. Similar 
procedures were already mandated by legislation in section 531(b) of 
the BIPA which requires payment determinations for new clinical 
diagnostic laboratory tests under Medicare Part B be made in a manner 
consistent with the procedures established for implementing ICD-9-CM 
coding modifications.
    Specifically, the MMA requires the Secretary to establish by 
regulation procedures for determining the basis for and amount of 
payment for a clinical diagnostic laboratory test that is assigned a 
new or substantially revised HCPCS code on or after January 1, 2005. We 
refer to these tests as ``new tests.''
a. Basis and Scope (Sec.  414.500)
    We proposed to add a new subpart implementing provisions of section 
1833(h)(8) of the Act--procedures for determining the basis for, and 
amount of, payment for a new clinical diagnostic laboratory test with 
respect to which a new or substantially revised HCPCS code is assigned 
on or after January 1, 2005.
    We received no comments on this subpart. Therefore, we are 
finalizing Sec.  414.500 as proposed.
b. Definition (Sec.  414.502)
    As specified in section 942(b) of the MMA, we are defining the term 
``Substantially Revised Healthcare Common Procedure Coding System 
Code'' to mean a code for which there has been a substantive change to 
the definition of the test or procedure to which the code applies (such 
as a new analyte or a new methodology for measuring an existing analyte 
specific test).
    We did not receive comments on this subpart. Therefore, we are 
finalizing Sec.  414.502 as proposed.
c. Procedures for Public Consultation for Payment for a New Clinical 
Diagnostic Laboratory Test (Sec.  414.506)
    For a clinical laboratory test that is assigned a new or 
substantially revised code on or after January 1, 2005, section 
1833(h)(8)(B) of the Act provides that determinations of payment 
amounts for new tests shall be made only after the Secretary:
     Makes available to the public (through an Internet Web 
site and other appropriate mechanisms) a list that includes codes for 
which establishment of a payment amount is being considered for the 
next calendar year;
     Publishes a Federal Register notice of a meeting to 
receive public comments and recommendations (and data on which 
recommendations are based) on the appropriate basis for establishing 
payment amounts for the list of codes made available to the public on 
the same day the list of codes is made available;
     Convenes a meeting that includes representatives of CMS 
officials involved in determining payment amounts, to receive public 
comments and recommendations (and data on which the recommendations are 
based) not less than 30 days after publication of the notice in the 
Federal Register; and
     Considers the comments and recommendations (and 
accompanying data) received at the public meeting, develops and makes 
available to the public (through an Internet Web site and other 
appropriate mechanisms)--
    + A list of determinations for the appropriate basis for 
establishing a payment amount for each code, together with an 
explanation of the reasons for each determination, the data on which 
the determinations are based, and a request for public written comments 
on the proposed determination; and
    + A list of final determinations of the payment amounts for tests, 
together with the rationale for each determination, the data on which 
the determinations are based, and responses to comments and suggestions 
from the public.
    In the CY 2007 PFS proposed rule, we indicated these procedures 
have been most recently used to finalize the payments for new 2006 
clinical laboratory fee schedule codes and we believe that our current 
process for providing for public consultation on the establishment of 
payment amounts for new clinical laboratory tests is consistent with 
the requirements of section 1833(h)(8)(B) of the Act. We currently make 
available to the public through a posting on the CMS Web site a list of 
new laboratory test codes for the next calendar year. We publish a 
Federal Register notice of a meeting to receive public comments and 
recommendations and convene the meeting with appropriate CMS officials 
in attendance. We consider the input received at the public meeting and 
we make available to the public on the CMS Web site a list of the 
proposed determinations and seek comment. We then make available to the 
public our final determinations in the instructions that we provide to 
our claims processing contractors to implement the Medicare Part B 
clinical laboratory fee schedule each year.
    The most significant change required by section 1833(h)(8)(A) of 
the Act with respect to our procedures for public consultation is that 
we codify this process in regulations. Therefore, we proposed to codify 
our current process for public consultation for new clinical diagnostic 
laboratory tests paid under the Medicare Part B clinical laboratory fee 
schedule at new Subpart G--Payment for New Clinical Diagnostic 
Laboratory Tests (Sec.  414.502 through Sec.  414.506).
    Comment: Several comments supported the consultation process for 
new clinical diagnostic laboratory tests paid under the Medicare Part B 
clinical laboratory fee schedule. Commenters suggested changes to the 
meeting and posting of data presented in the meeting. For example, a 
commenter suggested we should require a 60-day time period from the 
Federal Register notice of the public meeting and the date of the 
public meeting. Commenters also requested that we post on the Internet 
additional detail regarding data and rationale used for public 
recommendations and final payment decisions.
    Response: We want to take this opportunity to explain the 
timeframes for the annual update to the clinical laboratory fee 
schedule. The Medicare Part B clinical laboratory fee schedule utilizes 
the codes developed by the AMA's Current Procedural Terminology (CPT) 
Editorial Panel. The CPT codes are developed as the result of quarterly 
meetings throughout the year and the codes to be included in the 
upcoming year's fee schedule (effective January 1st) are available as 
early as May. We then list the new clinical laboratory tests codes on 
our Web site in June along with registration information for the public 
meeting. We schedule the date of the public meeting not fewer than 30 
days after announcing the meeting in the Federal Register. This 
timeframe results in a July date for the public meeting, followed by a 
posting of our tentative payment determinations and a comment period in 
September. The updated clinical laboratory fee schedule is prepared in 
October for release to our contractors during the first week in 
November. Our contractors have many information system steps to 
complete during the months of November and December so that the updated 
clinical laboratory fee schedule is ready to pay claims effective 
January 1st of the calendar year.
    With the constraints of the this process, we will strive to provide 
as much time as is feasible between the announcement of the meeting and 
the meeting itself. As required under both the statute and Sec.  
414.506, the public meeting will take place ``not fewer'' than 30 days 
after we publish notice of

[[Page 69703]]

the meeting in the Federal Register. Our proposed regulatory language 
allows us flexibility to provide additional time when feasible. 
However, extending the notification period announcing the date of the 
public meeting to 60 days from the Federal Register notice of the 
public meeting could cause delays to the rate-setting process and to 
the timely release of the updated clinical laboratory fee schedule.
    Commenters also requested that when we announce public 
recommendations or our determinations, we should include data and the 
rationale on which the recommendation or determination is based. 
However, we note that recommendations from the public meeting have 
sometimes lacked the detail requested by commenters. We have considered 
all payment recommendations received from the public, even those that 
have sometimes lacked the supporting detail requested by commenters. In 
some cases, companies have expressed concern about revealing data to 
laboratory competitors during the public meeting. When soliciting 
public input for the meeting, we will recommend that all participants 
in the public consultation process strive for transparency and try to 
provide as much supporting information as possible to assist us and 
others in evaluating the recommendation. As required by the statute, we 
will provide the rationale for our payment determinations.
    Comment: Two commenters stated that a whole new generation of 
diagnostic tests will contribute to treatment that is more tailored to 
the individual so that maintaining the current system for setting 
payment will not be sufficient because the new generation tests are 
more complex than the individual test codes currently paid under the 
clinical laboratory fee schedule. Also, the commenters indicated that 
some of the new generation tests may be performed by only one 
laboratory in the country so that establishing a payment amount for the 
new test becomes a de facto national price which may be insufficient 
for other laboratories in the future.
    Response: We appreciate the commenters' recognition that 
establishing payment for new technology testing is complex and subject 
to many professional perspectives. In this rulemaking, we are complying 
with the MMA mandate to codify a public consultation process for 
payment of new clinical laboratory test codes. The statute requires 
that we host a public meeting to receive recommendations on individual 
test codes added to the Medicare Part B clinical laboratory fee 
schedule. We state in the public meeting notice that presentations 
should address the new test code(s) and descriptor(s), the test purpose 
and method, costs and charges, and other background information. We 
certainly encourage presenters to include in their presentations market 
availability of the test and other information on the new technology. 
Also, a question and answer period is scheduled during the meeting to 
permit a robust discussion of each new test code. As noted, when we 
have hosted the public meetings in the past, the laboratory industry 
has sometimes submitted payment recommendations that are sparse of 
information and data supporting the payment recommendations. Thus, we 
do not believe opportunities for information gathering on new 
technology tests have been fully utilized within the public meeting 
process. While we can work with laboratories to explore other payment 
options for new technology tests, we must implement the statutorily 
required public meeting process. We encourage the laboratory industry 
to fully participate in this process and to include in its public 
recommendations data detailed background information on market 
availability and other concerns that laboratories have for the new 
technology test codes.
    Comment: We received a comment requesting that we establish a 
reconsideration process that would allow interested parties to request 
a formal review of payment rate determinations. The commenter suggested 
that interested parties be given an opportunity to request and receive 
a reconsideration of a CMS decision to crosswalk or gapfill a new or 
revised test code, CMS crosswalk determination, a contractor 
determination of a gapfill price, or a CMS calculation of the NLA for a 
new test.
    Response: We understand the concerns of the commenter, but we are 
not establishing a formal reconsideration process in this final rule. 
However, we are revising Sec.  414.508 to provide that, if we gapfill a 
test, but determine after the first year of gapfilling that carrier-
specific gapfilled amounts will not pay for the test appropriately, we 
may crosswalk the test. Furthermore, we expect to solicit comments on a 
potential reconsideration process in a future rulemaking.
    After careful review of the public comments, we are finalizing 
Sec.  414.506 as proposed.
d. Payment for a New Clinical Diagnostic Laboratory Test--Crosswalking 
and Gapfilling (Sec.  414.508)
    We proposed to add new Sec.  414.508 to indicate when, in 
establishing the payment amount for a new clinical laboratory test, one 
of two payment methods can be utilized. The first payment method, 
called ``crosswalking,'' is used if a new test is determined to be 
comparable to an existing test, multiple existing test codes, or a 
portion of an existing test code. We proposed that a new test code 
would be assigned the related existing local fee schedule amounts and 
national limitation amount (NLA).
    In new Sec.  414.508, we proposed to use the second method, called 
``gapfilling,'' when no comparable, existing test is available. 
Currently when using this method, manual instructions are provided to 
each Medicare carrier to determine a payment amount for its geographic 
area(s) for use in the first year, and the carrier-specific amounts are 
used to establish an NLA for following years. Consistent with our 
current process, the sources of information carriers examine in 
determining gapfill amounts, if available, include--
     Charges for the test and routine discounts to charges;
     Resources required to perform the test;
     Payment amounts determined by other payers; and
     Charges, payment amounts, and resources required for other 
tests that may be comparable or otherwise relevant.
    Currently, our manual instructions allow carriers to consider other 
sources of information as appropriate, including clinical studies and 
information provided by clinicians practicing in the area, 
manufacturers, or other interested parties. Carriers are also 
instructed to establish carrier specific amounts on or before March 31 
of the year and to revise their carrier specific amount, if necessary, 
on or before September 1 of the year. In this manner, a carrier may 
revise its carrier specific amount based on additional information, but 
there is also a specific time frame to perform this revision so that we 
have adequate time to receive and use the carrier specific amounts for 
the calculation of the next year's clinical laboratory fee schedule.
    In light of MMA provisions, we proposed to prospectively eliminate 
payment of new gapfilled tests at a carrier specific amount after the 
first year in new Sec.  414.508. Section 1833(h)(8)(A) of the Act gives 
the

[[Page 69704]]

Secretary authority to establish procedures for determining the payment 
amount for laboratory tests for which new or substantially revised 
HCPCS codes were established on or after January 1, 2005. Under this 
authority, in new Sec.  414.508(b), we proposed to pay for a new 
gapfilled laboratory test under our existing methodology for the first 
year (the carrier would establish a gapfill amount.) Beginning in the 
second year, the test would be paid at the national limitation amount. 
This would result in consistent payment in geographic areas for a new 
test using the median of the carriers' gapfilled amounts.
    Comment: Commenters were supportive of our proposal to set the 
price for gapfilled tests at the NLA. Other commenters suggested that 
the method used by contractors to determine their price for gapfilled 
tests should be more specific.
    Response: We appreciate the support for our proposal to establish 
the payment rate for a gapfilled test at the NLA. However, we do not 
agree specific changes to the gapfilling methodology should be made in 
the final rule, without a chance to receive multi-stakeholder input on 
the commenter's suggestions. We do believe that we must engage the 
clinical laboratory community and our contractors in additional 
discussions regarding the procedures and data used to determine the 
payment amounts for gapfilled tests. We will plan to discuss with our 
contractors their experience establishing the gapfill amounts and also 
to host a forum or meeting during the upcoming year to listen to 
additional suggestions from the public. After participating in these 
additional information gathering steps, we will consider possible 
changes to the regulations for the 2008 proposed rule and/or additional 
subregulatory guidance if appropriate.
    As discussed above, in response to a comment suggesting that we 
establish a reconsideration process, we are revising Sec.  414.508 to 
provide that we may crosswalk a test if we determine that carrier-
specific gapfilled amounts will not pay for the test appropriately.
    We are finalizing Sec.  414.508 with the exceptions noted above in 
this section.
3. Other Laboratory Issues
a. Quality
    In the CY 2007 PFS proposed rule (71 FR 49064), we discussed that 
we are exploring the development of measures related to the quality and 
efficiency of care, including those involving clinical laboratory fee 
schedule services. We stated our interest to work with physicians, 
providers and the clinical laboratory community to identify ways to 
promote utilization decisions such as using a laboratory claims 
attachment standard involving the Logical Observation Identifiers Names 
and Codes (LOINC[supreg]) database as a means for reporting test result 
data. This could be one possible component of a comprehensive system of 
collecting clinical laboratory test data. Detailed information on the 
LOINC[supreg] reporting system is available at the Web site at http://www.loinc.org.
    Comment: Several commenters endorsed our interest in working with 
the laboratory community on laboratory quality of care initiatives. 
However, two commenters objected to LOINC[supreg] reporting system as 
operationally burdensome for laboratory information systems because it 
would require merging a data quality field from the laboratory 
information system to the laboratory billing system, training 
information systems staff, and sending reference laboratory result data 
to the referral laboratory who prepares the claim. One of these 
commenters also stated that regulations on privacy of medical 
information should be considered. One commenter indicated that the 
LOINC[supreg] reporting system requires narrative reporting for some 
microbiology tests which is not in a data quality field format.
    Response: We are pleased the commenters supported the development 
of measures related to the quality of clinical laboratory services. We 
agree that it is imperative to work with physicians, providers and the 
clinical laboratory community to identify quality measures that can 
efficiently be incorporated into the laboratory billing system. We 
understand the reporting of laboratory quality measures must reach 
compatibility with privacy rules. Furthermore, the important role of 
quality measures in the evolution of healthcare reporting will remain 
strong. While changes to information technology may be required, 
laboratories should be anticipating further interest to include a 
laboratory quality measure field in laboratory billing systems.
b. Blood Glucose Monitoring in SNFs
    In the CY 2007 PFS proposed rule (71 FR 49064), we included a 
discussion of our longstanding policy on blood glucose monitoring in 
SNFs submitted for payment under the Medicare Part B clinical 
laboratory fee schedule. We explained that section 1862(a)(1)(A) of the 
Act requires that a service be reasonable and necessary for diagnosis 
and treatment to be eligible for coverage by Medicare. Our regulations 
at Sec.  410.32(a) already require that, for any diagnostic test, 
including a clinical diagnostic laboratory test, to be considered 
reasonable and necessary, it must be both ordered by the physician and 
the ordering physician must use the result in the management of the 
beneficiary's specific medical problem. Tests not ordered by the 
physician who is treating the beneficiary are not reasonable and 
necessary.
    In the context of blood glucose monitoring, we most recently 
explained this policy in Transmittal AB-00-108, which is available on 
our Web site at http://www.cms.gov/transmittals/downloads/ab00108.pdf. 
This interpretation of Sec.  410.32 also is the basis for our policy in 
section 90.1 of Chapter 7 of the Medicare Claims Processing Manual 
(``Skilled Nursing Facility Part B Billing,'' which is available on our 
Web site at http://www.cms.hhs.gov/manuals/downloads/clm104c07.pdf.)
    In addition, separate authority under section 1835(a)(2)(B) of the 
Act provides that, in the case of certain ``medical and other health 
services'' (including clinical diagnostic laboratory services), payment 
may be made for Part B services that are furnished by a provider of 
services only if a physician certifies--and recertifies where those 
services are furnished over a period of time, with such frequency, and 
accompanied by such supporting material, as may be provided by 
regulation--that those services were medically necessary. In the CY 
2007 PFS proposed rule (71 FR 49065), we proposed to use our authority 
under section 1835(a)(2)(B) of the Act to amend Sec.  424.24 to provide 
that, for each blood glucose test furnished to a resident of a SNF, the 
physician must certify that the test is medically necessary. We also 
proposed to clarify that a physician's standing order is not sufficient 
to order a series of blood glucose tests.
    Comment: Many commenters explained that it is common medical 
practice in the nursing home for the physician to certify a standing 
order for a 1-month time period for the nurse to perform daily glucose 
monitoring fingerstick tests throughout the month and based on the 
results, the nursing staff dispense insulin, as needed by the patient. 
Thus, the commenters objected that the proposal will impose a burden on 
SNFs who perform tests under these situations.
    Response: This amendment to Sec.  424.24 establishes a 
certification requirement that affects only services that are furnished 
by a provider of services for which the provider of

[[Page 69705]]

services seeks payment under Medicare Part B. To the extent payment is 
available under Medicare Part A or the services are not furnished by a 
provider of services (as defined under section 1861(u)of the Act), this 
certification requirement does not apply.
    Payment for glucose monitoring is encompassed under other payment 
systems that are available to the nursing homes. Medicare pays as part 
of the bundled payment to the facility for beneficiaries in a Part A-
covered stay in a hospital or in a SNF. It is when the provider 
requests Medicare to separately pay for a blood glucose test under the 
outpatient Part B clinical laboratory fee schedule that the service 
must meet the certification requirement under Sec.  424.24(f).
    We also note that the revisions to Sec.  424.24 does not alter 
existing policies issued under section 1862(a)(1)(A) of the Act. As 
discussed above in this section, under Sec.  410.32(a), the test must 
be ordered by the physician who is treating the beneficiary and the 
physician must use the results promptly in the management of the 
beneficiary's specific medical condition.
    Comment: Some commenters raised concerns that coverage policies are 
not consistently describing diabetes care categories, glucose 
monitoring protocols, and an individual glucose test service. The 
commenters suggested more specific coverage policies would benefit 
providers.
    Response: We understand the suggestion that refinements to coverage 
policies could benefit providers. The 2002 NCD for blood glucose tests 
specifies coverage and frequency limitations for reimbursement under 
the Part B. The NCD is not specific to nursing home common practices 
and applies to all providers submitting claims for payment under the 
clinical laboratory fee schedule. During the years since the release of 
the NCD, laboratories along with other providers who seek payment from 
the clinical laboratory fee schedule have had opportunity to carefully 
review the NCD and request further refinements and examples to enhance 
the NCD's interrelationship with payment under the clinical laboratory 
fee schedule. Interested parties can find more information on the 
coverage policy process on our Web site at http://www.cms.hhs.gov/center/coverage.asp.
    With respect to the burden of this certification requirement, we 
believe that, by enacting section 1835(a)(2)(B) of the Act, the 
Congress recognized that it may be appropriate for the Secretary to 
impose conditions of payment for services furnished by providers of 
services for which providers bill separately under Medicare Part B. We 
recognize the value of blood glucose testing and strongly support this 
testing when it is medically necessary. However, we must also ensure 
that blood glucose testing is medically necessary when furnished by a 
provider of services for which the provider bills Medicare Part B. We 
believe that this revision to Sec.  424.24 strikes the appropriate 
balance between our commitment to beneficiary access to blood glucose 
testing and our obligation to ensure that each test is medically 
necessary.
    We do not believe that our amendment to Sec.  424.24 imposes a new 
obligation. As discussed above in this section, Sec.  410.32(a) and our 
program instructions already require that a laboratory test must be 
ordered by a physician and the ordering physician must use the result 
in the management of the beneficiary's specific medical problem. 
However, as discussed in the proposed rule, we have received inquiries 
regarding the application of Sec.  410.32(a) in the context of blood 
glucose testing provided by SNFs. In addition, we received a specific 
inquiry asking for clarification of section 90.1 of Chapter 7 of the 
Medicare Claims Processing Manual. Furthermore, we have become aware 
that some providers have filed claims before Administrative Law Judges 
challenging our policy regarding blood glucose testing in SNFs.
    To the extent there has been confusion regarding our policies, our 
amendment to Sec.  424.24 provides a clear rule that, for payment to be 
made for blood glucose tests under Medicare part B to a provider of 
services, a physician must certify that each test is medically 
necessary. We also have clarified that a physician's standing order is 
not sufficient to order a series of blood glucose tests.
    Comment: One commenter alerted that some home health providers are 
engaging in inappropriate physician ordering of clinical diagnostic 
blood glucose tests, for payment under the Part B benefit, so that the 
clarification to the regulation should apply not just to SNFs but also 
to home health agencies.
    Response: We agree with the commenter that the regulation should 
apply to providers of services who bill to the Medicare Part B clinical 
laboratory fee schedule, including home health agencies. We are 
revising Sec.  424.24(f) to provide that the certification requirement 
applies to all providers of services.
    Comment: One commenter disagreed with our proposal stating that it 
would impose an unfair burden on clinical laboratories that provide 
services to SNFs because the independent laboratory is not informed or 
responsible for the documentation requirements in the SNF.
    Response: Independent clinical laboratories are not providers of 
services, so our amendment to Sec.  424.24 does not affect these 
entities. We disagree that an independent clinical laboratory that is 
providing services to SNF customers should not be informed or ensure 
the medical necessity documentation is sufficient. Independent clinical 
laboratories must comply with Sec.  410.32(a). Furthermore, independent 
clinical laboratories must be certified under the Clinical Laboratory 
Improvement Amendments of 1988 (CLIA) (Pub. L. 100-578). Under the 
standard for test requests at Sec.  493.1241, the laboratory must have 
a written or electronic request for patient testing from an authorized 
person. An independent clinical laboratory, whether it is providing 
services to SNF customers or other provider types, must remain informed 
and involved to ensure the laboratory service is rendered in accordance 
with the regulation and instructions applicable for receiving payment 
under the clinical laboratory fee schedule.
    Comment: One commenter asserted that we are obligated to perform a 
Regulatory Impact Analysis for our proposal to clarify Sec.  424.24 
requiring the physician to certify each test is medically necessary and 
stating that a physician's standing order is not sufficient to order 
blood glucose tests for payment under the Medicare Part B clinical 
laboratory fee schedule. Another commenter stated our amendment to 
Sec.  424.24 does not comport with the Paperwork Reduction Act of 1995 
to publish a notice in the Federal Register on collection of 
information.
    Response: We do not believe our amendment to Sec.  424.24 requires 
a regulatory impact analysis or a Paperwork Reduction Act notice. We 
believe that Sec.  424.24(f) does not impose any new obligations, but 
merely codifies as a condition of payment what has long been required 
under Sec.  410.32(a) and our program instructions.
    After careful review of public comments, we are finalizing Sec.  
424.24(f) as proposed.
c. Other Lab Issues--Proposed Clinical Diagnostic Laboratory Date of 
Service (DOS) for Stored Specimens
    In the CY 2007 PFS proposed rule (71 FR 49064), we proposed to add 
new Sec.  414.510 to address concerns regarding

[[Page 69706]]

the date of service of a clinical diagnostic laboratory test that use a 
stored (or ``archived'') specimen. In the final rule of coverage and 
administrative policies for clinical diagnostic laboratory services (66 
FR 58792) that we published in the November 23, 2001 Federal Register, 
we adopted a policy under which the date of service for clinical 
diagnostic laboratory services generally is the date the specimen is 
collected. However, for laboratory tests that use an archived specimen, 
the date of service is the date the specimen was obtained from the 
storage. We defined an ``archived'' specimen as a specimen that is 
stored for more than 30 calendar days before testing. The date of 
service for these archived specimens is the date the specimen was 
obtained from storage. Specimens stored 30 days or less have a date of 
service of the date the specimen was collected. In situations in which 
a specimen is taken while the patient is treated in a hospital setting, 
but then later used for a test after the patient has been discharged 
from the hospital setting, date of service of a test may affect payment 
because, if the date of service falls during an inpatient stay or 
outpatient procedure, payment for the laboratory test usually is 
bundled with the hospital service. To address concerns raised for tests 
related to cancer recurrence and therapeutic interventions, we proposed 
to modify our policy so that the date of service would be the date the 
specimen is obtained from storage, even if the specimen is obtained 
less than 31 days from the date it was collected, without violating the 
unbundling rules as long as the following conditions are met:
     The test is ordered by the patient's physician at least 14 
days following the date of the patient's discharge from the hospital.
     The test could not reasonably have been ordered while the 
patient was hospitalized.
     The procedure performed while the beneficiary is a patient 
of the hospital is for purposes other than collection of the specimen 
needed for the test.
     The test is reasonable and medically necessary.
    Comment: One commenter suggested adding a condition stating the 
test cannot be performed by the hospital laboratory.
    Response: We disagree that the regulations should limit the type of 
laboratory performing the test on the specimen. The purpose of the 
regulatory change is directed to date of service for specimens.
    Comment: Two commenters supported our proposal. However, one 
commenter expressed concern that on a rare occasion a test that 
otherwise meets the conditions of the regulation may be ordered by the 
patient's physician less than 14 days following the date of the 
discharge from the hospital. The commenter requested the regulation be 
revised to reflect these rare situations.
    Response: At this time, we do not believe it is appropriate to 
create an exception to the 14-day requirement. We remain very concerned 
that only tests that can legitimately be distinguished from the care a 
beneficiary receives in the hospital be subject to this provision 
regarding the date of service of the test, which results in separate 
payment for the test. We believe it is more difficult to determine that 
a test ordered less than 14 days before discharge is appropriately 
separable from the hospital stay that preceded the test. We would like 
more information about the circumstances and tests cited by the 
commenters before taking any additional action in this area. We are 
very concerned about the possibilities for unbundling care that 
appropriately should be associated with the hospital stay in these 
circumstances and will continue to review this policy in the future to 
ensure that our goal of appropriately recognizing hospital and post-
hospital care is achieved.
    Comment: Two commenters suggested rewording the second condition 
which states the test could not reasonably have been ordered while the 
patient was hospitalized. The commenters suggested the necessity of the 
test they are concerned with is unrelated to the procedure performed in 
the hospital but is necessary to determine cancer recurrence and 
therapeutic interventions after the patient is discharged from the 
hospital.
    Response: We agree that the second criterion could be clarified, to 
state that it would be inappropriate to have collected the specimen 
other than during the procedure, and have done so in this final rule. 
Our intent in establishing this criterion was to ensure that tests that 
meet the definitions in this provision are not directly related to the 
care provided in the hospital, and we believe the modification we are 
finalizing meets that intent more clearly than our original proposal.
    Comment: Three commenters discussed several high complexity 
clinical laboratory tests that are performed on specimens collected as 
a part of an inpatient procedure. The tests determine the sensitivity 
of the patient's cancer to particular types of chemotherapy. The 
specimen is prepared so that the live cancer cells, collected at the 
time of the procedure, are cultured at the laboratory and ultimately 
tested. The commenters believe the result of this type of laboratory 
test does not relate to the procedure performed in the hospital, nor 
would the result typically affect treatment during the hospital stay if 
it were available immediately. The commenters requested the regulation 
specify the date of service for these types of fresh tissue sample 
tests to be different than the date of service for fixed tissue samples 
to permit separate payment under Medicare Part B.
    Response: We agree with the commenters that these tests, which are 
almost always used to determine post-hospital chemotherapy care for 
patients who also require hospital treatment for tumor removal or 
resection, appear to be unrelated to the hospital treatment in cases 
where it would be medically inappropriate to collect a test specimen 
other than at the time of surgery, especially when the specific drugs 
to be tested are ordered at least 14 days following hospital discharge, 
as discussed above for tests on stored tissue samples. We are very 
concerned about unbundling services that are appropriately associated 
with hospital treatment, and therefore, believe it is critical to move 
cautiously in the area of determining different dates of service for 
tests for which the specimen collection occurs during a hospital 
service. As a result, we are adding Sec.  414.510(b)(4), specifically 
for chemotherapy sensitivity tests, because we understand that the 
results of these tests, even if they were available immediately and not 
several weeks following the collection of the specimen, would almost 
never affect the treatment regimen at the hospital. Therefore, we see a 
valid distinction between these tests and other tests of cultured 
specimens that give results after hospital discharge, but that are 
directly related to not only the condition for which the patient is 
hospitalized, but would typically be used for the specific care during 
the hospital stay as well, if available during the hospital stay. This 
section will allow separate payment for chemotherapy sensitivity tests, 
as identified by the Secretary in subregulatory guidance, from the 
inpatient procedure as long as certain criteria are met.
    We are finalizing Sec.  414.510 as proposed with the exceptions 
noted above in this section.

O. Criteria for National Certifying Bodies That Certify Advanced 
Practice Nurses

    Federal regulatory qualifications for NPs at Sec.  410.75 require 
that an

[[Page 69707]]

individual be certified as an NP by a recognized national certifying 
body that has established standards for NPs. Similarly, Federal 
regulatory qualifications for clinical nurse specialists (CNSs) at 
Sec.  410.76 require that an individual be certified as a CNS by a 
national certifying body that has established standards for CNSs and 
that is approved by the Secretary.
    Currently, there is not a list of recognized or approved national 
certifying bodies for NPs and CNSs in regulations. However, Chapter 15, 
section 200 of the Benefit Policy Manual, Pub. 100-02 contains a list 
of national certifying bodies that are recognized by Medicare as being 
appropriate for certification of NPs. Although the manual provision 
regarding CNS services at Chapter 15, section 210 of the Benefit Policy 
Manual lists only the American Nurses Credentialing Center as an 
approved national certifying body for CNSs, we indicated that the list 
of recognized certifying bodies in the manual provision for NP services 
would also apply for CNSs in the ``Revisions to Payment Policies Under 
the CY 2003 Physician Fee Schedule and Inclusion of Registered Nurses 
in the Personnel Provision of the Critical Access Hospital Emergency 
Services Requirement for Frontier Areas and Remote Locations; Payment 
Policies final rule (December 31, 2002, 67 FR 79987). The national 
certifying bodies that are listed under the manual instruction at 
section 200, and that currently apply for both NPs and CNSs 
(collectively, advanced practice nurses) are as follows:
     American Academy of Nurse Practitioners;
     American Nurses Credentialing Center;
     National Certification Corporation for Obstetric, 
Gynecologic and Neonatal Nursing Specialties;
     National Certification Board of Pediatric Nurse 
Practitioners and Nurses;
     Oncology Nurses Certification Corporation;
     Critical Care Certification Corporation.
    In the December 31, 2002 final rule, in response to a public 
comment, we stated, ``it is not the agency's intention to be overly 
restrictive in our program requirements and consequently prevent 
qualified CNSs who specialize in areas of medicine other than those 
certified by the American Nurses Credentialing Center (ANCC) from 
participating under the CNS benefit and from rendering care to patients 
in need of specialized services. Furthermore, the intent of the 
revision to the certification requirement for CNSs is to recognize all 
appropriate national certifying bodies for CNSs as the program does for 
NPs.'' Accordingly, in an effort to recognize all appropriate national 
certifying bodies for CNSs and NPs, we added, at that time, the 
Oncology Nurses Certification Corporation (ONCC) and the Critical Care 
Certification Corporation (CCCC) to the list of recognized national 
certifying bodies for advanced practice nurses.
    The National Board on Certification of Hospice and Palliative Care 
Nurses (NBCHPN) has requested that we now follow the same course of 
action as we did for the ONCC and the CCCC by adding its name to the 
list of recognized national certifying bodies. That is, NBCHPN believes 
that it is an appropriate national certifying body based on its 
certification experience, principles, services, and the certification 
exam that it administers to advanced practice nurses who specialize in 
palliative care for hospice patients.
    The NBCHPN stated in information it sent to the agency that its 
organization is a well-established certification body with more than a 
12-year history of certification and that it has been certifying 
advanced practice hospice and palliative nurses since 2003 in 
partnership with the ANCC. Starting in 2005, the NBCHPN became sole 
proprietor of the Advanced Certified Hospice and Palliative Nurse 
(ACHPN) examination. Master's level NPs and CNSs sit for this ACHPN 
examination that is based on a role delineation study for the advanced 
practice level of hospice and palliative nursing. Additionally, the 
NBCHPN stated that it has met the requirements of the American Board of 
Nursing Specialties and is an active member of the Board of 
Specialties, as is the ANCC. The Executive Director of the NBCHPN 
stated that she believes that the absence of the NBCHPN from the 
current list of recognized national certifying bodies presents a 
barrier for advanced practice nurses in the hospice palliative care 
specialty because they are denied enrollment on the basis that they do 
not meet the certification qualification requirement. The Web site for 
the NBCHPN can be found at http://www.nbchpn.com.
    We solicited public comments on whether it would be appropriate to 
include the NBCHPN under the list of recognized and approved national 
certifying bodies for NPs and CNSs under manual instructions for both 
NPs and CNSs. We also solicited public comments on criteria or 
standards that we could use to determine whether an organization is an 
appropriate national certifying body for advanced practice nurses. We 
realize that the agency may receive other requests in the future from 
organizations that wish to be added to the list of recognized or 
approved national certifying bodies. In anticipation of those requests, 
we are interested in developing certification standards that would 
facilitate the process for making these decisions.
    We appreciate the comments that we received on these two issues 
related to the NP and CNS benefits. However, we are delaying our 
decision about whether to include the NBCHPN under the manual 
instruction listing of recognized national certifying bodies for NPs 
and CNSs until we have had more time to examine and investigate the 
comments that we received about this issue.
    In regards to the issue concerning our establishment of 
certification criteria or standards to determine whether an 
organization should be listed as a recognized national certifying body 
for NPs and CNSs (that is, advanced practice nurses), we will consider 
the information that we received in comments on this issue for future 
rulemaking, and would consider proposing specific certification 
standards that an organization must meet in order to be included under 
the manual instruction listing of recognized national certifying bodies 
for NPs and CNSs.

P. Chiropractic Services Demonstration

    In the CY 2006 PFS final rule with comment period (70 FR 70266), we 
included a discussion of the 2-year demonstration authorized by section 
651 of the MMA to evaluate the feasibility and advisability of covering 
chiropractic services under Medicare. These services extend beyond the 
current coverage for manipulation to care for neuromusculoskeletal 
conditions typical among eligible beneficiaries, and cover diagnostic 
and other services that a chiropractor is legally authorized to perform 
by the State or jurisdiction in which the treatment is provided. The 
demonstration is being conducted in four sites, two rural and two 
urban. The demonstration must be budget neutral as the statute requires 
the Secretary to ensure that the aggregate payment made under the 
Medicare program does not exceed the amount which would be paid in the 
absence of the demonstration.
    Ensuring BN requires that the Secretary develop a strategy for 
recouping funds should the demonstration result in costs higher than 
those that would occur in the absence of the demonstration. As we

[[Page 69708]]

stated in the CY 2006 PFS final rule with comment period (70 FR 70266), 
we would make adjustments in the national chiropractor fee schedule to 
recover the costs of the demonstration in excess of the amount 
estimated to yield BN. We will assess BN by determining the change in 
costs based on a pre- and post-comparison of costs and the rate of 
change for specific diagnoses that are treated by chiropractors and 
physicians in the demonstration sites and control sites. We will not 
limit our analysis to reviewing only chiropractor claims, because the 
costs of the expanded chiropractor services may have an impact on other 
Medicare costs.
    Any needed reduction would be made in the 2010 and 2011 physician 
fee schedules as it will take approximately 2 years to complete the 
claims analysis. If we determine that the adjustment for BN is greater 
than 2 percent of spending for the chiropractor fee schedule codes 
(comprised of the 3 currently covered CPT codes 98940, 98941, and 
98942), we would implement the adjustment over a 2-year period. 
However, if the adjustment is less than 2 percent of spending under the 
chiropractor fee schedule codes, we would implement the adjustment over 
a 1-year period. We will include the detailed analysis of BN and the 
proposed offset during the CY 2009 rulemaking process. Physical therapy 
(PT) services performed by chiropractors under the demonstration are 
subject to the PT therapy cap. These services are included under the 
cap because chiropractors are subject to the same rules as medical 
doctors for therapy services under the demonstration.
    Comment: One commenter indicated that it continues to oppose our 
methodology for assuring BN under the demonstration. Instead of the 
application of an adjustment to the national chiropractor fee schedule, 
the commenter recommends that we make an adjustment to the totality of 
services payable under the Part B Trust Fund and that this would be 
consistent with the requirements in section 651(f)(A) of the MMA.
    Response: Section 651(f)(1)(B) of the MMA requires that ``* * * the 
Secretary shall ensure that the aggregate payments made by the 
Secretary under the Medicare program do not exceed the amount which the 
Secretary would have paid under the Medicare program if the 
demonstration projects under this section were not implemented.'' The 
statute does not specify a specific methodology for ensuring BN. We 
believe our intended methodology meets the statutory requirements.

Q. Promoting Effective Use of Health Information Technology (HIT)

    We recognize the potential for health information technology (HIT) 
to facilitate improvements in the quality and efficiency of health care 
services. One recent RAND study found that broad adoption of electronic 
health records (EHRs) could save more than $81 billion annually and, at 
the same time, improve quality of care.\1\ The largest potential 
savings that the study identified was in the hospital setting because 
of shorter hospital stays promoted by better coordinated care; less 
nursing time spent on administrative tasks; better use of medications 
in hospitals; and better utilization of drugs, laboratory services, and 
radiology services in hospital outpatient settings. The study also 
identified potential quality gains through enhanced patient safety, 
decision support tools for evidence-based medicine, and reminder 
mechanisms for screening and preventive care. Despite these large 
potential benefits, the study found that only about 20 to 25 percent of 
hospitals have adopted HIT systems.
---------------------------------------------------------------------------

    \1\ RAND News Release: Rand Study Says Computerizing Medical 
Records Could Save $81 Billion Annually and Improve the Quality of 
Medical Care, September 14, 2005, available at: http://rand.org/news/press.05/09.14.html.
---------------------------------------------------------------------------

    It is important to note the caveats to the RAND study. The 
projected savings are across the health care sector, and any Federal 
savings would be a reduced portion of the total savings. In addition, 
there are significant assumptions made in the RAND study. National 
savings are projected in some cases based on one or two small studies. 
Also, the study assumes patient compliance, in the form of 
participation in disease management programs and following medical 
advice. For these reasons, extreme caution should be used in 
interpreting these results.
    In his 2004 State of the Union Address, the President announced a 
plan to ensure that most Americans have EHRs within 10 years.\2\ One 
part of this plan involves developing voluntary standards and promoting 
the adoption of interoperable HIT systems that use these standards. The 
2007 Budget states that ``The Administration supports the adoption of 
HIT as a normal cost of doing business to ensure patients receive high 
quality care.''
---------------------------------------------------------------------------

    \2\ Transforming Health Care: The President's Health Information 
Technology Plan, available at: http://www.whhitehouse.gov/infocus/technology/economic_policy200404/chap3.html.
---------------------------------------------------------------------------

    Over the past several years, we have undertaken several activities 
to promote the adoption and effective use of HIT in coordination with 
other Federal agencies and with the Office of the National Coordinator 
for HIT. One of those activities is promotion of data standards for 
clinical information, as well as for claims and administrative data.
    As noted above in this section, the Administration supports the 
adoption of HIT as a normal cost of doing business. The adoption and 
use of HIT may contribute to improved processes and outcomes of care, 
including shortened illnesses and the avoidance of adverse drug 
reactions.
    Nine commenters responded to our HIT proposals. The following is a 
summary of the comments addressing the use of HIT to enhance quality of 
care, the costs associated with HIT adoption, the importance of 
interoperability standards, and the impact of new rules related to 
Medicare fraud and abuse statutes.
    Comment: Several commenters stated that adoption of HIT could lead 
to improved quality, enhanced patient safety, and increased efficiency. 
Some commenters noted that HIT can reduce administrative costs; 
however, more commenters focused on the potential financial barriers to 
the adoption of HIT.
    We received several comments addressing the high costs associated 
with HIT implementation. Most commenters stated that adoption of HIT is 
not a normal cost of doing business in health care. Several commenters 
emphasized that any reduction in physician payment related to the 
sustainable growth rate (SGR) would make it difficult for physicians to 
invest in HIT. Some commenters noted that incentives, such as loans, 
grants, and tax credits, could aid physicians by reducing the burden of 
cost for implementing HIT. A few commenters stated that implementation 
of HIT should be a shared expense between providers, purchasers, and 
payers.
    Most commenters highlighted lack of interoperability standards as a 
current barrier to HIT implementation. Several commenters noted that 
interoperability standards are a critical component of any HIT system 
and must include a standard set of policies, procedures, and standards 
for data collection and documentation. One commenter stated that 
progress has been slow in disseminating standards and this discourages 
physician practices from making large investments in HIT that quickly 
may become obsolete.
    One commenter applauded new regulatory provisions related to HIT 
for physician self-referral and anti-kickback statutes. However, the 
commenter further stated that Medicare fraud and

[[Page 69709]]

abuse statutes continue to hinder the adoption of HIT because the rules 
are still unclear on some issues.
    We received a few comments noting that specific issues related to 
HIT use in health care, such as the protection of patient privacy and 
data stewardship, still need to be resolved.
    Response: We thank all commenters for their thoughtful and valuable 
discussion of the issues. In the HIT section of the preamble to the 
proposed rule, we recognized the potential for effective HIT to 
facilitate improvements in the quality and efficiency of health care 
services. We also pointed out our promotion of the adoption and 
effective use of HIT in coordination with other Federal agencies and 
the Office of the National Coordinator for HIT. Here, we will discuss 
three areas that we are emphasizing to promote the effective use of 
HIT, in light of the comments we received: (1) Value-based purchasing, 
(2) the recent CMS and OIG final rules regarding donation of certain 
HIT, and (3) infrastructure and interoperability standards.
    We continue our work toward the implementation of value-based 
purchasing payment system reforms because we believe that, among other 
advantages, value-based purchasing can encourage physicians to invest 
in activities, such as effective HIT, that have the potential to 
improve quality and decrease unnecessary costs. However, linking a 
portion of Medicare payments to valid measures of quality and effective 
use of resources could give physicians more direct incentives to 
implement innovative ideas and approaches that may result in improved 
value of care. We agree with the commenters that noted that the use of 
effective HIT could increase quality, efficiency, and patient safety. 
We also agree with the commenters that noted that effective use of HIT 
can be used to decrease the burden of reporting to value-based 
purchasing programs. However, we disagree with the commenters that 
recommended direct government funding of HIT. As stated in the 
President's 2007 Budget, ``the Administration supports the adoption of 
[HIT] as a normal cost of doing business to ensure patients receive 
high quality care.''
    Commenters noted that multiple stakeholders in the health care 
system, including purchasers and payers, benefit from provider adoption 
and use of effective HIT and should share in the cost. CMS and OIG have 
recently issued final rules to allow hospitals and other health care 
providers under some circumstances to donate electronic prescribing and 
EHRs technology to physicians and others without running afoul of the 
Stark (physician self-referral) and anti-kickback statutes. We believe 
that these rules facilitate the adoption of HIT by physicians and other 
health care providers who might otherwise have been unable or unwilling 
to invest in the technology.
    We also believe that these regulatory changes help to stimulate the 
adoption of effective HIT, and that, as HIT use spreads, the benefits 
relative to the costs of implementation may increase for all 
stakeholders.
    The majority of commenters pointed out that the current lack of HIT 
infrastructure, including lack of interoperability standards, is a 
major obstacle to adoption and effective use of HIT. To address the 
lack of infrastructure, the Secretary has undertaken a national 
strategy that calls for Federal agencies to collaborate with private 
stakeholders in the development of architecture, standards, 
certification processes, and methods of governance to facilitate the 
adoption of effective HIT. In September 2005, the Secretary selected 16 
commissioners to serve on the American Health Information Community 
(AHIC), which is a federally chartered collaborative forum of private 
and public interests charged with advising the Secretary on how to make 
health information digital and interoperable. The goals of the 
Community include immediate access to vital medical information at the 
point of care, privacy protection, better data for research, and 
overall cost savings. The work of the Community has been divided among 
four workgroups: (1) The EHRs Workgroup, (2) the Chronic Care 
Workgroup, (3) the Consumer Empowerment Workgroup, and (4) the 
Biosurveillance Workgroup, (5) the Confidentiality, Privacy, and 
Security Workgroup, and (6) the Quality Workgroup. The AHIC Workgroups 
have made recommendations, as their initial ``breakthroughs,'' 
pertaining to: An electronic medication summary and registration 
history; secure messaging capabilities for individuals with chronic 
disease; biosurveillance monitoring; and, through secure means, 
broadening the availability and access to current and historical 
laboratory results and interpretations. More information about the 
Community is available at: http://www.hhs.gov/healthit/ahic.html.

R. Health Care Information Transparency Initiative

    The United States (U.S.) faces a dilemma in health care. Although 
the rate of increase in health care spending slowed last year, costs 
are still growing at an unsustainable rate. The U.S. spends $1.9 
trillion on health care, or 16 percent of the gross domestic product 
(GDP). By 2015, projections are that health care will consume 20 
percent of GDP. As indicated in the 2006 Annual Report of the Boards of 
Trustees, the Medicare program alone consumes 3.2 percent of the GDP 
and by 2040 it will consume 8.0 percent of the GDP.
    Part of the reason health care costs are rising so quickly is that 
most consumers of health care, that is, patients, are frequently not 
aware of the actual cost of their health care. Health insurance 
coverage shields them from the full cost of services, and they have 
only limited information about the quality and costs of their care. 
Consequently, consumers do not have incentives or means to carefully 
shop for providers offering the best value. Thus, providers of health 
care are not subject to the competitive pressures that exist in other 
markets for offering quality services at the best possible price. 
Reducing the rate of increase in health care prices and avoiding health 
services that are of little value could help to stem the growth in 
health care spending, and potentially reduce the number of individuals 
who are unable to afford health insurance. Part of the President's 
health care agenda is to expand Health Savings Accounts (HSAs), which 
would provide consumers with greater financial incentives to compare 
providers in terms of price and quality, and choose those physicians 
and services that offer the best value.
    In order to exercise those choices, consumers must have accessible 
and useful information on the price and quality of health care items 
and services. Typically, health care providers do not publicly quote or 
publish their prices. Moreover, list prices, or charges, generally 
differ from the actual prices negotiated and paid by different health 
plans. Thus, even if consumers were financially motivated to shop for 
the BP, it would be very difficult at the current time for them to 
access usable information.
    For these reasons, HHS has launched a major health care information 
transparency initiative. This effort builds on steps taken by CMS to 
make quality and price information available. For example, Medicare has 
provided unprecedented information about drug prices in the Medicare 
prescription drug benefit, and is now adding to these efforts in other 
areas. Medicare payment information for common elective procedures and 
other common admissions for all hospitals by county has been posted on 
our Web site at http://www.cms.hhs.gov/HealthCareConInit/.

[[Page 69710]]

    On our Web site, we will be posting geographically-based Medicare 
payment information for common procedures for ambulatory surgery 
centers, hospitals, OPDs, and physician offices. In addition, a number 
of tools providing usable healthcare information are already available 
to Medicare beneficiaries. Supported by the public and private quality 
alliances, consumers can access ``Compare'' Web sites through 
www.medicare.gov where they can evaluate important aspects of their 
health care options for care at a hospital, nursing home, home health 
agency (HHA), and dialysis facility, as well as compare their costs and 
coverage when choosing a prescription drug plan.
    We are developing a new project with the goals of providing 
Medicare beneficiaries with more comprehensive information on quality 
and costs, including more complete measures of health outcomes, 
satisfaction, and volume of services that matter to consumers, and more 
comprehensive measures of costs for entire episodes of care, not just 
payments for particular services and admissions. We intend for this 
Medicare project to incorporate private health care data, Medicaid 
data, and Medicare data to measure cost and quality of care information 
at the physician and hospital levels. Under this project, quality, 
cost, pricing, and patient information will be reported to Medicare 
beneficiaries in a meaningful and transparent way.
    In response to the CY 2007 PFS proposed rule (71 FR 49064), we 
received the following comments on the transparency issue.
    Comment: Most commenters supported our efforts to release quality 
information to create a more transparent health care system so that 
patients and consumers will be able to make more informed decisions 
about their health care. Several commenters questioned the usefulness 
of price information and many suggested criteria for determining what 
information would be most credible, accessible and meaningful both to 
consumers and to providers and other stakeholders. The commenters 
stated that the information must be valid, reliable, and sensitive to 
the care being delivered in order for the information to be useable. 
Several commenters also noted the importance of relying on the AQA (a 
multi-stakeholder group identifying ambulatory quality measures) and 
the joint steering committee formed by AQA, the Hospital Quality 
Alliance (HQA), and the Quality Alliance Steering Committee, to be the 
forum where all stakeholders come together to identify useful measures. 
One commenter also noted the important work of the AMA Consortium for 
Performance Improvement in bringing together multiple physician medical 
specialties.
    Response: We agree that physician price and quality information 
must be credible, accessible, and meaningful to consumers and other 
stakeholders. To ensure this is the case for our transparency efforts, 
we rely heavily on physician groups and broad stakeholder coalitions to 
help advise as to the measures we are using, particularly for quality 
and in considering episodes of care. We are actively working with the 
AMA Consortium for Performance Improvement, the AQA, the National 
Quality Forum (NQF), and various medical specialty groups to identify 
useful quality measures. We are conducting research and working 
directly with the AQA to identify potential episode of care measures. 
We are building on the model we used for inpatient and ambulatory 
surgery centers to provide the most accurate information possible when 
releasing Medicare payment data. By December 2006, we plan to release 
Medicare data, including the number of services, charges and payment 
rates for a group of common physicians' services by locality.
    Comment: Many comments focused on the usefulness of price 
information. One commenter questioned the premise that consumers should 
use price information in health care decisions. Several other 
commenters noted the limitations of price information and the need for 
consumers and patients to understand the context for it. They added 
that providing price information on health care services should not be 
placed in the same class as shopping for airline tickets or hotel 
accommodations. They further questioned whether price plays a 
significant role in choosing a physician or hospital, particularly when 
a patient is facing a life threatening illness. Other commenters have 
advised that the price is subject to individual health plan benefit 
packages and could change depending on the course of beneficiary 
illness. Further, in an emergency, additional services may be required 
which will therefore raise the costs of services for beneficiaries.
    Response: We agree that making health care decisions, including the 
selection of providers, is a serious undertaking. For this reason, it 
is critical that consumers, patients, and their families have 
information which will help them make important health care decisions. 
For those patients in the early stages of illness, or those who may 
need preventive care, choosing a provider based on the knowledge of the 
potential overall costs of care, and taking into account whether the 
physician is effective at helping the patient prevent life threatening 
illnesses, could help the patient avoid unnecessary costs later on.
    For patients with life threatening illnesses, cost is also at 
issue. However, most insurance, including Medicare, does require cost 
sharing, and if information on price and quality is available it may be 
possible for beneficiaries to choose high quality providers at a 
reduced cost, which would therefore minimize the patient's out-of-
pocket costs. We also agree that it is important to recognize that 
beneficiary out-of-pocket costs are in part driven by the type of 
coverage the beneficiary has and whether the beneficiary has any 
supplemental coverage. Combining information on multiple services 
related to the same clinical condition into a broader episode of care 
could provide a prospective patient and his or her family even more 
useful cost and quality information. For example, if a patient has a 
serious illness, he or she (or his or her family) would be better able 
to choose a physician or other health care provider that more closely 
suits the patient's preferences by comparing, before treatment: (1) The 
cost of treatment; (2) the various types of services and treatments 
associated with that particular illness; and (3) the outcome for 
patients with similar health conditions.
    Comment: One commenter questioned whether releasing price 
information could increase health care costs because the pricing 
information could encourage patients to delay necessary care and which 
presumably may result in more advanced disease. The commenter stated 
that price information should not be released for E/M, and preventive 
services.
    Response: We believe that the release of price information will not 
inhibit a patient's use of appropriate health care services, in 
particular, preventive or evaluative services. It is our expectation 
that the transparency of price and quality information will encourage 
patients to obtain health care services that are proven in quality of 
care and outcomes for patients and the provision of these chosen 
services should result in a decrease in the overall costs of health 
care.
    Comment: One commenter thought that payment information should be 
broken into the work component, PE and malpractice. They further 
suggested arraying information to reflect the relative costliness of 
different settings of

[[Page 69711]]

care for the same services, such as ambulatory surgery centers, OPDs, 
or physicians' offices.
    Response: We agree that those separate service components could be 
of some interest, but we do not understand how they would be of benefit 
to the patient or consumer when he or she is making health care 
decisions. Such service component break outs provide no information on 
out-of-pocket or overall costs as to the specific service or as to a 
broader episode of care that takes into consideration care delivered 
across settings and time.
    We believe that providing comparative information on the costs of 
care in different settings when the services and patient needs are 
similar is an interesting concept. We will consider suggestions as to 
how this type of data may be provided.
    Comment: One commenter stated that it is inappropriate to make 
public efficiency information, cost and utilization ratings without 
commensurate quality data, and that efficiency measurement should be 
restricted to areas where this type of data are available, and risk 
adjusted. Further, the commenter added that payers should make their 
methodology and data sources easily available to physicians.
    Response: We agree that both cost and quality data are important 
for consumers to make informed decisions about providers and treatment 
options. We are exploring a range of options for how to measure 
efficiency, including risk adjustment options. We also agree that it is 
important for physicians to understand how cost and quality data are 
being measured.
    Comment: One commenter questioned whether all the resources going 
into the transparency efforts might be better spent supporting 
physician adoption of EHRs, patient registries, and group medical 
visits.
    Response: Our transparency efforts are aimed at helping consumers 
make better informed health care decisions. We have many other 
initiatives aimed at supporting these other important physician tools, 
for example, Quality Improvement Organizations (QIOs) are working 
across the country to provide technical assistance to physicians to 
help these physicians redesign work practices to adopt EHRs. Several 
significant initiatives, including the Physician Group Practice 
demonstration and the Medicare Health Support program are identifying 
effective care management strategies, including the physician adoption 
of EHRs, patient registries, and group medical visits as recommended by 
the commenter. Further, we are working with the Department to lessen 
the barriers to IT adoption by identifying and endorsing standards for 
seamless movement of information across settings.
    Comment: One commenter said the primary driver of health care costs 
was the lack of productivity increases in health care and questioned 
whether providing more information to consumers would have any impact 
on the efficiency of the system. The commenter stated that the reason 
for this lack of productivity improvement was due to the labor 
intensive nature of our health care system since the United States 
government did not purchase HIT directly for providers.
    Response: We agree that health care is labor intensive and that 
increased adoption of effective HIT has the potential to improve 
productivity. For these reasons, increasing adoption of effective HIT, 
including EHRs is one the most important initiatives for this 
administration. As we have stated previously in our other responses in 
this section, we have in place a number of initiatives aimed at 
lessening the barriers to adoption and initiatives supporting both 
hospitals and physicians. However, we strongly support the notion that 
market forces, including consumers empowered to make more informed 
health care decisions, are also critical for improving the value of the 
health system.
    Comment: One commenter stated that health plans should be required 
to release their fee schedules showing total charges and methods of 
calculating fees for physicians and hospitals.
    Response: The purpose of our transparency initiative is to make it 
easier for consumers and patients to make better informed health care 
decisions based on their own unique health circumstances. We have 
partnered with the Agency for Healthcare Research and Quality, and we 
are exploring, in the context of the AQA and the Quality Alliance 
Steering Committee, a variety of options for releasing pricing, payment 
and episode of care costs.
    Comment: One commenter questioned whether physicians could report 
directly to us or to carriers on the clinical quality measures 
currently reflected in the Physician Voluntary Reporting Program (PVRP) 
initiative instead of through the established mechanism of G-codes or 
CPT category II codes (if available).
    Response: Currently, the PVRP data are not reported publicly, as 
would be the case in a transparency initiative, but are provided 
confidentially to physicians. These measures are based on the work of a 
multi-stakeholder consensus process through the National Quality Forum 
and the AQA. We are also relying on this process to identify physician 
quality measures for transparency. The PVRP can be a building-block for 
future efforts to measure physician quality.
    Further, we are seeking to benefit the Medicare program by applying 
quality measures developed by the private sector to comprehensive data 
on physicians' services to improve the quality of Medicare services, 
and to provide Medicare beneficiaries with useful quality information. 
Specifically, under a new Medicare project that will begin in six 
areas, data from Medicare and private purchasers are being combined to 
create quality measures that will be reported to Medicare 
beneficiaries. Information on physician performance on quality will be 
used for feedback to physicians on services provided to Medicare 
beneficiaries, and information on physician performance will be made 
available to beneficiaries. The purpose of this important project is to 
encourage improvements in the quality of Medicare services, and provide 
information to Medicare beneficiaries that will permit them to make 
more informed choices about how and where they will receive their care. 
Over time, using the experience of these initiatives, we will identify 
which measures and what data collection mechanisms are best used to 
release physician specific information to Medicare beneficiaries.
    Regarding the earlier comment about G-code reporting, we chose the 
path of reporting quality measures on claims through G-codes because 
those claims could be built on existing data systems, creating fewer 
burdens for physician offices and CMS. Physicians, predominantly, 
already use claims supported data systems so, therefore, we believe at 
this time it is the most practical system. In the future, we hope to be 
able to accept, and for physicians to be able to report, using the 
electronic means outlined by the commenter. We ask the commenter to 
work with us to ensure that EHRs and other information systems are 
designed to collect the clinical data components necessary to measure a 
broad range of quality indicators.
    Comment: A commenter also suggested that group practices should be 
allowed to create scores for their whole group and report at the 
aggregate level. The commenter stated that group practices have 
internal mechanisms, including incentive structures, for improving 
quality that should be used.

[[Page 69712]]

    Response: We recognize that comparing groups of physicians by price 
and quality measures could be useful both for consumers and patients in 
regions where these groups are widely available. We also appreciate the 
usefulness of the data for internal quality improvement for physician 
groups. However, for purposes of consumer choice, it may be important 
to have physician-specific information. Even with a group, 
beneficiaries would want to know the physician's treatment patterns, 
including quality information, to best suit the beneficiary's needs or 
preferences. We agree that information on both price and quality on 
individual physicians would be useful for consumers and patients.

S. Bad Debt Payment for Services Associated With Reasonable Charge/Fee 
Schedules

    Under the Medicare program, payment may be made for unrecovered 
costs (bad debt) attributable to uncollectible deductible and 
coinsurance of Medicare beneficiaries as specified in Sec.  413.89 and 
the Provider Reimbursement Manual (PRM) (CMS Pub. 15 Part 1, Chapter 
3). Entities currently eligible to receive Medicare bad debt payments, 
with some limitations, include hospitals, skilled nursing facilities 
(SNFs), CAHs, RHCs, ESRD facilities, FQHCs, community mental health 
clinics, health maintenance organizations (HMOs) reimbursed on a cost 
basis, competitive medical plans (CMPs), and health care pre-payment 
plans. The bad debt policy for ESRD facilities is set forth in Sec.  
413.178.
    The current bad debt regulation at Sec.  413.89(i) excludes payment 
of bad debts specifically for those services furnished by anesthetists 
paid under a fee schedule. In the February 10, 2003 Federal Register, 
we published the Provider Bad Debt Payment proposed rule where we 
proposed to amend the language in the existing bad debt regulations to 
clarify that bad debts are not recognized or reimbursed for all covered 
services paid for under a reasonable charge-based methodology or a fee 
schedule (68 FR 6682). As stated in that proposed rule, the proposed 
amendment was intended to clarify our longstanding policy and is not a 
change in policy.
    In this final rule with comment period, we are finalizing the 
amendment to the regulations, as proposed in the February 10, 2003 
proposed rule, to clarify that payment of bad debts for covered 
services paid for under a reasonable charge-based methodology or a fee 
schedule is not allowable. In the February 10, 2006 Federal Register 
(71 FR 6991), we issued a notice extending the timeline for publication 
of a final rule associated with provisions of the February 10, 2003 
proposed rule by one year to February 10, 2007. At this time, we are 
not finalizing other proposed provisions of the February 10, 2003 
proposed rule.
    We received the following comment regarding this provision from the 
February 10, 2003 proposed rule.
    Comment: A commenter stated that the clarification of policy that 
bad debt reimbursement is not available for services paid under a fee 
schedule is a change in policy for outpatient therapy.
    Response: During the initial stages of developing the Medicare 
program in 1966, the issue of ``bad debt'' arose but was not mentioned 
explicitly in the statute. However, at that time, based on the intent 
of the anti-cross-subsidization principle found in the definition of 
``reasonable cost'' at section 1861(v)(1)(A) of the Act, Medicare 
adopted the policy to pay for the unrecovered costs attributable to 
uncollectible deductible and coinsurance of Medicare beneficiaries. 
Accordingly, we believe that this statutory prohibition on cross-
subsidization does not apply where services are reimbursed on anything 
other than the basis of ``reasonable costs''.
    The Medicare program has never allowed payment of bad debts for 
services paid for on the basis of a fee schedule or reasonable charge 
methodology, such as but not limited to, services of physicians, 
suppliers, certified registered nurse anesthetists, or NPs. Under a fee 
schedule or reasonable charge methodology, Medicare does not share 
proportionately in an entity's incurred costs but rather makes payment 
for a specific service. The payment is not related to the cost of a 
service and thus, does not embody the concept of unrecovered costs due 
to uncollected amounts of deductibles and coinsurance. Thus, payment of 
bad debt applies only to services reimbursed on the basis of reasonable 
cost or to services paid under one of Medicare's prospective payment 
systems that have a basis in reasonable costs that do not reflect 
Medicare payment of bad debts during a specified provider base period. 
Accordingly, when outpatient therapy services began to be paid for on a 
fee schedule methodology, payment of bad debts associated with these 
services was no longer available.
    Therefore, we do not agree with the commenter and we are revising 
Sec.  413.89(i) and adding new Sec.  413.178(d) as proposed.

III. Revisions to the Payment Policies of Ambulance Services under the 
Fee Schedule for Ambulance Services and the Ambulance Inflation Factor 
Update for CY 2007.

    Under the ambulance fee schedule, the Medicare program pays for 
transportation services for Medicare beneficiaries when other means of 
transportation are contraindicated. Ambulance services are classified 
into different levels of ground (including water) and air ambulance 
services based on the medically necessary treatment provided during 
transport. These services include the following levels of service:
     For Ground--
    + Basic Life Support (BLS)
    + Advanced Life Support, Level 1 (ALS1)
    + Advanced Life Support, Level 2 (ALS2)
    + Specialty Care Transport (SCT)
    + Paramedic ALS Intercept (PI)
     For Air--
    + Fixed Wing Air Ambulance (FW)
    + Rotary Wing Air Ambulance (RW)

A. History of Medicare Ambulance Services

1. Statutory Coverage of Ambulance Services
    Under sections 1834(l) and 1861(s)(7) of the Social Security Act 
(the Act), Medicare Part B (Supplemental Medical Insurance) covers and 
pays for ambulance services, to the extent prescribed in regulations, 
when the use of other methods of transportation would be 
contraindicated by the beneficiary's medical condition.
    The House Ways and Means Committee and Senate Finance Committee 
Reports that accompanied the 1965 Social Security Amendments suggest 
that the Congress intended that--
     The ambulance benefit cover transportation services only 
if other means of transportation are contraindicated by the 
beneficiary's medical condition; and
     Only ambulance service to local facilities be covered 
unless necessary services are not available locally, in which case, 
transportation to the nearest facility furnishing those services is 
covered (H.R. Rep. No. 213, 89th Cong., 1st Sess. 37 and Rep. No. 404, 
89th Cong., 1st Sess. Pt 1, 43 (1965)).
    The reports indicate that transportation may also be provided from 
one hospital to another, to the beneficiary's home, or to an extended 
care facility.
    2. Medicare Regulations for Ambulance Services

[[Page 69713]]

    Our regulations relating to ambulance services are set forth at 42 
CFR part 410, subpart B and 42 CFR part 414, subpart H. Section 
410.10(i) lists ambulance services as one of the covered medical and 
other health services under Medicare Part B. Therefore, ambulance 
services are subject to basic conditions and limitations set forth at 
Sec.  410.12 and to specific conditions and limitations included at 
Sec.  410.40. Part 414, subpart H, describes how payment is made for 
ambulance services covered by Medicare.
    The national fee schedule for ambulance services is being phased in 
over a 5-year transition period beginning April 1, 2002 as specified in 
Sec.  414.615. As of January 1, 2006, the total payment amount for air 
ambulance providers and suppliers is based on 100 percent of the 
national ambulance fee schedule. In accordance with section 414 of the 
Medicare Prescription Drug, Improvement and Modernization Act of 2003 
(MMA) (Pub. L. 108-173), we added Sec.  414.617 which specifies that 
for ambulance services furnished during the period July 1, 2004 through 
December 31, 2009, the ground ambulance base rate is subject to a floor 
amount, which is determined by establishing nine fee schedules based on 
each of the nine census divisions, and using the same methodology as 
was used to establish the national fee schedule. If the regional fee 
schedule methodology for a given census division results in an amount 
that is lower than or equal to the national ground base rate, then it 
is not used, and the national fee schedule amount applies for all 
providers and suppliers in the census division. If the regional fee 
schedule methodology for a given census division results in an amount 
that is greater than the national ground base rate, then the fee 
schedule portion of the base rate for that census division is equal to 
a blend of the national rate and the regional rate. For CY 2006, this 
blend is 40 percent regional ground base rate and 60 percent national 
ground base rate. As of January 1, 2007, the total payment amount for 
ground ambulance providers and suppliers will be based on either 100 
percent of the national ambulance fee schedule or 80 percent of the 
national ambulance fee schedule and 20 percent of the regional 
ambulance fee schedule.

B. Provisions of the Final Regulation

    In this rule, we are finalizing changes to the fee schedule for 
payment of ambulance services by adopting revised geographic 
designations for urban and rural areas as set forth in OMB's Core-Based 
Statistical Areas (CBSAs) standard. We are adding the definition of 
``urban area'' as defined by the Executive Office of Management and 
Budget (OMB). In addition, we are removing the definition of 
``Goldsmith modification'' and amending our definition of ``rural 
area'' to include areas determined to be rural under the most recent 
version of the Goldsmith modification.
    We are withdrawing our proposal to change the language of our 
regulation defining ``specialty care transport (SCT)'' to conform to 
our existing payment policies. In response to public comments, we are 
broadening and clarifying our interpretation of the existing language 
and responding to other issues associated with the definition of SCT.
    In addition, we are discontinuing our annual review of the original 
CF assumptions and of the original air ambulance rates from the initial 
implementation of the fee schedule in 2002 because we have not 
identified any significant differences from those assumptions in the 4 
years since the implementation of the fee schedule. We will continue to 
monitor payment and billing data on an ongoing basis and make 
adjustments to the CF and to air ambulance rates as appropriate to 
reflect any significant changes in these data.
    Finally, in response to public comment, we are withdrawing our 
proposal to revise our current definition of ``Emergency response'' to 
further specify the conditions that warrant a higher payment for 
immediate response. Our reasons for withdrawing our proposal are 
explained in section III.B.4. of this preamble.
1. Adoption of New Geographic Standards for the Ambulance Fee Schedule
    Historically, the Medicare ambulance fee schedule has used the same 
geographic area designations as the acute care hospital IPPS and other 
Medicare payment systems to take into account appropriate urban and 
rural differences. This provides a consistent and objective national 
definition for ambulance payment purposes within the ambulance fee 
schedule and generally across Medicare payment systems. It also 
utilizes geographic area designations that more realistically reflect 
rural and urban populations, resulting in more accurate payments for 
ambulance services. Accordingly, we are adopting OMB's CBSA-based 
geographic area designations, which have been adopted for the IPPS, to 
more accurately identify urban and rural areas for ambulance fee 
schedule payment purposes. We are also adopting the most recent 
modification of the Goldsmith Modification, consistent with the 
provisions of section 1834(l), to more accurately determine rural 
census tracts within metropolitan areas.
    These changes will affect whether certain areas are recognized as 
rural or urban. The distinction between urban and rural is important 
for ambulance payment purposes because ambulance payments are based on 
the point of pick-up for the transport, and the point of pick-up for 
urban and rural transport is paid differently. Of particular 
significance to the ambulance fee schedule, the changes would affect 
whether or not certain areas are eligible for certain rural bonus 
payments under the ambulance fee schedule. For example, the changes 
would affect whether or not certain areas are recognized as what we 
refer to as ``Super Rural Bonus'' areas established by section 414(c) 
of the MMA and set forth in section 1834(l)(12) of the Act. That 
section specifies that, for services furnished during the period July 
1, 2004 through December 31, 2009, the payment amount for the ground 
ambulance base rate is increased by a ``percent increase'' (Super Rural 
Bonus) where the ambulance transport originates in a rural area (which 
includes Goldsmith areas) that we determine to be in the lowest 25th 
percentile of all rural populations arrayed by population density.
a. Core-Based Statistical Areas (CBSAs): Revised Office of Management 
and Budget (OMB) Metropolitan Area Definitions
    In the February 27, 2002 final rule (67 FR 9100), we stated that we 
could not easily adopt and implement, within the timeframe necessary to 
implement the fee schedule, a methodology for recognizing geographic 
population density disparities other than MSA/nonMSA. We also stated 
that we would consider alternative methodologies that may more 
appropriately address payment to isolated, low-volume rural ambulance 
providers and suppliers at a later date. The application of any rural 
adjustment is determined by the geographic location of the beneficiary 
at the time he or she is placed on board the ambulance. We are now 
finalizing the adoption of OMB's revised geographic area designations 
for urban and rural areas and the most recent modification of the 
Goldsmith Modification to address payment to those isolated, low-volume 
rural providers and suppliers.
    Prior to the 2000 decennial census, geographic areas were 
consistently defined by OMB as Metropolitan Statistical Areas (MSAs) 
with an MSA being defined as an urban area and

[[Page 69714]]

anything outside an MSA being defined as a rural area. In addition, for 
purposes of ambulance policy, we recognized the 1990 update of 
Goldsmith areas (generally, rural census tracts within counties that 
covered large tracts of land with one predominant urban area only) as 
rural areas (65 FR 55077 through 55100). In Fall 1998, OMB chartered 
the Metropolitan Area Standards Review Committee to examine the 
Metropolitan Area (MA) standards and develop recommendations for 
possible changes to those standards. Three notices related to the 
review of the standards were published on the following dates in the 
Federal Register, providing an opportunity for public comment on the 
recommendations of the Committee: December 21, 1998 (63 FR 70525 
through 70561); October 20, 1999 (64 FR 56627 through 56644); and 
August 22, 2000 (65 FR 51059 through 51077).
    In the December 27, 2000, Federal Register (65 FR 82227 through 
82238), OMB announced its new standards. In that notice, OMB defined a 
CBSA, beginning in 2003, as ``a geographic entity associated with at 
least one core of 10,000 or more population, plus adjacent territory 
that has a high degree of social and economic integration with the core 
as measured by commuting ties.'' CBSAs are conceptually areas that 
contain a recognized population nucleus and adjacent communities that 
have a high degree of integration with that nucleus. The purpose of the 
new OMB standards is to provide nationally consistent definitions for 
collecting, tabulating, and publishing Federal statistics for a set of 
geographic areas.
    The OMB standards designate and define two categories of CBSAs: 
Metropolitan Statistical Areas (MSAs); and Micropolitan Statistical 
Areas (65 FR 82227 through 82238). According to OMB, MSAs are based on 
urbanized areas of 50,000 or more population and Micropolitan 
Statistical Areas (referred to in this discussion as Micropolitan 
Areas) are based on urban clusters of at least 10,000 population but 
less than 50,000 population. Counties that do not fall within CBSAs are 
deemed ``Outside CBSAs.''
    Under the ambulance fee schedule, MSAs would continue to be 
recognized as urban areas and all other areas outside MSAs (including 
Micropolitan Areas, areas ``Outside CBSAs'', and areas that are 
determined to be rural under the most recent modification of the 
Goldsmith Modification) would be recognized as rural areas. As noted 
previously, these designations are important because under the 
ambulance fee schedule, Medicare transports are designated either urban 
or rural based on the pick-up point of the transport.
    As of June 6, 2003, the new OMB definitions recognized 49 new MSAs 
and 565 new Micropolitan Areas, and extensively revised the composition 
of many of the existing MSAs. There are 1,090 counties in MSAs under 
the new definitions (previously, there were 848 counties in MSAs). Of 
these 1,090 counties, 737 are in the same MSA as they were prior to the 
changes, 65 are in a different MSA, and 288 were not previously 
designated to any MSA (69 FR 49027).
    There are 674 counties in Micropolitan Areas. Of these, 41 were 
previously in an MSA, while 633 were not previously designated to an 
MSA. There are five counties that previously were designated to an MSA, 
but are no longer designated to either an MSA or a new Micropolitan 
Area (Carter County, Kentucky; St. James Parish, Louisiana; Kane 
County, Utah; Culpepper County, Virginia; and King George County, 
Virginia) (69 FR 49027).
    Our adoption of CBSA-based geographic area designations means that 
ambulance providers and suppliers that pick up Medicare beneficiaries 
in areas that are now outside of MSAs (but had been within MSA areas) 
may experience increases in payment, while those ambulance providers 
and suppliers that pick up Medicare beneficiaries in areas that are now 
within MSA areas (but had been outside of MSAs) may experience 
decreases in payment.
    The use of updated geographical areas means the recognition of new 
urban and rural boundaries based on the population migration that 
occurred over a 10-year period, between 1990 and 2000.
    We believe that updating the MSA definition to conform with OMB's 
CBSA-based geographic area designations, coupled with updating the 
Goldsmith Modification (that is, using the current Rural Urban 
Commuting Areas (RUCAs) version, as discussed in section III.B.1.b of 
this final rule), will more accurately reflect the contemporary urban 
and rural nature of areas across the country for ambulance payment 
purposes and cause ambulance fee schedule payments to become more 
accurate.
    As of October 1, 2004, the IPPS adopted OMB's revised metropolitan 
area definitions to identify ``urban areas'' for payment purposes. 
Under the IPPS, MSAs are considered urban areas and Micropolitan Areas 
and areas ``Outside CBSAs'' are considered rural areas as specified in 
Sec.  412.64(b). We are adopting similar CBSA-based designations of 
``urban area'' and ``rural area'' under the ambulance fee schedule for 
the reasons discussed. Therefore, we are revising Sec.  414.605 to 
include a definition of urban area and to reflect OMB's revised CBSA-
based geographic area designations in our definition of rural area.
    Comment: Some commenters suggested that we should mitigate any 
financial impact of the CBSA-based geographic changes by holding 
negatively-affected ambulance companies harmless or by adopting a 
phase-in of the CBSA-based geographic changes.
    Response: While we understand the concern of some ambulance 
companies about the CBSA-based geographic changes, we think most 
negative impacts will be mitigated when we incorporate the updated 
Goldsmith Modification using RUCAs, as we discuss in section III.B.1.b. 
of this final rule. The RUCAs allow us to continue to recognize sub-
county rural areas in CBSA-based MSAs. Further, we believe that 
accurate payments to rural areas should not be further delayed. 
Ambulance payments will not reflect the population changes documented 
by the CY 2000 decennial census and reflected in CBSA-based geographic 
designations until CY 2007. Finally, ambulance providers and suppliers 
who benefit from the floor amount based on Regional fee schedules will 
continue to receive transition payments through CY 2009, mitigating the 
overall financial impacts of the ambulance fee schedule.
    Comment: Several commenters suggested delaying the implementation 
of the CBSA-based geographic changes until the findings of the GAO 
report on costs and access as they relate to ambulance services is 
published. The final report is currently due to be published by 
December 2007.
    Response: We contacted the GAO concerning this report. At this 
time, the draft findings are not available and GAO is not permitted to 
discuss the report until its release. In view of the mitigating effects 
of our use of RUCAs, and in light of the fact that no ``super rural 
bonus'' areas are affected by the CBSA-based geographic designations, 
we think that the better course of action is to finalize our adoption 
of CBSA-based urban and rural designations. However, we will maintain 
contact with the GAO and, when their findings are available, we will 
consider whether any further adjustments are necessary.
b. Updated Goldsmith Modification: Rural Urban Commuting Areas (RUCAs)
    The Goldsmith Modification evolved from an outreach grant program 
sponsored by the Office of Rural Health

[[Page 69715]]

Policy of the Health Resources and Services Administration (HRSA). This 
program was created to establish an operational definition of rural 
populations lacking easy access to health services in Large Area 
Metropolitan Counties (LAMCs). Dr. Harold F. Goldsmith and his 
associates created a methodology for identifying rural census tracts 
located within a large metropolitan county of at least 1,225 square 
miles. Using a combination of data on population density and commuting 
patterns, census tracts were identified as being so isolated by 
distance or physical features that they were more rural than urban in 
character. The original Goldsmith Modification was developed using data 
from the 1980 census. To more accurately reflect current demographic 
and geographic characteristics of the nation, HRSA's Office of Rural 
Health Policy, in partnership with the Department of Agriculture's 
Economic Research Service and the University of Washington, developed 
an update to the Goldsmith modification designated as Rural-Urban 
Commuting Area Codes (RUCAs) (69 FR 47518 through 47519).
    Rather than being limited to LAMCs, RUCAs use urbanization, 
population density, and daily commuting data to categorize every census 
tract in the country. Thus, RUCAs are used to identify rural census 
tracts in all metropolitan counties. Section 1834(l) of the Act 
requires that we use the most recent modification of the Goldsmith 
Modification to determine rural census tracts within MSAs. Therefore, 
we are removing the definition of ``Goldsmith modification'' at Sec.  
414.605 and incorporating a reference to the most current version of 
the Goldsmith modification, which are the Rural Urban Commuting Areas 
(RUCAs), in the definition of ``rural area.''
    Comment: We received numerous comments from members of the 
ambulance industry that were concerned about the geographic status of 
their pick-up areas. Ambulance companies located in areas that have 
been traditionally recognized as rural areas were concerned that 
population shifts based on whole county designations might not 
accurately reflect pockets of rurality within those counties.
    Response: The most recent modification of the Goldsmith 
Modification, which we are adopting in this final rule, uses RUCAs to 
recognize levels of rurality in census tracts located in every county 
across the nation. As a result, many counties that are designated urban 
at the county level based on population do, indeed, have rural census 
tracts within them that will be recognized as rural areas through our 
use of RUCAs. While this may not mean that every commenter will be 
ultimately satisfied, we believe that using RUCAs to identify sub-
county rural areas within urban counties will resolve many of the 
commenters' concerns.
    Comment: Although a number of commenters were supportive of our use 
of RUCAs, they requested that we clarify how we intend to define 
rurality using RUCA categories.
    Response: The RUCA system is an updated version of the Goldsmith 
Modification that uses a 10-point scale of rurality. RUCA levels are 
assigned to a census tract based on the association of a given area's 
population to the nearest urban commuting area as follows:
    (1) Metropolitan-area core: Primary flow within an urbanized area 
(UA).
    (2) Metropolitan-area high commuting: Primary flow 30% or more to a 
UA.
    (3) Metropolitan-area low commuting: Primary flow 5 percent to 30 
percent to a UA.
    (4) Large town core: Primary flow within a place of 10,000 to 
49,999.
    (5) Large town high commuting: Primary flow 30 percent or more to a 
place of 10,000 to 49,999.
    (6) Large town low commuting: Primary flow 5 percent to 30 percent 
to a place of 10,000 to 49,999.
    (7) Small town core: Primary flow within a place of 2,500 to 9,999.
    (8) Small town high commuting: Primary flow 30 percent or more to a 
place of 2,500 to 9,999.
    (9) Small town low commuting: Primary flow 5 percent to 30 percent 
to a place of 2,500 to 9,999.
    (10) Rural areas: Primary flow to a tract without a place of 2,500 
or more.
    Furthermore, census tracts under RUCAs can be broken down by zip 
code for every county, allowing us to modify rural and urban areas 
within a given county. In the May 26, 2006 proposed rule (71 FR 30358), 
we did not specify where we would draw the line on the RUCA scale for 
urban/rural purposes. According to HRSA, the generally accepted 
breakpoint is to define a level less than 4.0 on the scale as urban and 
levels equal to or greater than 4.0 on the scale as rural. Under 
section 330A of the Public Health Service Act, the Office of Rural 
Health Policy within HRSA determines eligibility for its rural grant 
programs through the use of the RUCA code methodology. Under this 
methodology, any rural census tract that is in a RUCA code 4.0 or 
higher is determined to be a rural census tract. We agree with the 
majority of the commenters who suggested that we follow HRSA's 
guidelines and consider areas to be rural if they fall within RUCA 
levels 4 through 10. One commenter suggested that a rurality level of 
2.0 might be a better breakpoint for EMS purposes. However, we believe 
that HRSA's guidelines accurately identify rural areas for ambulance 
payment purposes and are generally consistent with Medicare payment 
policies. We will, therefore, consider any census tract falling at or 
above RUCA level 4.0 to be a rural area for purposes of payment for 
ambulance services. We are finalizing our proposal to use the most 
recent modification of the Goldsmith Modification incorporating RUCAs, 
as directed by section 1834(l) of the Act. We will use 4.0 on the RUCA 
scale as the delineation between rural and urban (4.0 and greater is 
rural and less than 4.0 is urban).
    Comment: One commenter discussed zip code areas that ``bleed'' from 
one type of geographic area to another, such as from rural to urban. 
This commenter was concerned that zip codes that were predominantly, 
but not totally, located within a rural area would not receive rural 
payments for ambulance pick-ups in those areas due to the urban 
influence of part of the zip code area.
    Response: When we review a claim for ambulance services, we 
specifically examine the zip code for the pick-up point to determine 
whether that zip code contains both urban and rural areas. Census 
tracts under RUCAs can be broken down by zip code for every county, 
which allows us to identify rural and urban areas within a given 
county. Generally, we would categorize a zip code as urban or rural, 
and make payment accordingly, based on where the bulk of the population 
in that zip code resides.
    Comment: Several commenters were concerned about the impact of the 
proposed CBSA-based geographic changes on the provisions of the 
Medicare Modernization Act (MMA) for rural service areas, specifically 
concerning the ``Super Rural Bonus'' areas.
    Response: The ``Super Rural Bonus'' areas are areas that we 
determine to be in the lowest 25th percentile of all rural populations 
arrayed by population density in accordance with section 1834(l)(12) of 
the Act. Ambulance pick-ups in these areas currently receive a 22.6 
percent add-on to their Medicare payments. None of the Super Rural 
Bonus areas should be adversely affected by the proposed CBSA-based 
changes, as our use of RUCA levels will preserve the rural status of an 
area

[[Page 69716]]

whether or not it is located in a county which is designated as urban 
under the OMB definitions. Areas that do lose their rural status to 
become urban have become urban because of a significant increase in the 
surrounding population.
    Comment: One commenter stated that the ambulance is dispatched to 
the patient to provide care at his or her pick-up point and, therefore, 
the ambulance payment system should reflect this procedure. Another 
commenter suggested that we should retain the Goldsmith Modification in 
its current form and not update payments under the ambulance fee 
schedule to reflect the use of RUCAs.
    Response: We agree that the ambulance pick-up point is the 
determining factor in establishing payment under the ambulance fee 
schedule, and we intend to retain this procedure in the payment 
process. In addition, we agree that we need to recognize levels of 
rurality, and are doing so by adopting the updated Goldsmith 
Modification which uses RUCAs to identify rural areas within urban 
counties. We are directed by section 1834(l) of the Act to use the most 
recent update of the Goldsmith Modification in the payment process.
    Comment: Another commenter suggested that we allow ambulance 
companies to present data to justify rurality, similar to the IPPS 
hospital reclassification process.
    Response: Once again, we understand the concern of some ambulance 
companies to retain the rural status of their pick-up areas. However, 
as discussed in this section, we believe that, where applicable, the 
use of the RUCAs, and our ability to identify rural zip codes within 
census tracts, will address this concern in a consistent manner. 
Therefore, we do not believe it is necessary to complicate the payment 
process by developing an additional data submission and evaluation 
methodology. While the commenter directly referred to the hospital 
reclassification process that is administered under the IPPS, wherein 
hospitals can apply for geographic reclassification for purposes of 
determining the wage index adjustment to their inpatient payments, the 
hospital reclassification process was established by statute 
specifically for inpatient hospitals. Therefore, this IPPS 
reclassification methodology does not apply to ambulance services.
2. Specialty Care Transport (SCT)
    In the February 27, 2002 Federal Register (67 FR 9100), we 
published a final rule with comment period entitled ``Fee Schedule for 
Payment of Ambulance Services and Revisions to the Physician 
Certification Requirements for Coverage of Nonemergency Ambulance 
Services'' that implemented the ambulance fee schedule. In that final 
rule, we defined SCT in Sec.  414.605 as the ``interfacility 
transportation of a critically injured or ill beneficiary by a ground 
ambulance vehicle, including medically necessary supplies and services, 
at a level of service beyond the scope of the EMT [(Emergency Medical 
Technician)]--Paramedic. SCT is necessary when a beneficiary's 
condition requires ongoing care that must be furnished by one or more 
health professionals in an appropriate specialty area, for example, 
nursing, emergency medicine, respiratory care, cardiovascular care, or 
a paramedic with additional training.''
    Additionally, ambulance vehicle staff must be certified as 
emergency medical technicians and legally authorized to operate all 
lifesaving and life-sustaining equipment that are on board the vehicle 
as specified in Sec.  410.41(b)(1). Typically, a SCT level of care 
occurs when the patient, who is already receiving a high level of care 
in the transferring facility, requires a further level of care that the 
transferring facility is not able to provide.
    We implemented the SCT level of payment for hospital-to-hospital 
ground ambulance transports upon implementation of the ambulance fee 
schedule on April 1, 2002 and we defined SCT at Sec.  414.605. The 
definition of SCT in Sec.  414.605 refers to ``interfacility 
transportation.'' As we stated in the preamble to the February 27, 2002 
final rule with comment period (67 FR 9100), the SCT level of care 
includes the situation where a beneficiary is taken by ground ambulance 
from the hospital to an air ambulance and then from the air ambulance 
to the final destination hospital. Also, we stated in the preamble for 
both the September 12, 2000 proposed rule (65 FR 55077) and the 
February 27, 2002 final rule (67 FR 9108), that SCT was proposed as a 
level of interhospital service. As stated in our May 26, 2006 proposed 
rule, we based our payment for SCT-level ground ambulance transports on 
hospital-to-hospital ambulance transportation data.
    Subsequent to the implementation of the ambulance fee schedule, we 
clarified our definition of SCT as hospital-to-hospital transport in a 
Program Memorandum to Medicare contractors, which was issued on 
September 27, 2002. (Program Memorandum Intermediaries/Carriers, 
Transmittal AB-02-130--Change Request 2295, September 27, 2002). That 
document and subsequent questions and answers related to the definition 
of SCT were made available to the public on the Ambulance policy Web 
page on the CMS Web site.
    In addition, we clarified our definition of SCT in the Medicare 
Benefit Policy Manual, Chapter 10--Ambulance Services, in which we 
stated that SCT is regarded as a highly-skilled level of care of a 
critically injured or ill patient during transfer from one hospital to 
another. We have also clarified our policy in Ambulance Open Door 
Forums, conference calls, and oral and paper communication written in 
response to questions posed by individuals and groups representing the 
ambulance industry.
    Despite our previous attempts to clarify the scope of SCT 
transport, we continued to receive questions from ambulance suppliers 
and providers and there was confusion on this point among the Medicare 
contractors. For this reason, we had proposed to change the definition 
of ``specialty care transport'' at Sec.  414.605 to read ``hospital-to-
hospital'' transport as opposed to ``interfacility'' transportation to 
conform our regulation text to our existing policy.
    Comment: Many commenters suggested that we expand the SCT level of 
ambulance service to include transportation for neonates and adults 
transported from the scene of an accident to a hospital, as well as 
transport between hospitals and between hospitals and skilled nursing 
facilities (SNFs). In addition, commenters requested a clearer 
definition of the terms ``hospital'' and ``critical care.'' Some 
commenters suggested that we reconvene the Negotiated Rulemaking 
Committee to develop a definition of ``critical care.''
    Response: We carefully considered the commenters'' recommendations 
to expand our interpretation of the term ``interfacility'' to include 
other origin and destination points in addition to hospitals. The SCT 
level of transport is intended to be used only for transfer of the most 
critically ill beneficiaries, who require ongoing specialized care 
beyond the scope of the EMT-paramedic. Typically, SCT level transport 
occurs when a beneficiary who is already receiving a high level of 
specialized care in one facility is moved to another facility to 
receive more specialized services. Although such specialized care is 
usually provided in a hospital, we recognize that some beneficiaries 
receive specialized care in a skilled nursing facility (SNF) and may 
require the SCT level of transport from the SNF to a hospital or from a 
hospital to a SNF.

[[Page 69717]]

Therefore, we are withdrawing our proposal to revise Sec.  414.605 to 
read ``hospital-to-hospital'' instead of ``interfacility'' and 
expanding our interpretation of ``interfacility'' to include both 
hospitals and SNFs. In addition, in response to comments, we are 
further clarifying the kinds of facilities that we include as origin or 
destination points for ``interfacility'' transport for SCT purposes.
    Many of our Medicare contractors indicate that they have been 
administering the ``interfacility'' requirement in the SCT definition 
broadly, paying claims at the SCT level of service beyond the scope of 
``hospital-to-hospital.'' An examination of the latest available claims 
data shows that SCT-level payments are made predominantly for hospital-
to-hospital transportation, as expected, with a small percentage of 
SCT-level ambulance transports involving other origin and destination 
points, primarily SNFs.
    Therefore, for purposes of SCT payment, we consider a ``facility'' 
to include a SNF or a hospital that participates in the Medicare 
program. In addition, we consider the term ``facility'' to include a 
hospital-based facility that meets our requirements for provider-based 
status, as specified at Sec.  413.65. Facilities that meet our 
requirements for provider-based status, like the main provider with 
which they are affiliated, are held to high standards of safety and 
patient care. Therefore, we believe that such facilities, due to their 
close association with a Medicare hospital and their adherence to high 
standards of care under our regulations, are also among the facilities 
equipped to provide the SCT level of care to patients and to provide 
the additional specialized care that is required under the SCT level of 
ambulance transport. We will continue to enforce our medical necessity 
requirements concerning all interfacility transports so that we can 
remain assured that they are occurring for only the most critical 
patients.
    We appreciate the request by commenters that we clarify the kinds 
of facilities we consider to be included for SCT payment purposes. As 
explained above, our claims data indicate that SCT level care is needed 
primarily during inter-hospital transfers and, in some cases, during 
transfers between a hospital and a SNF. Therefore, for purposes of SCT 
payment, we consider a ``facility'' to include only a SNF or a hospital 
that participates in the Medicare program, or a hospital-based facility 
that meets our requirements for provider-based status.
    Medicare hospitals include, but are not limited to, rehabilitation 
hospitals, cancer hospitals, children's hospitals, psychiatric 
hospitals, Critical Access Hopitals (CAHs), inpatient acute-care 
hospitals, and Sole Community Hospitals (SCHs).
    However, we do not agree with commenters who recommended that a 
more comprehensive definition of ``critical care'' is warranted at this 
time. The Negotiated Rulemaking Committee was unable to precisely 
define ``critical care'' at the time it originally convened and 
recognized that a definition provided at the State or local level would 
be expected to fit, since there are no national standards available 
(Summary Minutes, Medicare Ambulance Fee Schedule Negotiated 
Rulemaking, October 4 and 5, 1999). We have no additional data that 
would permit us to develop a more precise definition at this time. In 
addition, we believe that a more precise definition might conflict with 
State or local parameters already in place, as well as possibly 
limiting the scope of SCT payments in localities where a broader State 
or local definition would otherwise apply.
    ``Critical care'' will continue to be interpreted by our Medicare 
contractors in conjunction with directives provided at the State or 
local level.
    Comment: Many commenters also suggested that we consider including 
the ongoing monitoring of a patient by a specially-trained health care 
professional, beyond the scope of the EMT-Paramedic, to be within the 
realm of the SCT level of service.
    Response: We carefully considered these commenters' concerns, and 
we agree that in cases where a critically injured or ill patient 
requires the SCT-level of transport from one facility to another, the 
ongoing care that must be furnished by a health professional in an 
appropriate specialty area, beyond the scope of the EMT-Paramedic, may 
include ongoing determinations as to whether the patient requires 
specialized care during the transport. We do not require that 
specialized treatment actually be furnished during the transport to 
satisfy the standard for SCT-level transport. However, we do require 
that the need for specialized treatment can only be ascertained by a 
health professional with specialized training beyond the scope of the 
EMT-Paramedic. We agree with commenters who indicated that an ambulance 
service should not be expected to bear the cost of an additional health 
professional to accompany a patient ``just in case'' the need for 
specialized treatment arises during transport. When such ``specialized 
monitoring'' is medically necessary, we agree that it is part of the 
ongoing care that falls within the definition of SCT.
    Comment: One commenter stated that certain modifiers, such as the 
``D'' modifier representing a stand-alone emergency room or the ``I'' 
modifier used when transferring a patient from the airport or helipad 
to the ambulance, exclude these types of ambulance transports from the 
SCT level of service.
    Response: The commenter is correct that we generally do not 
recognize either ``D'' or ``I'' modifier-type ambulance transports to 
be SCT level ambulance services. The ``D'' modifier would be used to 
describe a non-hospital-based, non-hospital-owned, or non-hospital-
operated diagnostic facility or clinic. We have defined the SCT level 
of ambulance service as interfacility ground transportation, involving 
transport between hospitals, hospital-based facilities and SNFs. 
Therefore, a stand-alone emergency room that is not provider-based or a 
freestanding clinic that is not provider-based would not meet the 
requirements for an origin or destination point for SCT level 
transport. The ``I'' modifier indicates an origin or destination that 
is a transfer point between ambulances, such as transfer from air to 
ground ambulance service at a helicopter pad. Unless the origin of the 
first leg of the transport is a facility and unless the SCT level of 
care is medically necessary after the transfer occurs, we would not 
consider the transport from the transfer point to the final destination 
to be SCT level transport.
3. Recalibration of the Ambulance Fee Schedule Conversion Factor
    In the February 27, 2002 final rule with comment period (67 FR 9102 
and 9103), we indicated that we would adjust the CF if actual 
experience under the fee schedule was significantly different from the 
assumptions used to determine the initial CF and air ambulance rates. 
We specifically stated that we would monitor payment data and evaluate 
whether the assumptions used were accurate.
    We have continued to review our assumptions annually to determine 
whether or not a CF adjustment is warranted. We examined the effects of 
the relative volumes of the different levels of ambulance services 
(service mix) and the extent of low billing charges to determine 
whether we should adjust the CF to reflect actual practices. In the 4 
years since the implementation of the ambulance fee schedule, no 
significant differences from our original assumptions have emerged. We 
have observed only insignificant differences, and, to date, no 
adjustments in any 1

[[Page 69718]]

year have been warranted. It is for this reason that we believe it is 
appropriate to discontinue our annual review of the original CF 
assumptions. We also believe that the formal annual review of air 
ambulance rates should be discontinued as we will monitor all ambulance 
rates and make adjustments on an ``as needed'' basis. The ambulance 
industry has available multiple venues for notifying us of potential 
issues. These include the ambulance fee schedule open door forums and 
telephone calls to designated CMS personnel. As an additional 
safeguard, we generally conduct a review of ambulance data each year in 
preparation for issuing the Ambulance Inflation Factor (AIF).
    Therefore, we are revising Sec.  414.610 (g) to indicate that we 
will monitor payment and billing data on an ongoing basis and adjust 
the CF and air ambulance rates as appropriate to reflect annual 
practices under the fee schedule.
    Comment: Commenters were supportive of our proposal to discontinue 
the annual practice of examining the low biller data and the CF via the 
rulemaking process.
    Response: We appreciate the support of the commenters on these 
points.
    We are finalizing our proposal to discontinue the annual practice 
of examining the low biller data and the CF, as well as air ambulance 
rates, and to change the language at Sec.  414.610(g) to reflect this.
4. Hospital-to-Hospital Ambulance Service: Emergency Response
    In Sec.  414.605, we define ``emergency response'' for purposes of 
ambulance service to mean ``responding immediately at the BLS (Basic 
Life Support) or ALS1 (Advanced Life Support Level 1) level of service 
to a 911 call or the equivalent in areas without a 911 call system. An 
immediate response is one in which the ambulance entity begins as 
quickly as possible to take the steps necessary to respond to the 
call.'' In our February 27, 2002 final rule with comment period (67 FR 
9100), in our definition of ``emergency response'' we stated that the 
additional payment for emergency response is for the additional 
overhead cost of maintaining the resources required to respond 
immediately to a call and not for the cost of furnishing a certain 
level of service to the beneficiary.
    The current emergency response definition has created confusion for 
those transports that originate at a hospital emergency department and 
the ambulance is transporting the beneficiary to an emergency 
department at another hospital for either admittance or treatment. For 
example, in most of these cases, the beneficiary must be stabilized 
prior to the transport. Therefore, the need to maintain a state of 
readiness to respond immediately to an urgent call, warranting a higher 
emergency response payment, does not appear to be applicable to these 
situations.
    Another example occurs when the ambulance is owned by the 
originating hospital. We stated in a Program Memorandum to the Medicare 
contractors (Transmittal AB-02-130, Change Request 2295, September 27, 
2002) that upon receipt of a call for ambulance services, the 
dispatcher makes the determination of whether the call constitutes an 
Emergency response. When the ambulance service is already readily 
available at the originating hospital, an emergency call may not be 
necessary, much less through a dispatcher for a 911 service.
    While we recognize that there may be instances when an emergency 
response payment is warranted for a transport between two hospital 
emergency departments, we believe that payment based on readiness to 
respond immediately is not justified 100 percent of the time. For this 
reason, we believed our current definition of Emergency response needed 
to be clarified to reflect only circumstances where payment for 
immediate response is truly warranted. We proposed to revise the 
definition of Emergency response to mean that an ambulance entity--
     Maintains readiness to respond to urgent calls at the BLS 
or ALS1 level of service; and
     Responds immediately at the BLS or ALS1 level of service 
to 911 calls, the equivalent in areas without a 911 call system or 
radio calls within a hospital system when the ambulance entity is owned 
and operated by the hospital.
    Comment: We received many comments on revising the definition of 
``emergency response''. Most commenters expressed concern that this 
revised definition would put private ambulance services at a 
disadvantage. They interpreted our proposed definition to include only 
ambulance services owned and operated by hospitals that respond to 
radio calls within a hospital system. Essentially, their interpretation 
of our proposed definition was that only ambulance services owned and 
operated by hospitals would be able to transport patients at the 
``emergency response'' level of service and, therefore, be able to 
receive the higher ``emergency response'' payment as a result.
    Response: Certainly, this was not our intent. Our view of the 
problem we were attempting to address was the issue of ``readiness'' 
when responding to a 911 call. We expect ``emergency response'' payment 
to be made only in circumstances where readiness to respond immediately 
is truly required. Therefore, we proposed to clarify the circumstances 
under which we expected this to occur. However, we agree with comments 
stating that ambulance service calls generally do not originate through 
a 911 service but through the hospital's radio dispatch at the location 
where the ambulance is stationed. Private ambulance services stationed 
at inpatient hospitals would, therefore, be at a disadvantage if we 
specify that responding to hospital radio calls only qualifies as 
``emergency response'' when the ambulance entity is owned or operated 
by the hospital. This would not affect off-site ambulance services 
whose calls originate through a 911 or equivalent service. We agree 
that the proposed change in the definition of ``emergency response'' 
could have an unintended adverse effect on private ambulance services 
in these circumstances.
    Comment: Several commenters stated that our existing definition of 
emergency response more clearly reflects the intent of the Negotiated 
Rulemaking Committee in that all ambulance services should have equal 
access to the use of the emergency level of service by accessing it 
through established State protocols, such as 911 or an equivalent 
service.
    Response: We also agree that the current definition of emergency 
response is consistent with the Negotiated Rulemaking Committee's 
intent and does not present other problems raised by commenters. For 
the BLS and ALS1 levels of service, an ambulance service that qualifies 
for an emergency response is assigned a higher relative value to 
recognize the additional costs incurred in responding immediately. We 
think that requiring an ambulance service to respond to a 911 call, or 
the equivalent in areas without a 911 call system, satisfies this 
requirement.
    Therefore, we are withdrawing our proposal to revise the 
``emergency response'' definition and will retain the current 
definition at 414.605. We expect that the State protocol (a 911 call or 
the equivalent in areas without a 911 call system) for requesting 
emergency ambulance services will be followed in all instances.

[[Page 69719]]

C. Analysis of and Responses to Public Comments

    We received a total of 102 timely public comments in response to 
the May 26, 2006 proposed rule (71 FR 30358). Commenters included 
national trade associations, health care providers, hospitals, CMS 
contractors, and private citizens.
    All public comments were reviewed and grouped by like or related 
topics. Comments are addressed in the individual sections of discussion 
to which they apply.

D. Ambulance Inflation Factor (AIF) for 2007

    Section 1834(l)(3)(B) of the Act provides the basis for updating 
payment amounts for ambulance services. Our regulations at Sec.  
414.610(f) provide that the ambulance fee schedule must be updated by 
the AIF annually, based on the CPI for all urban consumers (CPI-U) 
(U.S. city average) for the 12-month period ending with June of the 
previous year. For CY 2007, that percentage is 4.3 percent.
    Section 414.620 specifies that changes in payment rates resulting 
from incorporation of the AIF will be announced by notice in the 
Federal Register without opportunity for prior comment. We find it 
unnecessary to undertake notice and comment rulemaking because the 
statute and regulations specify the methods of computation of annual 
updates. This notice does not change policy, but merely applies the 
update methods specified in the statute and regulations.
    The national fee schedule for ambulance services has been phased in 
over a 5-year transition period beginning April 1, 2002 as specified in 
Sec.  414.615.
    Prior to January 1, 2006, during the transition period, the AIF was 
applied separately to both the fee schedule portion of the blended 
payment amount (regardless of whether a national or regional fee 
schedule applied) and to the reasonable cost or charge portion of the 
blended payment amount, respectively, for each ambulance provider or 
supplier. Then, these two amounts were added together to determine the 
total payment amount for each provider or supplier. Beginning January 
1, 2006, the total payment for air ambulance providers and suppliers is 
based on 100 percent of the national ambulance fee schedule, while the 
total payment amount for ground ambulance providers and suppliers is 
based on either 100 percent of the national ambulance fee schedule or a 
combination of the national ambulance fee schedule and the regional 
ambulance fee schedule. As of January 1, 2007, the combination rate 
will be 80 percent of the national ambulance fee schedule and 20 
percent of the regional ambulance fee schedule.

IV. Five-Year Refinement of Relative Value Units Under the Physician 
Fee Schedule: Responses to Public Comments on the Five Year Review of 
Work Relative Value Units

A. Scope of the Five-Year Review

    This final rule includes the culmination of the third 5-Year Review 
of work RVUs required by the statute. The work RVUs affected by this 
review will be effective for services furnished beginning January 1, 
2007.
    In the June 29, 2006 proposed notice, ``Five-Year Review of Work 
Relative Value Units Under the Physician Fee Schedule and Proposed 
Changes to the Practice Expense Methodology'', we explained the process 
used to conduct the 5-Year Review of work RVUs. In response to our 
solicitation of public comments that appeared in the November 15, 2004 
Federal Register (69 FR 66370), we received comments from approximately 
35 specialty groups, organizations, and individuals involving over 500 
Current Procedural Terminology (CPT) codes. After review by our medical 
staff, we shared these comments with the AMA's Relative Value Update 
Committee (RUC) along with additional services we had identified as 
potentially misvalued.
    After a comprehensive review process, the RUC submitted work RVU 
recommendations for all of these codes except for the codes that were 
withdrawn or referred to the CPT Editorial Panel for further review or 
action, and CPT code 32020 for which no specialty society expressed an 
interest in conducting a survey. We analyzed all of the RUC 
recommendations by evaluating the methodology used by each workgroup to 
develop the recommendations, the recommended work RVUs, and the 
rationale for the RUC recommendations. When appropriate and feasible, 
if we had concerns about the application of a particular methodology, 
we assessed whether the recommended work RVUs were appropriate by using 
alternative methodologies.
    In conducting our review of the RUC recommendations we considered 
whether: (1) The code was part of a completed survey process; (2) the 
methodology used by the specialty society followed the standard RUC 
process; (3) the survey respondents stated the work had or had not 
changed in the past 5 years; (4) databases (for example, Society of 
Thoracic Surgeons (STS), National Surgical Quality Improvement Program 
(NSQIP), and Medicare diagnosis-related group (DRG)) were used in lieu 
of the standard RUC methodology or as a supplement to the standard 
methodology; and (5) the intra-service work per unit of time (IWPUT) 
calculation was used to determine work RVUs in lieu of the standard RUC 
process. Although we recognize that the work values of codes may change 
over time, it is the responsibility of the specialty society to present 
compelling evidence that a code is misvalued. (For additional 
information on the review process, please see the June 29, 2006 
proposed notice (71 FR 37172).)

B. Review of Comments

    Many commenters expressed support for our proposed valuations of 
many of the services. However, other commenters expressed specific 
concern or disagreement with the proposed valuation of approximately 
106 codes, with the major concern being that the codes would be 
undervalued.
    We convened a multi-specialty panel of physicians to assist us in 
the review of comments. The comments we did not submit for panel review 
are discussed at the end of this section. The panels were moderated by 
our medical staff and consisted of:
     Clinicians representing the commenting specialty(s), based 
on our determination of those specialties which are most identified 
with the services in question. Although commenting specialties were 
welcomed to observe the entire refinement process, they were only 
involved in the discussion of those services for which they were 
invited to participate.
     Primary care clinicians nominated by the American Academy 
of Family Physicians (AAFP) and the American College of Physicians.
     Four carrier medical directors.
     One to two clinicians who practice in related specialties 
and have knowledge of the services under review.
    We submitted 30 codes for evaluation by the panel. The panel 
discussed the work involved in each procedure under review in 
comparison to the work associated with other services on the fee 
schedule. We assembled a set of reference services and asked the panel 
members to compare the clinical aspects of the work for services they 
believed were incorrectly valued to one or more of the reference 
services. In compiling the reference set, we attempted to include: (1) 
Services that are commonly furnished for which work RVUs are not

[[Page 69720]]

controversial; (2) services that span the entire spectrum of work 
intensity from the easiest to the most difficult; and (3) at least 
three services performed by each of the major specialties so that each 
specialty would be represented. Group members were encouraged to make 
comparisons to these reference services. The intent of the panel 
process was to capture each participant's independent judgment based on 
the discussion and his or her clinical experience. Following the 
discussion for each service, each participant rated the work for that 
procedure. Ratings were individual and confidential; there was no 
attempt to achieve consensus among the panel members.
    We then analyzed the ratings based on a presumption that the RVUs 
published in the proposed notice were correct. To overcome that 
presumption, the inaccuracy of the proposed RVUs had to be apparent to 
the broad range of physicians participating in the panel. Ratings of 
work were analyzed for consistency among the groups represented on the 
panel. In general terms, we used statistical tests to determine whether 
there was enough agreement among the groups on the panel, and if so, 
whether the agreed-upon RVUs were significantly different from the 
proposed RVUs that appeared in the June 29, 2006 proposed notice to 
demonstrate that the proposed RVUs should be modified. We did not 
modify the RVUs unless there was a clear indication for a change. If 
there was agreement across groups for change, but the groups did not 
agree on what the new RVUs should be, we eliminated the outlier group, 
and looked for agreement among the remaining groups as to the basis for 
new RVUs. We used the same methodology in analyzing the ratings that we 
first used in the refinement process for the CY 1993 physician fee 
schedule final rule published in the November 25, 1992 Federal Register 
which described the statistical tests in detail (57 FR 55938).
    Our decision to convene a multi-specialty panel of physicians and 
to apply the statistical tests described above in this section was 
based on our need to balance the interests of those who commented on 
the work RVUs against the redistributive effects that would occur in 
other specialties. Of the 30 codes reviewed by the multi-specialty 
panel, all were the subject of requests for increased values.
    Of the proposed codes that were reviewed, 11 increased, and 19 were 
not changed.
    Table 12 lists the codes reviewed during the 5-Year Review on which 
we received comments. This table includes the following information:
     CPT/HCPCS Code. This is the CPT or alphanumeric HCPCS code 
for a service.
     Modifier. A modifier -26 is shown if the work RVUs 
represent the professional component (PC) of the service.
     Description. This is an abbreviated version of the 
narrative description of the code.
     Proposed Work RVUs. This column includes the work RVUs 
proposed in the June 29, 2006 proposed notice for each reviewed code.
     Requested Work RVUs. This column identifies the work RVUs 
requested by the commenters. If the commenters requested different 
RVUs, the table lists the highest requested RVUs.
     RUC Recommendation. This column identifies the work RVUs 
recommended by the RUC that appeared in the June 29, 2006 proposed 
notice.
     HCPAC Recommendation. This column identifies the work RVUs 
recommended by the HCPAC that appeared in the June 29, 2006 proposed 
notice.
     2007 Work RVUs. This column contains the work RVUs for the 
CY 2007 physician fee schedule.
     Basis for Decision. This column indicates whether the CY 
2007 work RVUs resulted from comments received or the refinement panel 
process.
BILLING CODE 4120-01-P

[[Page 69721]]

[GRAPHIC] [TIFF OMITTED] TR01DE06.007


[[Page 69722]]


[GRAPHIC] [TIFF OMITTED] TR01DE06.008


[[Page 69723]]


[GRAPHIC] [TIFF OMITTED] TR01DE06.009

BILLING CODE 4120-01-C

C. Discussion of Comments by Clinical Area

1. Dermatology and Plastic Surgery
    In addition to comments received in support of our proposed work 
RVUs for services reviewed by the RUC's Workgroup 1, we received the 
following comments.
    For CPT code 17004, Destruction (e.g., laser surgery, 
electrosurgery, cryosurgery, chemosurgery, surgical curettement), all 
benign or pre-malignant lesions (e.g., actinic keratoses) other than 
skin tags or cutaneous vascular proliferative lesions; 15 or more 
lesions, the RUC considered a change to the work RVUs for this CPT code 
based on the understanding that when rank order anomalies arising from 
the 5-Year Review were identified, the specialty could bring these 
additional codes forward for re-evaluation at the February 2006 RUC 
meeting. A standard RUC survey was conducted for this code. During the 
discussion, the RUC agreed that the descriptor of the code needed to be 
changed, as well as the intra-service descriptor and time to reflect 
only the destruction of pre-malignant lesions. The RUC agreed that, due 
to these changes, a work value halfway between the 25th and median 
survey percentile was appropriate and recommended work RVUs of 1.80 for 
CPT code 17004.

CMS Proposed Valuation

    For CPT code 17004, we believed that the work associated with 
benign and pre-malignant lesions does not really differ; therefore, the 
recommended work RVUs for CPT code 17004 were too high. We used a 
``building block'' methodology to develop our proposed RVUs for this 
service. That is, based on our proposed valuation of CPT code 17003 
(the code used for 2-14 lesions), of 0.07 work RVUs for each additional 
lesion, the 14th lesion would equal 0.91 work RVUs (0.07 x 13 lesions) 
plus the 0.6 work RVUs for the initial lesion, base code CPT code 
17000, which is billed once in conjunction with 17003, for a total of 
1.51 work RVUs for the service. We proposed to value CPT code 17004, at 
the level determined for the 15th lesion, at 1.58 work RVUs by adding 
the 0.07 work RVU increment of CPT code 17003 and the 0.6 work RVUs for 
the base code, CPT code 17000, which is not billed in conjunction with 
CPT code 17004.
    Comment: While the American Academy of Dermatology (AAD) was 
pleased that the RUC-recommended work RVUs were accepted for the 36 CPT 
codes for the excision of benign and malignant lesions, both the AADA 
and the RUC disagreed with our proposed valuation of 1.58 work RVUs for 
CPT code 17004 and requested that we accept the RUC-recommended 1.8 
work RVUs. They continue to support the premise that benign and pre-
malignant lesions are not comparable and believe that recent changes to 
the code descriptors made by the CPT editorial panel to CPT codes 
17000-17004 and CPT codes 17110-17111 for CPT 2007 also support this 
position. These descriptor changes specifically differentiate between 
destruction of pre-

[[Page 69724]]

malignant and benign lesions, respectively. The RUC and AADA maintain 
that the destruction of pre-malignant lesions in CPT 17004 requires a 
greater mental effort and judgment, technical skill, intensity and time 
than that for the destruction of benign lesions in CPT code 17111. In 
addition, the commenters presented data collected during the survey 
process to show that the median number of lesions destroyed in the 
typical service of CPT code 17004 was 22 lesions, and the average 
number was 23.439.
    Response: We have reviewed the information supplied by the RUC and 
the AADA, especially for the median number of lesions destroyed in the 
typical service of CPT code 17004. By applying the same calculations we 
used in the proposed rule to value the 15th lesion at 1.58 work RVUs, 
we determined that the RUC proposed work value of 1.8 work RVUs 
represents 18 lesions for a typical service for CPT code 17004.
    Final Decision: Based on these comments and our calculations, we 
now believe that the RUC recommendation is reasonable and will accept 
the RUC-recommended work value of 1.80 work RVUs for CPT 17004.

Other Issues

    Comment: The American Society of Plastic Surgeons (ASPS) was 
pleased that we agreed with the RUC recommendations for the codes 
performed by plastic surgeons. ASPS also clarified that the reason CPT 
code 19361 was withdrawn from the 5-Year Review process and sent to CPT 
was due to the ambiguity of the code descriptor, and not due to an 
invalid survey as was listed in Table 3 of the June 29, 2006 proposed 
notice (71 FR 37189).
    Response: We thank the society for the clarification and regret the 
erroneous rationale that was noted for the withdrawal of CPT code 19361 
from this 5-Year Review process.
2. Orthopedic Surgery
    In addition to comments received in support of our proposed work 
RVUs for services reviewed by the RUC's Workgroup 2, we received 
comments on the following CPT codes.
    For CPT code 27130, Arthroplasty, acetabular and proximal femoral 
prosthetic replacement (total hip arthroplasty), with or without 
autograft or allograft; CPT code 27236, Open treatment of femoral 
fracture, proximal end, neck, internal fixation or prosthetic 
replacement; and CPT code 27447, Arthroplasty, knee, condyle and 
plateau; medial AND lateral compartments with or without patella 
resurfacing (total knee arthroplasty), we originally presented these 
codes to the workgroup with data other than survey data supporting the 
work RVU requests. Because of concerns regarding the methodology used 
by the specialty society, the codes were temporarily withdrawn with the 
understanding that survey data could be presented at the October 2006 
meeting. After reviewing the survey data in October 2006, the RUC did 
not find any compelling evidence to change the current work RVUs 
assigned to these services. Based on this review, the RUC recommended 
maintaining the current work RVUs of 20.09 work RVUs for CPT code 
27130, 15.58 work RVUs for CPT code 27236, and 21.45 work RVUs for CPT 
code 27447, but also recommended using the new physician time survey 
data for each of these services.

CMS Proposed Valuation

    We disagreed with the RUC-recommended values for CPT codes 27130, 
27236 and 27447, based on the specialty's presentation to the workgroup 
in August. We instead proposed alternative work RVUs determined by 
comparing these codes to services with similar times and adjusting for 
any differences in hospital visits. As a result of this analysis, we 
proposed 15.96 work RVUs for CPT code 27130, 12.77 work RVUs for CPT 
code 27236, and 19.30 work RVUs for CPT code 27447.
    Comment: Several commenters, including societies representing 
orthopedics and the RUC, expressed concern about the methodology we 
used to develop our proposed work RVUs for these services. Commenters 
questioned the comparisons we used to arrive at the proposed values 
(that is, high volume orthopedic procedures being compared to rarely 
furnished non-orthopedic procedures of lower risk and intensity), and 
also stated that our proposed work RVUs would create substantial rank 
order anomalies within the families. The American Academy of 
Orthopaedic Surgeons/American Association of Orthopaedic Surgeons 
(AAOS) and the American Society for Surgery of the Hand (ASSH) stated 
that we had misunderstood the method that was used to develop the RUC-
recommended work RVUs for these procedures. They indicated that we were 
incorrect in stating that a RUC survey had not been conducted for these 
codes; the work RVU recommendations that were adopted by the RUC are 
based on surveys conducted by AAOS and are the result of extensive RUC 
review and discussion.
    AAOS acknowledged that the initial recommendations presented by 
AAOS in August 2005 were based on NSQIP and DRG data due to flaws in 
the original surveys. However, based on reservations expressed by CMS 
at that time, subsequent surveys were conducted. The RUC-recommended 
work RVU recommendations were then based on this survey data and the 
NSQIP data was used only as an adjunctive methodology to credit or 
discredit the survey data.
    In addition, these codes were compared with other RUC-reviewed 
codes to show that the recommended values and times placed the codes in 
proper rank order. The RUC-recommended values are further supported 
when compared to other procedures within the associated families. The 
commenters urged us to reconsider our position and accept the RUC 
recommendations.
    Response: The commenters are correct that we based our rejection of 
the RUC-recommended work RVU for these services (CPT codes 27130, 
27236, and 27447) on the August workgroup presentation and had 
inadvertently overlooked the surveys that were presented at the October 
meeting. After reviewing the more recent survey data, we now agree that 
the RUC recommendations appear reasonable. Therefore, based on a review 
of the information provided by the commenters, we have decided to 
accept the RUC recommendation to maintain the current work RVUs of 
20.09 for CPT code 27130, 15.58 work RVUs for CPT code 27236 and 21.45 
work RVUs for CPT code 27447.
3. Gynecology, Urology, Pain Medicine, and Neurosurgery
    We received comments disagreeing with our proposed work RVUs on the 
following two services: CPT code 22612, Arthrodesis, posterior or 
posterolateral technique, single level; lumbar (with or without lateral 
transverse technique); and CPT code 63048, Laminectomy, facetectomy and 
foraminotomy (unilateral or bilateral with decompression of spinal 
cord, cauda equina and/or nerve root(s), (e.g., spinal or lateral 
recess stenosis)), single vertebral segment; each additional segment, 
cervical, thoracic, or lumbar (List separately in addition to code for 
primary procedure.). The RUC had recommended increases in work RVUs for 
these two codes, but less than the increases requested by the specialty 
society. The RUC agreed that these procedures were undervalued due to 
increases in length of stay and the incorrect assumptions made in the

[[Page 69725]]

previous valuation of the service. The specific RUC-recommended work 
RVUs were 22.00 work RVUs for CPT code 22612 and 3.55 work RVUs for CPT 
code 63048.

CMS Proposed Valuation

    We had technical concerns with the recommendations for CPT codes 
22612 and 63048. The workgroup had recommended the survey's 25th 
percentile for CPT code 22612 to keep the appropriate rank order with 
the reference service, CPT code 22595, that the RUC stated is a more 
complex procedure. However, there was a typographical error in the 
information presented by the specialty society that listed the work 
RVUs for the reference code as 23.36, rather than the correct value of 
19.36 work RVUs. Therefore, the recommended work value of 22.00 RVUs 
appeared appropriate and we proposed to maintain the current work RVUs 
of 20.97 for this service.
    There was what we believed to be an additional typographical error 
in the specialty society survey data for CPT code 63048. The summary 
information presented to the RUC lists the reference code as also being 
CPT code 63048. Therefore, there is no information submitted that 
compares the respondents' estimates of complexity and intensity between 
CPT code 63048 and a reference code. Because we do not have sufficient 
information to decide if the recommended work RVUs are appropriate, we 
proposed to maintain the current work RVUs of 3.26 for CPT code 63048.
    Comment: We received comments from the North American Spine 
Society, the American Association of Orthopaedic Surgeons, the American 
Association of Neurological Surgeons (AANS), and the RUC requesting 
that we do not implement our proposed RVUs for these services (CPT 
codes 22612 and 63048), but rather accept the RUC-recommended work 
RVUs. The commenters stated that we had misunderstood the process used 
by the presenting societies to develop the suggested RVUs for both 
codes. The commenters stated that the survey respondents did not notice 
the values for a reference service, but rather were asked to compare 
the current work and intensity with the work and intensity of 
furnishing the procedure in 2000. Therefore, the societies contend, the 
misprint of the value for what was listed as a ``reference'' code had 
no effect on the valuation of CPT code 22595, nor did the absence of a 
separate reference code for CPT code 63048 negatively affect its 
valuation. According to the commenters, they believe that the workgroup 
based its recommendation on the validity of the survey data and the 
building block methodology presented as additional rationale. The 
specialty society representing spine surgeons also commented that when 
the respondents were asked to rate how the complexity and intensity of 
these services had changed in the past 5 years, the ratings showed that 
the survey respondents believed that the intensity and complexity for 
both codes had increased.
    The AAFP questioned why we would propose a value for CPT code 22612 
that, though equal to the current value, was still higher than a more 
complex reference code. According to the AAFP, the RUC appeared to be 
recommending that the ratio of work between CPT codes 22612 and 22595 
was 0.942 work RVUs; therefore, we should have recommended a work value 
of 18.23 work RVUs for CPT code 22612.
    Response: We thank the commenters for clarifying the process used 
in surveying for these services. However, we still have concerns 
regarding the RUC recommendations for these services. First, though the 
survey respondents did not see the erroneous work RVUs listed for CPT 
code 22595, the reference code used for CPT code 22612, the workgroup 
did account for these errors. As a result, the RUC recommendation for 
CPT code 22612 was higher than the current work RVUs for CPT code 
22595, a procedure the workgroup considered more complex. Second, 
although the survey respondents may have indicated on the rating scale 
that CPT codes 22612 and 63048 were more complex procedures in 2005 
than they were in 2000, when they were asked simply whether the work 
for these services had changed in the last 5 years, 80 percent 
disagreed for CPT code 22612 and 50 percent disagreed for CPT code 
63048. Therefore, based on the comments received, we referred this code 
to a multi-specialty refinement panel for review.
    Final Decision: As a result of our analysis of the refinement panel 
ratings, we have assigned 21.79 work RVUs to CPT code 22612 and 3.47 
work RVUs to CPT code 63048.
    For CPT code 61697 Surgery of complex intracranial aneurysm, 
intracranial approach; carotid circulation; CPT code 61700 Surgery of 
simple intracranial aneurysm, intracranial approach; carotid 
circulation; and CPT code 61702 Surgery of simple intracranial 
aneurysm, intracranial approach; vertebrobasilar circulation), we 
received the following comments.
    Comment: The AANS disagreed with the RUC recommendations that we 
proposed to accept for CPT codes 61697, 61700 and 61702 because of 
changes made by the workgroup to ``standardize the pre-service and 
post-service times.'' The commenter stated that the standard 60 minutes 
of pre-service time was not adequate for such complex neurological 
procedures and stated reasons for the need for extended times. AANS 
also objected to the adjustments made by the workgroup to the level and 
number of post-operative visits by changing each post-operative 
critical care visit to a single high level subsequent hospital care 
visit. The society stated its belief that this change ``significantly 
understates the post-operative time and intensity of the work that was 
described by survey respondents,'' and urged us to add the time and 
work RVUs of an additional critical care code, CPT code 99233, to all 
three services.
    Response: We do not believe that, based on this comment, we have 
sufficient information to make the requested change. Therefore, we 
referred this code to a multi-specialty refinement panel for review.
    Final Decision: As a result of our analysis of the refinement panel 
ratings, we have assigned 57.31 work RVUs to CPT code 61697.
4. Radiology, Pathology, and Other Miscellaneous Services
    In addition to comments received in support of our proposed work 
RVUs for services reviewed by the RUC's Workgroup 4, we received the 
following comments.
    For CPT code 76075, Dual energy x-ray absorptiometry (DXA), bone 
density study, one or more sites; axial skeleton (e.g., hips, pelvis, 
spine), the RUC recommended a reduction from the current 0.30 work RVUs 
for the DXA service because the workgroup believed that the actual work 
is less intense and more mechanical than the specialty society's 
description of the work. The RUC-recommended work RVUs for this code 
were 0.20 and we agreed with this recommendation.
    Comment: Many commenters, including individual providers, national 
and State organizations, specialty societies, manufacturers, and 
Congressional and State legislators, wrote expressing concern about the 
proposed reduction in payments for this service, some of which is 
attributable to the proposed work RVUs. These commenters expressed 
concern that the proposed reduction in payment would have a detrimental 
impact on beneficiary health and is contrary to a Surgeon General's 
Report that

[[Page 69726]]

emphasized the importance of such testing.
    The ACR commented that, while they participated in the survey 
process that resulted in the RUC-recommended work RVU for this service, 
other specialties that provide this service such as family medicine, 
internal medicine and rheumatology were not represented. ACR encouraged 
us to consider comments from other specialty societies and 
organizations furnishing this service, including those that do not 
participate in the RUC process (such as the International Society for 
Clinical Densitometry (ISCD)), so that their views may be considered. 
ACR indicated that it would like to participate should it be determined 
that this will be addressed through a refinement panel. Other 
commenters, including specialty organizations and the ISCD, provided 
additional information regarding this service. Many of the commenters 
also expressed concern about the payment for CPT code 76077, although 
this code was not included in the 5-Year Review of work. Changes in 
payment for this code are attributed to the changes in PE methodology 
discussed in section II.A. of this final rule with comment period.
    Response: We proposed to accept the RUC-recommended work RVU of 
0.20 for CPT code 76075, which was lower than the requested 0.30 work 
RVUs requested by the specialty. Therefore, based on the comments 
received, we referred this code to a multi-specialty refinement panel 
for review.
    Final Decision: As a result of our analysis of the refinement panel 
ratings, we have assigned 0.20 work RVUs to 76075. (Note: For 2007, CPT 
code 76075 has been renumbered to 77080.)
    For CPT code 95872, Needle electromyography using single fiber 
electrode, with quantitative measurement of jitter, blocking and/or 
fiber density, any/all sites of each muscle studied, the RUC agreed 
that there was compelling evidence that CPT code 95872 was undervalued 
and recommended increasing the existing work RVUs from 1.50 to 3.00 
work RVUs.

CMS Proposed Valuation

    We had concerns that the work recommendation for 95872, which was 
based on the survey's 75th percentile for work, is inappropriate for 
this service. To determine our proposed valuation for CPT code 95872, 
we utilized a multi-tiered approach. First, we calculated the pre-
service and post-service work RVUs using the surveyed physician time 
data. Then, to determine an intra-service work RVU, we subtracted the 
surveyed intra-service time from the current time and multiplied this 
difference in time by the calculated IWPUT using the specialty 
recommended total work RVUs. Adding these calculated work RVUs resulted 
in a work valuation of slightly less than 2.00 work RVUs, which is 
approximately the same value as the survey median work RVU. In 
accordance with this analysis and the survey median, we proposed a work 
RVU of 2.00.
    Comment: The RUC believes, and specialty societies for neurology 
agree, that the RUC's justification to increase the work of CPT code 
95872 to 3.00 work RVUs is reasonable and outweighs our proposed 
valuation of 2.00 work RVUs, which is solely based on IWPUT. Commenters 
provided additional information concerning the activities associated 
with this procedure and requested acceptance of the RUC-recommended 
work RVUs.
    Response: Based on the comments received, we referred this code to 
a multi-specialty refinement panel for review.
    Final Decision: As a result of our analysis of the refinement panel 
ratings, we have assigned 2.88 work RVUs to CPT code 95872.
5. Evaluation and Management (E/M) Services
    Comment: There was strong support for the proposal to increase work 
RVUs for E/M services from many commenters, including specialty 
societies, the RUC, MedPAC and individual physicians. For example, 
specialty societies or organizations representing internal medicine, 
family physicians, thoracic medicine, rheumatology, endocrinology, 
neurology, HIV medicine, clinical oncology, group practice, infectious 
disease, critical care, physical medicine, emergency medicine, 
geriatrics, geriatric psychiatry, osteopathy, urology, 
gastroenterology, pediatrics, renal medicine, as well as the RUC, all 
expressed their appreciation for our acceptance of the RUC 
recommendations for E/M services. The American College of Physicians 
stated that our proposed E/M work RVUs are supported by data from the 
annual National Ambulatory Medical Care Survey which show that patients 
now have more chronic conditions, are older, and have more diagnoses 
per encounter. In addition, the commenter contended that the proposed 
increased values for E/M services would provide an incentive for 
appropriate E/M service utilization and would also ensure a sufficient 
supply of primary care physicians. Another commenter applauded the E/M 
proposals because ``they correct the dramatic erosion of the relative 
weight accorded to E/M services over the past 14 years.''
    However, an umbrella specialty society for surgery raised several 
objections to our proposal. First, the commenter contended that the 
compelling evidence standard was not met because any false assumptions 
involved in the original valuation of the codes were corrected in the 
first 5-Year Review and because any increase in work for E/M services 
has been compensated by the billing of higher-level office visits. 
Second, the commenter expressed concern that the proposal will lead to 
rank order anomalies because of the disproportionate distribution of 
values within the E/M family and suggested that we spread out the 
increases more proportionately by increasing the values of lower E/M 
codes and decreasing the proposed increases to CPT codes 99213 and 
99214. These concerns were also echoed in the comments from the 
specialty societies representing colon and rectal surgery, vascular 
surgery, orthopaedic surgery, hand surgery, prosthetic urology and from 
other commenters.
    The specialty society representing otolaryngology submitted a 
similar comment that also stated that the proposed increases are 
excessive and unsupported by a careful analysis of the data, including 
an analysis of the IWPUT. In addition, the commenter stated that the 
IWPUTs that result from our proposal are illogical within families of 
codes and exceed the levels of many complex surgical procedures. The 
society recommended that we either maintain the 2006 work RVUs or 
transition the new work RVUs over several years.
    The society representing social workers, as well as individual 
social workers and other NPPs, commented that clinical social workers 
and other NPPs are unable to use the E/M codes and requested that we 
withdraw the proposed increase for E/M services until all Medicare 
providers can receive fair and adequate increases. The society 
representing psychologists recommended that we reduce the increase for 
E/M services because it is inequitable to reward some at the expense of 
others or that they be permitted to bill for E/M services.
    Response: We appreciate the strong support shown for our proposed 
work RVUs for E/M services and are appreciative of the thoughtful 
concerns raised by other commenters. We certainly understand how 
contentious this issue has been, particularly in light

[[Page 69727]]

of the large BN adjustment that our acceptance of the RUC 
recommendations for these services would require. The concerns 
surrounding the valuation of E/M services were discussed during at 
least three RUC meetings before consensus was finally reached. We 
believe the final RUC recommendations represented acceptable relative 
values for the E/M services in question. After reviewing the comments, 
we believe that the RUC recommendations for the E/M services should be 
implemented in full beginning January 1, 2007.
    With regard to the question of compelling evidence of the need for 
a change to the work RVUs, we believe that the rationale for revision 
of these RVUs did not rest solely on previous false assumptions, but 
also on the claim that there has been a change in the complexity of the 
patient population resulting in more diagnoses per encounter and more 
ambitious management goals. In reviewing the RUC's recommendations for 
the 5-Year Review, we found the evidence in support of a change in the 
work for E/M services as compelling as the evidence presented for most 
of the codes that we proposed to revise in this 5-Year Review. As to 
the comments regarding the IWPUTs of the E/M services, we are not yet 
convinced about the validity of the IWPUT analysis when applied to such 
``cognitive'' services, particularly if such an analysis were to be 
used to negate the findings of acceptable surveys. In addition, even if 
there might be merit to the contention that the RUC recommendations 
will cause some rank order anomalies, we do not have the information 
that would be needed to rectify this; this is an issue that might be 
better handled by the RUC and the specialties involved.
    Though we are sympathetic to the concerns of those who would not 
benefit from an increase to E/M services, but would face potential 
reductions in payment as a result of the BN adjustment, we do not 
believe that the appropriate answer would be to deprive primary care 
physicians, and other practitioners who provide these services, of an 
increase that the commenters otherwise appeared to consider reasonable 
and commenters did not suggest other viable alternatives. We would be 
happy to work with any group or individual that believes they have been 
unfairly impacted by this change to determine if there is any other 
appropriate other measure that might address their concerns.
    We also do not believe that it would be either equitable or 
appropriate to transition the E/M increases, as suggested by some 
commenters. The work RVUs for E/M services were accepted by a RUC 
consensus and we believe them to be reasonable. We have never before 
transitioned changes in work RVUs that we accept based on RUC 
recommendations, and we believe it would be unfair in this case to 
single out these increases for transition when other services that 
received even greater increases would benefit immediately.
    We did not propose to make any changes in our policy regarding the 
types of suppliers that can bill for E/M services, and are not making 
any changes at this time. Our Internet Only Manual 100-02 Chapter 15 
Section 160 continues to state that ``any therapeutic services that are 
billed by clinical psychologists (CPs) under CPT psychotherapy codes 
that include medical evaluation and management services are not 
covered.''
    Comment: Several commenters representing renal physicians and 
patients, as well as the RUC, requested that we make an adjustment for 
the ESRD-related services, which have been valued using the E/M codes 
as building blocks, by adding the increase in the E/M RVUs to these 
services.
    Response: Since the G-codes now used for these ESRD-related 
services have markedly different descriptors than the previously valued 
CPT codes, we are unable to determine at this time which levels of E/M 
visits are most appropriately associated with these G-codes. As 
explained in the CY 2004 PFS final rule (68 FR 63218), we established 
RVUs for these G-codes to equal the aggregate payments for the services 
provided under the CPT codes that had been previously recognized for 
these services. Because we based our payment of the G-codes on the 
aggregate payments for CPT codes 90918-90921, the specific CPT codes 
that are building-blocks of this payment system cannot be directly 
correlated. We suggest that the specialty could request that the CPT 
panel consider revising the CPT codes for these ESRD-related services 
to mirror our current G-codes; these could then be reviewed by the RUC 
to determine the level of E/M services that are typically associated 
with each code.
    Comment: An organization representing long term care providers 
commented that we stated incorrectly at the end of the discussion 
concerning the RUC recommendations for the E/M services that nursing 
facility codes are not part of the 5-Year Review process. The commenter 
clarified that the RUC requested that these codes not be surveyed until 
after the 5-Year Review, when there could be appropriately valued codes 
to use as reference services. Though the surveys will be conducted 
after the RVUs for E/M services are published, the commenter requested 
that we review the recommendations and update the nursing facility E/M 
RVUs to become effective in January 2008.
    Response: The commenter is correct. The RUC recommended delaying 
the survey of these services pending RUC recommendations on E/M codes 
that could be used as reference services. If we receive the RUC's 
recommendations in time, we will review the recommendations for the 
work RVUs for nursing facility E/M services and publish our proposals 
in next year's proposed rule and will consider this part of the third 
5-Year Review.
    Comment: The specialty society representing home care physicians 
stated that the home care visit and domiciliary care visit codes were 
not included in the 5-Year Review; the domiciliary codes so that they 
could be valued through the RUC and, the home visits so that they could 
be used as reference codes. The society recommended that we adjust the 
work RVUs for these codes to reflect the revalued comparable office E/M 
codes for new and established patients. The commenter contended that 
the home visit and domiciliary care codes have been ``referenced'' to 
the office visit codes in the past and the changes proposed through the 
5-Year Review process should be reflected in these derivative code 
families.
    Response: It is unfortunate that these services were not included 
in the recent 5-Year Review and that the specialty did not propose them 
for review. We believe that it would be inappropriate to apply 
increases to these codes without a multi-specialty review of the work 
involved in these services. However, we would be willing to consider 
any RUC recommendations that might be forthcoming for revised work RVUs 
for the home visit and domiciliary care codes. Such a RUC review could 
be completed at the same time that the RUC is reviewing the nursing 
facility E/M services previously discussed in this section. As we 
indicated for the nursing facility E/M codes in the prior response, we 
would consider forthcoming RUC recommendations for the home care and 
domiciliary care E/M codes as part of the third 5-Year Review because 
of the similarity to the other E/M services considered in this review.
    We continue to believe acceptance of the RUC recommendations for E/
M services is appropriate and will implement the proposed work RVUs for 
E/M services beginning January 1, 2007.

[[Page 69728]]

6. Cardiothoracic Surgery
    We received a number of comments concerning the cardiothoracic 
surgery proposals.
    Comment: Commenters were supportive of the proposed valuation of 
the congenital cardiac surgery services and CPT code 32020, Tube 
thoracostomy with or without water seal (e.g., for abscess, hemothorax, 
empyema) (separate procedure) . However, commenters did not agree with 
the proposed work RVUs for the general thoracic and adult cardiac 
surgery codes. One commenter questioned why the work RVUs had not been 
maintained at the current levels. Commenters representing surgical 
specialties, including thoracic and cardiac surgery, questioned the 
methodology we used to arrive at the proposed work RVUs. They believe 
the proposed work values create rank order anomalies and disturb the 
relativity within the cardiothoracic family. Additionally, the 
commenters stated that we failed to include pre- and post-service work 
in the add-on codes, contrary to a policy stated in the CY 2002 
physician fee schedule final rule (67 FR 79966). The commenters 
provided additional detailed information concerning the STS database, 
as well as their use of mean values for the intra-service time and the 
intensity survey methods used to estimate IWPUT.
    Response: As we discussed in the June 29, 2006 proposed notice, the 
general thoracic and adult cardiac surgery codes submitted to the RUC 
for review did not undergo the standard RUC survey methodology (71 FR 
37218). Rather, the data pertaining to these codes were derived from 
the STS database, a voluntary registry developed by the STS that has 
reportedly captured data on approximately 70 percent of all cardiac 
surgical procedures in the United States.
    We believe the STS database represents a significant advance in the 
effort to improve the quality of patient care and we hope that this 
kind of data collection will be emulated by other specialties. We also 
believe that the time and visit data contained in this database could 
be a useful adjunct to the RUC's validation of the standard RUC survey 
results.
    We appreciate the detailed information provided by the commenters 
in response to the concerns we had outlined in the June 29, 2006 
proposed notice. Based upon a review of the specific information 
provided by the commenters concerning the STS database, as well as the 
information provided specifically addressing the use of the mean values 
for the intra-service time and methodology used to estimate IWPUT, we 
will accept the RUC-recommended work RVUs for these services.
    We note that it is our responsibility to assure all medical 
specialties that we will review and evaluate their services using an 
approach that is accepted by the RUC and CMS. We will continue to work 
with the RUC to better determine how to use the alternative data 
sources such as the STS data to compare the relativity of services. 
Unless an alternative approach can be found that can be applied to all 
services, we would not want to see the RUC abandon its survey 
methodology. We understand that the standard RUC survey process is not 
flawless, but it does provide an even playing field for all specialties 
and we would be concerned if each specialty was allowed to develop its 
own unique method for estimating work RVUs. Therefore, we will work 
with the RUC and continue to review this issue to determine the 
appropriate use of data sources other than the RUC survey.
    Comment: The STS and the American Association for Thoracic Surgery 
(AATS) requested that we approve the RUC-recommended work RVUs of 49.41 
for CPT code 33548, indicating that this was submitted as part of the 
5-Year Review process since the valuation of this service was based on 
a reference code (CPT code 33542) that was in the refinement process. 
The commenter also stated that this was part of the RUC recommendations 
forwarded in September 2005.
    Response: We did not receive CPT code 33548 as part of the 5-Year 
Review process, and therefore, we will maintain the current value for 
this service.
7. General, Colorectal and Vascular Surgery
    For the following services, we received comments that disagreed 
with our proposed work RVUs.
a. Vascular Surgery
    For CPT code 33877, Repair of thoracoabdominal aortic aneurysm with 
graft, with or without cardiopulmonary bypass; CPT code 34201, 
Embolectomy or thrombectomy, with or without catheter; femoropopliteal, 
aortoiliac artery, by leg incision; CPT code 35081, Direct repair of 
aneurysm, pseudoaneurysm, or excision (partial or total) and graft 
insertion, with or without patch graft; for aneurysm, pseudoaneurysm, 
and associated occlusive disease, abdominal aorta; CPT code 35102 
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or 
total) and graft insertion, with or without patch graft; for aneurysm, 
pseudoaneurysm, and associated occlusive disease, abdominal aorta 
involving iliac vessels (common, hypogastric, external); CPT code 35556 
Bypass graft, with vein; femoral-popliteal; CPT code 35566 Bypass 
graft, with vein; femoral-anterior tibial, posterior tibial; CPT code 
35583 In-situ vein bypass; femoral-popliteal; and CPT code 35585, In-
situ vein bypass; femoral-anterior tibial, posterior tibial, or 
peroneal artery, the RUC reviewed both the survey data and the NSQIP 
data for these services.
    For these codes, the RUC believed that physicians responding to the 
survey underestimated the intra-service time and that the NSQIP data 
more accurately reflected the actual intra-service times for these 
procedures. For CPT code 33877, the RUC accepted a work value greater 
than the survey's 75th percentile that was derived from a building 
block approach using the NSQIP data for the service. For CPT codes 
34201, 35102, 35556, 35566, and 35585, the RUC used the same 
methodology and accepted work values greater than the survey's median 
percentile. However, for CPT codes 35081 and 35583, the recommended 
increase was no greater than the surveyed median work RVUs.
    The RUC-recommended work RVUs for these services were: 33877 = 
64.04 work RVUs; 34201 = 18.31 work RVUs; 35081 = 31.00 work RVUs; 
35102 = 36.28 work RVUs; 35556 = 27.25 work RVUs; 35566 = 32.00 work 
RVUs; 35583 = 26.00 work RVUs; and 35585 = 32.00 work RVUs.

CMS Proposed Valuation

    We agreed with the RUC-recommended work RVUs for CPT codes 35081 
and 35583. We disagreed with the RUC recommendations for CPT codes 
33877, 34201, 35102, 35556, 35566, and 35585. For these services, the 
RUC used the NSQIP time data to increase the work values above the 
survey median, and for several codes above the 75th percentile. We 
rejected this use of the NSQIP data and proposed to use the survey 
median work RVUs for these CPT codes: 33877 = 53.00 work RVUs; 34201 = 
17.00 work RVUs; 35102 = 34.00 work RVUs; 35556 = 25.00 work RVUs; 
35566 = 30.00 work RVUs; and 35585 = 30.00 work RVUs. All of these 
proposed work RVUs are higher than the current values.
    Comment: We received comments from the American College of Surgeons 
(ACS) and Society for Vascular Surgery (SVS) concerning these CPT 
codes. The ACS and the SVS, as well as the RUC,

[[Page 69729]]

stated that our proposed work RVUs would undervalue several of the 
vascular surgery procedures. Both the ACS and the RUC maintained that 
we should accept the RUC recommendations for all these services.
    For CPT code 33877, the commenters contended that the proposed 
value would create a rank order anomaly with the partial esophagectomy 
service, CPT code 43118, for which we proposed 61.08 work RVUs, even 
though it is a less intense procedure. The ACS also maintained that, 
under our proposal, the IWPUT of this service would be too low.
    For CPT code 34201, the commenters disagreed with our proposal to 
reject the NSQIP-derived increase with one noting that we accepted the 
NSQIP-derived reduction in length of stay for CPT code 34201. The RUC 
commented that the presenting specialty assumed NSQIP time to be more 
accurate than RUC survey time and used NSQIP time when available, 
whether it increased or reduced the RUC survey times.
    For CPT code 35102, the commenters asserted that we proposed work 
RVUs that would decrease the IWPUT to 0.075, which is inconsistent with 
other similar surgical procedures. Therefore, they urged us to accept 
the RUC recommendation of 36.28 work RVUs for this service.
    For CPT codes 35556, 35566, 35583 and 35585, the commenters 
maintained that the NSQIP data demonstrated that survey respondents 
consistently underestimated their intra-service time. The ACS commented 
that our proposals would lead to low IWPUTs that are considerably less 
than similar surgical procedures. The RUC commented that we would be 
creating rank order anomalies between these codes and the total 
colectomy services, CPT codes 44150 and 44151.
    The SVS also disagreed with our proposed work RVUs for seven of its 
specialty's services, and disagreed with the RUC recommendations for 
all but one of the codes. In the extensive and detailed comments we 
received, the society defended the use of the NSQIP data to deviate 
from the survey median, stating that NSQIP intra-service time and 
hospital length of stay were used even when it reduced the 
recommendation compared to the RUC survey.
    The commenter also offered additional rationale to support their 
requested work RVUs for CPT codes 33877, 35101, 35081, 35556, 35566, 
35583 and 35585. In each case, the SVS presented the building block 
components for each service, a comparison with other vascular codes by 
IWPUT analysis, and a detailed comparison to other selected procedures. 
The commenters also provided an additional discussion asserting that 
the number of hospital visits assigned by the RUC, and accepted by us, 
was underestimated for these services (with the exception of CPT code 
33877.)
    Response: We appreciate the comments that were submitted on our 
proposed work RVUs for these vascular surgery services. However, we 
note that there is disagreement among the commenters, with ACS and the 
RUC requesting that we accept the RUC recommendations for these codes 
and the SVS requesting acceptance of yet higher values for all the 
services (with the exception of CPT code 33877.) In addition, we have 
concerns that the SVS-recommended IWPUTs, for all but CPT code 33877, 
might be overstated. Therefore, based on the comments, we are accepting 
the RUC-recommended work RVUs of 64.04 for CPT code 33877, but referred 
the other seven codes to a multi-specialty refinement panel for review.
    Final Decision: As a result of our analysis of the refinement panel 
ratings, we have assigned 17.94 work RVUs to CPT code 34201, 31.00 work 
RVUs to CPT code 35081, 34.00 work RVUs to CPT code 35102, 25.00 work 
RVUs to CPT code 35556, 30.00 work RVUs to CPT code 35566, 26.00 work 
RVUs to CPT code 35583, and 30.00 work RVUs to CPT code 35585.
b. Colorectal Surgery
    For CPT code 44120, Enterectomy, resection of small intestine; 
single resection and anastomosis; CPT code 44130, Enteroenterostomy, 
anastomosis of intestine, with or without cutaneous enterostomy 
(separate procedure); and CPT code 47600, Cholecystectomy, the RUC 
believed the physicians responding to the survey underestimated their 
intra-service time. Therefore, the RUC applied what was believed to be 
an appropriate IWPUT to the additional NSQIP time and added the 
resulting work RVUs to the survey median. The RUC-recommended work 
values for these CPT codes were as follows: 44120 = 20.11 work RVUs; 
44130 = 20.87 work RVUs; and 47600 = 15.88 work RVUs.

CMS Proposed Valuation

    We had concerns with the RUC recommendation to use the NSQIP data 
to increase the work RVUs, for CPT codes 44120, 44130 and 47600, above 
the survey median, and, for 47600, above the 75th percentile. While we 
support the use of such a database as validation for survey results, we 
believe that the application of the NSQIP IWPUT to the difference in 
intra-time between the survey and NSQIP is questionable for the 
following reasons.
    It is still not clear whether the NSQIP data is truly 
representative and the IWPUT applied to the additional time is higher 
than the IWPUT for the rest of the intra-time. In addition, this 
methodology assumes, without evidence, that there is a linear 
relationship between the survey respondents' estimate of time and 
estimate of work RVUs; however, even if the survey time estimates had 
matched the NSQIP data, it is not clear whether or by how much the 
respondents would have increased their work value estimate. Finally, 
until we have available valid and representative data such as the NSQIP 
for all procedures, there is the risk that applying the data randomly 
could distort the relativity between services. Therefore, we proposed 
to use the median survey values of 18.00, 20.00 and 14.00 as the work 
RVUs for CPT codes 44120, 44130 and 47600, respectively.
    Comment: We received comments from the ACS and the American Society 
of Colon and Rectal Surgeons (ASCRS), as well as the RUC, urging us to 
accept the RUC recommendations for these 3 services. These commenters 
stated that the median work value that we proposed in the June 29, 2006 
proposed notice for CPT code 44120 was incorrect; CPT code 44120 should 
be 19.00 work RVUs, not 18.00 work RVUs (71 FR 37228).
    The ACS presented a lengthy defense of the NSQIP data that was 
echoed in the ASCRS comments. For example, ACS contended that the NSQIP 
data on intra-service skin-to-skin time is verified through operating 
room logs and is the ``absolute gold standard'' for estimating surgeon 
intra-service time. The commenters also disagreed that this data cannot 
be used until it is available for all services, since the best data 
should always be used rather than relying on ``the lowest common 
denominator.'' The ACS further stated that a variety of different 
methodologies have been used to evaluate physician services and we have 
not, until now, required that one methodology be used for all codes. 
Finally, the ACS disputed our concerns that the NSQIP might not be 
representative, though it did agree that the number of Veterans 
Administration hospitals currently reporting is greater than the number 
of community and academic hospitals.
    For CPT codes 44120 and 44130, ASCRS and ACS, as well as the RUC, 
contended that two reference codes were considered by the workgroup 
that

[[Page 69730]]

led the RUC to agree that the survey median work RVUs underestimated 
the total work of these procedures and would create rank order 
anomalies.
    For CPT code 47600, the ACS maintained that the RUC's 
recommendation was based on a belief that the survey's median work RVU 
underestimated the total work for this procedure because the survey 
respondents were not considering the correct patient demographics. The 
commenters stated that, if we did not accept the recommendations where 
the use of NSQIP resulted in a value greater than the survey median, we 
should also do the same for those recommendations that were lower than 
the median. The commenters emphasized that the RUC also used a 
comparison with a reference code to develop the recommendation for this 
procedure.
    Conversely, the American College of Physicians (ACP) expressed 
support for our decision to reject the RUC recommendations that were 
based on extraction of time information from the NSQIP database rather 
than the survey median. The ACP questioned the representative nature of 
the data in the database and stated that allowing work values to be 
adjusted from the survey median, based on dubious relationships between 
work and time, would hurt the integrity of the RBRVS and should not be 
allowed.
    Response: We appreciate the comments regarding the use of NSQIP 
data in the valuation of physician work. However, we would consider 
this the beginning of the discussion, not the end. There are still many 
issues that need to be fully explored (for example: what the criteria 
should be for the acceptance of a given database; whether databases can 
take the place of surveys; whether IWPUT should be used to create work 
RVUs, rather than to validate them; and, whether there is a linear 
relationship between survey respondents' estimate of work and time.)
    In the case of these three services, CPT codes 44120, 44130 and 
47600, although the commenters offered some valid points regarding the 
use of NSQIP, not all the concerns discussed in the proposed notice and 
summarized in this section of this final rule with comment period have 
been thoroughly discussed. Therefore, based on the comments received, 
we referred this code to a multi-specialty refinement panel for review.
    Final Decision: As a result of our analysis of the refinement panel 
ratings, we have assigned 18.00 work RVUs to CPT code 44120, 20.00 work 
RVUs to CPT code 44130, and 15.85 work RVUs to CPT code 47600.
    For the proctoscopy-anoscopy family of codes in Table 13, the RUC 
agreed that the surveyed median work RVUs, and often even the 25th 
percentile, were inconsistent with the reference code. Therefore, the 
RUC did not reference the surveyed RVUs in arriving at the 
recommendations. Rather, the RUC used the surveyed times for each 
service and applied what the workgroup considered an appropriate IWPUT 
to these times to arrive at the recommended work RVUs for this family.

             TABLE 13.--Proctoscopy-Anoscopy Family of Codes
------------------------------------------------------------------------
           CPT Code                            Descriptor
------------------------------------------------------------------------
45300........................  Proctosigmoidoscopy, rigid; diagnostic,
                                with or without collection of
                                specimen(s) by brushing or washing
                                (separate procedure).
45303........................  Proctosigmoidoscopy, rigid; with dilation
                                (e.g., balloon, guide wire, bougie).
45305........................  Proctosigmoidoscopy, rigid; with biopsy,
                                single or multiple.
45307........................  Proctosigmoidoscopy, rigid; with removal
                                of foreign body.
45308........................  Proctosigmoidoscopy, rigid; with removal
                                of single tumor, polyp, or other lesion
                                by hot biopsy forceps or bipolar
                                cautery.
45309........................  Proctosigmoidoscopy, rigid; with removal
                                of single tumor, polyp, or other lesion
                                by snare technique.
45315........................  Proctosigmoidoscopy, rigid; with removal
                                of multiple tumors, polyps, or other
                                lesions by hot biopsy forceps, bipolar
                                cautery or snare technique.
45317........................  Proctosigmoidoscopy, rigid; with control
                                of bleeding (e.g., injection, bipolar
                                cautery, unipolar cautery, laser, heater
                                probe, stapler, plasma coagulator).
45320........................  Proctosigmoidoscopy, rigid; with ablation
                                of tumor(s), polyp(s), or other
                                lesion(s) not amenable to removal by hot
                                biopsy forceps, bipolar cautery or snare
                                technique (e.g., laser).
45321........................  Proctosigmoidoscopy, rigid; with
                                decompression of volvulus.
45327........................  Proctosigmoidoscopy, rigid; with
                                transendoscopic stent placement
                                (includes predilation).
46600........................  Anoscopy; diagnostic, with or without
                                collection of specimen(s) by brushing or
                                washing (separate procedure).
46604........................  Anoscopy; with dilation (e.g., balloon,
                                guide wire, bougie).
46606........................  Anoscopy; with biopsy, single or
                                multiple.
46608........................  Anoscopy; with removal of foreign body.
46610........................  Anoscopy; with removal of single tumor,
                                polyp, or other lesion by hot biopsy
                                forceps or bipolar cautery.
46611........................  Anoscopy; with removal of single tumor,
                                polyp, or other lesion by snare
                                technique.
46612........................  Anoscopy; with removal of multiple
                                tumors, polyps, or other lesions by hot
                                biopsy forceps, bipolar cautery or snare
                                technique.
46614........................  Anoscopy; with control of bleeding (e.g.,
                                injection, bipolar cautery, unipolar
                                cautery, laser, heater probe, stapler,
                                plasma coagulator).
46615........................  Anoscopy; with ablation of tumor(s),
                                polyp(s), or other lesion(s) not
                                amenable to removal by hot biopsy
                                forceps, bipolar cautery or snare
                                technique.
------------------------------------------------------------------------

    The specific RUC work RVU recommendations for these colon and 
rectal surgery CPT codes were as follows: 45300 = 0.91 work RVUs; 45303 
= 2.22 work RVUs; 45305 = 2.01 work RVUs; 45307 = 2.22 work RVUs; 45308 
= 2.01 work RVUs; 45309 = 2.22 work RVUs; 45315 = 2.22 work RVUs; 45317 
= 1.08 work RVUs; 45320 = 2.43 work RVUs; 45321 = 2.76 work RVUs; 45327 
= 3.63 work RVUs; 46600 = 0.49 work RVUs; 46604 = 1.08 work RVUs; 46606 
= 1.76 work RVUs; 46608 = 1.95 work RVUs; 46610 = 1.95 work RVUs; 46611 
= 1.08 work RVUs; 46612 = 2.14 work RVUs; 46614 = 1.08 work RVUs; and 
46615 = 1.18 work RVUs.

CMS Proposed Valuation

    We proposed not to accept the RUC recommendations for all the 
presented codes in the proctoscopy-anoscopy family. We proposed to 
maintain the

[[Page 69731]]

current work RVUs for CPT codes 45300, 45303, 45305, 45307, 45308, 
45309, 45315, 45317, 45320, 45321, 45327, 46600, 46604, 46606, 46608, 
46610, 46611, 46612, 46614 and 46615.
    As we stated in the June 29, 2006 proposed notice, we believe that 
the method used by the RUC to obtain work values for these services was 
flawed (71 FR 37229). The calculation of the recommended work RVUs 
depended solely on applying a workgroup-derived IWPUT to the surveyed 
physician time from surveys that were considered otherwise unusable. We 
also stated that we do not believe that the use of IWPUT, in the 
absence of other supporting data, has been previously accepted by the 
RUC. We believe the RUC has established rules that state that IWPUT 
cannot be the sole rationale for valuation and it appears that this 
workgroup might not have adhered to that standard. However, we stated 
that, if the specialty society wishes to resurvey these codes and the 
RUC submits work RVU recommendations to us, we would certainly be 
willing to consider them.
    Comment: The ASCRS expressed their appreciation for the opportunity 
to again present survey data to the RUC for these services and the ACS 
stated that it will be working with ASCRS to facilitate this process. 
The RUC commented that the specialty society recommendations for these 
services were presented at the October 2006 RUC meeting.
    Response: At the October 2006 RUC meeting, the Society presented 
the original surveys with additional rationales to support the 
requested work RVUs. After much discussion, the RUC decided that the 
original surveys were still not usable and that new surveys would be 
needed before a recommendation for revised work RVUs could be made. 
Therefore, we are maintaining the current work RVUs for this series of 
codes, as proposed.

Other Issues

    Comment: A few commenters, while agreeing with the increase in work 
RVUs for CPT code 19180 (total mastectomy), expressed concern that the 
work RVUs for CPT code 19160 (partial mastectomy) were not reviewed. 
These commenters believed that the work RVUs for CPT code 19160 should 
be addressed in a similar fashion and the work RVUs should be adjusted 
to avoid a potentially adverse impact on patient treatment for breast 
cancer. One of these commenters suggested that this disparity in work 
RVUs needed to be addressed before the next 5-year review, as this 
disparity could impact on medical decision-making.
    Response: As part of the 5-year review process, the 
specialtysocieties were asked to identify whether the RUC-recommended 
changes in the work RVUS created anomalies within a family of codes. 
Any such potential anomalies identified by the specialty societies were 
then reviewed at subsequent RUC meetings. Unfortunately, this potential 
anomaly was not identified or reviewed. However, we will ask the RUC to 
review this code (CPT code 19160) and will consider this RUC 
recommendation as part of the third 5-Year Review.
8. Otolaryngology and Ophthalmology
    In addition to comments received in support of the proposed work 
RVUs for services reviewed by the RUC's workgroup 8, we received the 
following comments.
    For CPT code 31360, Laryngectomy; total, without radical neck 
dissection; CPT code 31365, Laryngectomy; total, with radical neck 
dissection; CPT code 31390, Pharyngolaryngectomy, with radical neck 
dissection; without reconstruction; and CPT code 31395, 
Pharyngolaryngectomy, with radical neck dissection; with 
reconstruction, the specialty society presented survey data with the 
rationale that the current work RVUs create rank order anomalies, and 
that there also has been a change in the patient population. The RUC 
agreed that increasing the work RVUs of these procedures by accepting 
the 75th percentile of survey results corrected the specific rank order 
anomalies and also accounted for the change in the patient population. 
The RUC-recommended work RVUs for these CPT codes are as follows: 31360 
= 28.00 work RVUs; 31365 = 37.00 work RVUs; 31390 = 40.00 work RVUs; 
and 31395 = 44.00 work RVUs.
    For CPT code 31367, Laryngectomy; subtotal supraglottic, without 
radical neck dissection and CPT code 31368, Laryngectomy; subtotal 
supraglottic, with radical neck dissection, the specialty society 
presented survey data with the rationale that the current work values 
are based on a flawed methodology that creates rank order anomalies, 
and that there also has been a change in patient population. The RUC 
agreed with the specialty society and recommended increasing the work 
RVUs for these services to maintain rank order between the codes in the 
family and to establish the correct intensity of the procedure based on 
the change in patient population. The RUC-recommended work RVUs for 
these CPT codes are as follows: 31367 = 27.36 work RVUs; and 31368 = 
36.00 work RVUs.
    For CPT code 41155, Glossectomy; composite procedure with resection 
floor of mouth, mandibular resection, and radical neck dissection 
(Commando type), the specialty society presented survey data, noting 
that the current work RVUs create a rank order anomaly. The RUC agreed 
that increasing the work RVUs would correct these rank order anomalies 
and that these increases were justified by the survey results. The RUC-
recommended 40.00 work RVUs for CPT code 41155.
    For CPT code 42845, Radical resection of tonsil, tonsillar pillars, 
and/or retromolar trigone; closure with other flap, the specialty 
society's survey data demonstrated that the code was currently 
undervalued due to a previous flawed methodology. The RUC believed that 
the survey results reflected the appropriate physician work and time 
necessary in performing this procedure and recommended the 32.00 work 
RVUs for CPT code 42845.

CMS Proposed Valuation

    For the laryngopharyngectomy procedures, including CPT codes 31360, 
31365, 31367, 31368, 31390 and 31395, the number of hospital days 
decreased by at least 2 days and the post-operative outpatient visits 
increased by 1 day. However, in one instance the number of outpatient 
visits decreased (CPT code 31395). The median values for intra-service 
times were accepted by the RUC for these services, which is an 
indication that a lower value than the 75th percentile for work also 
may be appropriate. Therefore, we proposed using median values for 
these services resulting in the following work RVUs for these CPT 
codes: 31360 = 24.00 work RVUs; 31365 = 31.50 work RVUs; 31367 = 24.00 
work RVUs; 31368 = 30.50 work RVUs; 31390 = 35.00 work RVUs; and 31395 
= 39.50 work RVUs.
    CPT code 41155 was valued by the RUC at the 75th percentile for 
work, but CPT code 41150 was valued based on the median work value. The 
median values for intra-service times were accepted by the RUC for 
these services, which is an indication that a value other than the 75th 
percentile for work also may be appropriate. Therefore, we proposed 
36.00 work RVUs of for CPT code 41155.
    CPT code 42845 was valued by the RUC at the 75th percentile for 
work rather than the median as the RUC recommended for the other 
procedures in this family (CPT codes 42842 and 42844). Therefore, we 
proposed 29.00 work RVUs for CPT code 42845.

[[Page 69732]]

    Comment: The RUC and several specialty societies, including the 
American Head and Neck Society (AHNS) and the American Academy of 
Otolaryngology-Head and Neck Surgery (AAO-HNS), disagree with the 
proposed work RVUs for CPT codes 31360, 31365, 31367, 31368, 31390, 
31395, 41135, 42845. They provided information, data, and rationales 
concerning the valuation of these services and, recommended that we 
accept the RUC recommendations. The specialty societies objected to our 
proposed RVUs on the grounds that they created rank order anomalies; 
they believe the reference codes used were a poor choice that resulted 
in an underestimation of work by the survey respondents; and they 
believe the codes had been undervalued for years.
    Response: Based on the comments received, we referred these codes 
to a multi-specialty refinement panel for review. Panel review is 
appropriate for reasons including the RUC acceptance of the median 
values for intra-service times, which is an indication that a value 
other than the 75th percentile for work may be appropriate, and the 
need for further discussion regarding the appropriateness of the 
reference codes chosen by the survey respondents as comparable services 
to the codes being valued.
    Final Decision: As a result of our analysis of the refinement panel 
ratings, we have assigned 26.22 work RVUs to CPT code 31360, 35.00 work 
RVUs to CPT code 31365, 27.00 work RVUs to CPT code 31367, 30.50 work 
RVUs to CPT code 31368, 38.33 work RVUs to CPT code 31390, 39.50 work 
RVUs to CPT code 31395, 40.00 work RVUs to CPT code 41155, and 29.00 
work RVUs to CPT code 42845.

Miscellaneous Issues

    Comment: The American Academy of Ophthalmology (AAO) stated its 
belief that the 5-Year Review process was fair in its consideration of 
the ophthalmic codes. However, the AAO expressed disappointment in the 
decrease in value for cataract surgery (CPT code 66984) and its hope 
that this ``downward reimbursement reward'' does not lead to a decrease 
in research and innovation in medical care. The AAO also expressed 
disappointment in our decision to unlink the long-standing relationship 
of the Ophthalmology Examination codes (92002-92014) to the E/M codes. 
The AAO urged us to reaffirm this linkage and increase those values to 
reflect the proposed increases in E/M services. If this is not 
possible, AAO suggested that the work values prior to the linkage in 
1996 be restored since they were lowered during the first 5-Year Review 
to facilitate the linkage process.
    Response: We acknowledge that currently the work RVUs for 
ophthalmology examination services are linked to the work RVUs for 
certain E/M codes. However, the work RVUs for the E/M codes are being 
increased based on our acceptance of the rationale that the work 
required to furnish these services has itself changed. This increase in 
work RVUs also implies that the E/M services today are not exactly the 
same services to which we initially linked the eye examination 
services. Unfortunately, because the specialty did not bring the 
ophthalmology examination codes to the 5-Year review for evaluation of 
any change in the work of furnishing these services, it is not known to 
what extent, if at all, the work for the ophthalmology examination 
codes would have mirrored the change in the work of the E/M codes. We 
note that the E/M increases have been added to other services only when 
the E/M codes were clearly used as the building blocks for valuing the 
services, for example, for global surgical services with post-operative 
visits. Therefore, we will implement the work RVUs for CPT codes 92002-
92014 as proposed. However, if received in time for next year's 
proposed rule, we would be willing to consider any RUC recommendations 
for work RVUs for these services for implementation in FY 2008 and 
would consider this as part of the third 5-Year Review.
    Comment: For CPT code 69210 Removal impacted cerumen (separate 
procedure), one or both ears, while we accepted the RUC-recommended 
work RVUs for this service, in the June 29, 2006 proposed notice we had 
expressed concern about the valuation of this service for the use of 
this code for routine removal of ear wax and indicated we would monitor 
the use of this code for the appropriate circumstances (71 FR 37233). 
The RUC and other specialty societies provided additional information 
to address our concern with this valuation for the use of this code for 
routine removal of ear wax during a physical examination of a patient. 
One commenter believes that there is the potential for misuse of this 
code due to a lack of understanding by other specialties of the 
physician work included in this procedure. The commenter recommends 
that we issue clarifying instructions or an educational article so that 
this code will be used in a manner consistent with the criteria 
outlined by AAO-HNS and contained in the July 2005 issue of the AMA's 
CPT Assistant.
    Response: We appreciate these comments and will consider the 
suggestions made by the commenters.
9. HCPAC codes
    In addition to comments received in support of the proposed work 
RVUs for services reviewed by the HCPAC, we received the following 
comments.
    For CPT code 10060, Incision and drainage of abscess (e.g., 
carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, 
cyst, furuncle, or paronychia); simple or single; CPT code 11040, 
Debridement; skin, partial thickness; CPT code 11041 Debridement; skin, 
full thickness; CPT code 11042 Debridement; skin, and subcutaneous 
tissue; and CPT code 29580 Strapping; Unna boot, the HCPAC agreed with 
the specialty society that there was compelling evidence that the 
valuation of these services was incorrect due to a flawed methodology 
used in the previous Harvard valuation for the podiatric codes 
considered under the 5-Year Review.
    For CPT codes 10060 and 29580, the HCPAC supported an increase in 
the existing work values for these codes and recommended work RVUs of 
1.50 for CPT code 10060 and 0.60 work RVUs for CPT code 29580, both of 
which represent the median of the survey data for these services.
    For CPT code 11040, the HCPAC did not support the work RVU increase 
recommended by the specialty society, but instead recommended 0.55 work 
RVUs, which represented the 25th percentile work RVU from the survey 
data.
    For CPT code 11041, the HCPAC recommended a decrease in the work 
RVUs and, based on the median from the survey data, recommended 0.80 
work RVUs.
    For CPT code 11042, the HCPAC did not agree with the specialty 
society that the work RVUs should be increased to 1.20 work RVUs. The 
HCPAC recommended maintaining the current work RVUs of 1.12 for this 
CPT code, which was slightly higher than the survey's 25th percentile 
work value of 1.10 work RVUs.
    The HCPAC-recommended work values for these services were as 
follows: 10060 = 1.50 work RVUs; 11040 = 0.55 work RVUs; 11041 = 0.80 
work RVUs; 11042 = 1.12 work RVUs; and 29580 = 0.60 work RVUs.

CMS Proposed Valuation

    For CPT code 10060, we compared the survey times with the current 
Harvard-based times used to value this service. These times are 
comparable

[[Page 69733]]

and, therefore, we proposed maintaining the current work RVUs of 1.17 
for this code.
    For CPT codes 11040, 11041 and 11042, the survey times all reflect 
significant reductions from current Harvard-based times used to value 
these services. Based on this comparison, which shows decreases in time 
ranging from 47 percent to 68 percent, we believe that the low values 
from the surveys more accurately represent the valuation of these 
services. Therefore, we proposed to assign work RVUs as follows: 11040 
= 0.48 work RVUs; 11041 = 0.60 work RVUs; and 11042 = 0.80 work RVUs. 
In addition, to ensure that the other codes in this family are properly 
valued, we recommended the RUC review the valuation of CPT codes 11043 
and 11044.
    For CPT code 29580, we compared the current Harvard-based times 
with the survey times. For this code, there was a small reduction in 
survey time as compared to the current Harvard-based time used to value 
this service, and, therefore, we do not believe the recommended 
increase in work RVUs is supported. We proposed to assign 0.55 work 
RVUs to this service, which represents the 25th percentile of the 
survey and more accurately reflects the time associated with this 
service.
    Comment: The American Podiatric Medical Association (APMA) and the 
HCPAC disagreed with the rationale we provided to explain our 
disagreement with the HCPAC-recommended work RVUs for 5 CPT codes 
(11060, 11040, 11041, 11042, and 29580) that are predominantly provided 
by the podiatry specialty. The commenters noted that our proposed 
valuation of these services was based solely on a comparison of the 
RUC-surveyed times to the Harvard-based times, despite the HCPAC's 
concurrence with the specialty that the current Harvard work values 
were incorrect due to a flawed methodology. In addition, the commenters 
noted that our proposed valuation fails to address the intensity 
measures inherent to each service. The specialty presented recent 
literature abstracts to demonstrate that the treatment of diabetic 
ulcers has become more complicated in recent years and also supports 
that the diabetic ulcer is the primary cause of infections and, 
ultimately, leads to amputations in this population. The APMA and the 
HCPAC urged us to consider these inherent risks in treating this 
population and to accept the HCPAC-recommended work RVUs.
    For CPT codes 11040, 11041 and 11042, the HCPAC recommended an 
increased work RVU for CPT 11040, a slight decrease in work RVUs for 
11041, and the same work RVUs for 11042. Based on their belief that 
there is increased complexity and inherent risks in treating the 
diabetic patient, the APMA and the HCPAC in their comments urged us to 
accept the HCPAC-recommended work RVUs for this family of codes at 0.55 
work RVUs, 0.80 work RVUs and 1.2 work RVUs, respectively. The 
commenters also strongly object to our reliance on a time-based 
comparison from the RUC surveys and the Harvard data (which the HCPAC 
and APMA agreed was based on a flawed methodology) to derive the work 
RVUs for these debridement codes.
    For CPT code 11060, the APMA and the HCPAC requested that we accept 
the HCPAC recommendations for this 10-day global service based on the 
lack of intensity measures in our valuation that relied on a comparison 
of the RUC surveyed time to the Harvard-based time which, as mentioned 
previously, had been determined to be based on a flawed methodology. 
The APMA believes that by using this time-based comparison and 
maintaining the current RVUs at 1.17 work RVUs, we are proposing to 
distort the relativity of CPT 10060 with other comparable services (for 
example, CPT codes 10140 and 11421) and results in an unreasonably low 
IWPUT, at 0.009. The HCPAC and the APMA urged us to accept the 
recommended work value at 1.5 work RVUs that represents an IWPUT of 
0.031.
    For CPT code 29580, the specialty society indicated that the 
typical patient requiring the application of an Unna boot is a diabetic 
with lower extremity edema, often with the presence of an ulcer. The 
typical patient requires repetitive applications of this Unna boot 
strapping, so most applications will also require the removal of the 
Unna boot, a thorough cleansing of the area, physical examination, and 
a careful reapplication of the strapping material. The APMA believes 
that our valuation of 0.55 work RVUs--using just the surveyed time, 
without specifically addressing the intensity measures inherent to the 
care of the diabetic patient--undervalues this service. The HCPAC and 
the APMA urged us to adopt the recommended value (survey median) of 
0.60 work RVUs.
    Response: We appreciate the comments and information forwarded by 
the HCPAC and the APMA. However, based on our review of the data and 
literature contained in their comments, we are not convinced that the 
complexity and intensity measures inherent to the treatment of the 
diabetic patient have changed significantly over the past 5 years. In 
addition, we understand the specialty's concern that the Harvard time 
data was flawed. However, we believe that the lower times presented 
from the survey do not warrant the recommended work RVUs. Nonetheless, 
we believe that the HCPAC and the APMA should have the opportunity to 
present their evidence relative to the work RVUs for these five codes 
to a multi-specialty panel for review. As such, we have referred CPT 
codes 10060, 11040, 11041, 11042, and 29580 for refinement.
    Final Decision: As a result of our analysis of the refinement panel 
ratings, we have assigned 1.17 work RVUs to CPT code 10060, 0.50 work 
RVUs to CPT code 11040, 0.60 work RVUs to CPT code 11041, 0.80 work 
RVUs to CPT code 11042, and 0.55 work RVUs to CPT code 29580.

Other Issues

    Other commenters representing nutritionists and dietitians 
referenced the medical nutrition codes that were referred to the CPT 
Editorial Panel, indicating that these services should be assigned work 
RVUs. This issue is discussed in section II.B.4.c. of this final rule 
with comment period, as it was specifically addressed in the CY 2007 
PFS proposed rule (71 FR 48982).

D. Other Issues Under the 5-Year Review

1. Anesthesia Services
    Although anesthesia services are paid under the PFS, they are paid 
on the basis of an anesthesia code-specific base unit and time units 
that vary based on the anesthesia time of the case. Since anesthesia 
services do not have a work value per code as do other medical and 
surgical services, a work value must be imputed for each anesthesia 
code.
    As a result of its relationship with the RUC and the past 
recommendations for valuing anesthesia services, which were discussed 
in detail in the June 29, 2006 proposed notice (71 FR 37237), the 
American Society of Anesthesiologists (ASA) requested that we address 
the valuation of anesthesia services reported under CPT codes 00100 
through 01999. The ASA furnished an analysis that builds on the 
methodology used in the last 5-Year Review for the valuation of work 
for anesthesia services. We recommended that the valuation of 
anesthesia services, namely the proposed valuation of the post-
induction time, be referred to the AMA RUC for review and 
consideration.
    Comment: The RUC indicated that it will consider any specific CMS 
request and asked that we clarify the scope of review and elements of 
the anesthesia

[[Page 69734]]

relativity that is supposed to be addressed. Many commenters, including 
individuals and a specialty group, expressed concern that the proposed 
reductions in payment for anesthesia services may lead to future 
manpower shortages and could affect the provision of surgical services. 
They asked us to work with the ASA and the RUC to appropriately value 
the work of anesthesia services.
    Response: We understand that the ASA and the RUC will be reviewing 
this issue in an upcoming meeting and will make a recommendation to CMS 
in 2007.
    A second issue concerning anesthesia services pertains to the 
impact of the revised work values for E/M services and their 
relationship to the valuation of pre- and post-anesthesia services, 
components of the building-block approach. The pre- and post-anesthesia 
services derive their work values from the lower level E/M codes for 
new patients, the subsequent hospital care codes, and the initial 
inpatient consultation codes.
    In the June 29, 2006 proposed notice, we proposed to increase the 
work of the pre- and post-anesthesia components of the 19 anesthesia 
codes, previously reviewed by the AMA RUC in the last 5-Year Review of 
work. Specifically, we proposed to increase the anesthesia work to 
reflect the increased work values for the E/M codes where there were 
increases in the work of those E/M codes.
    Comment: One specialty group noted that we should refer the 
valuation of pre- and post-anesthesia issues to the RUC for its review 
and consideration, and should not make any changes in the value of pre- 
and post-anesthesia services at this time. The ASA requested that we 
increase the work of all anesthesia services, not just the 19 
anesthesia codes, to account for the increase in work values for E/M 
codes. They noted that all anesthesia services have E/M services 
included in the pre- and post-anesthesia components and the work of all 
anesthesia services should be increased.
    Response: We disagree with the comment asking us to defer action on 
re-valuing the work of anesthesia services to account for the increased 
work of certain E/M codes. We are making the adjustment, but will ask 
the RUC and the ASA to review the E/M codes assigned to the pre- and 
post-anesthesia periods to ensure that they are still clinically 
relevant. While we understand the concerns of the ASA, we are unable to 
make that type of adjustment across all anesthesia services. The pre- 
and post-anesthesia components of the anesthesia service are not 
uniformly linked to the same E/M code. Rather, the E/M code can vary 
based on the complexity of the anesthesia service. For example, for 
cataract anesthesia, the pre-anesthesia service is linked to a blend of 
CPT codes 99201 and 99202 and the post-anesthesia service is linked to 
CPT code 99211. The work values for each of these E/M codes did not 
change in this 5-Year Review of work. Conversely, for anesthesia for 
coronary bypass surgery, the pre-anesthesia service is linked to CPT 
code 99232 and the post-anesthesia service is linked to a blend of CPT 
codes 99231 and 99232. The work value for each of these E/M services 
increased in this 5-Year Review of work. Thus, in the June 29, 2006 
proposed notice, we proposed to increase the work for E/M services in 
anesthesia for coronary bypass surgery but made no adjustment in the 
work for cataract anesthesia (71 FR 37237).
    It is not clear how the pre- and post-anesthesia services of the 
non-surveyed anesthesia codes would be tied to the 19 surveyed codes 
and whether the work of the proposed linked E/M services are increased. 
We will look at this issue in context of any proposed changes that may 
be made to anesthesia work next year.
2. Discussion of Post-Operative Visits included in the Global Surgical 
Packages
    We have established a national definition for a global surgical 
package so that payment is made consistently for the same set of 
services across all contractor jurisdictions. In constructing the RVUs 
for a global surgery service, all services that are believed to be 
typically included in the defined global period are built into the 
final resource-based RVUs and are not separately billable within the 
defined global period as reflected in the proposed work RVUs in Addenda 
B and C. This includes pre-surgery work, the intra-service time of 
actually furnishing the surgical procedure, and the post-operative 
(follow-up) visits associated with the monitoring and recovery of the 
patient.
    As stated above in this section, we proposed to apply the RUC-
recommended new values for the E/M services to all surgical services 
with a 10-or 90-day global period. However, because of variations in 
the patient population and in practice patterns, there is some question 
whether the assumptions about the number and level of visits within the 
global period reflect the actual post-operative work furnished. Some 
surgeons have commented that they furnish more visits than are included 
in the global period for their services. It is also likely that some 
patients require fewer than the ``typical'' number of follow-up visits 
included in the global period.
    Although we are not proposing any changes to our global policy at 
this time, we solicited comments concerning our current policy of 
including these post-operative visits in the global surgical packages 
and what advantages or disadvantages might be associated with proposing 
a change to this policy in the future.
    We received several comments concerning incorporating the new E/M 
values into all surgical services with a 10- or 90-day global period. 
With respect to our request for comments concerning our current policy 
of including these post-operative visits in the global surgical 
packages, we also received many suggestions. These comments and 
suggestions are addressed in this section.
    Comment: Many commenters, including specialties representing 
primary care physicians and surgeons, as well as the RUC, supported the 
incorporation of the revised E/M work RVUs into the surgical global 
periods for each CPT code with a global of 010 and 090 as recommended 
by the RUC. Commenters, including the RUC, noted that we may have 
incorrectly implemented the RUC recommendation. They indicated that in 
implementing this proposal, we used discounted work RVUs, developed for 
pricing post services under the first 5-Year Review, rather than the 
undiscounted work RVUs that reflect the actual RVUs accepted by us for 
the E/M services. This resulted in incorrect, and lower, work RVUs 
being added to all of the services with post-operative visits in the 
010 and 090 global periods and was contrary to the RUC recommendation 
that the full increase of the E/M be incorporated. The RUC requested 
that we review the calculations and implement the correct work RVUs for 
all procedures that have a 010 and 090 global period to reflect their 
recommendation. Other commenters stated that we should verify the 
accuracy of the data to ensure that the values, as recommended by the 
RUC, are appropriately implemented.
    A few commenters also suggested that, should changes be made to the 
valuation of the E/M services, these changes would need to be carried 
through to the global package revisions.
    Response: We have discussed this issue with the RUC and will ensure 
that the correct undiscounted values are incorporated.

[[Page 69735]]

    Comment: MedPAC stated that in comparison to other payment systems, 
the unit of payment under the PFS is very narrow and consists of many 
discrete services. MedPAC reiterated its longstanding concern that such 
a unit of payment might give physicians a financial incentive to 
increase payments by increasing the volume of services, which could 
lead to unnecessary services being provided. Therefore, in the absence 
of information suggesting that access to appropriate care is being 
compromised, MedPAC supports the current concept of packaging/bundling 
these services to encourage efficient and appropriate care. Several 
commenters representing surgical specialties agreed with this position, 
and additionally one commenter stated that such a change might also 
increase the risk of ``fee splitting.'' The commenter also supports the 
expansion of the global concept into disease management.
    Other commenters suggested that we drop the global surgical model 
and replace this concept with a system that measures the actual amount 
of post-service work included in these global surgical services. 
Commenters suggested that this would ``level'' the playing field for 
documentation requirements and be less detrimental to ``centers for 
excellence'' which usually provide more care than is currently included 
within the global period. Commenters also suggested there are 
additional advantages to eliminating the global surgical model 
including the valuation of services being straightforward, the 
reduction of errors in PE valuation, and the facilitation of research, 
quality improvement and utilization tracking. However, there would be 
an associated increase in the volume of claims to be processed.
    One commenter suggested that we meet with stakeholders prior to 
implementing such a change, while another commenter urged us to conduct 
a study on impact of revising the global surgical concept.
    Response: We appreciate these comments and suggestions and will 
consider these along with additional information as we continue to 
study this issue.
3. Budget Neutrality
    As discussed in the June 29, 2006 proposed notice, section 
1848(c)(2)(B)(ii) of the Act requires that increases or decreases in 
RVUs for a year may not cause the amount of expenditures for the year 
to differ by more than $20 million from what expenditures would have 
been in the absence of these changes. If this threshold is exceeded, we 
must make adjustments to preserve budget neutrality (BN). This year, we 
expected that BN adjustments would be required as a result of changes 
in RVUs resulting from the 5-Year Review. We considered making the 
statutorily required BN adjustments (under section 
1848(c)(2)(B)(ii)(II) of the Act) to account for the 5-Year Review of 
physician work by reducing all work RVUs. We estimated that all work 
RVUs would have to have been reduced by 10 percent under this option. 
Alternatively, we considered making an adjustment to the PFS CF to meet 
the provisions of section 1848(c)(2)(B)(ii)(II) of the Act. This option 
would have required an estimated 5 percent reduction to the CF. We also 
noted that the application of the BN adjustments to the CF would 
negatively impact all PFS services; whereas the application of the BN 
adjustment to the work RVUs would impact only those services that have 
physician work RVUs. Because the need for BN adjustment would be 
largely due to changes proposed as a result of the 5-Year Review of 
work RVUs, we believed it was more equitable to apply the adjustment 
across services that have work RVUs. We proposed to establish a BN 
adjustor that would reduce all work RVUs by an estimated 10 percent to 
meet the BN provisions of section 1848(c)(2)(B)(ii)(II) of the Act.
    Comment: We received numerous comments on this issue. Many of the 
commenters were opposed to our proposal and requested that the 
adjustment be made to the CF for the following reasons:
    (1) Applying the BN adjustor to all work RVUs has been problematic 
in the past.
    (2) By imposing the full burden of BN on the pool of work values, 
we would be significantly mitigating the improved accuracy of the 
values that have now been assigned to E/M services.
    (3) This approach obfuscates the recommended changes of the RUC and 
could potentially have an inappropriate effect on relativity.
    (4) The application of a separate work adjustor is not consistent 
with our goal of cost transparency and may adversely affect payments by 
non-Medicare payers.
    These commenters, which include the AMA, the RUC, and the AMA-
HCPAC, asserted that applying the BN adjustor to the work RVUs is 
contrary to our longstanding policy. In addition, they do not believe 
that we provided an adequate rationale for shifting to this new 
approach, which we have previously stated is neither appropriate, nor 
effective. These associations noted that when in the past we applied a 
BN adjustor to the work RVUs, it caused considerable confusion among 
many non-Medicare payers, as well as physician practices that use the 
Medicare relative values as efficiency measures, and that the constant 
fluctuations in the work RVUs due to BN adjustments impeded the process 
of establishing work RVUs for new and revised services.
    In addition to these objections, numerous specialty societies, 
organizations, groups, and providers also indicated that an adjustment 
to the CF is preferable because it would recognize that BN is mandated 
for monetary reasons. Thus, the CF, as the monetary multiplier in the 
Medicare payment formula, is the most appropriate place to adjust for 
BN.
    A number of commenters, including representatives of some radiology 
and oncology providers, were supportive of our proposal because it 
fairly applies the required BN adjustment to the portion of the fee 
schedule that was the subject of review.
    A few commenters also stated that although the BN adjustment 
methodology set forth in the June 29, 2006 proposed notice is not 
ideal, they believe that it is the best of the available alternatives 
under the circumstances (71 FR 37241). These commenters also believe 
that making all BN and scaling adjustments on a fee-schedule-wide basis 
would apparently result in unacceptable fee-schedule-wide reductions 
and is clearly inequitable for TC services. Another commenter urged us 
to delay the implementation of the BN adjustor for 1 year to allow more 
time to explore ways to increase recognition of E/M services without 
imposing such a financial hardship on select physician and nonphysician 
providers and to allow physicians and nonphysicians the opportunity to 
work with us to suggest alternative approaches.
    Other commenters also discussed the interaction of the application 
of the BN adjustment and the DRA OPD cap on imaging services. As 
required by the DRA, reductions in imaging payments because of the OPD 
cap result in actual savings to the Medicare program (that is, they are 
not done in a budget neutral manner). The commenters note that if the 
BN is applied to the CF and not to the work RVUs, then the impact of 
the DRA cap on total Medicare spending is lower. This is because 
applying BN to the CF will narrow the payment differential between 
imaging services furnished in physicians' offices and hospital OPDs, 
and thus reduce the effect of the DRA cap on payments for imaging 
services.

[[Page 69736]]

    Response: We appreciate the information presented by the 
commenters. We do not have the authority to delay implementing the BN 
adjustment and we must apply a BNF to offset the increases in work RVUs 
effective for 2007.
    We are very appreciative of the work the RUC and the specialty 
societies have done in the past several years to prepare for this 5-
Year Review. As a result of their dedication and analysis, the work 
RVUs are now more accurate and reflective of the time and resources 
associated with them. We do not believe that applying the BN on the 
work RVUs would undermine or diminish the RUC or specialty societies' 
contributions or the resulting improvements.
    Section 1848(c)(2)(B)(ii)(II) of the Act requires a BN adjustment. 
Regardless of whether the BN is achieved by applying an adjustment 
factor to the work RVUs, as we proposed in the proposed rule, or the 
CF, which is the preferred option of many of the commenters, the values 
associated with the work ultimately will be decreased. Therefore, we do 
not agree with the commenters' suggestions that applying the BN to the 
work RVUs would do the system a great harm. Specifically, we disagree 
that it would significantly reverse the improved accuracy of the values 
that have now been assigned to E/M services. Further, we do not think 
that this approach would distort the relativity of the RVUs. Because 
such an adjustment is uniformly applied to all the work RVUs, it does 
not alter the relationship among them.
    We also note that this rule finalizes a change in the PE 
methodology. Changes to the PE RVUs are being budget neutralized within 
those PE RVUs. Applying BN adjustments at this time, within each set of 
RVUs, maintains equity and helps to ensure that the weights between 
work, PE and malpractice are consistent with the weighting used in the 
MEI.
    Therefore, for the reasons discussed above in this section, we will 
be applying the statutorily-required BN adjustment to the work RVUs as 
proposed in the proposed rule. We note that we previously applied a 
separate adjustor to the work RVUs following the first 5-Year Review of 
physician work in 1997. We understand that many commenters would find 
it preferable for us to make the required BN adjustment to the CF. 
However, we believe the best and most equitable approach to applying BN 
for this 5-Year Review of work is to adjust the work RVUs for 2007 
using a separate adjustor for those RVUs. Achieving BN by adjusting the 
CF would have the effect of reducing payment for all services on the 
fee schedule. This would include reductions to RVUs for a number of 
services that have no physician work and were, therefore, outside the 
scope of the 5-Year Review. We believe it would be unfair, given the 
significant negative update to the CF this year, to impose additional 
reducations resulting from the BN adjustment on codes that have no work 
values associated with them.
    We share the commenters' concerns about transparency and recognize 
the Medicare PFS is used by other payors and for other purposes than 
just Medicare payments. To maintain a high level of transparency in the 
fee schedule, the Addendum B published in this rule will show the RVUs 
without the BN adjustment applied. This will serve as a reference for 
any interested party and should help to minimize any confusion about 
the unadjusted codes. There also is a discussion of the BN work 
adjustor and the payment formula for 2007 included in the section IX. 
of this final rule with comment period, ``Anesthesia and Physician Fee 
Schedule Conversion Factors for 2007.'' Payment for services will be 
calculated as follows:

Payment = [(RVU work x BN adjustor x GPCI work) + (RVU PE x GPCI PE) + 
(RVU malpractice x GPCI malpractice)] x CF.

    We appreciate the commenters pointing out to us that the approach 
used in applying BN has an interactive effect with the DRA imaging OPD 
cap and has an effect on the total Medicare spending on physicians' 
services. However, as previously described in this section, we continue 
to believe the most equitable way to adjust for changes in the work 
RVUs resulting from the 5-Year Review is to apply a BN adjuster to work 
RVU.
    Comment: Some commenters suggested that applying the BN adjustment 
to the CF could also be applied to the PE BN application, but only 
after we have addressed all of the RUC's recommendations related to the 
methodology and the PE relativity is stable. Ultimately, however, PEs 
for individual services should be evaluated under a 5-Year Review, at 
which point a similar application for BN to the CF could be 
appropriate.
    Response: We appreciate and will consider these suggestions as we 
proceed with the implementation of the revised PE methodology.
4. Review Process
    Comment: MedPAC and several specialties, as well as the RUC, 
commented on the process used for the 5-Year Review, including the 
methodology and data sources used in the review process. MedPAC stated 
that it continues to have concerns that overvalued services are ignored 
and referenced the MedPAC March 2006 Report to Congress. In this 
report, it recommended the creation of a standing panel to--
     Assist in identifying misvalued services;
     Establish a process for analyzing data to ensure automatic 
review of new services after a certain period; and
     Periodically review all services.
    Several specialty societies expressed support for the existing RUC 
methodologies for estimating intensity, but also supported the use of 
objective data from large clinical databases and urged us not to 
discount the use of alternative data sources.
    Response: As indicated earlier in this section, we believe that it 
will be necessary for the RUC and the specialty societies to join us in 
further dialog concerning the role of alternative databases. There are 
still many questions that need to be fully explored including: what 
should the criteria be for the acceptance of a given database; can 
databases take the place of surveys; can IWPUT be used to create work 
RVUs, rather than just to validate them; is there a linear relationship 
between survey respondents' estimate of work and time; and, can survey 
respondents accurately estimate IWPUTs. We are also continuing to 
examine how best to identify misvalued services. As part of this 
initiative, the RUC has indicated that it has established a 
subcommittee to suggest approaches to identifying overvalued services 
and the RUC's Research Subcommittee has initiated discussion regarding 
existing time data and indicated its willingness to consider issues 
related to any other concerns that we and the specialty societies wish 
to address regarding the use of databases in the valuation of physician 
work. We look forward to working with these groups and will carefully 
evaluate suggestions and recommendations that are provided.

V. Refinement of Relative Value Units for Calendar Year 2007 and 
Response to Public Comments on Interim Relative Value Units for 2006

[If you choose to comment on issues in this section, please include the 
caption ``Interim Relative Value Units'' at the beginning of your 
comments.]

[[Page 69737]]

A. Summary of Issues Discussed Related to the Adjustment of Relative 
Value Units

    Section V.B. and V.C. of this final rule with comment describes the 
methodology used to review the comments received on the RVUs for 
physician work and the process used to establish RVUs for new and 
revised CPT codes. Changes to codes on the PFS reflected in Addendum B 
are effective for services furnished beginning January 1, 2007

B. Process for Establishing Work Relative Value Units for the 2006 
Physician Fee Schedule

    The CY 2006 PFS final rule with comment period (70 FR 70116) 
contained the work RVUs for Medicare payment for existing procedure 
codes under the PFS and interim RVUs for new and revised codes 
beginning January 1, 2006. We considered the RVUs for the interim codes 
to be subject to public comment under the annual refinement process. In 
this section, we summarize the refinements to the interim work RVUs 
published in the CY 2006 PFS final rule with comment period and our 
establishment of the work RVUs for new and revised codes for the CY 
2007 PFS.

C. Work Relative Value Unit Refinements of Interim Relative Value Units

1. Methodology (Includes Table titled ``2006 Interim Work Relative 
Value Units for Codes Reviewed Under the Refinement Panel Process ``)
    Although the RVUs in the CY 2006 PFS final rule with comment period 
were used to calculate 2006 payment amounts, we considered the RVUs for 
the new or revised codes to be interim. We accepted comments for a 
period of 60 days. We received substantive comments for 7 CPT codes 
with interim work RVUs.
    To evaluate these comments, we used a process similar to the 
process used since 1997. (See the CY 1998 PFS final rule published in 
the October 31, 1997 Federal Register (62 FR 59084) for the discussion 
of refinement of CPT codes with interim work RVUs.) We convened a 
multi-specialty panel of physicians to assist us in the review of the 
comments. The comments that we did not submit to panel review are 
discussed at the end of this section, as well as those that were 
reviewed by the panel, which are contained in Table 14, 2006 Interim 
Work Relative Value Units for Codes Reviewed Under the Refinement Panel 
Process. We invited representatives from the organizations from which 
we received substantive comments to attend a panel for discussion of 
the code on which they had commented. The panel was moderated by our 
medical staff, and consisted of the following voting members:
     Clinicians representing the commenting specialty(ies), 
based on our determination of those specialties which are most 
identified with the services in question. Although commenting 
specialties were welcomed to observe the entire refinement process, 
they were only involved in the discussion of those services for which 
they were invited to participate.
     Primary care clinicians nominated by the AAFP and the 
American College of Physicians.
     Four carrier medical directors.
     One or two clinicians who practice in related specialties 
and have knowledge of the services under review.
    The panel discussed the work involved in the procedure under review 
in comparison to the work associated with other services under the PFS. 
We assembled a set of reference services and asked the panel members to 
compare the clinical aspects of the work for the service a commenter 
believed was incorrectly valued to one or more of the reference 
services. In compiling the reference set, we attempted to include: (1) 
Services that are commonly furnished for which work RVUs are not 
controversial; (2) services that span the entire spectrum of work 
intensity from the easiest to the most difficult; and (3) at least 
three services furnished by each of the major specialties so that each 
specialty would be represented. The intent of the panel process was to 
capture each participant's independent judgment based on the discussion 
and his or her clinical experience. Following the discussion for each 
service, each participant rated the work for that procedure. Ratings 
were individual and confidential; there was no attempt to achieve 
consensus among the panel members.
    We then analyzed the ratings based on a presumption that the 
interim RVUs were correct. To overcome that presumption, the inaccuracy 
of the interim RVUs had to be apparent to the broad range of physicians 
participating in each panel.
    Ratings of work were analyzed for consistency among the groups 
represented on each panel. In general terms, we used statistical tests 
to determine whether there was enough agreement among the groups on the 
panel and, if so, whether the agreed-upon RVUs were significantly 
different from the interim RVUs published in Addendum C of the CY 2006 
PFS final rule with comment to demonstrate that the interim RVUs should 
be modified. We did not modify the RVUs unless there was a clear 
indication for a change. If there was agreement across groups for 
change, but the groups did not agree on what the new RVUs should be, we 
eliminated the outlier group, and looked for agreement among the 
remaining groups as to the basis for new RVUs. We used the same 
methodology in analyzing the ratings that we first used in the 
refinement process for the CY 1993 PFS final rule published in the 
November 25, 1992 Federal Register which described the statistical 
tests in detail (57 FR 55938). Our decision to convene a multi-
specialty panel of physicians and to apply the statistical tests 
described above in this section was based on our need to balance the 
interests of those who commented on the work RVUs against the 
redistributive effects that would occur in other specialties.
    Table 14 lists those interim codes reviewed under the refinement 
panel process described in this section. This table includes the 
following information:
     CPT Code. This is the CPT code for a service.
     Description. This is an abbreviated version of the 
narrative description of the code.
     2006 Work RVU. The work RVUs that appeared in the CY 2006 
final rule are shown for each reviewed code.
     Requested Work RVU. This column identifies the work RVUs 
requested by commenters.
     2007 Work RVU. This column contains the final RVUs for 
physician work as a result of the multi-specialty panel (Note: Values 
for 10- and 90-day global period codes do not reflect E/M increases. 
Increases due to E/M changes are reflected in Addenda B.)

[[Page 69738]]



     Table 14.--2006 Interim Work Relative Value Units for Codes Reviewed Under the Refinement Panel Process
----------------------------------------------------------------------------------------------------------------
                                                                               2006
            CPT code \1\               Mod            Descriptor             Interim     Requested    2007 work
                                                                             work RVU     work RVU     RVU \2\
----------------------------------------------------------------------------------------------------------------
22523...............................  .....  PERCUT KYPHOPLASTY, THOR....         8.94         8.94         8.94
22524...............................  .....  PERCUT KYPHOPLASTY, LUMBAR..         8.54         8.54         8.54
22525...............................  .....  PERCUT KYPHOPLASTY, ADD-ON..         4.47         4.67         4.47
88334...............................  .....  INTRAOP CYTO PATH CONSULT 2.         0.59         0.80         0.73
95251...............................  .....  GLUC MONITOR, CONT, PHYS I&R         0.52         0.85         0.85
----------------------------------------------------------------------------------------------------------------
\1\ All CPT codes and descriptions copyright 2005 AMA. All rights reserved and applicable FARS/DFARS clauses
  apply.
\2\ Values for 10- and 90-day global period codes do not reflect E/M increases. Increases due to E/M changes are
  reflected in Addendum B.

2. Interim 2006 Codes
    For CPT code 22523, Percutaneous vertebral augmentation, including 
cavity creation (fracture reduction and bone biopsy included when 
performed) using mechanical device, one vertebral body, unilateral or 
bilateral cannulation (e.g., kyphoplasty); thoracic; CPT code 22524, 
Percutaneous vertebral augmentation, including cavity creation 
(fracture reduction and bone biopsy included when performed) using 
mechanical device, one vertebral body, unilateral or bilateral 
cannulation (e.g., kyphoplasty); lumbar; and CPT code 22525, 
Percutaneous vertebral augmentation, including cavity creation 
(fracture reduction and bone biopsy included when performed) using 
mechanical device, one vertebral body, unilateral or bilateral 
cannulation (e.g. kyphoplasty); each additional thoracic or lumbar 
vertebral body (List separately in addition to code for primary 
procedure), the RUC recommended 8.94 work RVUs for CPT code 22523, 8.54 
work RVUs for CPT code 22524 and 4.47 work RVUs for CPT code 22525, 
which we accepted.
    Comment: Commenters disagreed with the RUC-recommended work values 
for these services, which we had accepted. The commenters believed that 
the recommended values were primarily based on a comparison to 
vertobroplasty services and did not reflect important data that is 
associated with kyphoplasty procedures. Based on these comments, we 
referred these codes to the multi-specialty validation panel for 
review.
    Response: As a result of the statistical analysis of the 2006 
multi-specialty validation panel ratings, we have assigned 8.94 work 
RVUs to CPT code 22523, 8.54 work RVUs to CPT code 22524 and 4.47 work 
RVUs to CPT code 22525.
    For CPT code 88334, Pathology consultation during surgery; 
cytologic examination (e.g., touch prep, squash prep), each additional 
site, the RUC recommended a work RVU of 0.80 for this service based on 
a comparison of this procedure to CPT code 88332, Pathology 
consultation during surgery; each additional tissue block, with frozen 
section(s). The RUC reviewed the specialty society's survey data and 
noted that the surveyed CPT code 88334, when compared to the reference 
CPT code 88332 has higher intensity/complexity measures (20 minutes) 
and an additional five minutes of intra-service time (15 minutes). 
Although CPT code 88334 has an additional 5 minutes of intra-service 
time, we believed that CPT code 88334 is very similar in work to CPT 
code 88332, and therefore, should be valued the same. We assigned 0.59 
work RVUs to CPT code 88334.
    Comment: Commenters did not agree with our comparison of CPT code 
88334 to 88332, as there is increased work mainly vested on the 
necessity to examine every field under 10X magnification in CPT code 
88334, which is not inherent in the frozen section process represented 
by CPT code 88332. Based on these comments, we referred this code to 
the multi-specialty validation panel for review.
    Response: As a result of the statistical analysis of the 2006 
multi-specialty validation panel ratings, we have assigned 0.73 work 
RVUs to CPT code 88334.
    For CPT code 95251, Ambulatory continuous glucose monitoring of 
interstitial tissue fluid via a subcutaneous sensor for up to 72 hours; 
physician interpretation and report, the RUC recommended a work RVU of 
0.85 for this service. We disagree with the RUC's recommendation 
because we believe the work for this service is similar to CPT code 
93268, Patient demand single or multiple event recording with 
presymptom memory loop, 24-hour attended monitoring, per 30-day period 
of time; includes transmission, physician review and interpretation, 
which involves the review of data over a 30-day period. Therefore, we 
assigned 0.52 work RVUs to 95251.
    Comment: Commenters disagreed with our comparison of CPT code 95251 
to 93268, as they believe the amount and complexity of the data that 
needs to be reviewed for CPT code 95251 is considerable. Based on these 
comments, we referred this code to the multi-specialty validation panel 
for review.
    Response: As a result of the statistical analysis of the 2006 
multi-specialty validation panel ratings, we have assigned 0.85 work 
RVUs to CPT code 95251.
    For CPT code 61630, Balloon angioplasty, intracranial (e.g., 
atherosclerotic stenosis), percutaneous; CPT code 61635, Transcatheter 
placement of intravascular stent(s), intracranial (e.g., 
athersosclerotic stenosis), including balloon angioplasty if performed; 
CPT code 61640, Balloon dilatation of intracranial vasospasm, 
percutaneous, initial vessel; CPT code 61641, Balloon dilatation of 
intracranial vasospasm, percutaneous, initial vessel; each additional 
vessel in same vascular family; and CPT code 61642, Balloon dilatation 
of intracranial vasospasm, percutaneous, initial vessel; each 
additional vessel in different vascular family, the RUC recommended 
21.08 work RVUs for CPT code 61630, 23.08 work RVUs for CPT code 61635, 
12.32 work RVUs for CPT code 61640, 4.33 work RVUs for CPT code 61641 
and 8.66 work RVUs for CPT code 61642. We assigned a status indicator 
of N for these services because they are noncovered under Medicare due 
to a National Coverage Decision (NCD).
    Comment: Commenters questioned the assignment of the status 
indicator of N for these services. Commenters also requested that the 
RVUS be published for these services. (Note: In the correction notice 
that appeared in the February 24, 2006 Federal Register (71 FR 9458), 
RVUs were published for CPT codes 61630 and 61635.)
    Response: Based on an NCD regarding the non-coverage of performance 
of percutaneous transluminal angioplasty to treat obstructive lesions 
of the

[[Page 69739]]

vertebral and cerebral arteries we will maintain the status indicator 
of N for these services. (Note: The RUC-recommended RVUs for these 
codes will be reflected in Addendum B.)
    For CPT codes 98960, Education and training for patient self-
management by a qualified, nonphysician health care professional using 
a standardized curriculum, face-to-face with the patient (could include 
caregiver/family) each 30 minutes; individual patient; CPT code 98961, 
Education and training for patient self-management by a qualified, 
nonphysician health care professional using a standardized curriculum, 
face-to-face with the patient (could include caregiver/family) each 30 
minutes; 2-4 patients; and CPT code 98962, Education and training for 
patient self-management by a qualified, nonphysician health care 
professional using a standardized curriculum, face-to-face with the 
patient (could include caregiver/family) each 30 minutes; 5-8 patients, 
a status indicator of N was erroneously assigned for these services in 
the CY 2006 PFS final rule published in the November 21, 2005 Federal 
Register (70 FR 70282). The status indicator was corrected to B in the 
correction notice that appeared in the February 24, 2006 Federal 
Register (71 FR 9458).
    Comment: Commenters questioned the assigned status indicator of N 
for these services and urged acceptance of the RVUs, as physician 
education is a service covered under Medicare Part B and, as one 
commenter indicated, included and reported in an E/M code. However, the 
commenter stated that the E/M service that we might believe is 
appropriate (CPT code 99211) is not sufficient for the amount of time 
and work described by these services. Other commenters requested that 
the RUC-assigned RVUs be published, even if they are not used for 
Medicare payment, as other payers use the PFS to establish payment.
    Response: As stated above in this section, the status indicator for 
these codes was corrected to a status indicator of B in the correction 
notice that appeared in the February 24, 2006 Federal Register (71 FR 
9458). We believe these services are bundled into E/M services. Other 
than the diabetic education services (CPT codes G0108 and G0109) 
specified by the Congress, we do not cover separate education services 
outside of demonstrations or the Medicare Health Support program. For 
diabetic education services, CPT codes G0108 and G0109 should be used 
to bill for these services. CPT codes 98960-98962 will not be 
recognized as separate services for diabetic education. Additional 
information on the DSMT benefit is available in Sec.  410.140 through 
Sec.  410.146, and on our Web site at http://www.cms.hhs.gov/DiabetesSelfManagement/. We are available to discuss certification 
requirements with interested providers. As requested by the commenters, 
we have published the RUC-assigned RVUs for these codes.
    For CPT code 99143, Moderate sedation services (other than those 
services described by codes 00100-01999) provided by the same physician 
performing the diagnostic or therapeutic service that the sedation 
supports, requiring the presence of an independent trained observer to 
assist in the monitoring of the patient's level of consciousness and 
physiological status, under 5 years of age; first 30 minutes intra-
service time, CPT code 99144, Moderate sedation services (other than 
those services described by codes 00100-01999) provided by the same 
physician performing the diagnostic or therapeutic service that the 
sedation supports, requiring the presence of an independent trained 
observer to assist in the monitoring of the patient's level of 
consciousness and physiological status, age 5 years or older; first 30 
minutes intra-service time, CPT code 99145, Moderate sedation services 
(other than those services described by codes 00100-01999) provided by 
the same physician performing the diagnostic or therapeutic service 
that the sedation supports, requiring the presence of an independent 
trained observer to assist in the monitoring of the patient's level of 
consciousness and physiological status, age 5 years or older; each 
additional 15 minutes intra-service time, CPT code 99148, Moderate 
sedation services (other than those services described by codes 00100-
01999) provided by a physician other than the health care professional 
performing the diagnostic or therapeutic service that the sedation 
supports, under 5 years of age; first 30 minutes intra-service time, 
CPT code 99149, Moderate sedation services (other than those services 
described by codes 00100-01999) provided by a physician other than the 
health care professional performing the diagnostic or therapeutic 
service that the sedation supports, age 5 years or older; first 30 
minutes intra-service time, and CPT code 99150, Moderate sedation 
services (other than those services described by codes 00100-01999) 
provided by a physician other than the health care professional 
performing the diagnostic or therapeutic service that the sedation 
supports, each additional 15 minutes intra-service time, the CPT 
Editorial Panel created six new codes to accurately report 2 separate 
families of moderate sedation. One family describes the provision of 
moderate sedation services by the physician who is performing the 
diagnostic or therapeutic service and supervising an independent 
trained observer while the other family describes moderate sedation 
services performed by a physician (other than an anesthesiologist) 
other than the physician performing a diagnostic or therapeutic 
service. These new codes replace CPT code 99141, Sedation with or 
without analgesia (conscious sedation); intravenous, intra-muscular or 
inhalation, and CPT code 99142, Sedation with or without analgesia 
(conscious sedation); oral, rectal and/or intranasal, which were 
bundled under the PFS. The RUC recommended 0.70 work RVUs for CPT code 
99143, 0.66 work RVUs for CPT code 99144, 0.23 work RVUs for CPT code 
99145, 1.75 work RVUs for CPT code 99148, 1.65 work RVUs for CPT code 
99149 and 0.47 work RVUs for CPT code 99150. We questioned whether the 
RUC-assigned values are appropriate and carrier priced these codes in 
order to gather information for utilization and proper pricing.
    Comment: Commenters requested that the RUC-recommended value for 
these services be accepted as these values were based on valid surveys 
and vetted through the RUC process. The RUC also indicated it would be 
happy to provide any additional information that would address any 
concerns we might have.
    Response: We will maintain carrier pricing of these codes and will 
continue to monitor utilization.
    Comment: Commenters requested that we publish the RVUs for 
noncovered services for which we receive RUC recommendations.
    Response: In response to comments, we have published the RVUs for 
noncovered services for which we received RUC recommendations (with the 
exception of carrier-priced codes).
    In the CY 2006 PFS final rule with comment period (70 FR 66370), we 
also responded to the RUC recommendations on the PE inputs for the new 
and revised CPT codes for 2006. We received the following comments:
    Comment: Although we assigned non-facility PE inputs based on 
information provided by the RUC for CPT code 28890, Extracorporeal 
shock wave, high energy, performed by a physician, requiring anesthesia 
other than local, including ultrasound guidance, involving the plantar 
fascia, one commenter expressed concern that the

[[Page 69740]]

PE RVUs are not sufficient to cover the actual costs associated with 
the performance of this procedure in the office setting. The commenter 
acknowledged that a single payment scheme for the purchase or rental of 
the equipment associated with its service does not exist and believes 
the expense to be higher than what was represented in the PE database. 
The commenter indicated that a ``technical fee'' is frequently paid 
when the procedure is performed in the office setting. The costs 
associated with this ``technical fee'' can include: The shock wave 
equipment, a specialized transport truck, a service contract with the 
manufacturer, salary/benefits for technologist and the transport 
driver, medical director fee, anesthesia fee, supplies and training 
material, malpractice and liability insurance, and fuel cost.
    Response: Under the PFS, the PE component is based on the resources 
used to furnish each service and, for CPT code 28890, consists of a 
total of 133 minutes of clinical labor, disposable supplies, including 
the necessary items to provide the regional anesthetic block, and 
equipment over $500, including the ``shock-wave'' machine. The PE 
methodology utilizes the price of equipment (as if the physician owned 
it) and considers the time used for performing the procedure (36 
minutes). Costs of leasing arrangements or per use fees are not 
recognized in our PE methodology. Therefore, we are maintaining the 
direct PE inputs for this service (except as discussed previously in 
this rule) because they are consistent with the typical clinical labor, 
supplies, and equipment needed to provide this service in the 
physician's office.
    Comment: We received three comments concerning the PE inputs for 
CPT codes 36475, Endovenous ablation therapy of incompetent vein, 
extremity, inclusive of all imaging guidance and monitoring, 
percutaneous, radiofrequency, first vein treated, and 36476, Endovenous 
ablation therapy of incompetent vein, extremity, inclusive of all 
imaging guidance and monitoring, percutaneous, radiofrequency, second 
and subsequent veins treated in a single extremity, each through 
separate access sites (List separately in addition to code for primary 
location). Two comenters supported our proposal to add the tilt table 
for these services and also suggested the tilt table be added to CPT 
codes 36478 and 36479--the entire endovenous family. One commenter 
requested that 15 minutes of clinical labor time be added to CPT codes 
36475 and 36476. However, the commenters disagreed with the addition of 
15 minutes of clinical labor time to CPT codes 36475 and 36476, 
indicating that the description of the physician work for these codes 
states that, when needed, the physician places the patient in the 
required position. One of these commenters indicated that this was also 
to be addressed at the February 2006 RUC meeting.
    Response: At the February 2006 RUC meeting, the PERC recommended 
the addition of the tilt table to the family of CPT codes, 36475, 
36476, 36478 and 36479. However, the PERC did not accept the additional 
clinical labor time. The tilt table was added to the PE database for 
these CPT codes, in concert with the PERC recommendations for CY 2007, 
and the PE RVUs in Addendum B reflect these changes.

D. Establishment of Interim Work Relative Value Units for New and 
Revised Physician's Current Procedural Terminology (CPT) Codes and New 
Healthcare Common Procedure Coding System Codes (HCPCS) for 2007 
(Includes Table titled ``American Medical Association Specialty 
Relative Value Update Committee and Health Care Professionals Advisory 
Committee Recommendations and CMS's Decisions for New and Revised 2007 
CPT Codes'')

    One aspect of establishing RVUs for 2007 was to assign interim work 
RVUs for all new and revised CPT codes. As described in our November 
25, 1992 notice on the 1993 PFS (57 FR 55951) and in section III.B. of 
the CY 1997 PFS final rule (61 FR 59505), we established a process, 
based on recommendations received from the AMA's RUC, for establishing 
interim work RVUs for new and revised codes.
    This year we received work RVU recommendations for 230 new and 
revised CPT codes from the RUC. Of the 230 codes, 56 were modified by 
editorial changes, 57 were renumbered and the work RVUs associated with 
these services were assigned to the new codes (not included in Table 
15), and 1 code was renumbered and assigned a new work RVU (included in 
Table 15). Our staff and medical officers reviewed the RUC 
recommendations by comparing them to our reference set or to other 
comparable services for which work RVUs had previously been 
established. We also considered the relationships among the new and 
revised codes for which we received RUC recommendations and agreed with 
the majority of the relative relationships reflected in the RUC values. 
In some instances, although we agreed with the relationships, we 
nonetheless revised the work RVUs to achieve work neutrality within 
families of codes. That is, the work RVUs were adjusted so that the sum 
of the new or revised work RVUs (weighted by projected frequency of 
use) for a family will be the same as the sum of the current work RVUs 
(weighted by projected frequency of use) for the family of codes. We 
reviewed all the RUC recommendations and accepted approximately 98 
percent of the RUC-recommended values.
    We received one recommendation from the Health Care Professional 
Advisory Committee (HCPAC), which we accepted.
    Table 15, titled ``AMA RUC and HCPAC Recommendations and CMS 
Decisions for New and Revised 2007 CPT Codes,'' lists the new or 
revised CPT codes, and their associated work RVUs, that will be interim 
in 2007. This table includes the following information:
     A ``'' identifies a new code for 2007.
     CPT code. This is the CPT code for a service.
     Modifier. A ``26'' in this column indicates that the work 
RVUs are for the PC of the code.
     Description. This is an abbreviated version of the 
narrative description of the code.
     RUC recommendations. This column identifies the work RVUs 
recommended by the RUC.
     HCPAC recommendations. This column identifies the work 
RVUs recommended by the HCPAC.
     CMS decision. This column indicates whether we agreed or 
we disagreed with the RUC recommendation. Codes for which we did not 
accept the RUC recommendation are discussed in greater detail following 
this table.
     2007 Work RVUs. This column establishes the interim 2007 
work RVUs for physician work. (Note: Values for 10- and 90-day global 
period codes reflect E/M increases from the 5-Year Review.)

BILLING CODE 4120-01-P

[[Page 69741]]

[GRAPHIC] [TIFF OMITTED] TR01DE06.010


[[Page 69742]]


[GRAPHIC] [TIFF OMITTED] TR01DE06.011


[[Page 69743]]


[GRAPHIC] [TIFF OMITTED] TR01DE06.012

BILLING CODE 4120-01-C

[[Page 69744]]

    Table 16, which is titled ``AMA RUC Anesthesia Recommendations and 
CMS Decisions for New and Revised 2007 CPT Codes,'' lists the new or 
revised CPT codes for anesthesia and their base units that will be 
interim in 2007. This table includes the following information:
     CPT code. This is the CPT code for a service.
     Description. This is an abbreviated version of the 
narrative description of the code.
     RUC recommendations. This column identifies the base units 
recommended by the RUC.
     CMS decision. This column indicates whether we agreed or 
we disagreed with the RUC recommendation. Codes for which we did not 
accept the RUC recommendation are discussed in greater detail following 
this table.
     2007 Base Units. This column establishes the 2007 base 
units for these services.

          Table 16.--AMA RUC Anesthesia Recommendations and CMS Decisions for New and Revised CPT Codes
----------------------------------------------------------------------------------------------------------------
                                                                     RUC                               2007 base
            *CPT code                     Description           recommendation       CMS  decision       units
----------------------------------------------------------------------------------------------------------------
00625...................  ANES SPINE TRANTHOR W/O                13.00  Agree...............      13.00
                                    VENT.
00626...................  ANES, SPINE TRANSTHOR W/               13.00  Agree...............     15.00
                                    VENT.
----------------------------------------------------------------------------------------------------------------
* All CPT codes copyright 2006 AMA.
 New CPT code.

E. Discussion of Codes for Which There Were no RUC Recommendations or 
for Which the RUC Recommendations Were Not Accepted

    The following is a summary of our rationale for not accepting 
particular RUC work RVUs. It is arranged by type of service in CPT 
order. This summary refers only to work RVUs.
    For CPT code 22857, Total disc arthroplasty (artificial disc), 
anterior approach, including diskectomy to prepare interspace (other 
than for decompression), lumbar, single interspace; CPT code 22862, 
Revision including replacement of total disc arthroplasty (artificial 
disc) anterior approach, lumbar, single interspace (includes approach); 
and CPT code 22865, Removal of total disc arthroplasty (artificial 
disc), anterior approach, lumbar, single interspace, the RUC 
recommended 25.07 work RVUs for CPT code 22857, 30.57 work RVUs for CPT 
code 22862 and 29.57 work RVUs for CPT code 22865. We are assigning a 
status indicator of R (Restricted) to these services due to an NCD for 
non-coverage of Lumbar Artificial Disc Replacement with the 
ChariteTM lumbar artificial disc for patients over the age 
of 60.
    For CPT code 94005, Home ventilator management care plan oversight 
of a patient (patient not present) in home, domiciliary or rest home 
(e.g., assisted living) requiring review of status, review of 
laboratories and other studies and revision of orders and respiratory 
care plan (as appropriate), within a calendar month, 30 minutes or 
more, the RUC-recommended 1.50 work RVUs for this code. We are 
assigning a status indicator of B (Bundled) to this service because: 
(1) The patient is not present when this service is rendered and (2) we 
believe this service is captured in E/M services. (Note: The RUC-
recommended RVUs for this code will be reflected in Addendum B.)
    For CPT code 96040, Medical genetics and genetic counseling 
services, each 30 minutes face-to-face with patient/family, this 
procedure does not have any physician work and to the extent that these 
services are covered, we consider them bundled into E/M services and 
have assigned as status indicator of B. (Note: The RUC-recommended RVUs 
for this code will be reflected in Addendum B.)
    For CPT code 96904, Whole body integumentary photography, for 
monitoring of high risk patients with dysplastic nevus syndrome or a 
history of dysplastic nevi, or patients with a personal or familial 
history of melanoma, this procedure does not have any physician work. 
We have assigned a status indicator of R (Restricted) to this service, 
and will only recognize this code when services are performed on 
patients with melanoma and not when services are performed for 
screening based on family history (because we did not cover 
screenings). We will implement edits for situations involving patients 
with melanoma and/or dysplastic nevus syndrome.
    For CPT code 99363, Anticoagulant management for an outpatient 
taking warfarin, physician review and interpretation of International 
Normalized Ratio (INR) testing, patient instructions, dosage adjustment 
(as needed), and ordering of additional tests; initial 90 days of 
therapy (must include a minimum of 8 INR measurements; and CPT code 
99364, Anticoagulant management for a patient taking warfarin, 
physician review and interpretation of International Normalized Ratio 
(INR) testing, patient instructions, dosage adjustment (as needed), and 
ordering of additional tests; each subsequent 90 days of therapy (must 
include a minimum of three INR measurements), the RUC recommended 1.65 
work RVUs for CPT code 99363 and 0.63 work RVUs for CPT code 99364. We 
believe these services are bundled into E/M services and have assigned 
a status indicator of B to these codes. (Note: The RUC-recommended RVUs 
for these codes will be reflected in Addendum B.)

F. Additional Pricing Issue

    We are carrier-pricing the global and TC for the codes listed in 
Table 17. The TC is not paid in the facility setting under the PFS and 
the RUC did not forward recommendations in the non-facility setting 
because these services are performed infrequently, if at all in the 
non-facility setting. Work RVUs will continue to be used to establish 
payment for the PC.

                     Table 17.--Carrier Priced Codes
------------------------------------------------------------------------
                                     Short
  CPT code *          Mod          descriptor        Status indicator
------------------------------------------------------------------------
70170.........  ..............  X-RAY EXAM OF    Carrier Priced.
                                 TEAR DUCT.
70170.........  TC............  X-RAY EXAM OF    Carrier Priced.
                                 TEAR DUCT.

[[Page 69745]]

 
70555.........  ..............  FMRI BRAIN BY    Carrier Priced.
                                 PHYS/PSYCH.
70555.........  TC............  FMRI BRAIN BY    Carrier Priced.
                                 PHYS/PSYCH.
71090.........  ..............  X-RAY EXAM OF    Carrier Priced.
                                 EYE SOCKETS.
71090.........  TC............  X-RAY EXAM OF    Carrier Priced.
                                 EYE SOCKETS.
73530.........  ..............  X-RAY EXAM OF    Carrier Priced.
                                 HIP.
73530.........  TC............  X-RAY EXAM OF    Carrier Priced.
                                 HIP.
74190.........  ..............  X-RAY EXAM OF    Carrier Priced.
                                 PERITONEUM.
74190.........  TC............  X-RAY EXAM OF    Carrier Priced.
                                 PERITONEUM.
74305.........  ..............  X-RAY BILE       Carrier Priced.
                                 DUCTS/PANCREAS.
74305.........  TC............  X-RAY BILE       Carrier Priced.
                                 DUCTS/PANCREAS.
74328.........  ..............  X-RAY BILE DUCT  Carrier Priced.
                                 ENDOSCOPY.
74328.........  TC............  X-RAY BILE DUCT  Carrier Priced.
                                 ENDOSCOPY.
74330.........  ..............  X-RAY BILE/PANC  Carrier Priced.
                                 ENDOSCOPY.
74330.........  TC............  X-RAY BILE/PANC  Carrier Priced.
                                 ENDOSCOPY.
74340.........  ..............  X-RAY GUIDE FOR  Carrier Priced.
                                 GI TUBE.
74340.........  TC............  X-RAY GUIDE FOR  Carrier Priced.
                                 GI TUBE.
74355.........  ..............  X-RAY GUIDE,     Carrier Priced.
                                 INTESTINAL
                                 TUBE.
74355.........  TC............  X-RAY GUIDE,     Carrier Priced.
                                 INTESTINAL
                                 TUBE.
74360.........  ..............  X-RAY GUIDE, GI  Carrier Priced.
                                 DILATION.
74360.........  TC............  X-RAY GUIDE, GI  Carrier Priced.
                                 DILATION.
74420.........  ..............  CONTRST X-RAY,   Carrier Priced.
                                 URINARY TRACT.
74420.........  TC............  CONTRST X-RAY,   Carrier Priced.
                                 URINARY TRACT.
74425.........  ..............  CONTRST X-RAY,   Carrier Priced.
                                 URINARY TRACT.
74425.........  TC............  CONTRST X-RAY,   Carrier Priced.
                                 URINARY TRACT.
74445.........  ..............  X-RAY EXAM OF    Carrier Priced.
                                 PENIS.
74445.........  TC............  X-RAY EXAM OF    Carrier Priced.
                                 PENIS.
74450.........  ..............  X-RAY, URETHRA/  Carrier Priced.
                                 BLADDER.
74450.........  TC............  X-RAY, URETHRA/  Carrier Priced.
                                 BLADDER.
74470.........  ..............  X-RAY EXAM OF    Carrier Priced.
                                 KIDNEY LESION.
74470.........  TC............  X-RAY EXAM OF    Carrier Priced.
                                 KIDNEY LESION.
74775.........  ..............  X-RAY EXAM OF    Carrier Priced.
                                 PERINEUM.
74775.........  TC............  X-RAY EXAM OF    Carrier Priced.
                                 PERINEUM.
75801.........  ..............  LYMPH VESSEL X-  Carrier Priced.
                                 RAY, ARM/LEG.
75801.........  TC............  LYMPH VESSEL X-  Carrier Priced.
                                 RAY, ARM/LEG.
75803.........  ..............  LYMPH VESSEL X-  Carrier Priced.
                                 RAY, ARMS/LEGS.
75803.........  TC............  LYMPH VESSEL X-  Carrier Priced.
                                 RAY, ARMS/LEGS.
75805.........  ..............  LYMPH VESSEL X-  Carrier Priced.
                                 RAY, TRUNK.
75805.........  TC............  LYMPH VESSEL X-  Carrier Priced.
                                 RAY, TRUNK.
75810.........  ..............  VEIN X-RAY,      Carrier Priced.
                                 SPLEEN/LIVER.
75810.........  TC............  VEIN X-RAY,      Carrier Priced.
                                 SPLEEN/LIVER.
75894.........  ..............  X-RAYS,          Carrier Priced.
                                 TRANSCATH
                                 THERAPY.
75894.........  TC............  X-RAYS,          Carrier Priced.
                                 TRANSCATH
                                 THERAPY.
75896.........  ..............  X-RAYS,          Carrier Priced.
                                 TRANSCATH
                                 THERAPY.
75896.........  TC............  X-RAYS,          Carrier Priced.
                                 TRANSCATH
                                 THERAPY.
75898.........  ..............  FOLLOW-UP        Carrier Priced.
                                 ANGIOGRAPHY.
75898.........  TC............  FOLLOW-UP        Carrier Priced.
                                 ANGIOGRAPHY.
75940.........  ..............  X-RAY            Carrier Priced.
                                 PLACEMENT,
                                 VEIN FILTER.
75940.........  TC............  X-RAY            Carrier Priced.
                                 PLACEMENT,
                                 VEIN FILTER.
75945.........  ..............  INTRAVASCULAR    Carrier Priced.
                                 US.
75945.........  TC............  INTRAVASCULAR    Carrier Priced.
                                 US.
75960.........  ..............  TRANSCATH IV     Carrier Priced.
                                 STENT RS & I.
75960.........  TC............  TRANSCATH IV     Carrier Priced.
                                 STENT RS & I.
75970.........  ..............  VASCULAR BIOPSY  Carrier Priced.
75970.........  TC............  VASCULAR BIOPSY  Carrier Priced.
75980.........  ..............  CONTRAST X-RAY   Carrier Priced.
                                 EXAM BILE DUCT.
75980.........  TC............  CONTRAST X-RAY   Carrier Priced.
                                 EXAM BILE DUCT.
75992.........  ..............  ATHERECTOMY, X-  Carrier Priced.
                                 RAY EXAM.
75992.........  TC............  ATHERECTOMY, X-  Carrier Priced.
                                 RAY EXAM.
76001.........  ..............  FLUOROSCOPE      Carrier Priced.
                                 EXAM,
                                 EXTENSIVE.
76001.........  TC............  FLUOROSCOPE      Carrier Priced.
                                 EXAM,
                                 EXTENSIVE.
76125.........  ..............  CINE/VIDEO X-    Carrier Priced.
                                 RAYS ADD-ON.
76125.........  TC............  CINE/VIDEO X-    Carrier Priced.
                                 RAYS ADD-ON.
76932.........  ..............  ECHO GUIDE FOR   Carrier Priced.
                                 HEART BIOPSY.
76932.........  TC............  ECHO GUIDE FOR   Carrier Priced.
                                 HEART BIOPSY.
76940.........  ..............  US GUIDE,        Carrier Priced.
                                 TISSUE
                                 ABLATION.
76940.........  TC............  US GUIDE,        Carrier Priced.
                                 TISSUE
                                 ABLATION.
76941.........  ..............  ECHO GUIDE FOR   Carrier Priced.
                                 TRANSFUSION.
76941.........  TC............  ECHO GUIDE FOR   Carrier Priced.
                                 TRANSFUSION.
76945.........  ..............  ECHO GUIDE,      Carrier Priced.
                                 VILLUS
                                 SAMPLING.
76945.........  TC............  ECHO GUIDE,      Carrier Priced.
                                 VILLUS
                                 SAMPLING.
76975.........  ..............  GI ENDOSCOPIC    Carrier Priced.
                                 ULTRASOUND.
76975.........  TC............  GI ENDOSCOPIC    Carrier Priced.
                                 ULTRASOUND.

[[Page 69746]]

 
76998.........  ..............  US GUIDE,        Carrier Priced.
                                 INTRAOP.
76998.........  TC............  US GUIDE,        Carrier Priced.
                                 INTRAOP.
77013.........  ..............  CT GUIDE FOR     Carrier Priced.
                                 TISSUE
                                 ABLATION.
77013.........  TC............  CT GUIDE FOR     Carrier Priced.
                                 TISSUE
                                 ABLATION.
77022.........  ..............  MRI FOR TISSUE   Carrier Priced.
                                 ABLATION.
77022.........  TC............  MRI FOR TISSUE   Carrier Priced.
                                 ABLATION.
92978.........  ..............  INTRAVASC US,    Carrier Priced.
                                 HEART ADD-ON.
92978.........  TC............  INTRAVASC US,    Carrier Priced.
                                 HEART ADD-ON.
92979.........  ..............  INTRAVASC US,    Carrier Priced.
                                 HEART ADD-ON.
92979.........  TC............  INTRAVASC US,    Carrier Priced.
                                 HEART ADD-ON.
93501.........  ..............  RIGHT HEART      Carrier Priced.
                                 CATHETERIZATIO
                                 N.
93501.........  TC............  RIGHT HEART      Carrier Priced.
                                 CATHETERIZATIO
                                 N.
93503.........  ..............  INSERT/PLACE     Carrier Priced.
                                 HEART CATHETER.
93505.........  ..............  BIOPSY OF HEART  Carrier Priced.
                                 LINING.
93505.........  TC............  BIOPSY OF HEART  Carrier Priced.
                                 LINING.
93508.........  ..............  CATH PLACEMENT,  Carrier Priced.
                                 ANGIOGRAPHY.
93508.........  TC............  CATH PLACEMENT,  Carrier Priced.
                                 ANGIOGRAPHY.
93510.........  ..............  LEFT HEART       Carrier Priced.
                                 CATHETERIZATIO
                                 N.
93510.........  TC............  LEFT HEART       Carrier Priced.
                                 CATHETERIZATIO
                                 N.
93511.........  ..............  LEFT HEART       Carrier Priced.
                                 CATHETERIZATIO
                                 N.
93511.........  TC............  LEFT HEART       Carrier Priced.
                                 CATHETERIZATIO
                                 N.
93524.........  ..............  LEFT HEART       Carrier Priced.
                                 CATHETERIZATIO
                                 N.
93524.........  TC............  LEFT HEART       Carrier Priced.
                                 CATHETERIZATIO
                                 N.
93526.........  ..............  RT & LT HEART    Carrier Priced.
                                 CATHETERS.
93526.........  TC............  RT & LT HEART    Carrier Priced.
                                 CATHETERS.
93527.........  ..............  RT & LT HEART    Carrier Priced.
                                 CATHETERS.
93527.........  TC............  RT & LT HEART    Carrier Priced.
                                 CATHETERS.
93528.........  ..............  RT & LT HEART    Carrier Priced.
                                 CATHETERS.
93528.........  TC............  RT & LT HEART    Carrier Priced.
                                 CATHETERS.
93529.........  ..............  RT, LT HEART     Carrier Priced.
                                 CATHETERIZATIO
                                 N.
93529.........  TC............  RT, LT HEART     Carrier Priced.
                                 CATHETERIZATIO
                                 N.
93530.........  ..............  RT HEART CATH,   Carrier Priced.
                                 CONGENITAL.
93530.........  TC............  RT HEART CATH,   Carrier Priced.
                                 CONGENITAL.
93531.........  ..............  R & L HEART      Carrier Priced.
                                 CATH,
                                 CONGENITAL.
93531.........  TC............  R & L HEART      Carrier Priced.
                                 CATH,
                                 CONGENITAL.
93539.........  ..............  INJECTION,       Carrier Priced.
                                 CARDIAC CATH.
93540.........  ..............  INJECTION,       Carrier Priced.
                                 CARDIAC CATH.
93541.........  ..............  INJECTION FOR    Carrier Priced.
                                 LUNG ANGIOGRAM.
93542.........  ..............  INJECTION FOR    Carrier Priced.
                                 HEART X-RAYS.
93543.........  ..............  INJECTION FOR    Carrier Priced.
                                 HEART X-RAYS.
93544.........  ..............  INJECTION FOR    Carrier Priced.
                                 AORTOGRAPHY.
93545.........  ..............  INJECT FOR       Carrier Priced.
                                 CORONARY X-
                                 RAYS.
93555.........  ..............  IMAGING,         Carrier Priced.
                                 CARDIAC CATH.
93555.........  TC............  IMAGING,         Carrier Priced.
                                 CARDIAC CATH.
93556.........  ..............  IMAGING,         Carrier Priced.
                                 CARDIAC CATH.
93556.........  TC............  IMAGING,         Carrier Priced.
                                 CARDIAC CATH.
93561.........  ..............  CARDIAC OUTPUT   Carrier Priced.
                                 MEASUREMENT.
93561.........  TC............  CARDIAC OUTPUT   Carrier Priced.
                                 MEASUREMENT.
93562.........  ..............  CARDIAC OUTPUT   Carrier Priced.
                                 MEASUREMENT.
93562.........  TC............  CARDIAC OUTPUT   Carrier Priced.
                                 MEASUREMENT.
93571.........  ..............  HEART FLOW       Carrier Priced.
                                 RESERVE
                                 MEASURE.
93571.........  TC............  HEART FLOW       Carrier Priced.
                                 RESERVE
                                 MEASURE.
93600.........  ..............  BUNDLE OF HIS    Carrier Priced.
                                 RECORDING.
93600.........  TC............  BUNDLE OF HIS    Carrier Priced.
                                 RECORDING.
93602.........  ..............  INTRA-ATRIAL     Carrier Priced.
                                 RECORDING.
93602.........  TC............  INTRA-ATRIAL     Carrier Priced.
                                 RECORDING.
93603.........  ..............  RIGHT            Carrier Priced.
                                 VENTRICULAR
                                 RECORDING.
93603.........  TC............  RIGHT            Carrier Priced.
                                 VENTRICULAR
                                 RECORDING.
93609.........  ..............  MAP              Carrier Priced.
                                 TACHYCARDIA,
                                 ADD-ON.
93609.........  TC............  MAP              Carrier Priced.
                                 TACHYCARDIA,
                                 ADD-ON.
93610.........  ..............  INTRA-ATRIAL     Carrier Priced.
                                 PACING.
93610.........  TC............  INTRA-ATRIAL     Carrier Priced.
                                 PACING.
93612.........  ..............  INTRAVENTRICULA  Carrier Priced.
                                 R PACING.
93612.........  TC............  INTRAVENTRICULA  Carrier Priced.
                                 R PACING.
93615.........  ..............  ESOPHAGEAL       Carrier Priced.
                                 RECORDING.
93615.........  TC............  ESOPHAGEAL       Carrier Priced.
                                 RECORDING.
93618.........  ..............  HEART RHYTHM     Carrier Priced.
                                 PACING.
93618.........  TC............  HEART RHYTHM     Carrier Priced.
                                 PACING.
93619.........  ..............  ELECTROPHYSIOLO  Carrier Priced.
                                 GY EVALUATION.
93619.........  TC............  ELECTROPHYSIOLO  Carrier Priced.
                                 GY EVALUATION.
93640.........  ..............  EVALUATION       Carrier Priced.
                                 HEART DEVICE.
93640.........  TC............  EVALUATION       Carrier Priced.
                                 HEART DEVICE.

[[Page 69747]]

 
93641.........  ..............  ELECTROPHYSIOLO  Carrier Priced.
                                 GY EVALUATION.
93641.........  TC............  ELECTROPHYSIOLO  Carrier Priced.
                                 GY EVALUATION.
96020.........  ..............  FUNCTIONAL       Carrier Priced.
                                 BRAIN MAPPING.
96020.........  TC............  FUNCTIONAL       Carrier Priced.
                                 BRAIN MAPPING.
------------------------------------------------------------------------
* All CPT codes copyright 2006 AMA.

G. Establishment of Interim PE RVUs for New and Revised Physician's 
Current Procedural Terminology (CPT) Codes and New Healthcare Common 
Procedure Coding System (HCPCS) Codes for 2007

    We have developed a process for establishing interim PE RVUs for 
new and revised codes that is similar to that used for work RVUs. Under 
this process, the RUC recommends the PE direct inputs (the staff time, 
supplies and equipment) associated with each new code. We then review 
the recommendations in a manner similar to our evaluation of the 
recommended work RVUs. The RUC recommendations on the PE inputs for the 
new and revised 2007 codes were submitted to us as interim 
recommendations.
    We have accepted, in the interim, the PE recommendations submitted 
by the RUC for the codes listed in the table titled ``AMA RUC and HCPAC 
RVU Recommendations and CMS Decisions for New and Revised 2007 CPT 
Codes'' except as noted below in this section.
    For CPT code 15731, Forehead flap with preservation of vascular 
pedicle (e.g., axial pattern flap, parmedian forehead flap); and CPT 
code 15830, Excision, excessive skin and subcutaneous tissue (includes 
lipectomy); abdomen, infraumbilical panniculectomy, we assigned 5 
minutes for each post-operative visit for the digital camera used in 
the post-operative visits, rather than the entire clinical labor time 
for each post-operative period.
    For CPT code 22527, Percutaneous intradiscal electrothermal 
annuloplasty, unilateral or bilateral including fluoroscopic guidance; 
one or more additional levels (List separately in addition to code for 
primary procedure, we deleted the ambulatory blood pressure monitor 
because it duplicates the function of the 3-channel ECG machine.
    For CPT code 55876, Placement of interstitial device(s) for 
radiation guidance (e.g., fiducial markers, dosimeter), prostate (via 
needle, any approach), single or multiple, we deleted one package of 
gold markers (contains 3 markers each) because we believe that the 
typical number of gold markers used in this procedure is 2 or 3 and we 
entered an interim price of $119 per 3-pack. We are asking the 
specialty to provide us with: (a) Verification of the typical number of 
gold markers used in this procedure; and (b) documentation as to the 
typical price of these markers.
    For CPT code 76776, Ultrasound, transplanted kidney, real time and 
duplex Doppler with image documentation, we deleted the color laser 
printer because it is contained in the ultrasound room that is also 
used for the procedure.
    For CPT code 77371, Radiation treatment delivery, stereotactic 
radiosurgery (SRS) (complete course of treatment of cerebral lesion[s] 
consisting of 1 session); multi-source Cobalt 60 based, we designated, 
as an interim measure, the $15,000 radiation source with a specific 1-
month life (that was included in the list of direct-expense equipment 
items for this service), as an indirect expense because we believe it 
does not meet the criteria for inclusion as a direct expense. To the 
extent that the specialty disagrees with our decision to assign the 
radiation source cost as an indirect expense, the interim nature of 
this designation gives the specialty the opportunity to provide us with 
documentation to support their belief that the radiation source should 
be considered a direct expense.
    For CPT code 94644, Continuous inhalation with aerosol medication 
for acute airway obstruction; first hour, we did not include the peak 
flow meter as a supply item for this service because this item is 
reusable and was previously removed from the PE database at the time 
the supplies were re-priced.
    For CPT code 96040, Medical genetics and genetics counseling 
services, each 30 minutes face-to-face with patient/family, the payment 
rate, at $0.567, for ``genetic counselor'' was created from a non-BLS 
source that listed a 2003 national annual average salary of $53,377. 
This salary was inflated to include fringe benefits ($53,377 multiplied 
by 1.366), then deflated by the MEI to the year 2002 (the same year as 
the other labor costs in the PE database), then divided by 2080 (the 
number of hours in a work year), and finally divided by 60 (the number 
minutes in an hour). We were not able to include a price for the 
pedigree software equipment as it was not provided with the PE inputs.
    For CPT code 96904, Whole body integumentary photography, for 
monitoring of high risk patients with dysplastic nevus syndrome or a 
history of dysplastic nevi, or patients with a personal or familial 
history of melanoma, the payment rate, at $0.383, for ``medical 
photographers'', was created from a non-BLS source that gave a 2003 
national annual average salary of $36,000. This salary was inflated by 
a factor of 1.366 to include fringe benefits, then deflated by the MEI 
to 2002 (the labor base year), then divided by 2080 (the number of 
annual work hours), and lastly, divided by number 60 (the number of 
minutes in an hour). We are asking the specialty to submit acceptable 
documentation for all of the cameras and related equipment that are 
listed for this service. The prices submitted by the specialty have 
been entered on an interim basis for CY 2007.
    For CPT code 58240, Pelvic exenteration for gynecologic malignancy, 
with total abdominal hysterectomy or cervicectomy, with or without 
removal of tube(s), with or without removal of ovary(s), with removal 
of bladder and ureteral transplantations, and/or abdominoperineal 
resection of rectum and colon and colostomy, or any combination 
thereof, the supplies for this service were correctly entered as a 
quantity of 6--the number of post-operative visits (POVs)--rather than 
4, as listed on the PE spreadsheet in the RUC recommendations. The 
correct labor and equipment times were entered as reflected by the 
level and number of POVs.
    For CPT code 92025, Computerized corneal topography, unilateral or 
bilateral with interpretation and report, the specific topography 
equipment (at $44,000) requested for this procedure was not included 
because we do not believe it is the typical unit used in physician 
offices. Instead, we used the existing topography unit (at $13,495) and 
added a printer and computer with

[[Page 69748]]

monitor to the PE database for this service.

VI. Physician Self-Referral Prohibition: Annual Update to the List of 
CPT/HCPCS Codes

A. General

    Section 1877 of the Act prohibits a physician from referring a 
Medicare beneficiary for certain designated health services (DHS) to a 
health care entity with which the physician (or a member of the 
physician's immediate family) has a financial relationship, unless an 
exception applies. Section 1877 of the Act also prohibits the DHS 
entity from submitting claims to Medicare or billing the beneficiary or 
any other entity for Medicare DHS that are furnished as a result of a 
prohibited referral.
    As specified in our regulations at Sec.  411.351, the following 
services are DHS:
     Clinical laboratory services.
     Physical therapy, occupational therapy, and speech-
language pathology services.
     Radiology and certain other imaging services.
     Radiation therapy services and supplies.
     Durable medical equipment and supplies.
     Parenteral and enteral nutrients, equipment, and supplies.
     Prosthetics, orthotics, and prosthetic devices and 
supplies.
     Home health services.
     Outpatient prescription drugs.
     Inpatient and outpatient hospital services.

B. Nuclear Medicine

    In the CY 2006 PFS proposed rule (70 FR 45764), we sought public 
comments on a proposal to amend the definitions of ``radiation and 
certain other imaging services'' and ``radiation therapy services and 
supplies'' at Sec.  411.351 to include nuclear medicine services and 
supplies. In the CY 2006 PFS final rule with comment (70 FR 70116), we 
finalized the proposal and provided a delayed effective date of January 
1, 2007 for the new provisions. We included a list of the nuclear 
medicine CPT and HCPCS codes in Table 31 and Addendum H of the CY 2006 
PFS final rule with comment (70 FR 70290 through 70295 and 70472 
through 70476).
    In response to the CY 2006 PFS final rule with comment period, we 
received public comments from three organizations regarding the nuclear 
medicine issue. Because we had previously provided an opportunity for 
comment on the proposal in accordance with the provisions of the 
Administrative Procedure Act (APA) (5 U.S.C. 551 et seq.), we are not 
required to respond further. Nevertheless, we are responding to the 
only comment that provided significant new information. Specifically, 
we are responding to the following comment from the AMA.
    Comment: The AMA stated that it does not recognize diagnostic and 
therapeutic nuclear medicine services as a subspecialty of radiology, 
contrary to our statement in the CY 2006 PFS final rule (70 FR 70285). 
In that rule and in the proposed rule, we had explained that radiology 
and other imaging services should include diagnostic nuclear medicine 
procedures, because, among a number of other reasons, the AMA 
recognizes nuclear medicine as a subspecialty of radiology. We also 
noted in the CY 2006 PFS final rule (70 FR 70285) that the AMA had not 
objected to this statement in the proposed rule. In its comment, the 
AMA has now stated that its CPT coding categories are not intended to 
be a determination of subspecialties. The AMA added that nuclear 
medicine should be recognized as its own specialty, separate from 
radiology, because it has its own board certification and residency 
program.
    Response: We accept the explanation by the AMA that it does not 
recognize diagnostic nuclear medicine services as a subspecialty of 
radiology. However, we continue to believe that we should include all 
forms of radiological imaging in the DHS category ``radiology and other 
imaging services.'' As we noted in both the CY 2006 PFS proposed (70 FR 
45855) and final rules (70 FR 70285), although there may be differences 
of opinion as to whether diagnostic nuclear medicine is a subset of 
radiology, it is an imaging service covered by 1861(s)(3) of the Act, 
and of the type for which the Congress intended to prohibit referrals.

C. Annual Update to the Code List

1. Background
    In Sec.  411.351, we specify that the entire scope of four DHS 
categories is defined in a list of CPT/HCPCS codes (the Code List), 
which is updated annually to account for changes in the most recent CPT 
and HCPCS publications. The DHS categories defined and updated in this 
manner are:
     Clinical laboratory services.
     Physical therapy, occupational therapy, and speech-
language pathology services.
     Radiology and certain other imaging services.
     Radiation therapy services and supplies.
    The Code List also identifies those items and services that may 
qualify for either of the following two exceptions to the physician 
self-referral prohibition:
     EPO and other dialysis-related drugs furnished in or by an 
ESRD facility (Sec.  411.355(g)).
     Preventive screening tests, immunizations or vaccines 
(Sec.  411.355(h)).
    The Code List was last updated in the CY 2006 PFS final rule with 
comment period (70 FR 70116).
2. Response to Comments
    We did not receive any comments relating to the Code List that 
became effective January 1, 2006.
3. Revisions Effective for 2007
    The updated, comprehensive Code List effective January 1, 2007 
appears as Addendum J in this final rule with comment and is available 
on our Web site at http://www.cms.hhs.gov/PhysicianSelfReferral. 
Addendum J reflects the addition of CPT code 86960 to the list of CPT 
codes in the 80000 series that are excluded from the definition of 
``clinical laboratory services.'' This code was a new CPT code last 
year and should have been added to the list of excluded 80000 series 
codes at that time. In addition, Addendum J reflects the changes 
indicated in Tables 18 and 19.
    Tables 18 and 19 identify the additions and deletions, 
respectively, to the comprehensive Code List that was published in 
Addendum H of the CY 2006 PFS final rule (70 FR 70472 through 70476). 
Tables 18 and 19 also identify the additions and deletions to the lists 
of codes used to identify the items and services that may qualify for 
the exceptions in Sec.  411.355(g) (regarding EPO and other dialysis-
related outpatient prescription drugs furnished in or by an ESRD 
facility) and in Sec.  411.355(h) (regarding preventive screening 
tests, immunizations and vaccines).
    The additions specified in Table 18 generally reflect new CPT and 
HCPCS codes that become effective January 1, 2007, or that became 
effective since our last update. Although we included nuclear medicine 
codes in Addendum H of the CY 2006 PFS final rule, we are including 
them as additions in Table 18 since they will become effective January 
1, 2007. In addition, Table 18 also reflects our decision to move 
several nuclear medicine procedures that had been added last year to 
the DHS category of ``radiology and certain other imaging services'' 
(but not effective until January 1, 2007) to the category of ``clinical 
laboratory services.'' We

[[Page 69749]]

determined that the following CPT codes do not involve imaging services 
and are categorized more appropriately as clinical laboratory services: 
78110, 78111, 78120, 78121, 78122, 78130, 78191, 78270, 78271, 78272 
and 78725. We are also adding CPT code 86960 to the excluded portion of 
the ``clinical laboratory services'' category.
    Additionally, we are adding several HCPCS codes for 
radiopharmaceuticals and high osmolar contrast materials to the 
category of ``radiology of and certain other imaging services. We 
inadvertently omitted these codes in Addendum H of the CY 2006 PFS 
final rule with comment.
    Table 19 reflects the deletions necessary to conform the Code List 
to the most recent publications of CPT and HCPCS. It also reflects our 
decision to delete certain nuclear medicine services (CPT codes 78110, 
78111, 78120, 78121, 78122, 78130, 78191, 78270, 78271, 78272 and 
78725) from the category of ``radiology and certain other imaging 
services'' and to move them to the more appropriate category of 
``clinical laboratory services.''
    We will consider comments regarding the codes listed in Tables 18 
and 19 and the addition on Addendum J of CPT code 86960 to the list of 
CPT codes in the 80000 series that are excluded from the definition of 
``clinical laboratory services.'' Comments will be considered if we 
receive them by the date specified in the DATES section of this final 
rule with comment. We will not consider any comment that advocates a 
substantive change to any of the DHS defined in Sec.  411.351.

  Table 18.--Additions to the Physician Self-Referral List of CPT \1\/
                               HCPCS Codes
------------------------------------------------------------------------
 
------------------------------------------------------------------------
                      CLINICAL LABORATORY SERVICES
 
78110.................................  Plasma volume, single.
78111.................................  Plasma volume, multiple.
78120.................................  Red cell mass, single.
78121.................................  Red cell mass, multiple.
78122.................................  Blood volume.
78130.................................  Red cell survival study.
78191.................................  Pylatelet survival.
78270.................................  Vit B-12 absorption exam.
78271.................................  Vit B-12 absrp exam, int fac.
78272.................................  Vit B-12 absorp, combined.
78725.................................  Kidney function study.
G0394.................................  Blood occult test colorectal.
 
  PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH-LANGUAGE PATHOLOGY
                                SERVICES
 
[No additions].
 
              RADIOLOGY AND CERTAIN OTHER IMAGING SERVICES
 
0144T.................................  Ct heart wo dye; qual calc.
0145T.................................  Ct heart w/wo dye funct.
0146T.................................  Ccta w/wo dye.
0147T.................................  Ccta w/wo, quan calcium.
0148T.................................  Ccta w/wo, strxr.
0149T.................................  Ccta w/wo, strxr quan calc.
0150T.................................  Ccta w/wo, disease strxr.
0151T.................................  Ct heart funct add-on.
0159T.................................  Cad breast mri.
0174T.................................  Cad crx with interp.
0175T.................................  Cad crx remote.
70554.................................  Fmri brain by tech.
70555.................................  Fmri brain by phys/psych.
76776.................................  Us exam k transpl w/Doppler.
77014.................................  Ct scan for therapy guide.
77051.................................  Computer dx mammogram add-on.
77052.................................  Comp screen mammogram add-on.
77055.................................  Mammogram, one breast.
77056.................................  Mammogram, both breasts.
77057.................................  Mammogram, screening.
77058.................................  Mri, one breast.
77059.................................  Mri, both breasts.
77071.................................  X-ray stress view.
77072.................................  X-rays for bone age.
77073.................................  X-rays, bone length studies.
77074.................................  X-rays, bone survey, limited.
77075.................................  X-rays, bone survey complete.
77076.................................  X-rays, bone survey, infant.
77077.................................  Joint survey, single view.
77078.................................  Ct bone density, axial.
77079.................................  Ct bone density, peripheral.
77080.................................  Dxa bone density, axial.
77081.................................  Dxa bone density/peripheral.
77082.................................  Dxa bone density, vert fx.
77083.................................  Radiographic absorptiometry.
77084.................................  Magnetic image, bone marrow.
78000.................................  Thyroid, single uptake.
78001.................................  Thyroid, multiple uptakes.
78003.................................  Thyroid suppress/stimul.
78006.................................  Thyroid imaging with uptake.
78007.................................  Thyroid image, mult uptakes.
78010.................................  Thyroid imaging.
78011.................................  Thyroid imaging with flow.
78015.................................  Thyroid met imaging.
78016.................................  Thyroid met imaging/studies.
78018.................................  Thyroid met imaging, body.
78020.................................  Thyroid met uptake.
78070.................................  Parathyroid nuclear imaging.
78075.................................  Adrenal nuclear imaging.
78099.................................  Endocrine nuclear procedure.
78102.................................  Bone marrow imaging, ltd.
78103.................................  Bone marrow imaging, mult.
78104.................................  Bone marrow imaging, body.
78135.................................  Red cell survival kinetics.
78140.................................  Red cell sequestration.
78185.................................  Spleen imaging.
78190.................................  Platelet survival, kinetics.
78195.................................  Lymph system imaging.
78199.................................  Blood/lymph nuclear exam.
78201.................................  Liver imaging.
78202.................................  Liver imaging with flow.
78205.................................  Liver imaging (3D).
78206.................................  Liver image (3D) with flow.
78215.................................  Liver and spleen imaging.
78216.................................  Liver & spleen image/flow.
78220.................................  Liver function study.
78223.................................  Hepatobiliary imaging.
78230.................................  Salivary gland imaging.
78231.................................  Serial salivary imaging.
78232.................................  Salivary gland function exam.
78258.................................  Esophageal motility study.
78261.................................  Gastric mucosa imaging.
78262.................................  Gastroesophageal reflux exam.
78264.................................  Gastric emptying study.
78278.................................  Acute GI blood loss imaging.
78282.................................  GI protein loss exam.
78290.................................  Meckel's divert exam.
78291.................................  Leveen/shunt patency exam.
78299.................................  GI nuclear procedure.
78300.................................  Bone imaging, limited area.
78305.................................  Bone imaging, multiple areas.
78306.................................  Bone imaging, whole body.
78315.................................  Bone imaging, 3 phase.
78320.................................  Bone imaging (3D).
78399.................................  Musculosketal nuclear exam.
78414.................................  Non-imaging heart function.
78428.................................  Cardiac shunt imaging.
78445.................................  Vascular flow imaging.
78456.................................  Acute venous thrombus image.
78457.................................  Venous thrombosis imaging.
78458.................................  Ven thrombosis images, bilat.
78459.................................  Heart muscle imaging (PET).
78460.................................  Heart muscle blood, single.
78461.................................  Heart muscle blood, multiple.
78464.................................  Heart image (3d), single.
78465.................................  Heart image (3d), multiple.
78466.................................  Heart infarct image.
78468.................................  Heart infarct image (ef).
78469.................................  Heart infarct image (3D).
78472.................................  Gated heart, planar, single.
78473.................................  Gated heart, multiple.
78478.................................  Heart wall motion add-on.
78480.................................  Heart function add-on.
78481.................................  Heart first pass, single.
78483.................................  Heart first pass, multiple.
78491.................................  Heart image (pet), single.
78492.................................  Heart image (pet), multiple.
78494.................................  Heart image, spect.
78496.................................  Heart first pass add-on.
78499.................................  Cardiovascular nuclear exam.
78580.................................  Lung perfusion imaging.
78584.................................  Lung V/Q image single breath.
78585.................................  Lung V/Q imaging.
78586.................................  Aerosol lung image, single.
78587.................................  Aerosol lung image, multiple.
78588.................................  Perfusion lung image.
78591.................................  Vent image, 1 breath, 1 proj.
78593.................................  Vent image, 1 proj, gas.
78594.................................  Vent image, mult proj, gas.
78596.................................  Lung differential function.
78599.................................  Respiratory nuclear exam.
78600.................................  Brain imaging, ltd static.
78601.................................  Brain imaging, ltd w/flow.
78605.................................  Brain imaging, complete.
78606.................................  Brain imaging, compl w/flow.
78607.................................  Brain imaging (3D).
78608.................................  Brain imaging (PET).
78609.................................  Brain imaging (PET).
78610.................................  Brain flow imaging only.
78615.................................  Cerebral vascular flow image.
78630.................................  Cerebrospinal fluid scan.
78635.................................  CSF ventriculography.
78645.................................  CSF shunt evaluation.
78647.................................  Cerebrospinal fluid scan.
78650.................................  CSF leakage imaging.
78660.................................  Nuclear exam of tear flow.
78699.................................  Nervous system nuclear exam.
78700.................................  Kidney imaging, morphol.
78701.................................  Kidney imaging with flow.
78707.................................  K flow/funct image w/o drug.
78708.................................  K flow/funct image w/drug.
78709.................................  K flow/funct image, multiple.
78710.................................  Kidney imaging (3D).
78730.................................  Urinary bladder retention.
78740.................................  Ureteral reflux study.
78761.................................  Testicular imaging w/flow.
78799.................................  Genitourinary nuclear exam.
78800.................................  Tumor imaging, limited area.
78801.................................  Tumor imaging, mult area.
78802.................................  Tumor imaging, whole body.
78803.................................  Tumor imaging (3D).
78804.................................  Tumor imaging, whole body.
78805.................................  Abscess imaging, ltd area.
78806.................................  Abscess imaging, whole body.
78807.................................  Nuclear localization/abscess.
78811.................................  Tumor imaging (pet), limited.
78812.................................  Tumor image (pet)/skull-thigh.
78813.................................  Tumor image (pet) full body.
78814.................................  Tumor image pet/ct, limited.
78815.................................  Tumorimage pet/ct skull-thigh.
78816.................................  Tumor image pet/ct full body.
78890.................................  Nuclear medicine data proc.
78891.................................  Nuclear med data proc.
78999.................................  Nuclear diagnostic exam.
91111.................................  Esophageal capsule endoscopy.

[[Page 69750]]

 
A4641.................................  Radiopharm dx agent.
A4642.................................  In111 satumomab.
A9500.................................  Tc99m sestamibi.
A9502.................................  Tc99m tetrofosmin.
A9503.................................  Tc99m medronate.
A9504.................................  Tc99m apcitide.
A9505.................................  TL201 thallium.
A9507.................................  In111 capromab.
A9508.................................  I131 iodobenguate, dx.
A9510.................................  Tc99m disofenin.
A9512.................................  Tc99m pertechnetate.
A9516.................................  I123 iodide cap, dx.
A9521.................................  Tc99m exametazime.
A9524.................................  I131 serum albumin, dx.
A9526.................................  Nitrogen N-13 ammonia.
A9528.................................  Iodine I131 iodide cap, dx.
A9529.................................  I131 iodide sol, dx.
A9531.................................  I131 max 100uCi.
A9532.................................  I125 serum albumin, dx.
A9536.................................  Tc99m depreotide.
A9537.................................  Tc99m mebrofenin.
A9538.................................  Tc99m pyrophosphate.
A9539.................................  Tc99m pentetate.
A9540.................................  Tc99m MAA.
A9541.................................  Tc99m sulfur colloid.
A9542.................................  In111 ibritumomab, dx.
A9544.................................  I131 tositumomab, dx.
A9546.................................  CO57/58.
A9547.................................  In111 oxyquinoline.
A9548.................................  In111 pentetate.
A9550.................................  Tc99m gluceptate.
A9551.................................  Tc99m succimer.
A9552.................................  F18 fdg.
A9553.................................  Cr51 chromate.
A9554.................................  I125 iothalamate, dx.
A9555.................................  Rb82 rubidium.
A9556.................................  Ga67 gallium.
A9557.................................  Tc99m bicisate.
A9558.................................  Xe133 xenon 10mci.
A9559.................................  Co57 cyano.
A9560.................................  Tc99m labeled rbc.
A9561.................................  Tc99m oxidronate.
A9562.................................  Tc99m mertiatide.
A9565.................................  In111 pentetreotide.
A9566.................................  Tc99m fanolesomab.
A9567.................................  Technetium TC-99m.
A9568.................................  Tc99m arcitumomab.
A9700.................................  Echocardiography contrast.
G0389.................................  Ultrasound exam AAA screen.
Q9945.................................  LOCM<=149mg/ml iodine, 1 ml.
Q9946.................................  LOCM 150-199mg/ml iodine, 1ml.
Q9947.................................  LOCM 200-249mg/ml iodine, 1ml.
Q9948.................................  LOCM 250-299mg/ml/iodine, 1ml.
Q9949.................................  LOCM 300-349mg/ml iodine, 1ml.
Q9950.................................  LOCM 350-399mg/ml iodine, 1ml.
Q9951.................................  LOCM>=400 mg/ml iodine, 1ml.
Q9952.................................  Inj Gad-base MR contrast, ml.
Q9953.................................  Inj Fe-base MR contrast, ml.
Q9954.................................  Oral MR contrast, 100 ml.
Q9955.................................  Inj perflexane lip micros, ml.
Q9956.................................  Inj octafluoropropane mic, ml.
Q9957.................................  Inj perflutren lip micros, ml.
Q9958.................................  HOCM <=149mg/ml iodine, 1ml.
Q9959.................................  HOCM 150-199mg/ml iodine, 1ml.
Q9960.................................  HOCM 200-249mg/ml iodine, 1ml.
Q9961.................................  HOCM 250-299mg/ml iodine, 1ml.
Q9962.................................  HOCM 300-349mg/ml iodine, 1ml.
Q9963.................................  HOCM 350-399mg/ml iodine, 1ml.
Q9964.................................  HOCM>= 400mg/ml iodine, 1ml.
 
                 RADIATION THERAPY SERVICES AND SUPPLIES
 
55875.................................  Transperi needle place, pros.
55876.................................  Place rt device/marker, pros.
77371.................................  Srs, multisource.
77372.................................  Srs, linear based.
77373.................................  Sbrt delivery.
77435.................................  Sbrt management.
79005.................................  Nuclear rx, oral admin.
79101.................................  Nuclear rx, iv admin.
79200.................................  Nuclear rx, intracav admin.
79300.................................  Nuclr rx, interstit colloid.
79403.................................  Hematopoietic nuclear tx.
79440.................................  Nuclear rx, intra-articular.
79445.................................  Nuclear rx, intra-arterial.
79999.................................  Nuclear medicine therapy.
92974.................................  Cath place, cardio brachytx.
A9517.................................  I131 iodide cap, rx.
A9527.................................  Iodine I-125 sodium iodide.
A9530.................................  I131 iodide sol, rx.
A9543.................................  Y90 ibritumomab, rx.
A9545.................................  I131 tositumomab, rx.
A9563.................................  P32 Na phosphate.
A9564.................................  P32 chromic phosphate.
A9600.................................  Sr89 strontium.
A9605.................................  Sm 153 lexidronm.
A9699.................................  Radiopharm rx agent noc.
Q3001.................................  Brachytherapy Radioelements.
 
               DRUGS USED BY PATIENTS UNDERGOING DIALYSIS
 
Q4081.................................  Epoetin alfa, 100 units ESRD.
 
         PREVENTIVE SCREENING TESTS, IMMUNIZATIONS AND VACCINES
 
77052.................................  Comp screen mammogram add-on.
77057.................................  Mammogram, screening.
82270.................................  Occult blood, feces.
90660.................................  Flu vaccine, nasal.
G0389.................................  Ultrasound exam AAA screen.
------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 AMA. All rights
  are reserved and applicable FARS/DFARS clauses apply.


  Table 19.--Deletions to the Physician Self-Referral List of CPT \1\/
                               HCPCS Codes
------------------------------------------------------------------------
 
------------------------------------------------------------------------
                      CLINICAL LABORATORY SERVICES
 
G0107.................................  CA screen; fecal blood test.
 
  PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH-LANGUAGE PATHOLOGY
                                SERVICES
 
[No deletions].
 
              RADIOLOGY AND CERTAIN OTHER IMAGING SERVICES
 
76006.................................  X-ray stress view.
76020.................................  X-rays for bone age.
76040.................................  X-rays, bone evaluation.
76061.................................  X-rays, bone survey.
76062.................................  X-rays, bone survey.
76065.................................  X-rays, bone evaluation.
76066.................................  Joint survey, single view.
76070.................................  Ct bone density, axial.
76071.................................  Ct bone density, peripheral.
76075.................................  Dxa bone density, axial.
76076.................................  Dxa bone density/peripheral.
76077.................................  Dxa bone density/v-fracture.
76078.................................  Radiographic absorptiometry.
76082.................................  Computer mammogram add-on.
76083.................................  Computer mammogram add-on.
76090.................................  Mammogram, one breast.
76091.................................  Mammogram, both breasts.
76092.................................  Mammogram, screening.
76093.................................  Magnetic image, breast.
76094.................................  Magnetic image, both breasts.
76370.................................  Ct scan for therapy guide.
76400.................................  Magnetic image, bone marrow.
76778.................................  Us exam kidney transplant.
78110.................................  Plasma volume, single.
78111.................................  Plasma volume, multiple.
78120.................................  Red cell mass, single.
78121.................................  Red cell mass, multiple.
78122.................................  Blood volume.
78130.................................  Red cell survival study.
78191.................................  Platelet survival.
78270.................................  Vit B-12 absorption exam.
78271.................................  Vit B-12 absrp exam, int fac.
78272.................................  Vit B-12 absorp, combined.
78704.................................  Imaging renogram.
78715.................................  Renal vascular flow exam.
78725.................................  Kidney function study.
78760.................................  Testicular imaging.
A9511.................................  Technetium TC 99m depreotide.
A9513.................................  Technetium tc-99m mebrofenin.
A9514.................................  Technetium tc-99m pyrophosphate.
A9515.................................  Technetium tc-99m pentetate.
A9519.................................  Technetiumtc-99m macroag albu.
A9520.................................  Technetiumtc-99m sulfur clld.
A9522.................................  Indium111ibritumomabtiuxetan.
A9533.................................  I131 tositumomab diagnostic.
Q3000.................................  Rubidium RB-82.
Q3002.................................  Gallium ga 67.
Q3003.................................  Technetium tc99m bicisate.
Q3004.................................  Xenon xe 133.
Q3005.................................  Technetium tc99m mertiatide.
Q3006.................................  Technetium tc99m glucepatate.
Q3007.................................  Sodium phosphate p32.
Q3008.................................  Indium 111-in pentetreotide.
Q3009.................................  Technetium tc99m oxidronate.
Q3010.................................  Technetium tc99mlabeledrbcs.
Q3011.................................  Chromic phosphate p32.
Q3012.................................  Cyanocobalamin cobalt co57.
 
                 RADIATION THERAPY SERVICES AND SUPPLIES
 
0082T.................................  Stereotactic rad delivery.
0083T.................................  Stereotactic rad tx mngmt.
55859.................................  Percut/needle insert, pros.
A9523.................................  Yttrium90ibritumomabtiuxetan.
A9532.................................  I125 serum albumin, dx.
A9534.................................  I131 tositumomab therapeut.
Q3007.................................  Sodium phosphate p32.
Q3011.................................  Chromic phosphate p32.
 
               DRUGS USED BY PATIENTS UNDERGOING DIALYSIS
 
J0886.................................  Epoetin alfa, esrd.
 
         PREVENTIVE SCREENING TESTS, IMMUNIZATIONS AND VACCINES
 
76083.................................  Computer mammogram add-on.
76092.................................  Mammogram, screening.
G0107.................................  CA screen; fecal blood test.
------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 AMA. All rights
  are reserved and applicable FARS/DFARS clauses apply.

VII. Physician Fee Schedule Update for CY 2007

A. Physician Fee Schedule Update

    The PFS update is determined using a formula specified by statute. 
Under section 1848(d)(4) of the Act, the update is equal to the product 
of 1 plus the percentage increase in the MEI (divided by 100) and 1 
plus the UAF. For CY 2007, the MEI is equal to 2.1 percent

[[Page 69751]]

(1.021). The UAF is -7.0 percent (0.930). The product of the MEI 
(1.021) and the UAF (0.930) equals the CY 2007 update of -5.0 percent 
(0.94953).
    Our calculations of these figures are explained in this section.

B. The Percentage Change in the Medicare Economic Index (MEI)

    The MEI measures the weighted-average annual price change for 
various inputs needed to produce physicians' services. The MEI is a 
fixed-weight input price index, with an adjustment for the change in 
economy-wide multifactor productivity. This index, which has CY 2000 
base year weights, is comprised of two broad categories: (1) 
Physician's own time; and (2) physician's PE.
    The physician's own time component represents the net income 
portion of business receipts and primarily reflects the input of the 
physician's own time into the production of physicians' services in 
physicians' offices. This category consists of two subcomponents: (1) 
Wages and salaries; and (2) fringe benefits.
    The physician's PE category represents nonphysician inputs used in 
the production of services in physicians' offices. This category 
consists of wages and salaries and fringe benefits for nonphysician 
staff and other nonlabor inputs. The physician's PE component also 
includes the following categories of nonlabor inputs: Office expense; 
medical materials and supplies; professional liability insurance; 
medical equipment; prescription drugs; and other expenses. The 
components are adjusted to reflect productivity growth in physicians' 
offices by the 10-year moving average of productivity in the private 
nonfarm business sector. Table 20 presents a listing of the MEI cost 
categories with associated weights and percent changes for price 
proxies for the 2007 update. For CY 2007, the increase in the MEI is 
2.1 percent, which includes a 1.3 percent productivity offset based on 
the 10-year moving average of multifactor productivity. This is the 
result of a 3.3 percent increase in physician's own time and a 3.6 
percent increase in physician's PE. Within the physician's PE, the 
largest increase occurred in professional liability insurance, which 
increased 6.9 percent, and prescription drugs, which increased 7.7 
percent.

  TABLE 20.--Increase in the Medicare Economic Index Update for CY 2007
                                   \1\
------------------------------------------------------------------------
                                                               CY 2007
      Cost categories and price measures          CY 2000      percent
                                                weights \2\    changes
------------------------------------------------------------------------
Medicare Economic Index Total, productivity             N/A          2.1
 adjusted \3\.................................
        Productivity: 10-year moving average            N/A          1.3
         of multifactor productivity, private
         nonfarm business sector \3, 4\.......
Medicare Economic Index Total, without              100.000          3.5
 productivity adjustment \4\..................
    1. Physician's Own Time \5\...............       52.466          3.3
    a. Wages and Salaries: Average Hourly            42.730          3.3
     Earnings, private nonfarm................
        Fringe Benefits: Employment Cost              9.735          3.5
         Index, benefits, private nonfarm.....
    2. Physician's Practice Expense \5\.......       47.534          3.6
    a. Nonphysician Employee Compensation.....       18.653          2.9
        (1) Wages and Salaries: Employment           13.808          2.6
         Cost Index, wages and salaries,
         weighted by occupation...............
        (2) Fringe Benefits: Employment Cost          4.845          4.0
         Index, fringe benefits, white collar.
    b. Office Expense: Consumer Price Index          12.209          3.7
     for Urban Areas (CPI-U), housing.........
    c. Drugs and Medical Materials and                4.319          4.8
     Supplies.................................
        (1) Medical Materials and Supplies:           2.011          1.1
         Producer Price Index (PPI), surgical
         appliances and supplies/CPI-U,
         medical equipment and supplies
         (equally weighted)...................
        (2) Pharmaceuticals: Producer Price           2.308          7.7
         Index (PPI ethical prescription
         drugs)...............................
    d. Professional Liability Insurance:              3.865          6.9
     Professional liability insurance Premiums
     \6\......................................
    e. Medical Equipment: PPI, medical                2.055         -0.1
     instruments and equipment................
    f. Other Expenses.........................        6.433          2.2
------------------------------------------------------------------------
1. The rates of historical change are estimated for the 12-month period
  ending June 30, 2006, which is the period used for computing the CY
  2007 update. The price proxy values are based upon the latest
  available Bureau of Labor Statistics data as of August 31, 2006.
2. The weights shown for the MEI components are the 2000 base-year
  weights, which may not sum to subtotals or totals because of rounding.
  The MEI is a fixed-weight, Laspeyres-type input price index whose
  category weights indicate the distribution of expenditures among the
  inputs to physicians' services for CY 2000. To determine the MEI level
  for a given year, the price proxy level for each component is
  multiplied by its 2000 weight. The sum of these products (weights
  multiplied by the price index levels) over all cost categories yields
  the composite MEI level for a given year. The annual percent change in
  the MEI levels is an estimate of price change over time for a fixed
  market basket of inputs to physicians' services.
3. These numbers may not sum due to rounding and the multiplicative
  nature of their relationship.
4. On March 23, 2006, Bureau of Labor Statistics introduced a new Multi
  Factor Productivity (MFP) series based on the 1997 NAICS
  classification system to replace its SIC based series published until
  2005 (the last historical value was for 2002). The new series differs
  historically from the old MFP series and adds two new historical
  values through 2004. Therefore, we used the most recently available
  information (thru CY 2004) to develop the productivity adjustment for
  the CY 2007 update.
5. The measures of productivity, average hourly earnings, Employment
  Cost Indexes, as well as the various Producer and CPIs can be found on
  the BLS Web site at http://stats.bls.gov.
6. Derived from data collected from several major insurers (the latest
  available historical percent change data are for the period ending
  second quarter of 2006).

    Comment: Several commenters believe we are in violation of the 
Administrative Procedures Act (APA) for not proposing and soliciting 
comments on the incorporation of new Bureau of Labor Statistics 
Multifactor Productivity data in the MEI.
    Response: We disagree with the commenters' claim that we are in 
violation of the APA. The APA requires us to propose and solicit 
comments on substantive changes to our payment methodology. The PFS 
update published in this year's proposed rule is based on the same MEI 
methodology proposed and adopted in the CY 2003 and CY 2004 PFS 
proposed and final rules. The CY 2003 final rule adopted the use of 
BLS' private nonfarm business multifactor productivity (MFP) as the 
official data used to adjust the MEI for productivity. Specifically, 
consistent with the proposal made in the CY 2003 proposed rule (67 FR 
43860), the CY 2003 final rule (67 FR

[[Page 69752]]

80023) states ``Thus, the productivity adjustment will be based on the 
latest available actual historical economy-wide multifactor 
productivity data, as measured by the BLS.'' For the CY 2007 proposed 
rule, we followed this methodology and incorporated the latest 
available BLS private nonfarm business multifactor productivity.
    Comment: Several commenters believe the multifactor productivity 
estimate of 1.3 percent is high in light of the new Medicare 
initiatives such as the new Welcome to Medicare benefits, the new 
comprehensive Part D benefit, and compliance related to the Physician 
Voluntary Reporting Program (PVRP), which impose numerous time and 
paperwork burdens on physicians.
    Response: Our proposed and adopted methodology for calculating the 
MEI utilizes BLS's private nonfarm business MFP as the proxy for 
productivity changes. We recognize that productivity in physicians' 
offices for a given year may not equate to that of the economy-wide 
measure. For that reason, as well as to remove the effect of normal 
business cycles, we employ a 10-year moving average as the official 
measure. Also, CMS, in conjunction with the Assistant Secretary for 
Planning and Evaluation, is in the process of conducting a study on 
productivity in the physicians' offices. This work is being done to 
determine if the presently-used economy-wide measure for multi-factor 
productivity provides a reasonable target for physicians. We will 
analyze the results from this study and carefully evaluate its findings 
and their applicability to future MEI updates.
    Comment: Several commenters believe it is not warranted that we 
assume and calculate increased productivity levels for physicians while 
the payment update process for other providers does not include assumed 
or automatic productivity adjustments.
    Response: Since its inception in the mid-1970's, the MEI has 
included a productivity adjustment. The payment system for physicians' 
services requires that factors affecting the payment update be 
reflected in the update formula itself. The statutory provision 
relating to the MEI contemplates that the Secretary would not increase 
payments except to the extent that the extent that the Secretary finds, 
on the basis of appropriate economic index data, that such higher level 
is justified by year-to-year economic changes. We have long maintained 
that an MEI framework that focuses solely on the inputs portion of the 
equation effectively ignores the efficiencies that are employed to 
produce the outputs associated with the provision of care. It is 
necessary to account for these efficiencies to accurately reflect the 
net inflationary pressures encountered by physicians.
    The intent of the MEI is to represent industry-wide output prices 
for physicians' services. We note that this index structure is similar 
to the CPI, which is an economy-wide output price index. The CPI 
implicitly incorporates a productivity adjustment. Except when the 
statute directs otherwise, the Medicare update for a number of types of 
services (for example, clinical diagnostic laboratory services, durable 
medical equipment, prosthetics and supplies) is based the CPI with its 
implicit productivity adjustment.
    With respect to updates for other types of Medicare providers, such 
as institutional providers, we note that the underlying payment 
methodology is completely different from the payment system for 
physicians' services. Under the Medicare PFS, payments are made for 
unbundled services such as lab tests, follow-up visits, and x-rays. For 
institutions compensated by a PPS, a single payment is made for a 
bundle of services linked to treating a particular category of case 
(for instance, the services within one diagnosis-related group under 
the IPPS). Adjustments to payments associated with productivity and 
other payment framework-related considerations, when paying for bundled 
services, are addressed in other portions of the update process, such 
as via MedPAC recommendations and/or in the update itself when approved 
by the Congress.
    Comment: Several commenters requested that we examine and address 
the broader problem that the MEI only measures changes in specific 
types of practice costs that existed in 1973. They further stated that 
inputs to the MEI are vastly different now than when the MEI was first 
developed in the early 1970s and that an array of government-imposed 
regulatory requirements now exist that did not in 1973. They claim that 
physician practice costs for these types of inputs are not currently 
taken into account for purposes of measuring the MEI, and therefore, 
the MEI undervalues actual medical cost increases. One commenter added 
that employee wages used in the MEI formula do not accurately reflect 
the skill mix of the industry and the MEI needs to be updated to 
account for the highly skilled staff necessary to deliver today's level 
of medical care service.
    Response: We disagree with the commenter's claim that the MEI only 
measures changes in specific types of practice costs that existed in 
1973. The current MEI is based on costs reported by physicians for 
2000, which would reflect changes in the distributions of the cost 
weights associated with the government-imposed regulatory requirements 
that applied in 2000. The 2000-based cost weights are derived from the 
2003 AMA Physician Socioeconomic Characteristics publication (2003 
Patient Care Physician Survey data), which measures physicians' 
earnings and overall PEs for 2000. This is the latest available AMA 
data on physician expenses. We are currently researching alternative 
data sources for rebasing the MEI.
    Regarding skill mix, the current MEI uses the occupation mix for 
nonphysician wages from the 2000 Current Population Survey published by 
BLS. This reflected the latest occupation mix at the time of our most 
recent rebasing. We recognize that skill mix can change, thus, we will 
continue to use the most recently published data available to us for 
all future rebasings to ensure the MEI reflects the occupational blend 
at that time.
    Comment: Many commenters objected to the 0.5 percentage point 
reduction of the 2007 PFS update relative to the forecasted update in 
the President's Budget and urged us to delay or withdraw any changes in 
the MEI until the proposed changes and the solicitation of public 
comments appear in a published Federal Register.
    Response: As stated previously, we did not make any methodological 
changes to the calculation of the MEI, and therefore, it is not 
necessary to delay use of the MFP-adjusted MEI in order to solicit and 
respond to public comments. As we indicated in the 2003 and 2004 
physician fee schedule proposed and final rules, we are using the 
latest-available historical data in the calculation of the MEI 
applicable to a year. As such, we are not required to propose or 
solicit public comments on changes in the MEI that result from use of 
latest available data. The inclusion of more recent, historical MFP 
data in the MEI reflects our adopted methodology as finalized in the CY 
2003 PFS final rule which states the MEI ``productivity adjustment will 
be based on the latest available actual historical economy-wide 
multifactor productivity data, as measured by the BLS.''
    Comment: One commenter believes that there are alternative measures 
of multifactor productivity available from BLS and the Census Bureau. 
The commenter states that we should identify and consider these 
alternatives and seek public comment before changing the data used to 
calculate the MEI.

[[Page 69753]]

    Response: In the CY 2003 PFS final rule, we presented the research 
we had completed on evaluating the most appropriate productivity 
adjustment for the MEI. This research included an evaluation of all 
currently available productivity estimates produced by BLS to develop a 
better understanding of the strengths and weaknesses of these measures. 
It also included a review of the theoretical foundation of the MEI to 
develop a better understanding of how labor and multifactor 
productivity relate to the current physician payment system. 
Additionally, we studied the sparse and fragmented publicly-available 
data to begin to develop preliminary estimates of trends in physician 
specific productivity to better understand the current market 
conditions facing physicians. For a list of the experts that 
participated in this analysis, as well as a full description of the 
options that were identified and evaluated (67 FR 80019).
    As stated earlier, CMS and ASPE are jointly sponsoring a study of 
physicians' office productivity. We will be evaluating the results of 
that study to determine if the use of BLS's private nonfarm business 
MFP is a reasonable target for physicians to achieve.
    Comment: Several commenters claim that in previous years, there 
have been extensive discussions in the proposed rule of the upcoming 
year's update and the MEI. They further state that based on the impact 
table in the CY 2007 proposed rule, a -0.5 percent percentage point 
reduction in the update will result in a $375 million cut in physician 
payments in 2007. One commenter claimed that our actions this year, in 
contrast to previous years, suggest we are attempting to hide the 
revision in the MEI for CY 2007.
    Response: We disagree with the commenters' claim that in previous 
years there has been extensive discussion of the upcoming year's MEI 
update in the proposed rule. With the exception of those updates that 
include a rebased and revised MEI, a detailed discussion, as well as 
the percent changes in the MEI cost categories, has been provided only 
in the final rule. When we rebase and revise the MEI, we do include 
extensive discussion on the MEI and solicit comments on proposed 
methodological changes. Given the historical precedent, we disagree 
with the commenter's suggestion that we were hiding any revision in the 
MEI.

C. The Update Adjustment Factor (UAF)

    Section 1848(d) of the Act provides that the PFS update is equal to 
the product of the MEI and the UAF. The UAF is applied to make actual 
and target expenditures (referred to in the statute as ``allowed 
expenditures'') equal. Allowed expenditures are equal to actual 
expenditures in a base period updated each year by the SGR. The SGR 
sets the annual rate of growth in allowed expenditures and is 
determined by a formula specified in section 1848(f) of the Act.
1. Calculation Under Current Law
    Under section 1848(d)(4)(B) of the Act, the UAF for a year 
beginning with 2001 is equal to the sum of the following--
     Prior Year Adjustment Component. An amount determined by--
    + Computing the difference (which may be positive or negative) 
between the amount of the allowed expenditures for physicians' services 
for the prior year (the year prior to the year for which the update is 
being determined) and the amount of the actual expenditures for those 
services for that year;
    + Dividing that difference by the amount of the actual expenditures 
for those services for that year; and
    + Multiplying that quotient by 0.75.
     Cumulative Adjustment Component. An amount determined by--
    + Computing the difference (which may be positive or negative) 
between the amount of the allowed expenditures for physicians' services 
from April 1, 1996, through the end of the prior year and the amount of 
the actual expenditures for those services during that period;
    + Dividing that difference by actual expenditures for those 
services for the prior year as increased by the SGR for the year for 
which the UAF is to be determined; and
    + Multiplying that quotient by 0.33.
    Section 1848(d)(4)(E) of the Act requires the Secretary to 
recalculate allowed expenditures consistent with section 1848(f)(3) of 
the Act. Section 1848(f)(3) specifies that the SGR (and, in turn, 
allowed expenditures) for the upcoming CY (2007 in this case), the 
current CY (2006) and the preceding CY (2005) are to be determined on 
the basis of the best data available as of September 1 of the current 
year. Allowed expenditures are initially estimated and subsequently 
revised twice. The second revision occurs after the CY has ended (that 
is, we are making the final revision to 2005 allowed expenditures in 
this final rule with comment). Once the SGR and allowed expenditures 
for a year have been revised twice, they are final.
    Table 21 shows annual and cumulative allowed expenditures for 
physicians' services from April 1, 1996 through the end of the current 
CY, including the transition period to a CY system that occurred in 
1999. Also shown is the SGR corresponding with each period. The 
calculation of the SGR is discussed in detail below in this section.

  Table 21.--Annual and Cumulative Allowed and Actual Expenditures for Physicians' Services from April 1, 1996
                                  through the End of the Current Calendar Year
----------------------------------------------------------------------------------------------------------------
                                    Annual                        Cumulative      Cumulative
                                    allowed      Annual actual      allowed         actual
            Period               expenditures    expenditures    expenditures    expenditures       FY/CY SGR
                                     ($ in           ($ in           ($ in           ($ in
                                   billions)       billions)       billions)       billions)
----------------------------------------------------------------------------------------------------------------
4/1/96-3/31/97................           $48.9           $48.9           $48.9           $48.9  N/A
4/1/97-3/31/98................            50.5            49.4            99.4            98.4  FY 1998=3.2%
4/1/98-3/31/99................            52.6            50.5           152.0           148.9  FY 1999=4.2%
1/1/99-3/31/99................            13.3            13.1           \(1)\           148.9  FY 1999=4.2%
4/1/99-12/31/99...............            42.1            39.5           \(2)\           188.4  FY 2000=6.9%
1/1/99-12/31/99...............            55.3            52.6           194.0           188.4  FY 1999/2000
                                                                                                 \(3)\
1/1/00-12/31/00...............            59.4            58.1           253.4           246.5  CY 2000=7.3%
1/1/01-12/31/01...............            62.0            66.3           315.4           312.8  CY 2001=4.5%
1/1/02-12/31/02...............            67.2            71.0           382.6           383.7  CY 2002=8.3%
1/1/03-12/31/03...............            72.1            78.2           454.6           461.9  CY 2003=7.3%
1/1/04-12/31/04...............            76.8            87.1           531.5           549.0  CY 2004=6.6%
1/1/05-12/31/05...............            80.0            92.0           611.5           641.0  CY 2005=4.2%
1/1/06-12/31/06...............            81.7            94.9           693.3           735.9  CY 2006=2.1%

[[Page 69754]]

 
1/1/07-12/31/07...............            83.2              NA           776.5              NA  CY 2007=1.8%
----------------------------------------------------------------------------------------------------------------
\(1)\ Allowed expenditures for the first quarter of 1999 are based on the FY 1999 SGR.
\(2)\ Allowed expenditures for the last three quarters of 1999 are based on the FY 2000 SGR.
\(3)\ Allowed expenditures in the first year (April 1, 1996-March 31, 1997) are equal to actual expenditures.
  All subsequent figures are equal to quarterly allowed expenditure figures increased by the applicable SGR.
  Cumulative allowed expenditures are equal to the sum of annual allowed expenditures. We provide more detailed
  quarterly allowed and actual expenditure data on our web site at the following address: http://www.cms.hhs.gov/SustainableGRatesConFact/. We expect to update the web site with the most
  current information later this month.

    Consistent with section 1848(d)(4)(E) of the Act, Table 21 includes 
our final revision of allowed expenditures for 2005, a recalculation of 
allowed expenditures for 2006, and our initial estimate of allowed 
expenditures for 2007. To determine the UAF for 2007, the statute 
requires that we use allowed and actual expenditures from April 1, 1996 
through December 31, 2006 and the 2007 SGR. Consistent with section 
1848(d)(4)(E) of the Act, we will be making revisions to the 2006 and 
2007 SGRs and 2006 and 2007 allowed expenditures. Because we have 
incomplete actual expenditure data for 2006, we are using an estimate 
for this period. Any difference between current estimates and final 
figures will be taken into account in determining the UAF for future 
years.
    We are using figures from Table 21 in the following statutory 
formula:

[GRAPHIC] [TIFF OMITTED] TR01DE06.000

UAF = Update Adjustment Factor
Target06 = Allowed Expenditures for 2006 = $81.7 billion
Actual06 = Estimated Actual Expenditures for 2006 = $94.9 
billion
Target 4/96-12/06 = Allowed Expenditures from 4/1/1996--
12/31/2006 = $693.3 billion
Actual 4/96-12/06 = Estimated Actual Expenditures from 4/
1/1996--12/31/2006 = $735.9 billion
SGR 07 = 1.8 percent (1.018)
[GRAPHIC] [TIFF OMITTED] TR01DE06.001

    Section 1848(d)(4)(D) of the Act indicates that the UAF determined 
under section 1848(d)(4)(B) of the Act for a year may not be less than 
-0.070 or greater than 0.03. Since -0.250 is less than -0.070, the UAF 
for 2006 will be -0.070.
    Section 1848(d)(4)(A)(ii) of the Act indicates that 1.0 should be 
added to the UAF determined under section 1848(d)(4)(B) of the Act. 
Thus, adding 1.0 to -0.070 makes the UAF equal to 0.930.

VIII. Allowed Expenditures for Physicians' Services and the Sustainable 
Growth Rate

A. Medicare Sustainable Growth Rate

    The SGR is an annual growth rate that applies to physicians' 
services paid by Medicare. The use of the SGR is intended to control 
growth in aggregate Medicare expenditures for physicians' services. 
Payments for services are not withheld if the percentage increase in 
actual expenditures exceeds the SGR. Rather, the PFS update, as 
specified in section 1848(d)(4) of the Act, is adjusted based on a 
comparison of allowed expenditures (determined using the SGR) and 
actual expenditures. If actual expenditures exceed allowed 
expenditures, the update is reduced. If actual expenditures are less 
than allowed expenditures, the update is increased.
    Section 1848(f)(2) of the Act specifies that the SGR for a year 
(beginning with 2001) is equal to the product of the following four 
factors:
    (1) The estimated change in fees for physicians' services;
    (2) The estimated change in the average number of Medicare fee-for-
service beneficiaries;.
    (3) The estimated projected growth in real GDP per capita; and
    (4) The estimated change in expenditures due to changes in statute 
or regulations.
    In general, section 1848(f)(3) of the Act requires us to publish 
SGRs for 3 different time periods, no later than November 1 of each 
year, using the best data available as of September 1 of each year. 
Under section 1848(f)(3)(C)(i) of the Act, the SGR is estimated and 
subsequently revised twice (beginning with the FY and CY 2000 SGRs) 
based on later data. (The Act also provides for adjustments to be made 
to the SGRs for FY 1998 and FY 1999. See the February 28, 2003 Federal 
Register (68 FR 9567) for a discussion of these SGRs). Under section 
1848(f)(3)(C)(ii) of the Act, there are no further revisions to the SGR 
once it has been estimated and subsequently revised in each of the 2 
years following the preliminary estimate. In this final rule with 
comment, we are making our preliminary estimate of the 2007 SGR, a 
revision to the 2006 SGR, and our final revision to the 2005 SGR.

B. Physicians' Services

    Section 1848(f)(4)(A) of the Act defines the scope of physicians' 
services covered by the SGR. The statute indicates that ``the term 
physicians'' services includes other items and services (such as 
clinical diagnostic laboratory tests and radiology services), specified 
by the Secretary, that are commonly performed or furnished by a

[[Page 69755]]

physician or in a physician's office, but does not include services 
furnished to a Medicare+Choice plan enrollee.'' We published a 
definition of physicians' services for use in the SGR in the Federal 
Register (66 FR 55316) on November 1, 2001. We defined physicians' 
services to include many of the medical and other health services 
listed in section 1861(s) of the Act. For purposes of determining 
allowed expenditures, actual expenditures, and SGRs, we have specified 
that physicians' services include the following medical and other 
health services if bills for the items and services are processed and 
paid by Medicare carriers (and those paid through intermediaries where 
specified):
     Physicians' services.
     Services and supplies furnished incident to physicians' 
services.
     Outpatient physical therapy services and outpatient 
occupational therapy services.
     Antigens prepared by, or under the direct supervision of, 
a physician.
     Services of PAs, certified registered nurse anesthetists, 
certified nurse midwives, clinical psychologists, clinical social 
workers, NPs, and certified nurse specialists.
     Screening tests for prostate cancer, colorectal cancer, 
and glaucoma.
     Screening mammography, screening pap smears, and screening 
pelvic exams.
     Diabetes outpatient self-management training (DSMT) 
services.
     MNT services.
     Diagnostic x-ray tests, diagnostic laboratory tests, and 
other diagnostic tests (including outpatient diagnostic laboratory 
tests paid through intermediaries).
     X-ray, radium, and radioactive isotope therapy.
     Surgical dressings, splints, casts, and other devices used 
for the reduction of fractures and dislocations.
     Bone mass measurements.
     An initial preventive physical exam.
     Cardiovascular screening blood tests.
     Diabetes screening tests.
     Telehealth services.
     Physician work and resources to establish and document the 
need for a power mobility device (70 FR 50940).
    Telehealth services and the power mobility device related services 
were added because they meet the statutory criteria for services to be 
included in the SGR (that is, these services are commonly performed or 
furnished by a physician or in a physician's office) (70 FR 70305).

Summary of Comments on the Physician Update and the SGR

    We appreciate the comments we received expressing concern about the 
negative update for 2007 and the SGR formula. Those comments are 
summarized below, along with our responses.
    Comment: Commenters noted that physicians' costs are rising, while 
fees are being cut. Under current law, the 2006 Medicare Trustees 
Report projected negative updates of about -5 percent for at least nine 
consecutive years. The cumulative impact of the projected reductions 
from 2007 to 2015 was estimated to be about -37 percent. Because 
commercial insurance carriers and Medicaid base their payment updates 
upon Medicare's PFS, the overall negative impact is compounded and 
affects the entire health care industry. In contrast, the MEI increase 
over this same period is projected to be about 22 percent.
    Commenters noted that increases in their practice costs are 
outpacing most inflationary measures, and they predicted that costs to 
provide care will soon exceed reimbursement. Many physician practices 
are small businesses that operate on slim margins. With ever increasing 
costs, they will not have the resources to absorb payment cuts 
resulting from the SGR formula. The result will be that patient quality 
of care will be compromised, with doctors taking drastic measures to 
cut costs of health care delivery to remain solvent. Eventually, 
physicians will be unable to absorb the sustained losses, and they will 
refuse or limit Medicare patients, resulting in reduced access to care. 
A survey conducted by the AMA found that 45 percent of physicians will 
either stop accepting or decrease the number of new Medicare patients 
they accept if payments are cut for 2007. Inadequate access to care 
will lead to a deterioration in the health status of Medicare 
beneficiaries. Beneficiaries will be forced to seek care in inpatient 
settings, which will be more costly for Medicare, less efficient in 
delivering care, and yield worse health outcomes for beneficiaries.
    Commenters recommended that the SGR be replaced with an appropriate 
inflation rate linked to changes in the actual costs of medical 
practice. Commenters cited MedPAC's recommendation to replace the SGR 
with a system that reflects the increases in practice costs and other 
medical inflation variables, which would be 2.8 percent for 2007. Other 
commenters suggested using the MEI, which is estimated at 2.1 percent 
for 2007, to update the CF.
    Commenters suggested that we assume the leadership in pushing the 
Congress to enact legislation preventing a negative update for 2007, 
and to replace the SGR with a more sustainable system.
    Response: We are fully cognizant of the potential implications of 
more than 9 years of negative physician updates. We remain concerned 
regarding those trends, and are closely monitoring physicians' 
participation in the Medicare program, as well as beneficiaries' access 
to care.
    The formula for the SGR and the physician update are dictated by 
statute. We are required to follow this methodology when calculating 
the payment rates under the PFS.
    We are working closely and collaboratively with medical 
professionals and the Congress on the most effective Medicare payment 
methodologies to compensate physicians for providing services to 
Medicare beneficiaries. We are engaging physicians on issues of quality 
and performance with the goal of encouraging the most effective 
approaches to achieve better health outcomes for Medicare 
beneficiaries. We are committed to developing systems that enable us to 
encourage quality, and to improve care without increasing overall 
Medicare costs.
    Comment: Commenters requested that we implement administrative 
changes to the SGR calculation that would prevent a negative physician 
update for 2007. Specifically, many commenters requested that we remove 
the cost of Medicare-covered physician-administered drugs from the SGR 
on a retrospective basis. Commenters noted that expenditures on these 
drugs increased from $1.8 billion in 1996, to $8.6 billion in 2004, and 
was estimated at $8.2 billion in 2005. The commenters opined that if we 
make the administrative changes now, worth about $100 billion, then the 
cost of legislation revising the payment methodology for physicians' 
services will drop, and the likelihood of Congressional action to fix 
the SGR permanently will increase. Commenters expressed frustration 
that this recalculation has been requested numerous times, yet we have 
never implemented the change.
    Some commenters requested that we remove all nonphysician services 
from the SGR calculation. Commenters stated that the annual spending 
growth of many nonphysician services, including drugs and physical 
therapy, far outstrip the growth of physician services.

[[Page 69756]]

Commenters requested separate funding pools for physician and 
nonphysician services, each with its own respective targets, to 
calculate separate update factors for physician and nonphysician 
services.
    Response: We carefully reviewed our authority to make 
administrative changes, most notably the feasibility of removing Part B 
drugs from the SGR baseline. We indicated in the past (most recently in 
70 FR 70307) that administrative changes, such as retrospective removal 
of drugs from the SGR, are statutorily difficult. For example, the 
statute requires estimates of the SGR to be refined twice based on 
actual data. We see no legal basis to re-estimate the SGR and recompute 
allowed expenditures for a year after the SGR has been estimated and 
revised twice. Further, our current estimates are that these 
administrative changes, including removing drugs retroactively from the 
SGR, would not provide relief to the negative updates projected for 
2007 and the succeeding several years. As indicated above in this 
section, we are working with the Congress and health professional 
organizations on potential reforms that would improve the effectiveness 
of the payment methodology for physicians without increasing overall 
Medicare costs.
    In reference to removing all ``nonphysician services'' from the 
SGR, the statute provides the Secretary with clear authority to specify 
the services that are included in the SGR. Section 1848(f)(4)(A) of the 
Act indicates that the term ``physicians'' services'' includes other 
items and services specified by the Secretary that are commonly 
performed or furnished by a physician or in a physician's office. We 
published a definition of physicians' services for use in the SGR in 
the Federal Register (66 FR 55316) on November 1, 2001. For purposes of 
determining allowed expenditures, actual expenditures, and SGRs, we 
defined physicians' services to include many of the medical and other 
health services listed in section 1861(s) of the Act that meet the 
criterion of being commonly performed by a physician or are services 
and supplies furnished incident to physicians' services. We disagree 
with the comments suggesting that the Secretary should not include 
drugs and physical therapy services in the definition of physicians' 
services for purposes of determining allowed expenditures, actual 
expenditures, and the SGR. Further, we have no authority to create 
separate targets and update factors for what commenters are identifying 
as ``physician'' and ``nonphysician'' services.
    Comment: Commenters noted that payment updates under the SGR are 
tied to GDP, which bears little relationship to Medicare beneficiaries' 
health care needs or physician practice costs. Commenters noted that 
medical needs of individual patients are not related to the growth of 
the overall economy, and beneficiaries' medical needs do not decline 
during economic downturns. Commenters stated that MEI is a better 
reflection than GDP of the growth in health care costs.
    Response: Under section 1848(d)(4) of the Act, the PFS update is 
equal to the product of the percentage increase in the MEI and the UAF. 
The UAF is determined by comparing allowed and actual expenditures from 
prior years and the current year, and adjusting the update to account 
for the difference. The SGR is used to calculate allowed expenditures, 
and the GDP is one of the components used to calculate the SGR as 
specified in section 1848(f)(2)(C) of the Act.
    The percentage change in the MEI is one of the key components used 
to update the PFS CF. In accounting for the weighted-average price 
change for various inputs involved with producing physicians' services, 
the MEI measures inflation in physician practice costs and general wage 
levels. Elements of the MEI include measures of physicians' PEs, 
including nonphysician employee compensation, office expenses, medical 
material and supplies, professional liability insurance, and medical 
equipment.
    The GDP is a general measure of economic growth. It is not intended 
to reflect factors specific to operating a medical practice because 
these are captured in the MEI. Currently, the statute requires that we 
use the GDP as a component of the SGR, which is then used to calculate 
the target level of expenditures. Although both MEI and GDP are 
included in the calculation of the conversion factor, the MEI has a 
more direct and greater impact on the physician update than GDP.
    Comment: Commenters believe that we continue to underestimate the 
impact of National and Local Coverage Decisions on physician spending. 
Through these coverage decisions, we are directly responsible for 
volume increases, and must adjust the SGR target accordingly.
    Response: We do not have the authority to pay for a service lacking 
a defined statutory benefit listed in section 1861(s) of the Act. 
However, we do have the authority to establish national coverage 
decisions (NCDs) for items and services that are included in a benefit 
category listed in section 1861(s) of the Act. Further, we contract 
with Medicare carriers who may establish local coverage decisions 
(LCDs) for items and services that have a statutory benefit category.
    Factor 4 of the SGR (1848(f)(2)(D)) requires us to estimate 
expenditures ``which will result from changes in law and regulations.'' 
NCDs are not required to be issued by regulation, and we are not aware 
of any NCDs that have been issued via regulation. Although coverage 
decisions that reduce the coverage available for certain items and 
services must be published in the Federal Register, they are published 
as notices. Furthermore, as indicated above, LCDs are issued by 
contractors and are not binding on CMS or other contractors. As a 
result, it is unclear that we have the authority to consider NCDs or 
LCDs in our estimate of factor 4 of the SGR. Furthermore, while we may 
establish a national coveragae decision (NCD) for a new item of service 
with a defined statutory benefit category, the NCD does not necessarily 
increase Medicare spending to the extent that the service has or would 
have been covered at local carrier dicretion in the absence of a NCD. 
Because Medicare might cover these services without an NCD, it is 
unclear whether there are any additional costs associated with the 
NCDs.
    At this time, we do not intend to make any adjustment to the SGR to 
account for new NCDs. We continue to examine the issue, but we expect 
that NCDs have, at most, limited impact on Medicare spending for 
physicians' services. (For a more detailed discussion see 70 FR 70308).
    Comment: Commenters stated that additional funds need to be added 
to the SGR allowed expenditures for all the ancillary costs associated 
with new benefits. New benefits adjust the target, but they generate 
other services whose costs are not added to the targeted allowed 
expenditures. For example, the new AAA ultrasound benefit may reveal 
health problems that will generate additional visits, tests, and other 
services that are not reflected in the SGR's legislative factor.
    Response: Section 1848(f)(2) of the Act specifies that the SGR for 
a year (beginning with 2001) is equal to the product of four factors. 
One of these factors is the estimated change in expenditures due to 
changes in statute or regulations. For 2007, this factor includes the 
AAA ultrasound referenced by commenters. Our estimate of changes in 
expenditures arising from changes in law and regulations include 
induced spending impacts, when applicable and material. Our estimate of 
the additional

[[Page 69757]]

expenditures associated with this new benefit, like all of the figures 
used to determine the 2007 SGR, is an estimate that will be revised 
based on subsequent data. A 2-year look back window allows adjustments 
to the estimates to reflect actual impacts. Any differences between 
these estimates and the actual measurement of these figures will be 
included in future revisions of the SGR and allowed expenditures and 
incorporated into subsequent PFS updates. (See further discussion below 
for all the new benefits that adjusted the legislative factor in 2005, 
2006, and 2007.)
    Comment: Commenters suggested that CMS compliance programs, such as 
HIPAA, increased overhead expenses by 15 to 20 percent, but their costs 
are not included in SGR allowed expenditures.
    Response: The statute provides the Secretary with clear authority 
to specify the services that are included in the SGR. Section 
1848(f)(4)(A) of the Act indicates that the term ``physicians'' 
services'' includes other items and services specified by the Secretary 
that are commonly performed or furnished by a physician or in a 
physician's office. Overhead costs attributable to compliance programs 
do not meet the definition of physicians' services for determining SGR 
allowed expenditures.

C. Preliminary Estimate of the SGR for 2007

    Our preliminary estimate of the 2007 SGR is 1.8 percent. We first 
estimated the 2007 SGR in March and made the estimate available to the 
MedPAC and on our Web site. Table 22 shows that March 2006 estimate and 
our current estimates of the factors included in the 2007 SGR.

                     Table 22.--2007 SGR Calculation
------------------------------------------------------------------------
      Statutory factors          March estimate       Current estimate
------------------------------------------------------------------------
Fees........................  2.6 percent (1.026).  2.2 percent (1.022).
Enrollment..................  -2.9 percent (0.971)  -0.9 percent
                                                     (0.991).
Real Per Capita GDP.........  2.2 percent (1.022).  2.0 percent (1.020).
Law and Regulation..........  -1.0 percent (0.990)  -1.5 percent
                                                     (0.985).
                             -------------------------------------------
    Total...................  0.7 percent (1.007).  1.80 percent
                                                     (1.018).
------------------------------------------------------------------------
Note: Consistent with section 1848(f)(2) of the Act, the statutory
  factors are multiplied, not added, to produce the total (that is,
  1.022 x 0.991 x 1.020 x 0.985 = 1.018). A more detailed explanation of
  each figure is provided in section VII.F.1 of this preamble.

D. Revised Sustainable Growth Rate for 2006

    Our current estimate of the 2006 SGR is 2.1 percent. Table 23 shows 
our preliminary estimate of the 2006 SGR that was published in the CY 
2006 Final Rule (70 FR 70309) and our current estimate.

                     Table 23.--2006 SGR Calculation
------------------------------------------------------------------------
                                Estimate from CY
      Statutory factors          2006 final rule      Current estimate
------------------------------------------------------------------------
Fees........................  2.7 percent (1.027).  2.2 percent (1.022).
Enrollment..................  -3.1 percent (0.969)  -2.2 percent
                                                     (0.978).
Real Per Capita GDP.........  2.2 percent (1.022).  2.1 percent (1.021).
Law and Regulation..........  0.0 percent (1.000).  0.0 percent (1.000).
                             -------------------------------------------
    Total...................  1.7 percent (1.017).  2.1 percent (1.021).
------------------------------------------------------------------------

    A more detailed explanation of each figure is provided in section 
VII.F.2 of this preamble.

E. Final Sustainable Growth Rate for 2005

    The SGR for 2005 is 4.2 percent. Table 24 shows our preliminary 
estimate of the 2005 SGR from the CY 2005 PFS final rule with comment 
period (69 FR 66386), our revised estimate from the CY 2006 PFS final 
rule with comment period (70 FR 70309) and the final figures determined 
using the best available data as of September 1, 2006.

                                         Table 24.--2005 SGR Calculation
----------------------------------------------------------------------------------------------------------------
                                        Estimate from CY 2005    Estimate from CY 2006
          Statutory factors                   final rule               final rule                 Final
----------------------------------------------------------------------------------------------------------------
Fees.................................  1.3 percent (1.013)....  0.8 percent (1.008)....  0.8 percent (1.008).
Enrollment...........................  -0.3 percent (0.997)...  0.3 percent (1.003)....  0.3 percent (1.003).
Real Per Capita GDP..................  2.2 percent (1.022)....  2.2 percent (1.022)....  2.1 percent (1.021).
Law and Reg..........................  1.0 percent (1.010)....  1.2 percent (1.010)....  0.9 percent (1.009).
                                      --------------------------------------------------------------------------
    Total............................  4.3 percent (1.043)....  4.6 percent (1.046)....  4.2 percent (1.042).
----------------------------------------------------------------------------------------------------------------


[[Page 69758]]

    A more detailed explanation of each figure is provided in section 
VII.F.3.

F. Calculation of 2007, 2006, and 2005 Sustainable Growth Rates

1. Detail on the 2007 SGR
    All of the figures used to determine the 2007 SGR are estimates 
that will be revised based on subsequent data. Any differences between 
these estimates and the actual measurement of these figures will be 
included in future revisions of the SGR and allowed expenditures and 
incorporated into subsequent PFS updates.

 Factor 1--Changes in Fees for Physicians' Services (Before 
Applying Legislative Adjustments) for 2007

    This factor is calculated as a weighted-average of the 2007 fee 
increases for the different types of services included in the 
definition of physicians' services for the SGR. Medical and other 
health services paid using the PFS are estimated to account for 
approximately 81.4 percent of total allowed charges included in the SGR 
in 2007 and are updated using the MEI. The MEI for 2007 is 2.1 percent. 
Diagnostic laboratory tests are estimated to represent approximately 
7.5 percent of Medicare allowed charges included in the SGR for 2007. 
Medicare payments for these tests are updated by the Consumer Price 
Index for Urban Areas (CPI-U). However, section 629 of the MMA 
specifies that diagnostic laboratory services will receive an update of 
0.0 percent from 2004 through 2008.
    Drugs are estimated to represent 11.1 percent of Medicare allowed 
charges included in the SGR in 2007. We estimated a weighted-average 
change in fees for drugs included in the SGR (using the ASP+6 percent 
pricing methodology) of 4.0 percent for 2007.
    Table 25 shows the weighted-average of the MEI, laboratory and drug 
price changes for 2007.

                                Table 25
------------------------------------------------------------------------
                                                   Weight       Update
------------------------------------------------------------------------
Physician.....................................        0.814          2.1
Laboratory....................................        0.075          0.0
Drugs.........................................        0.111          4.0
Weighted-average..............................        1.000          2.2
------------------------------------------------------------------------

    We estimate that the weighted-average increase in fees for 
physicians' services in 2007 under the SGR (before applying any 
legislative adjustments) will be 2.2 percent.

 Factor 2--The Percentage Change in the Average Number of Part 
B Enrollees from 2006 to 2007

    This factor is our estimate of the percent change in the average 
number of fee-for-service enrollees from 2006 to 2007. Services 
provided to Medicare Advantage (MA) plan enrollees are outside the 
scope of the SGR and are excluded from this estimate. OACT estimates 
that the average number of Medicare Part B fee-for-service enrollees 
will decrease by 0.9 percent from 2006 to 2007. Table 26 illustrates 
how this figure was determined.

                                Table 26
------------------------------------------------------------------------
                                         2006                2007
------------------------------------------------------------------------
Overall.........................  40.136 million....  40.735 million
Medicare Advantage (MA).........  6.369 million.....  7.265 million
Net.............................  33.768 million....  33.470 million
Percent Increase................  ..................  -0.9 percent
------------------------------------------------------------------------

    An important factor affecting fee-for-service enrollment is 
beneficiary enrollment in MA plans. Because it is difficult to estimate 
the size of the MA enrollee population before the start of a CY, at 
this time we do not know how actual enrollment in MA plans will compare 
to current estimates. For this reason, the estimate may change 
substantially as actual Medicare fee-for-service enrollment for 2007 
becomes known.

 Factor 3--Estimated Real Gross Domestic Product Per Capita 
Growth in 2007

    We estimate that the growth in real GDP per capita from 2006 to 
2007 will be 2.0 percent (based on the 10-year average GDP over the 10 
years of 1998-2007). Our past experience indicates that there have also 
been changes in estimates of real per capita GDP growth made before the 
year begins and the actual change in GDP computed after the year is 
complete. Thus, it is possible that this figure will change as actual 
information on economic performance becomes available to us in 2007.

 Factor 4--Percentage Change in Expenditures for Physicians' 
Services Resulting From Changes in Statute or Regulations in 2007 
Compared With 2006

    The statutory and regulatory provisions that will affect 
expenditures in CY 2007 relative to CY 2006 are estimated to have an 
impact on expenditures of -1.5 percent. These provisions include the 
expiration of the work GPCI floor and DRA provisions adding the AAA 
ultrasound test to the Welcome to Medicare visit as a preventive 
benefit, and reducing payments for imaging services, which are 
discussed elsewhere in this final rule with comment.
2. Detail on the 2006 SGR
    A more detailed discussion of our revised estimates of the four 
elements of the 2006 SGR follows.

 Factor 1--Changes in Fees for Physicians' Services (Before 
Applying Legislative Adjustments) for 2006

    This factor was calculated as a weighted-average of the 2006 fee 
increases that apply for the different types of services included in 
the definition of physicians' services for the SGR.
    We estimate that services paid using the PFS account for 
approximately 83.2 percent of total allowed charges included in the SGR 
in 2006. These services were updated using the 2006 MEI of 2.8 percent. 
We estimate that diagnostic laboratory tests represent approximately 
7.1 percent of total allowed charges included in the SGR in 2006. 
Medicare payments for these tests are updated by the CPI-U. However, 
section 629 of the MMA specifies that diagnostic laboratory services 
will receive an update of 0.0 percent from 2004 through 2008.
    We estimate that drugs represent 9.7 percent of Medicare-allowed 
charges included in the SGR in 2006. Sections 303 and 304 of the MMA 
require Medicare to pay for most drugs at 106 percent of ASP beginning 
January 1, 2005. We now estimate a weighted-average change in fees for 
drugs included in the SGR of -1.7 percent for 2006. The estimated 
weighted-average

[[Page 69759]]

change in the CY 2006 PFS final rule was 4.1 percent. The decline in 
the estimate is due to the availability of some actual data.
    Table 27 shows the weighted-average of the MEI, laboratory and drug 
price changes for 2006.

                                Table 27
------------------------------------------------------------------------
                                                   Weight       Update
------------------------------------------------------------------------
Physician.....................................        0.832          2.8
Laboratory....................................        0.071          0.0
Drugs.........................................        0.097         -1.7
Weighted-average..............................        1.000          2.2
------------------------------------------------------------------------

    After taking into account the elements described in Table 27, we 
estimate that the weighted-average increase in fees for physicians' 
services in 2006 under the SGR (before applying any legislative 
adjustments) will be 2.2 percent. Our estimate of this factor in the CY 
2005 PFS final rule was 2.7 percent.

 Factor 2--The Percentage Change in the Average Number of Part 
B Enrollees from 2005 to 2006

    OACT estimates that the average number of Medicare Part B fee-for-
service enrollees (excluding beneficiaries enrolled in M+C plans) 
decreased by 2.2 percent in 2006. Table 28 illustrates how we 
determined this figure.

                                                    Table 28
----------------------------------------------------------------------------------------------------------------
                                                        2005                                 2006
----------------------------------------------------------------------------------------------------------------
Overall...............................  39.601 million.....................  40.136 million.
Medicare+Choice.......................  5.084 million......................  6.369 million.
Net...................................  34.518 million.....................  33.768 million.
Percent Increase......................  ...................................  -2.2 percent.
----------------------------------------------------------------------------------------------------------------

    OACT's estimate of the -2.2 percent change in the number of fee-
for-service enrollees, net of M+C enrollment for 2006 compared to 2005, 
is greater than our original estimate of -3.1 percent in the CY 2006 
PFS final rule (70 FR 70310). While our current projection based on 
data from 8 months of 2006 is greater than our original estimate of -
3.1 percent when we had no actual data, it is still possible that our 
final estimate of this figure will be different once we have complete 
information on 2006 fee-for-service enrollment.

 Factor 3--Estimated Real Gross Domestic Product Per Capita 
Growth in 2006

    We estimate that the growth in real GDP per capita will be 2.1 
percent for 2006 (based on the 10-year average GDP over the 10 years of 
1997-2006). Our past experience indicates that there have also been 
differences between our estimates of real per capita GDP growth made 
prior to the year's end and the actual change in this factor. Thus, it 
is possible that this figure will change further as complete actual 
information on 2006 economic performance becomes available to us in 
2007.

 Factor 4--Percentage Change in Expenditures for Physicians' 
Services Resulting From Changes in Statute or Regulations in 2006 
Compared With 2005

    The statutory and regulatory provisions that affect expenditures in 
CY 2006 relative to CY 2005 are estimated to have a net impact on 
expenditures of less than 0.05. These provisions include the expiration 
of the temporary higher payments to physicians in Alaska, the new power 
wheelchair code for physicians, and the impact of the new IVIG service.
3. Detail On the 2005 SGR
    A more detailed discussion of our final revised estimates of the 
four elements of the 2005 SGR follows.

 Factor 1--Changes in Fees for Physicians' Services (Before 
Applying Legislative Adjustments) for 2005

    This factor was calculated as a weighted-average of the 2005 fee 
increases that apply for the different types of services included in 
the definition of physicians' services for the SGR.
    Services paid using the PFS accounted for approximately 84.2 
percent of total Medicare-allowed charges included in the SGR for 2005 
and are updated using the MEI. The MEI for 2005 was 3.1 percent. 
Diagnostic laboratory tests represented approximately 7.0 percent of 
total 2005 Medicare-allowed charges included in the SGR and are updated 
by the CPI-U. However, section 629 of the MMA specifies that diagnostic 
laboratory services will receive an update of 0.0 percent from 2004 
through 2008. Drugs represented approximately 8.8 percent of total 
Medicare-allowed charges included in the SGR for 2005. Historically, 
Medicare paid for drugs under section 1842(o) of the Act at 95 percent 
of the AWP. However, with some exceptions, in 2004 sections 303 and 304 
of the MMA generally required Medicare to pay for drugs at 85 percent 
of the AWP determined as of April 1, 2003, or a specified percentage of 
AWP based on studies by the Government Accountability Office and the 
OIG. We implemented section 303 and 304 of the MMA in an interim final 
rule making changes to the PFS for 2004, which appeared in the Federal 
Register on January 7, 2004 (69 FR 1086). Beginning on January 1, 2005, 
sections 303 and 304 of the MMA require Medicare to pay for most drugs 
at 106 percent of the ASP. Taking into account sections 303 and 304 of 
the MMA, we estimate a weighted-average change in fees for drugs 
included in the SGR of -21.0 percent for 2005. Table 29 shows the 
weighted-average of the MEI, laboratory, and drug price increases for 
2005.

                                Table 29
------------------------------------------------------------------------
                                                   Weight       Update
------------------------------------------------------------------------
Physician.....................................        0.842          3.1
Laboratory....................................        0.070          0.0
Drugs.........................................        0.088        -21.0
Weighted-average..............................        1.000          0.8
------------------------------------------------------------------------

    After taking into account the elements described in Table 29, we 
estimate that the weighted-average increase in fees for physicians' 
services in 2005 under the SGR (before applying any legislative 
adjustments) was 0.8 percent. This figure is a final one based on 
complete data for 2005.

 Factor 2--The Percentage Change in the Average Number of Part 
B Enrollees from 2004 to 2005

    We estimate the increase in the number of fee-for-service enrollees 
(excluding beneficiaries enrolled in M+C plans) from 2004 to 2005 was 
0.3 percent. Our calculation of this factor is based on complete data 
from 2005. Table 30 illustrates the calculation of this factor.

[[Page 69760]]



                                Table 30
------------------------------------------------------------------------
                                                    2004         2005
------------------------------------------------------------------------
Overall.......................................       39.099       39.601
                                                    million      million
Medicare                                              4.683        5.084
+Choice.......................................      million      million
Net...........................................       34.416       34.518
                                                    million      million
Percent Increase..............................  ...........  0.3 percent
------------------------------------------------------------------------

 Factor 3--Estimated Real Gross Domestic Product Per Capita 
Growth in 2005

    We estimate that the growth in real per capita GDP was 2.1 percent 
in 2005 (based on the 10-year average GDP over the 10 years of 1996-
2005). This figure is a final one based on complete data for 2005.

 Factor 4--Percentage Change in Expenditures for Physicians' 
Services Resulting From Changes in Statute or Regulations in 2005 
Compared With 2004

    There are a number of statutory provisions that affected the 2005 
SGR. Sections 303 and 304 of the MMA changed Medicare payment for 
drugs. These provisions also changed Medicare payments for the 
administration of drugs. Section 303(a)(1) of the MMA amended section 
1848(c)(2) of the Act to require the Secretary to make a number of 
changes that increased Medicare payment for drug administration 
beginning January 1, 2004. Section 303(a)(4) of the MMA required an 
additional transitional adjustment (temporary increase) to Medicare's 
payment for drug administration of 32 percent for 2004 and 3 percent 
for 2005. We also adopted changes to the codes and payment amounts for 
drug administration based on recommendations from the AMA's CPT 
Editorial Panel and Relative Value Update Committee (RUC), under the 
authority of section 1848(c)(2)(J) of the Act. We further increased PFS 
payments by paying separately for injections provided on the same day 
as another PFS service.
    Section 413(a) of the MMA established a 5 percent increase in the 
PFS payment for services provided in physician scarcity areas. Section 
413(b) of the MMA improved the procedures for paying the 10 percent PFS 
bonus payment for services provided in health professional shortage 
areas (HPSAs). Taken together, all of the statutory provisions for 
2005, increased Medicare spending for physicians' services by 0.9 
percent.

IX. Anesthesia and Physician Fee Schedule Conversion Factors for CY 
2007

    The 2007 PFS CF will be $35.9848. The 2007 national average 
anesthesia CF is $15.3328. Both CFs will be subject to a separate, 
independent BN adjustor, as described below.

A. Physician Fee Schedule Conversion Factor

    Under section 1848(d)(1)(A) of the Act, the PFS CF is equal to the 
CF for the previous year multiplied by the update determined under 
section 1848(d)(4) of the Act.
    We illustrate the calculation for the 2007 PFS CF in Table 31.

                                Table 31
------------------------------------------------------------------------
 
------------------------------------------------------------------------
2006 Conversion Factor....................  $37.8975
2007 Update...............................  -5.0 percent (0.94953)
2007 Conversion Factor....................  $35.9848
------------------------------------------------------------------------

    Section 1848(c)(2)(B)(ii)(II) of the Act requires that increases or 
decreases in RVUs for a year may not cause the amount of expenditures 
for the year to differ by more than $20 million from what expenditures 
would have been in the absence of these changes. If this threshold is 
exceeded, we must make adjustments to preserve BN. The 5-Year Review of 
work RVUs would result in a change in expenditures that would exceed 
$20 million if we made no offsetting adjustments to either the CF or 
RVUs. As discussed in section IV.D of this final rule with comment 
period, we are applying the following BN adjustor to the work RVUs in 
order to calculate payment for a service:
2007 Work Adjustor: 10.1 percent (0.8994)
    Payment for services under the PFS will now be calculated as 
follows:

Payment = [(RVU work x BN adjustor x GPCI work) + (RVU PE x GPCI PE) + 
(RVU malpractice x GPCI malpractice)] x CF.)

B. Anesthesia Fee Schedule Conversion Factor

    Anesthesia services do not have RVUs like other PFS services. 
Therefore, we account for any necessary RVU adjustments through an 
adjustment to the anesthesia fee schedule CF to simulate changes to 
RVUs. We modeled the resource-based PE methodology using imputed 
anesthesia RVUs that were made comparable to other PFS services. The 
adjustment factor in Table 32 includes the combined effect of the PE 
adjustment and the BN adjustment. We used the following figures to 
determine the anesthesia fee schedule CF as shown in Table 32.

                                Table 32
------------------------------------------------------------------------
 
------------------------------------------------------------------------
2006 Anesthesia Conversion Factor.........  $17.7663
2007 Update...............................  -5.0 percent (0.94953)
2007 Combined Adjustment PE and BN........  0.9089
2007 Anesthesia Conversion Factor.........  $15.3328
------------------------------------------------------------------------

X. Telehealth Originating Site Facility Fee Payment Amount Update

    Section 1834(m) of the Act establishes the payment amount for the 
Medicare telehealth originating site facility fee for telehealth 
services provided from October 1, 2001 through December 31 2002, at 
$20. For telehealth services provided on or after January 1 of each 
subsequent calendar year, the telehealth originating site facility fee 
is increased by the percentage increase in the MEI as defined in 
section 1842(i)(3) of the Act. The MEI increase for 2007 is 2.1 
percent.
    Therefore, for CY 2007, the payment amount for HCPCS code ``Q3014, 
telehealth originating site facility fee'' is 80 percent of the lesser 
of the actual charge or $22.94. The Medicare telehealth originating 
site facility fee and MEI increase by the applicable time period are 
shown in Table 33.

                                                    Table 33
----------------------------------------------------------------------------------------------------------------
                                                    MEI
                 Facility Fee                     increase                          Period
                                                 (percent)
----------------------------------------------------------------------------------------------------------------
$20.00........................................          N/A  10/01/2001-12/31/2002.
20.60.........................................          3.0  01/01/2003-12/31/2003.
21.20.........................................          2.9  01/01/2004-12/31/2004.

[[Page 69761]]

 
21.86.........................................          3.1  01/01/2005-12/31/2005.
22.47.........................................          2.8  01/01/2006-12/31/2006.
22.94.........................................          2.1  01/01/2007-12/31/2007.
----------------------------------------------------------------------------------------------------------------

XI. Provisions of the Final Rule

    The provisions of this final rule with comment restate the 
provisions of the CY 2007 PFS proposed rule, except as noted elsewhere 
in the preamble.

XII. Waiver of Proposed Rulemaking and Delay in Effective Date

    We ordinarily publish a notice of proposed rulemaking in the 
Federal Register and invite public comment on the proposed rule. The 
notice of proposed rulemaking includes a reference to the legal 
authority under which the rule is proposed, and the terms and 
substances of the proposed rule or a description of the subjects and 
issues involved. This procedure can be waived, however, if an agency 
finds good cause that a notice-and-comment procedure is impracticable, 
unnecessary, or contrary to the public interest and incorporates a 
statement of the finding and its reasons in the rule issued.
    As discussed in sections IV. and V. of this final rule, we utilize 
HCPCS codes for Medicare payment purposes. The HCPCS is a national drug 
coding system comprised of Level I (CPT) codes and Level II (HCPCS 
National Codes) that are intended to provide uniformity to coding 
procedures, services, and supplies across all types of medical 
providers and suppliers. Level I (CPT) codes are copyrighted by the AMA 
and consist of several categories, including Category I codes which are 
5-digit numeric codes, and Category III codes which are temporary codes 
to track emerging technology, services and procedures.
    The AMA issues an annual update of the CPT code set each Fall, with 
January 1 as the effective date for implementing the updated CPT codes. 
The HCPCS, including both Level I and Level II codes, is similarly 
updated annually on a CY basis. Annual coding changes are not available 
to the public until the Fall immediately preceding the annual January 
update of the PFS. Because of the timing of the release of these new 
codes, it is impracticable for CMS to provide prior notice and solicit 
comment on these codes and the RVUs assigned to them in advance of 
publication of the final rule that implements the PFS. Yet, it is 
imperative that these coding changes be accounted for and recognized 
timely under the PFS for payment because services represented by these 
codes will be provided to Medicare beneficiaries by physicians during 
the CY in which they become effective. Moreover, regulations 
implementing HIPAA (42 CFR parts 160 and 162) require that the HCPCS be 
used to report health care services, including services paid under the 
PFS. We also assign interim RVUs to any new codes based on a review of 
the RUC recommendations for valuing these services. By reviewing these 
RUC recommendations for the new codes, we are able to assign RVUs to 
services based on input from the medical community and to establish 
payment for them, on an interim basis, that corresponds to the relative 
resources associated with providing the services. If we did not assign 
RVUs to new codes on an interim basis, the alternative would be to 
either not pay for these services during the initial CY or have each 
carrier establish a payment rate for these new codes. We believe both 
of these alternatives are contrary to the public interest, particularly 
since the RUC process allows for an assessment of the valuation of 
these services by the medical community prior to our establishing 
payment for these codes on an interim basis. Therefore, we believe it 
would be contrary to the public interest to delay establishment of fee 
schedule payment amounts for these codes.
    For the reasons outlined above in this section, we find good cause 
to waive the notice of proposed rulemaking for the interim RVUs for 
selected procedure codes identified in Addendum C and to establish RVUs 
for these codes on an interim final basis. We are providing a 60-day 
public comment period.
    In addition, we ordinarily publish a notice of proposed rulemaking 
in the Federal Register and provide a period for public comment before 
we make final the provisions of the notice. We can waive this 
procedure, however, if we find good cause that notice-and-comment 
procedure is impracticable, unnecessary, or contrary to the public 
interest and we incorporate a statement of finding and its reasons in 
the notice issued. We find it unnecessary to undertake notice and 
comment rulemaking in this instance for the ambulance inflation factor 
because the law specifies the method of computation of annual updates, 
and we have no discretion in this matter. Further, we are merely 
applying the update method specified in statute and regulation. 
Therefore, under 5 U.S.C. 553(b)(B), for good cause, we waive notice 
and comment procedures for this ambulance inflation factor update.

XIII. Collection of Information Requirements

    Under the Paperwork Reduction Act of 1995, we are required to 
provide 30-day notice in the Federal Register and solicit public 
comment before a collection of information requirement is submitted to 
the OMB for review and approval. In order to fairly evaluate whether an 
information collection should be approved by OMB, section 3506(c)(2)(A) 
of the Paperwork Reduction Act of 1995 requires that we solicit comment 
on the following issues:
     The need for the information collection and its usefulness 
in carrying out the proper functions of our agency.
     The accuracy of our estimate of the information collection 
burden.
     The quality, utility, and clarity of the information to be 
collected.
     Recommendations to minimize the information collection 
burden on the affected public, including automated collection 
techniques.
    We solicited public comment on each of these issues for the 
following sections of this document that contain information collection 
requirements:
Section 410.33 Independent Diagnostic Testing Facility
    Section 410.33(e)(1) imposes a recordkeeping requirement on multi-
State entities. Specifically, an independent diagnostic testing 
facility (IDTF) that operates across State boundaries must maintain 
documentation that its supervising physicians and technicians are 
licensed and certified in each of the States in which it operates. The 
burden associated with this requirement is the

[[Page 69762]]

time and effort it takes the IDTF to collect and maintain the 
aforementioned information.
    While subject to the PRA, we believe this information collection 
requirement is exempt as defined in 5 CFR 1320.3(b)(2), because the 
time, effort, and financial resources necessary to comply with the 
requirement would be incurred by persons in the normal course of their 
activities (for example, in compiling and maintaining business records) 
and is considered to be usual and customary.
    Section 410.33(g) discusses the application certification standards 
that an IDTF must meet. An IDTF must complete an enrollment application 
and certify the information contained in the application. The 
certification is part of an application that is subject to the PRA. The 
burden associated with this requirement is the time and effort 
necessary to complete the application. This requirement is currently 
approved in OMB No. 0938-0685, with a current expiration date of April 
30, 2009.
Payment for Covered Outpatient Drugs and Biologicals (ASP Issues)
    Section II.F.1 of the preamble provides background information 
pertaining to the use of average sales price (ASP) as the basis for our 
drug payment methodology. In accordance with section 1857 of the Act, 
Medicare Part B covered drugs and biologicals not paid on a cost of 
prospective payment basis are paid based on the ASP. The ASP data 
reporting requirements are outlined in section 1927(b) of the Act, and 
were implemented in the interim final rule with comment period that 
published on April 6, 2004 (69 FR 17935).
    The collection of ASP data imposes a reporting requirement on the 
public. The burden associated with this requirement is the time and 
effort required by manufacturers of Medicare Part B drugs and 
biologicals to calculate, record, and submit the required data to CMS. 
While this requirement is subject to the PRA, it is currently approved 
under OMB control number 0938-0921, with an expiration date of May 31, 
2009.
    As required by section 3504(h) of the Paperwork Reduction Act of 
1995, we have submitted a copy of this document to the OMB for its 
review of these information collection requirements.

XIV. Response to Comments

    Because of the large number of public comments we normally receive 
on Federal Register documents, we are not able to acknowledge or 
respond to them individually. We will consider all comments we receive 
by the date and time specified in the ``DATES'' section of this 
preamble, and, when we proceed with a subsequent document, we will 
respond to the comments in the preamble to that document.

XV. Regulatory Impact Analysis

    We have examined the impact of this rule as required by Executive 
Order 12866 (September 1993, Regulatory Planning and Review), the 
Regulatory Flexibility Act (RFA) (September 19, 1980 Pub. L. 96-354), 
section 1102(b) of the Social Security Act, the Unfunded Mandates 
Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.
    Executive Order 12866 (as amended by Executive Order 13258, which 
merely reassigns responsibilities of duties) directs agencies to assess 
all costs and benefits of available regulatory alternatives and, when 
regulation is necessary, to select regulatory approaches that maximize 
net benefits (including potential economic, environmental, public 
health and safety effects, distributive impacts, and equity). A 
regulatory impact analysis must be prepared for final rules with 
economically significant effects (that is, a final rule that would have 
an annual effect on the economy of $100 million or more in any one 
year, or would adversely affect in a material way the economy, a sector 
of the economy, productivity, competition, jobs, the environment, 
public health or safety, or State, local, or tribal governments or 
communities). As indicated in more detail below in this section, we 
estimate that the PFS provisions included in this final rule with 
comment period will redistribute more than $100 million in 1 year. We 
are considering this final rule with comment period to be economically 
significant because its provisions are estimated to result in an 
increase, decrease or aggregate redistribution of Medicare spending 
that will exceed $100 million. Therefore, this final rule with comment 
period is a major rule and we have prepared a regulatory impact 
analysis.
    The RFA requires that we analyze regulatory options for small 
businesses and other entities. We prepare a regulatory flexibility 
analysis unless we certify that a rule would not have a significant 
economic impact on a substantial number of small entities. The analysis 
must include a justification concerning the reason action is being 
taken, the kinds and number of small entities the rule affects, and an 
explanation of any meaningful options that achieve the objectives with 
less significant adverse economic impact on the small entities.
    Section 1102(b) of the Act requires us to prepare a regulatory 
impact analysis for any final rule that may have a significant impact 
on the operations of a substantial number of small rural hospitals. 
This analysis must conform to the provisions of section 604 of the RFA. 
For purposes of section 1102(b) of the Act, we define a small rural 
hospital as a hospital that is located outside a Metropolitan 
Statistical Area and has fewer than 100 beds. We have determined that 
this final rule with comment period would have minimal impact on small 
hospitals located in rural areas. Of the 201 hospital-based ESRD 
facilities located in rural areas, only 40 are affiliated with 
hospitals with fewer than 100 beds.
    For purposes of the RFA, physicians, NPPs, and suppliers are 
considered small businesses if they generate revenues of $6 million or 
less. Approximately 95 percent of physicians are considered to be small 
entities. There are about 980,000 physicians, other practitioners and 
medical suppliers that receive Medicare payment under the PFS.
    For purposes of the RFA, approximately 80 percent of clinical 
diagnostic laboratories are considered small businesses according to 
the Small Business Administration's size standards.
    In addition, most ESRD facilities are considered small entities, 
either based on nonprofit status or by having revenues of $29 million 
or less in any year. We consider a substantial number of entities to be 
affected if the final rule is estimated to impact more than 5 percent 
of the total number of small entities. Based on our analysis of the 932 
nonprofit ESRD facilities considered small entities in accordance with 
the above definitions, we estimate that the combined impact of the 
changes to payment for renal dialysis services included in this final 
rule with comment period would have a 0.8 percent increase in overall 
payments relative to current overall payments.
    IDTFs are suppliers under the Medicare program. For purposes of the 
RFA, suppliers with annual sales of $6 million or less are considered 
to be small entities. (Individuals and States are not included in the 
definition of a small entity.) We believe that our standards for IDTFs 
will help bar fraudulent suppliers from participating in the Medicare 
program and provide an added level of protection to Medicare 
beneficiaries. Therefore, we expect to have an impact on an unknown 
number of persons and entities who will effectively be prevented from 
practicing their aberrant billing activities. The vast

[[Page 69763]]

majority of suppliers would not be significantly affected by this final 
rule with comment period. The reduction in program overpayments and the 
added level of protection to beneficiaries that we expect to achieve as 
a result of this final rule with comment period justifies the 
relatively small burden this final rule with comment period would 
impose on all small entities.
    Ambulance providers and suppliers for purposes of the RFA are also 
considered to be small entities. While we expect the initial change in 
geographic designations to have little, if any, overall effect on 
ambulance payments, application of the ambulance inflation factor (AIF) 
will result in an increase in payment rates for all ambulance services 
furnished by all types of ambulance providers.
    The analysis and discussion provided in this section, as well as 
elsewhere in this final rule with comment period, complies with the RFA 
requirements.
    Section 202 of the Unfunded Mandates Reform Act of 1995 also 
requires that agencies assess anticipated costs and benefits before 
issuing any rule that may result in expenditures in any year by State, 
local, or tribal governments, in the aggregate, or by the private 
sector, of $120 million. Medicare beneficiaries are considered to be 
part of the private sector for this purpose.
    We have examined this final rule with comment period in accordance 
with Executive Order 13132 and have determined that this regulation 
would not have any significant impact on the rights, roles, or 
responsibilities of State, local, or tribal governments. A discussion 
concerning the impact of this rule on beneficiaries is found later in 
this section.
    We have prepared the following analysis, which, together with the 
information provided in the rest of this preamble, meets all assessment 
requirements. The analysis explains the rationale for and purposes of 
this final rule with comment period; details the costs and benefits of 
the rule; analyzes alternatives; and presents the measures we proposed 
to use to minimize the burden on small entities. As indicated elsewhere 
in this final rule with comment period, we proposed to change our 
methodology for calculating resource-based PE RVUs and make a variety 
of other changes to our regulations, payments, or payment policies to 
ensure that our payment systems reflect changes in medical practice and 
the relative value of services. We provide information for each of the 
policy changes in the relevant sections of this final rule with comment 
period. We are unaware of any relevant Federal rules that duplicate, 
overlap or conflict with this final rule with comment period. The 
relevant sections of this final rule with comment period contain a 
description of significant alternatives if applicable.

A. RVU Impacts

1. Resource-Based Work and PE RVUs
    Section 1848(c)(2)(B)(ii) of the Act requires that increases or 
decreases in RVUs may not cause the amount of expenditures for the year 
to differ by more than $20 million from what expenditures would have 
been in the absence of these changes. If this threshold is exceeded, we 
make adjustments to preserve BN. This year, the estimated $4 billion 
impact of changes in work RVUs resulting from the 5-Year Review require 
that a budget-neutrality adjustment be made.
    As discussed in the June 29, 2006 proposed notice, we proposed 
making the statutorily required BN adjustment to account for the 5-Year 
Review of physician work by reducing all work RVUs. We estimated that 
all work RVUs would have to be reduced by 10 percent under this option. 
As discussed in section IV.D.1 of this final rule with comment period, 
we carefully reviewed the comments received concerning this issue, and 
to meet the BN provisions of section 1848(c)(2)(B)(ii)(II) of the Act, 
we are applying a BN adjustor of 0.8994 or -10.1 percent to the work 
RVUs.
    Table 34 shows the specialty-level impact of the work and PE RVU 
changes.
    Our estimates of changes in Medicare revenues for PFS services 
compare payment rates for CY 2006 with proposed payment rates for CY 
2007 using CY 2005 Medicare utilization for all years. We are using CY 
2005 Medicare claims processed and paid through March 30, 2005, that we 
estimate are 98 percent complete. To the extent that there are year-to-
year changes in the volume and mix of services provided by physicians, 
the actual impact on total Medicare revenues will be different than 
those shown in Table 34. The payment impacts reflect averages for each 
specialty based on Medicare utilization. The payment impact for an 
individual physician would be different from the average, based on the 
mix of services the physician provides. The average change in total 
revenues would be less than the impact displayed here because 
physicians furnish services to both Medicare and non-Medicare patients 
and specialties may receive substantial Medicare revenues for services 
that are not paid under the PFS. For instance, independent laboratories 
receive approximately 80 percent of their Medicare revenues from 
clinical laboratory services that are not paid under the PFS.
    Table 34 shows only the payment impact on PFS services. The 
following is an explanation of the information represented in Table 34. 
Note that this table does include the impact of the CY 2007 update.
     Specialty: The physician specialty or type of 
practitioner/supplier.
     Allowed Charges: Allowed charges are the Medicare Fee 
Schedule amounts for covered services and include copayments and 
deductibles (which are the financial responsibility of the 
beneficiary). These amounts have been summed across all services 
provided by physicians, practitioners, or suppliers with a specialty to 
arrive at the total allowed charges for the specialty.
     Impact of Work RVU Changes from the five year review of 
work
     Impact of PE RVU changes. The impact is shown for both 
2007, which is the first year of the four year transition using the new 
methodology, and 2010, which is the year in which the methodology is 
fully implemented.
     Combined impact of the finalized work and PE RVUs for both 
2007 and 2010.

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2. Section 5102 of the DRA Adjustments for Payments for Imaging 
Services
    As required by section 5102(a) of the DRA and described in section 
II.E.1. of this final rule with comment period, we are removing, from 
the PE RVUs under the PFS the 0.3 percent increase made to the PE RVUs 
in the CY 2006 PFS final rule with comment period to ensure the BN of 
the impact of the multiple imaging policy adopted for CY 2006. Section 
5102(a) of the DRA exempts the CY 2006 and 2007 impact of the multiple 
imaging policy from BN. Because we proposed to maintain the current 25 
percent payment reduction for multiple imaging procedures in CY 2007, 
there is no additional impact resulting from our policies for CY 2007. 
Section 5102 of the DRA also exempts the estimated savings from the 
application of the OPPS-based payment limitation on PFS imaging 
services from the PFS BN requirement. We estimate that the combined 
impact of the BN exemptions in section 5102 of the DRA would reduce PFS 
expenditures by approximately 0.9 percent in CY 2007.
3. Combined Impacts
    Table 35 shows the specialty-level impact of: The work and PE RVU 
changes, section 5102 of the DRA, and our most recent estimate (-5.0 
percent) of the CY 2007 Medicare PFS update. Additionally, the impacts 
in this final rule with comment period reflect the use of updated 
physician time data from the AMA-RUC.
    Our estimates of changes in Medicare revenues for PFS services 
compare payment rates for CY 2006 with proposed payment rates for CY 
2007 using CY 2005 Medicare utilization for all years. We are using CY 
2005 Medicare claims processed and paid through March 30, 2005, that we 
estimate are 98 percent complete. To the extent that there are year-to-
year changes in the volume and mix of services provided by physicians, 
the actual impact on total Medicare revenues will be different than 
those shown in Table 35. The payment impacts reflect averages for each 
specialty based on Medicare utilization. The payment impact for an 
individual physician would be different from the average, based on the 
mix of services the physician provides. The average change in total 
revenues would be less than the impact displayed here because 
physicians furnish services to both Medicare and non-Medicare patients 
and specialties may receive substantial Medicare revenues for services 
that are not paid under the PFS. For instance, independent laboratories 
receive approximately 80 percent of their Medicare revenues from 
clinical laboratory services that are not paid under the PFS.
    Table 35 shows only the payment impact on PFS services. The 
following is an explanation of the information represented in Table 35.
     Specialty: The physician specialty or type of 
practitioner/supplier.
     Allowed Charges: Allowed charges are the Medicare Fee 
Schedule amounts for covered services and include copayments and 
deductibles (which are the financial responsibility of the 
beneficiary.) These amounts have been summed across all services 
provided by physicians, practitioners, or suppliers with a specialty to 
arrive at the total allowed charges for the specialty.
     Impact of Work and PE RVU Changes using the methodology 
finalized in this rule.
     Impact of section 5102 of the DRA: The CY 2007 percentage 
decrease in allowed charges attributed to section 5102 of the DRA.
     Combined impact of the finalized work and PE RVUs and 
section 5102 of the DRA.
     CY 2007 Update: The percentage decrease in allowed charges 
attributed to the CY 2007 PFS conversion factor update (-5.0 percent).
     Combined impact with CY 2007 update: The CY 2007 
percentage decrease in allowed charges attributed to the impact of the 
work and PE RVU changes, section 5102 of the DRA, and the CY 2007 
update.

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    Table 36 shows the impact on total payments for selected high-
volume procedures of all of the changes previously discussed. We 
selected these procedures because they are the most commonly provided 
by a broad spectrum of physician specialties. There are separate 
columns that show the change in the facility rates and the nonfacility 
rates. For an explanation of facility and nonfacility PE refer to 
Addendum A of this final rule with comment period.

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B. Geographic Practice Cost Indices (GPCI)--Payment Localities

    As discussed in section II.B. of the preamble to this final rule 
with comment period, we proposed new GPCIs for 2007. In the CY 2005 PFS 
final rule with comment period, we published 2005 and 2006 GPCI and GAF 
values reflecting the 2-year phase-in of updated GPCI data. In 2007, 
the proposed GPCI and GAF values will reflect the removal of the 1.000 
MMA floor from the physician work GPCI. The negative impact of these 
changes on a number of payment localities is shown in section II.B. in 
Table 7.

C. Global Period for Remote Afterloading High Intensity Brachytherapy 
Procedures

    As discussed in section II.D.1. of this final rule with comment 
period, we are revising the global period for these services. We do not 
anticipate this change will have a significant impact on Medicare 
expenditures. Current brachytherapy coding allows for billing only one 
time for the entire physician services provided during a 90-day period. 
Any expected increase in the billing of brachytherapy physician 
services is offset by the reduction in the work RVUs.

D. DRA 5112: Addition of the Ultrasound Screening for Abdominal Aortic 
Aneurysm to ``Welcome to Medicare'' Benefit

    As discussed in section II.E.3. of this final rule with comment 
period, section 5112 of the DRA authorizes coverage of an ultrasound 
screening for abdominal aortic aneurysms effective January 1, 2007, 
subject to certain eligibility and other limitations. We estimate that 
this new benefit would result in an increase in Medicare expenditures 
to physicians and other practitioners and suppliers of ultrasound 
services and related follow-up tests and treatment that may be required 
as a result of the coverage of these screening examinations. However, 
this is not expected to have a significant cost impact on the Medicare 
program because of the limited scope of the benefit.

E. DRA 5113: Colorectal Screening Exemption From Part B Deductible

    As discussed in section II.E.4. of this final rule with comment 
period, beginning January 1, 2007, colorectal cancer screening services 
as described in section 1861(pp)(1) of the Act are no longer subject to 
the Part B deductible. While waiver of this deductible will be 
beneficial to Medicare beneficiaries, we do not anticipate that this 
change will have a significant cost impact on the Medicare program.

F. Section 5114: Addition of Diabetes Outpatient Self-Management 
Training Services (DSMT) and Medical Nutrition Therapy (MNT) for the 
FQHC Program

    As discussed in section II.E.5. of this final rule with comment 
period, section 5114 of the DRA amended section 1861(aa)(3) the Act to 
add DSMT and MNT to the list of Medicare covered and reimbursed 
services under the Medicare FQHC benefit, effective for services 
provided on or after January 1, 2006. Although this statutory change 
has already been implemented in administrative instructions, we 
proposed to conform the regulations to meet the new statutory 
requirement. FQHCs certified as DSMT and MNT providers have been 
allowed to bundle the cost of those services into their FQHC payment 
rates. But before the enactment of the DRA, the provision of these 
services would not generate a separate FQHC visit payment. Effective 
for services furnished on or after January 1, 2006, FQHCs that are 
certified providers of DSMT and MNT services can receive per visit 
payments for covered services furnished by registered dietitians or 
nutrition professionals. Because there are a limited number of 
qualified centers for DSMT and MNT services, the increase in Medicare 
expenditures should be negligible.

G. Payment for Covered Outpatient Drugs and Biologicals (ASP Issues)

    While it is difficult to quantify the impact of clarifications in 
ASP reporting guidelines on Medicare expenditures, we expect that the 
changes discussed in section II.F. of this final rule with comment 
period, for payment for covered outpatient drugs and biologicals, will 
have a minimal impact on Medicare expenditures.

H. Provisions Related to Payment for Renal Dialysis Services Furnished 
by End State Renal Disease (ESRD) Facilities

    In section II.G. of this final rule with comment period, we discuss 
the ESRD-related provisions. To understand the impact of the changes 
affecting payments to different categories of ESRD facilities, it is 
necessary to compare estimated payments under the current year (2006 
payments) to estimated payments under the revisions to the composite 
rate payment system as discussed in II.G. of this final rule with 
comment period (2007 payments). To estimate the impact among various 
classes of ESRD facilities, it is imperative that the estimates of 
current payments and projected payments contain similar inputs. 
Therefore, we simulated payments only for those ESRD facilities that we 
are able to calculate both current 2006 payments and 2007 payments.
    ESRD providers were grouped into the categories based on 
characteristics provided in the Online Survey and Certification and 
Reporting (OSCAR) file and the most recent cost report data from the 
Healthcare Cost Report Information System (HCRIS). We also used the 
June 2006 update of CY 2005 National Claims History file as a basis for 
Medicare dialysis treatments and separately billable drugs and 
biologicals. Due to data limitations, we are unable to estimate current 
and proposed payments for 130 of the 4,669 ESRD facilities that bill 
for ESRD dialysis treatments.

       Table 37.--Impact of CY 2007 Changes in Payments to Hospital Based and Independent ESRD Facilities
         [Percent change in composite rate payments to ESRD facilities (both program and beneficiaries)]
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                                                     Number of       dialysis        Effect of    Overall effect
                                                    facilities      treatments      changes in          \2\
                                                                   (in millions)  wage index \1\
----------------------------------------------------------------------------------------------------------------
All Providers...................................           4,539            34.4             0.0             0.5
    Independent.................................           3,958            30.7            -0.1             0.5
    Hospital Based..............................             581             3.7             0.4             1.0
By Facility Size:
    Less than 5000 treatments...................           1,628             4.6            -0.3             0.2
    5000 to 9999 treatments.....................           1,756            12.9             0.0             0.5
    Greater than 9999 treatments................           1,155            16.9             0.1             0.6

[[Page 69772]]

 
By Type of Ownership:
    Profit......................................           3,607            27.8            -0.1             0.4
    Nonprofit...................................             932             6.6             0.3             0.8
By Geographic Location:
    Rural.......................................           1,217             7.0            -0.6             0.0
    Urban.......................................           3,322            27.4             0.1             0.7
By Region:
    New England.................................             152             1.2             1.1             1.6
    Middle Atlantic.............................             549             4.4             0.6             1.1
    East North Central..........................             716             5.4            -0.5             0.1
    West North Central..........................             341             1.9            -0.4             0.1
    South Atlantic..............................           1,014             7.9             0.0             0.5
    East South Central..........................             358             2.6            -1.1            -0.6
    West South Central..........................             633             4.7            -0.7            -0.1
    Mountain....................................             245             1.6             0.1             0.7
    Pacific.....................................             500             4.2             1.1             1.7
    Puerto Rico.................................              31             0.4            -1.6           -1.1
----------------------------------------------------------------------------------------------------------------
\1\ This column shows the effect of wage index changes on ESRD providers. Composite rate payments computed using
  the current wage index are compared to composite rate payments using the CY 2007 wage index changes.
\2\ This column shows the percent change between CY 2007 and CY 2006 composite rate payments to ESRD facilities.
  The CY 2007 payments include the CY 2007 wage adjusted composite rate, and the 15.1 percent drug add-on times
  treatments. The CY 2006 payments to ESRD facilities includes the CY 2006 wage adjusted composite rate and the
  14.5 percent drug add-on times treatments.

    Table 37 shows the impact of this year's changes to CY 2007 
payments to hospital-based and independent ESRD facilities. The first 
column of Table 37 identifies the type of ESRD provider, the second 
column indicates the number of ESRD facilities for each type, and the 
third column indicates the number of dialysis treatments.
    The fourth column shows the effect of CY 2007 changes to the ESRD 
wage index as it affects the composite rate payments to ESRD 
facilities. The fourth column compares aggregate ESRD wage adjusted 
composite rate payments in the second year of the transition (CY 2007) 
to aggregate ESRD wage adjusted composite rate payments in first year 
of the transition (CY 2006). In the second year of the transition (CY 
2007), ESRD facilities receive 50 percent of the CBSA wage adjusted 
composite rate and 50 percent of the MSA wage adjusted composite rate. 
In the first year of the transition, ESRD facilities receive 25 percent 
of the CBSA wage adjusted composite rate and 75 percent of the MSA wage 
adjusted composite rate. The overall effect to all ESRD providers in 
aggregate is zero because the CY 2007 ESRD wage index has been 
multiplied by a BNF to comply with the statutory requirement that any 
wage index revisions be done in a manner that results in the same 
aggregate amount of expenditures as would have been made without any 
changes in the wage index. The decreases shown among census regions is 
primarily due to reducing the wage index floor, as there were areas in 
these areas with wage index values below the floor.
    The fifth column shows the overall effect of the changes in 
composite rate payments to ESRD providers. The overall effect is 
measured as the difference between the projected CY 2007 payment with 
all changes in this final rule and CY 2006 payment. This payment amount 
is computed by multiplying the wage adjusted composite rate with the 
drug add-on for each provider times the number of dialysis treatments 
from 2005 claims. The projected CY 2007 payment is the transition year 
2 wage-adjusted composite rate for each provider (with the 15.1 percent 
drug add-on) times dialysis treatments from CY 2005 claims. The CY 2006 
current payment is the transition year 1 wage-adjusted composite rate 
for each provider (with the current 14.5 percent drug add-on) times 
dialysis treatments from CY 2005 claims.
    The overall impact to ESRD providers in aggregate is 0.5 percent. 
This increase corresponds to the 0.5 percent increase to the drug add-
on. The variation seen in column 5 is due to variation in changes in 
the wage index (column 4). All provider types receive the same 0.5 
percent increase to the drug add-on.
    Comment: We received a comment requesting that we update the impact 
table to reflect the current Puerto Rico ESRD provider count and 
treatment count.
    Response: The impact table shows the same provider count the 
commenter suggested. However, our tabulation of the 2005 claims data 
indicates that there are 0.4 million treatments rather than the 0.55 
million treatment count furnished by the commenter.

I. Private Contracts and Opt-out Provision

    The changes discussed in this final rule with comment period, for 
private contracts and the opt-out provision, are currently estimated to 
have no significant impact on Medicare expenditures as the number of 
physicians and practitioners who opt-out of Medicare is very small.

J. Supplier Access to Claims Billed on Reassignment

    The reassignment provisions discussed in section II.J.2. of this 
final rule with comment period are amending the reassignment 
regulations so that employees will have the same ``unrestricted access 
to billing records,'' that has been afforded to independent contractors 
since January 1, 2005. We are simply extending this right to access 
one's billing records to employees. This change should have no impact 
on Medicare expenditures.

[[Page 69773]]

K. Coverage of Bone Mass Measurement

    As discussed in section II.K. of this final rule with comment 
period, we discuss several revisions to Sec.  410.31 relative to the 
definition of the term ``Bone Mass Measurement'' (Sec.  410.31(a)(2)), 
the conditions for coverage (Sec.  410.31(b)), the examples of 
exceptions to the standards on frequency of coverage (Sec.  
410.31(c)(2)), and the category of individuals receiving glucocorticoid 
(steroid) therapy (Sec.  410.31(d)(3)). We also discuss the addition of 
a new paragraph (f) that would allow CMS, through the NCD process, to 
identify additional BMM systems for monitoring individuals receiving 
osteoporosis drug therapy and for performing confirmatory baseline 
measurements. We do not expect that this addition would have a 
significant cost impact on the Medicare program in the next several 
years.
    Based on the projected impact of the first three changes that would 
place greater reliance on the use of the more expensive DXA (axial 
skeleton) devices, we estimate that this revised benefit would result 
in an increase in Medicare payments for providers who use the DXA 
(axial skeleton) devices and a somewhat smaller decrease in payments to 
providers who use QCT (axial skeleton) and peripheral devices. However, 
we do not expect that these changes would have a significant cost 
impact on the Medicare program because, at present, a very small 
percentage of our total Medicare payments for bone mass measurements 
are being made to providers who use QCT or peripheral devices. In 
addition, we estimate that lowering the eligibility standard for 
coverage of individuals on steroid therapy from 7.5 mg/day to 5.0 mg/
day of prednisone (the fourth change) would result in an increase in 
Medicare payment for testing of additional patients, but this modest 
lowering of the steroid standard is not expected to have a significant 
cost impact on the program.

L. IDTF Changes

    The costs associated with these changes are as follows.
1. Liability Insurance Requirement (Sec.  424.57(c)(10))
    We estimate that only 10 percent of IDTFs do not already have 
liability insurance that meets this requirement. Based on Medicare data 
as of June 2005, 10 percent of the total number of IDTF's is 
approximately 559 suppliers. Using the previously highest estimate 
received ($1,800 annually), results in an approximate additional 
liability insurance cost of $1 million annually (559 times $1,800) to 
the IDTF industry due to this final rule with comment period.
2. Primary Business Telephone Listed Under the Name of the Business 
Locally or Toll-free for Beneficiaries Requirement (Sec.  424.57(c)(9))
    We estimate that only 1 percent of IDTFs do not already meet this 
requirement. Based on Medicare data as of June 2005, we determined that 
1 percent of IDTFs is approximately 56 suppliers. Therefore, 56 times 
the approximate $600 annual cost of telephone service results in an 
additional cost of $33,600 annually. Total Cost = $1 million + $33,600 
= approximately $1.04 million annually.

M. Independent Lab Billing for TC Component of Physician Pathology 
Services for Hospital Patients

    The most current information on the number of affected hospitals 
and the impact on laboratories and hospitals comes from a report issued 
by GAO in September 2003.
    The GAO estimated that approximately 95 percent of the total of all 
Medicare hospitals on the prospective payment system, as well as CAHs 
sent the TC of physician pathology services to independent laboratories 
and the independent laboratories billed the carrier under the PFS.
    The GAO estimated that the median number of services sent by each 
hospital to outside independent laboratories was small, approximately 
81 services. The GAO was unable to identify the number of laboratories 
billing for the TC service because a single laboratory may submit 
claims under multiple provider numbers. In general, the impact on the 
individual hospital is small; however, we do not know the impact on the 
individual independent laboratory.
    If the independent laboratories had not received payments from the 
carriers for these TC services for hospital patients, the GAO estimates 
that Medicare spending would have been $42 million less in 2001 and 
beneficiary cost sharing obligations for inpatient and outpatient 
services would have been reduced by $2 million.
    Based on what they learned from the hospital industry, the GAO 
thought that Medicare beneficiaries' access to pathology services would 
not likely be affected if independent laboratories could no longer bill 
the carrier for these services. Hospital representatives indicated that 
they would likely continue to use independent laboratories to provide 
TC pathology services.
    It is unclear if the hospitals contracting with independent 
laboratories would pay the laboratories at the same rates that the 
laboratories received by billing the Medicare carriers under the PFS.

N. Public Consultation for Medicare Payment for New Outpatient Clinical 
Diagnostic Laboratory Tests

    This codification of our process for public consultation for new 
clinical diagnostic laboratory tests paid under the Medicare Part B 
clinical laboratory fee schedule does not increase or decrease payment 
amounts for existing clinical diagnostic laboratory tests because it 
does not alter our current methodology for calculating payment amounts 
for existing clinical diagnostic laboratory tests. For new tests, this 
change primarily codifies an existing process for the determination of 
payment amounts. Because any new laboratory tests to be gapfilled are 
unknown to us at the current time, we do not have any data to estimate 
the impact of our policy to pay for new gapfilled lab tests at the 
median of the local carrier amounts for all carriers rather than the 
lower of that amount and the local carrier amount.

O. Bad Debt Payment for Services Associated With Reasonable Charge/Fee 
Schedules

    This is a clarification of a longstanding policy and, therefore, 
has no associated dollar impact.

P. Revisions to Payment Policies Under the Ambulance Fee Schedule and 
the Ambulance Inflation Factor Update for CY 2007

    We believe that the overall effect of adopting the CBSA-based 
geographic definitions, as well as the RUCAs will result in a 
redistribution of payments from urban to rural areas in some States and 
from rural to urban areas in other States; however, the RUCAs will 
enable rural areas with a rurality level of 4.0 or greater in all 
counties in all States to remain rural rather than only recognizing 
those rural areas in large counties per the Goldsmith Modification. We 
have included three tables to reflect the impact of the geographic 
changes. These three tables reflect the CBSA-based definitions, as well 
as the RUCAs. Table 38 is a State-by-State analysis of urban and rural 
areas after all geographic changes have been implemented. As can be 
seen in this table, there is not a great deal of difference between the 
number of zip codes that move from rural to urban

[[Page 69774]]

(2,328--5.56 percent) and the number of zip codes that move from urban 
to rural (1,870--4.46 percent). There are a total of 41,888 zip codes--
an average of 89.98 percent of all zip codes do not change their 
geographic designation. Table 39 is an analysis of all the areas to 
which commenters referred as specific concerns for them in response to 
the proposed rule. The table is arranged by State, and, within each 
State, by zip code area based on the information provided by the 
commenters (some commenters mentioned counties or townships). We 
translated those concerns into the appropriate zip code areas within 
each State. This table shows the actual RUCA rurality level of each of 
these zip code areas. If the area is, indeed, designated urban (a 
rurality level of less than 4.0), a ``yes'' is indicated in the ``Urban 
Zip?'' column, and the associated town or city is named in the 
following column as a reference point. Approximately half of the areas 
about which commenters were specifically concerned remained rural once 
the RUCA rurality level was applied. The third and final table is 
Addendum I which shows all zip codes nationally by State and the 
rurality level associated with each zip code.
    In addition, we contend that with the use of updated geographical 
areas where rural areas are redesignated as urban areas, it will be 
more likely than not, that some level of population growth has occurred 
resulting in more ambulance trips overall than had occurred prior to 
the use of the updated geographical areas, even though these trips are 
paid at a lower rate per trip (areas designated as rural generally 
receive a higher payment per trip than areas designated as urban).
    In contrast, where urban areas are redesignated as rural, there 
will be fewer trips than were reported prior to the use of the updated 
geographical areas, but at higher rates. Thus, although ambulance 
suppliers and providers may bill fewer rural trips at the higher rate 
or more urban trips at the lower rate, we anticipate that the overall 
payments will remain the same. For these reasons, we estimate that this 
proposed rule will have no fiscal impact on the Medicare program 
because payments will, in effect, be redistributed.
    We estimate that the total program expenditure for CY 2007 for 
ambulance services covered by the Medicare program is approximately 
$4.8 billion. Application of an AIF of 4.3 percent will result in an 
additional total program expenditure for CY 2007 of approximately $206 
million over CY 2006 expenditures.
    With respect to our SCT policies, while we believe ambulance 
suppliers and providers may now better understand the interfacility 
requirements and the personnel requirements for payment of SCT 
services, we do not expect any significant net impact on Medicare 
expenditures.
BILLING CODE 4120-01-P

[[Page 69775]]

[GRAPHIC] [TIFF OMITTED] TR01DE06.020


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[GRAPHIC] [TIFF OMITTED] TR01DE06.021


[[Page 69777]]


[GRAPHIC] [TIFF OMITTED] TR01DE06.022


[[Page 69778]]


[GRAPHIC] [TIFF OMITTED] TR01DE06.023


[[Page 69779]]


[GRAPHIC] [TIFF OMITTED] TR01DE06.024


[[Page 69780]]


[GRAPHIC] [TIFF OMITTED] TR01DE06.025


[[Page 69781]]


[GRAPHIC] [TIFF OMITTED] TR01DE06.026

BILLING CODE 4120-01-C

Q. Alternatives Considered

    This final rule with comment period contains a range of policies, 
including some provisions related to specific MMA provisions. The 
preamble provides descriptions of the statutory provisions that are 
addressed, identifies those policies when discretion has been 
exercised, presents rationale for our decisions and, where relevant, 
alternatives that were considered.

R. Impact on Beneficiaries

    There are a number of changes made in this final rule with comment 
period that would have an effect on beneficiaries. In general, we 
believe these changes, particularly the DRA provisions that provide for 
an exception to the application of the Part B deductible with respect 
to colorectal cancer screening tests and coverage of an ultrasound 
screening for the early detection of AAAs as part of the IPPE benefit 
(referred to as the Welcome to Medicare benefit) will improve 
beneficiary access to services that are currently covered or expand the 
Medicare benefit package to include new services. As explained in more 
detail below in this section, the regulatory provisions may affect 
beneficiary liability in some cases. Any changes in aggregate 
beneficiary liability from a particular provision would be a function 
of the coinsurance (20 percent

[[Page 69782]]

if applicable for the particular provision after the beneficiary has 
met the deductible) and the effect of the aggregate cost (savings) of 
the provision on the calculation of the Medicare Part B premium rate 
(generally 25 percent of the provision's cost or savings).
    To illustrate this point, as shown in Table 36, the 2006 national 
payment amount in the nonfacility setting for CPT code 99203 (Office/
outpatient visit, new), is $97.02 which means that currently a 
beneficiary is responsible for 20 percent of this amount, or $19.40. 
Based on this final rule with comment period, the 2007 national payment 
amount in the nonfacility setting for CPT code 99203, as shown in Table 
36, is $87.44 which means that, in 2007, the beneficiary coinsurance 
for this service would be $17.49.
    Policies discussed above in this section that do affect overall 
spending, such as DRA 5102 imaging provisions, would similarly impact 
beneficiaries' coinsurance.

S. Accounting Statement

    As required by OMB Circular A-4 (available at http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf), in Table 40, we have 
prepared an accounting statement showing the classification of the 
expenditures associated with this final rule with comment period. This 
table provides our best estimate of the decrease in Medicare payments 
under the physician fee schedule as a result of the provisions 
presented in this final rule with comment period for CY 2007. All 
expenditures are classified as transfers.

  Table 40.--Accounting Statement: Classification of Estimated CY 2007
       Expenditures Associated With CY 2007 Final Rule Provisions
------------------------------------------------------------------------
                Category                            Transfers
------------------------------------------------------------------------
Annualized Monetized Transfers.........  Estimated decrease in
                                          expenditures of $3.7 billion.
From Whom To Whom?.....................  Federal Government to
                                          physicians, other
                                          practitioners and suppliers
                                          who receive payment under the
                                          Medicare Physician Fee
                                          Schedule; ESRD Medicare
                                          Providers; ambulance
                                          suppliers, and Medicare
                                          suppliers billing for Part B
                                          drugs.
------------------------------------------------------------------------

    In accordance with the provisions of Executive Order 12866, this 
final rule was reviewed by the Office of Management and Budget.

List of Subjects

42 CFR Part 405

    Administrative practice and procedure, Health facilities, Health 
professions, Kidney diseases, Medical devices, Medicare, Reporting and 
recordkeeping requirements, Rural areas, X-rays.

42 CFR Part 410

    Health facilities, Health professions, Kidney diseases, 
Laboratories, Medicare, Reporting and recordkeeping requirements, Rural 
areas, X-rays.

42 CFR Part 411.

    Kidney diseases, Medicare, Physician Referral, Reporting and 
recordkeeping requirements.

42 CFR Part 413

    Health facilities, Kidney diseases, Medicare, Reporting and 
recordkeeping requirements.

42 CFR part 414

    Administrative practice and procedure, Health facilities, Health 
professions, Kidney diseases, Medicare, Reporting and recordkeeping.

42 CFR Part 415

    Health facilities, Health professions, Medicare, Reporting and 
recordkeeping requirements.

42 CFR Part 424

    Emergency medical services, Health facilities, Health professions, 
Medicare, Reporting and recordkeeping requirements.

0
For the reasons set forth in the preamble, the Centers for Medicare & 
Medicaid Services amends 42 CFR chapter IV as follows:

PART 405--FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED

0
1. The authority citation for part 405 continues to read as follows:

    Authority: Secs. 1102, 1861, 1862(a), 1871, 1874, 1881, and 
1886(k) of the Social Security Act (42 U.S.C. 1302, 1395x, 1395y(a), 
1395hh, 1395kk, 1395rr, and 1395ww(k)), and sec. 353 of the Public 
Health Service Act (42 U.S.C. 263a).

Subpart D--Private Contracts

0
2. Section 405.400 is amended by revising the definition of 
``Practitioner'' to read as follows:


Sec.  405.400  Definitions.

* * * * *
    Practitioner means a physician assistant, nurse practitioner, 
clinical nurse specialist, certified registered nurse anesthetist, 
certified nurse midwife, clinical psychologist, clinical social worker, 
registered dietitian or nutrition professional, who is currently 
legally authorized to practice in that capacity by each State in which 
he or she furnishes services to patients or clients.
* * * * *

Subpart X--Rural Health Clinic and Federally Qualified Health 
Center Services Payment for Rural Health Clinic and Federally 
Qualified Health Center Services

0
3. Section 405.2446 is amended by adding paragraph (b)(10) to read as 
follows:


Sec.  405.2446  Scope of services.

* * * * *
    (b) * * *
    (10) Medical nutrition therapy services as specified in part 410, 
subpart G of this chapter, and diabetes outpatient self-management 
training services as specified in part 410, subpart H of this chapter.
* * * * *

0
4. Section 405.2463 is revised to read as follows:


Sec.  405.2463  What constitutes a visit.

    (a) Visit--(1) General. (i) For rural health clinics, a visit is a 
face-to-face encounter between a clinic or center patient and a 
physician, physician assistant, nurse practitioner, nurse midwife, 
visiting nurse, clinical psychologist, or clinical social worker.
    (ii) For FQHCs, a visit is--
    (A) A face-to-face encounter, as described in paragraph (a)(1)(i) 
of this section; or
    (B) A face-to-face encounter between a patient and a qualified 
provider of medical nutrition therapy services as

[[Page 69783]]

defined in part 410, subpart G of this chapter; or a qualified provider 
of outpatient diabetes self-management training services as defined in 
part 410, subpart H of this chapter.
    (2) Medical visit. A medical visit is a face-to-face encounter 
between a clinic or center patient and a physician, physician 
assistant, nurse practitioner, nurse midwife, or a visiting nurse; and 
for FQHCs only, a medical visit also includes a separately billable 
medical nutrition therapy visit or a diabetes outpatient self-
management training visit.
    (3) Other health visit. An other health visit is a face-to-face 
encounter between a clinic or center patient and a clinical 
psychologist, clinical social worker, or other health professional for 
mental health services.
    (b) Encounters. Encounters with more than one health professional 
and multiple encounters with the same health professional that take 
place on the same day and at a single location constitute a single 
visit, except when one of the following conditions exist:
    (1) After the first encounter, the patient suffers illness or 
injury requiring additional diagnosis or treatment.
    (2) The patient has a medical visit and other health visit(s), as 
defined in paragraph (a) of this section.
    (c) Payment. Medicare pays for more than one visit per day when the 
conditions in paragraph (b) of this section are met or a separate visit 
under paragraph (a)(1)(ii)(B) of this section is made.

PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

0
5. The authority citation for part 410 continues to read as follows:

    Authority: Secs. 1102, 1834, and 1871 of the Social Security Act 
(42 U.S.C. 1302, 1395m, and 1395hh).

Subpart B--Medical and Other Health Services

0
6. In Sec.  410.16 paragraph (a) is amended by revising paragraph (7) 
of the definition of ``initial preventive physical examination'' to 
read as follows:


Sec.  410.16  Initial preventive physical examination: Conditions for 
and limitations on coverage.

    (a) * * *
* * * * *
    Initial preventive physical examination * * *.
    (7) Education, counseling, and referral, including a written plan 
such as a checklist provided to the beneficiary for obtaining the 
appropriate screening and other preventive services that are covered as 
separate Medicare Part B benefits as described in section 1861(s)(10), 
section 1861(jj), section 1861(nn), section 1861(oo), section 1861(pp), 
section 1861(qq)(1), section 1861(rr), section 1861(uu), section 
1861(vv), section 1861(xx)(1), section 1861(yy), and section 1861(bbb) 
of the Act.
* * * * *

0
7. A new Sec.  410.19 is added to read as follows:


Sec.  410.19  Ultrasound screening for abdominal aortic aneurysms: 
Condition for and limitation on coverage.

    (a) Definitions: As used in this section, the following definitions 
apply:
    Eligible beneficiary means an individual who--
    (1) Has received a referral for an ultrasound screening for an 
abdominal aortic aneurysm as a result of an initial preventive physical 
examination (as defined in section 1861(ww)(1) of the Act);
    (2) Has not been previously furnished an ultrasound screening for 
an abdominal aortic aneurysm under Medicare program; and
    (3) Is included in at least one of the following risk categories:
    (i) Has a family history of an abdominal aortic aneurysm.
    (ii) Is a man age 65 to 75 who has smoked at least 100 cigarettes 
in his lifetime.
    (iii) Is an individual who manifests other risk factors in a 
beneficiary category recommended for screening by the United States 
Preventive Services Task Force regarding abdominal aortic aneurysms, as 
specified by the Secretary through a national coverage determination 
process.
    Ultrasound screening for abdominal aortic aneurysms means the 
following services furnished to an asymptomatic individual for the 
early detection of an abdominal aortic aneurysm:
    (1) A procedure using soundwaves (or other procedures using 
alternative technologies of commensurate accuracy and cost, as 
specified by the Secretary through a national coverage determination 
process) provided for the early detection of abdominal aortic 
aneurysms.
    (2) Includes a physician's interpretation of the results of the 
procedure.
    (b) Conditions for coverage of an ultrasound screening for 
abdominal aortic aneurysms. Medicare Part B pays for one ultrasound 
screening for an abdominal aortic aneurysm provided to eligible 
beneficiaries, as described in this section, after a referral from a 
physician or a qualified nonphysician practitioner as defined in Sec.  
410.16(a), when the test is performed by a provider or supplier that is 
authorized to provide covered ultrasound diagnostic services.
    (c) Limitation on coverage of ultrasound screening for abdominal 
aortic aneurysms. Payment may not be made for an ultrasound screening 
for an abdominal aortic aneurysm that is performed for an individual 
that does not meet the definition of ``eligible beneficiary'' specified 
in this section.

0
8. Section 410.31 is revised to read as follows:


Sec.  410.31  Bone mass measurement: Conditions for coverage and 
frequency standards.

    (a) Definition. As used in this section unless specified otherwise, 
the following definition applies:
    Bone mass measurement means a radiologic, radioisotopic, or other 
procedure that meets the following conditions:
    (1) Is performed for the purpose of identifying bone mass, 
detecting bone loss, or determining bone quality.
    (2) Is performed with either a bone densitometer (other than 
single-photon or dual-photon absorptiometry) or with a bone sonometer 
system that has been cleared for marketing for this use by the FDA 
under 21 CFR part 807, or approved for marketing by the FDA for this 
use under 21 CFR part 814.
    (3) Includes a physician's interpretation of the results of the 
procedure.
    (b) Conditions for coverage. (1) Medicare covers a medically 
necessary bone mass measurement if the following conditions are met:
    (i) Following an evaluation of the beneficiary's need for the 
measurement, including a determination as to the medically appropriate 
procedure to be used for the beneficiary, it is ordered by the 
physician or a qualified nonphysician practitioner (as these terms are 
defined in Sec.  410.32(a)) treating the beneficiary.
    (ii) It is performed under the appropriate level of supervision of 
a physician (as set forth in Sec.  410.32(b)).
    (iii) It is reasonable and necessary for diagnosing and treating 
the condition of a beneficiary who meets the conditions described in 
paragraph (d) of this section.
    (2) Medicare covers a medically necessary bone mass measurement for 
an individual defined under paragraph (d)(5) of this section if the 
conditions under paragraph (b)(1) of this section are met and the 
monitoring is performed

[[Page 69784]]

by the use of a dual energy x-ray absorptiometry system (axial 
skeleton).
    (3) Medicare covers a medically necessary confirmatory baseline 
bone mass measurement for an individual defined under paragraph (d) of 
this section, if the conditions under paragraph (b)(1) of this section 
are met and the confirmatory baseline bone mass measurement is 
performed by a dual energy x-ray absorptiometry system (axial skeleton) 
and the initial measurement was not performed by a dual energy x-ray 
absorptiometry system (axial skeleton).
    (c) Standards on frequency of coverage--(1) General rule. Except as 
allowed under paragraph (c)(2) of this section, Medicare may cover a 
bone mass measurement for a beneficiary if at least 23 months have 
passed since the month the last bone mass measurement was performed.
    (2) Exception. If medically necessary, Medicare may cover a bone 
mass measurement for a beneficiary more frequently than allowed under 
paragraph (c)(1) of this section. Examples of situations where more 
frequent bone mass measurement procedures may be medically necessary 
include, but are not limited to the following medical circumstances:
    (i) Monitoring beneficiaries on long-term glucocorticoid (steroid) 
therapy of more than 3 months.
    (ii) Allowing for a confirmatory baseline measurement to permit 
monitoring of beneficiaries in the future if the requirements of 
paragraph (b)(3) of this section are met.
    (d) Beneficiaries who may be covered. The following categories of 
beneficiaries may receive Medicare coverage for a medically necessary 
bone mass measurement:
    (1) A woman who has been determined by the physician (or a 
qualified nonphysician practitioner) treating her to be estrogen-
deficient and at clinical risk for osteoporosis, based on her medical 
history and other findings.
    (2) An individual with vertebral abnormalities as demonstrated by 
an x-ray to be indicative of osteoporosis, osteopenia, or vertebral 
fracture.
    (3) An individual receiving (or expecting to receive) 
glucocorticoid (steroid) therapy equivalent to an average of 5.0 mg of 
prednisone, or greater, per day for more than 3 months.
    (4) An individual with primary hyperparathyroidism.
    (5) An individual being monitored to assess the response to or 
efficacy of an FDA-approved osteoporosis drug therapy.
    (e) Denial as not reasonable and necessary. If CMS determines that 
a bone mass measurement does not meet the conditions for coverage in 
paragraphs (b) or (d) of this section, or the standards on frequency of 
coverage in paragraph (c) of this section, it is excluded from Medicare 
coverage as not ``reasonable'' and ``necessary'' under section 
1862(a)(1)(A) of the Act and Sec.  411.15(k) of this chapter.
    (f) Use of the National Coverage Determination Process. For the 
purposes of paragraphs (b)(2) and (b)(3) of this section, CMS may 
determine through the National Coverage Determination process that 
additional bone mass measurement systems are reasonable and necessary 
under section 1862(a)(1) of the Act for monitoring and confirming 
baseline bone mass measurements.
* * * * *

0
9. Section 410.33 is amended by--
0
A. Revising paragraph (b)(1).
0
B. Revising paragraph (e).
0
C. Adding paragraphs (g) and (h).
    The revision and additions read as follows:


Sec.  410.33  Independent diagnostic testing facility.

* * * * *
    (b) Supervising physician. (1) Each supervising physician must be 
limited to providing supervision to no more than three IDTF sites. The 
IDTF supervising physician is responsible for the overall operation and 
administration of the IDTFs, including the employment of personnel who 
are competent to perform test procedures, record and report test 
results promptly, accurately and proficiently, and for assuring 
compliance with the applicable regulations.
* * * * *
    (e) Multi-State entities. (1) An IDTF that operates across State 
boundaries must--
    (i) Maintain documentation that its supervising physicians and 
technicians are licensed and certified in each of the States in which 
it operates; and
    (ii) Operate in compliance with all applicable Federal, State, and 
local licensure and regulatory requirements with regard to the health 
and safety of patients.
    (2) The point of the actual delivery of service means the place of 
service on the claim form. When the IDTF performs or administers an 
entire diagnostic test at the beneficiary's location, the beneficiary's 
location is the place of service. When one or more aspects of the 
diagnostic testing are performed at the IDTF, the IDTF is the place of 
service.
* * * * *
    (g) Application certification standards. The IDTF must certify in 
its enrollment application that it meets the following standards and 
related requirements:
    (1) Operates its business in compliance with all applicable Federal 
and State licensure and regulatory requirements for the health and 
safety of patients.
    (2) Provides complete and accurate information on its enrollment 
application. Any change in enrollment information must be reported to 
the designated fee-for-service contractor on the Medicare enrollment 
application within 30 calendar days of the change.
    (3) Maintains a physical facility on an appropriate site. For the 
purposes of this standard, a post office box or commercial mail box is 
not considered a physical facility. The physical facility, including 
mobile units, must contain space for equipment appropriate to the 
services designated on the enrollment application, facilities for hand 
washing, adequate patient privacy accommodations, and the storage of 
both business records and current medical records within the office 
setting of the IDTF, or IDTF home office, not within the actual mobile 
unit.
    (4) Has all applicable diagnostic testing equipment available at 
the physical site excluding portable diagnostic testing equipment. The 
IDTF must--
    (i) Maintain a catalog of portable diagnostic equipment, including 
diagnostic testing equipment serial numbers at the physical site;
    (ii) Make portable diagnostic testing equipment available for 
inspection within 2 business days of a CMS inspection request.
    (iii) Maintain a current inventory of the diagnostic testing 
equipment, including serial and registration numbers and provide this 
information to the designated fee-for-service contractor upon request, 
and notify the contractor of any changes in equipment within 90 days.
    (5) Maintain a primary business phone under the name of the 
designated business. The IDTF must have its--
    (i) Primary business phone located at the designated site of the 
business or within the home office of the mobile IDTF units.
    (ii) Telephone or toll free telephone numbers available in a local 
directory and through directory assistance.
    (6) Have a comprehensive liability insurance policy of at least 
$300,000 per

[[Page 69785]]

location that covers both the place of business and all customers and 
employees of the IDTF. The policy must be carried by a nonrelative-
owned company and list the serial numbers of any and all diagnostic 
equipment used by the IDTF, whether the equipment is stationary, in a 
mobile unit, or at the beneficiary's residence.
    (7) Agree not to directly solicit patients, which include, but is 
not limited to, a prohibition on telephone, computer, or in-person 
contacts. The IDTF must accept only those patients referred for 
diagnostic testing by an attending physician, who is furnishing a 
consultation or treating a beneficiary for a specific medical problem 
and who uses the results in the management of the beneficiary's 
specific medical problem. Nonphysician practitioners may order tests as 
set forth in Sec.  410.32(a)(3).
    (8) Answer beneficiaries' questions and respond to their 
complaints.
    (9) Openly post these standards for review by patients and the 
public.
    (10) Disclose to the government any person having ownership, 
financial, or control interest or any other legal interest in the 
supplier at the time of enrollment or within 30 days of a change.
    (11) Have its testing equipment calibrated and maintained per 
equipment instructions and in compliance with applicable manufacturers 
suggested maintenance and calibration standards.
    (12) Have technical staff on duty with the appropriate credentials 
to perform tests. The IDTF must be able to produce the applicable 
Federal or State licenses or certifications of the individuals 
performing these services.
    (13) Have proper medical record storage and be able to retrieve 
medical records upon request from CMS or its fee-for-service contractor 
within 2 business days.
    (14) Permit CMS, including its agents, or its designated fee-for-
service contractors, to conduct unannounced, on-site inspections to 
confirm the IDTF's compliance with these standards. The IDTF must--
    (i) Be accessible during regular business hours to CMS and 
beneficiaries; and
    (ii) Maintain a visible sign posting its normal business hours.
    (h) Failure to meet standards. If an IDTF fails to meet one or more 
of the standards in paragraph (g) of this section at the time of 
enrollment, its enrollment will be denied. CMS will revoke a supplier's 
billing privileges if and IDTF is found not to meet the standards in 
paragraph (g) or (b)(1) of this section.

Subpart I--Payment of SMI Benefits

0
10. Section 410.160 is amended by adding paragraphs (b)(7) and (b)(8) 
to read as follows:


Sec.  410.160  Part B annual deductible.

* * * * *
    (b) * * *
    (7) Beginning January 1, 2007, colorectal cancer screening tests as 
described in Sec.  410.37.
    (8) Beginning January 1, 2007, ultrasound screening for abdominal 
aortic aneurysms described in Sec.  410.19.
* * * * *

PART 411--EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE 
PAYMENT

0
11. The authority citation for part 411 is amended to read as follows:

    Authority: Secs. 1102, 1860D-1 through 1860D-42, 1871, and 1877 
of the Social Security Act (42 U.S.C. 1302, 1395w-101 through 1395w-
152, 1395hh, and 1395nn).

Subpart A--General Exclusions and Exclusion of Particular Services

0
12. Section 411.15 is amended by--
0
A. Revising paragraph (a)(1).
0
B. Adding a new paragraph (k)(12).
0
C. Revising paragraph (o).
    The revisions and addition read as follows:


Sec.  411.15  Particular services excluded from coverage.

* * * * *
    (a) * * *
    (1) Examinations performed for a purpose other than treatment or 
diagnosis of a specific illness, symptoms, complaint, or injury, except 
for screening mammography, colorectal cancer screening tests, screening 
pelvic exams, prostate cancer screening tests, glaucoma screening 
exams, initial preventive physical examinations, or ultrasound 
screening for abdominal aortic aneurysms that meet the criteria 
specified in paragraphs (k)(6) through (k)(12) of this section.
* * * * *
    (k) * * *
    (12) In the case of ultrasound screening for abdominal aortic 
aneurysms, with the goal of early detection of abdominal aortic 
aneurysms, subject to the conditions and limitation specified in Sec.  
410.19 of this chapter.
* * * * *
    (o) Experimental or investigational devices. Experimental or 
investigational devices, except for certain devices--
    (1) Categorized by the FDA as a Category A or B device defined in 
Sec.  405.201(b) of this chapter; and
    (2) Furnished in accordance with the CMS clinical research policy.
* * * * *

PART 413--PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR 
END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED PAYMENT 
RATES FOR SKILLED NURSING FACILITIES

0
13. The authority citation for part 413 continues to read as follows:

    Authority: Secs. 1102, 1138(b), 1812(d), 1814(b), 1815, 1833(a), 
(i), and (n), 1871, 1881, 1883, and 1886 of the Social Security Act 
(42 U.S.C. 1302, 1320b-8(b), 1395d(d), 1395f(b), 1395g, 1395l(a), 
(i), and (n), 1395hh, 1395rr, 1395tt, and 1395ww).

Subpart F--Specific Categories of Costs

0
14. Section 413.89 is amended by revising paragraphs (a) and (i) to 
read as follows:


Sec.  413.89  Bad debts, charity, and courtesy allowances.

    (a) Principle. Bad debts, charity, and courtesy allowances are 
deductions from revenue and are not to be included in allowable cost. 
However, subject to the limitations described under paragraph (h) of 
this section and the exception for services described under paragraph 
(i) of this section, bad debts attributable to the deductibles and 
coinsurance amounts are reimbursable under the program.
* * * * *
    (i) Exception. Bad debts arising from covered services paid under a 
reasonable charge-based methodology or a fee schedule are not 
reimbursable under the program.

Subpart H--Payment for End-Stage Renal Disease (ESRD) Services and 
Organ Procurement Costs

0
15. Section 413.178 is amended by adding paragraph (d) to read as 
follows:


Sec.  413.178  Bad debts.

* * * * *
    (d) Bad debts arising from covered ESRD services paid under a 
reasonable charge-based methodology or a fee schedule are not 
reimbursable under the program.

[[Page 69786]]

PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES

0
16. The authority citation for Part 414 continues to read as follows:
* * * * *

    Authority: Secs. 1102, 1871, and 1881(b)(l) of the Social 
Security Act (42 U.S.C. 1302, 1395hh, and 1395rr(b)(l)).


0
17. A new subpart G is added as follows:

Subpart G--Payment for New Clinical Diagnostic Laboratory Tests

Sec.
414.500 Basis and scope.
414.502 Definitions.
414.504 [Reserved]
414.506 Procedures for public consultation for payment for a new 
clinical diagnostic laboratory test.
414.508 Payment for a new clinical diagnostic laboratory test.
414.510 Laboratory date of service for specimens.

Subpart G--Payment for New Clinical Diagnostic Laboratory Tests


Sec.  414.500  Basis and scope.

    This subpart implements provisions of 1833(h)(8) of the Act--
procedures for determining the basis for, and amount of, payment for a 
new clinical diagnostic laboratory test with respect to which a new or 
substantially revised Healthcare Common Procedure Coding System code is 
assigned on or after January 1, 2005.


Sec.  414.502  Definitions.

    For purposes of this subpart--
    Substantially Revised Healthcare Common Procedure Coding System 
Code means a code for which there has been a substantive change to the 
definition of the test or procedure to which the code applies (such as 
a new analyte or a new methodology for measuring an existing analyte 
specific test).


Sec.  414.504  [Reserved]


Sec.  414.506  Procedures for public consultation for payment for a new 
clinical diagnostic laboratory test.

    For a new clinical diagnostic laboratory test that is assigned a 
new or substantially revised code on or after January 1, 2005, CMS 
determines the payment after the performance of the following:
    (a) CMS makes available to the public (through CMS's Internet Web 
site) a list that includes codes for which establishment of a payment 
amount is being considered for the next calendar year.
    (b) CMS publishes a Federal Register notice of a meeting to receive 
public comments and recommendations (and data on which recommendations 
are based) on the appropriate basis, as specified in Sec.  414.508, for 
establishing payment amounts for the list of codes made available to 
the public.
    (c) Not fewer than 30 days after publication of the notice in the 
Federal Register, CMS convenes a meeting that includes representatives 
of CMS officials involved in determining payment amounts, to receive 
public comments and recommendations (and data on which the 
recommendations are based).
    (d) Considering the comments and recommendations (and accompanying 
data) received at the public meeting, CMS develops and makes available 
to the public (through an Internet Web site and other appropriate 
mechanisms) a list of--
    (1) Proposed determinations with respect to the appropriate basis 
for establishing a payment amount for each code, with an explanation of 
the reasons for each determination, the data on which the 
determinations are based, and a request for public written comments 
within a specified time period on the proposed determination; and
    (2) Final determinations of the payment amounts for tests, with the 
rationale for each determination, the data on which the determinations 
are based, and responses to comments and suggestions from the public.


Sec.  414.508  Payment for a new clinical diagnostic laboratory test.

    For a new clinical diagnostic laboratory test that is assigned a 
new or substantially revised code on or after January 1, 2005, CMS 
determines the payment amount based on either of the following:
    (a) Crosswalking. Crosswalking is used if it is determined that a 
new test is comparable to an existing test, multiple existing test 
codes, or a portion of an existing test code.
    (1) CMS assigns to the new test code, the local fee schedule 
amounts and national limitation amount of the existing test.
    (2) Payment for the new test code is made at the lesser of the 
local fee schedule amount or the national limitation amount.
    (b) Gapfilling. Gapfilling is used when no comparable existing test 
is available.
    (1) In the first year, carrier-specific amounts are established for 
the new test code using the following sources of information to 
determine gapfill amounts, if available:
    (i) Charges for the test and routine discounts to charges;
    (ii) Resources required to perform the test;
    (iii) Payment amounts determined by other payers; and
    (iv) Charges, payment amounts, and resources required for other 
tests that may be comparable or otherwise relevant.
    (2) In the second year, the test code is paid at the national 
limitation amount, which is the median of the carrier-specific amounts.
    (3) After the first year of gapfilling, CMS determines whether the 
carrier-specific amounts will pay for the test appropriately. If CMS 
determines that the carrier-specific amounts will not pay for the test 
appropriately, CMS may crosswalk the test.


Sec.  414.510  Laboratory date of service for specimens.

    The date of service for a laboratory test is as follows:
    (a) Except as provided under paragraph (b) of this section, the 
date of service of the test must be the date the specimen was 
collected.
    (b)(1) If a specimen was collected over a period that spans 2 
calendar days, then the date of service must be the date the collection 
ended.
    (2) In the case of a test performed on a stored specimen, if a 
specimen was stored for--
    (i) Less than or equal to 30 calendar days from the date it was 
collected, the date of service of the test must be the date the test 
was performed only if--
    (A) The test is ordered by the patient's physician at least 14 days 
following the date of the patient's discharge from the hospital;
    (B) The specimen was collected while the patient was undergoing a 
hospital surgical procedure;
    (C) It would be medically inappropriate to have collected the 
sample other than during the hospital procedure for which the patient 
was admitted;
    (D) The results of the test do not guide treatment provided during 
the hospital stay; and
    (E) The test was reasonable and medically necessary for the 
treatment of an illness.
    (ii) More than 30 calendar days before testing, the specimen is 
considered to have been archived and the date of service of the test 
must be the date the specimen was obtained from storage.
    (3) In the case of a chemotherapy sensitivity test performed on 
live tissue, the date of service of the test must be the date the test 
was performed only if--

[[Page 69787]]

    (i) The decision regarding the specific chemotherapeutic agents to 
test is made at least 14 days after discharge;
    (ii) The specimen was collected while the patient was undergoing a 
hospital surgical procedure;
    (iii) It would be medically inappropriate to have collected the 
sample other than during the hospital procedure for which the patient 
was admitted;
    (iv) The results of the test do not guide treatment provided during 
the hospital stay; and,
    (v) The test was reasonable and medically necessary for the 
treatment of an illness.
    (4) For purposes of this section, ``chemotherapy sensitivity test'' 
means a test identified by the Secretary as a test that requires a 
fresh tissue sample to test the sensitivity of tumor cells to various 
chemotherapeutic agents. The Secretary identifies such tests through 
program instructions.

Subpart H--Fee Schedule for Ambulance Services

0
18. Section 414.605 is amended by--
0
A. Removing the definition of ``Goldsmith modification.''
0
B. Revising the definition of ``rural area.''
0
C. Adding the definition of ``urban area'' in alphabetical order.
    The revisions and addition read as follows:


Sec.  414.605  Definitions.

* * * * *
    Rural area means an area located outside an urban area, or a rural 
census tract within a Metropolitan Statistical Area as determined under 
the most recent version of the Goldsmith modification as determined by 
the Office of Rural Health Policy of the Health Resources and Services 
Administration.
* * * * *
    Urban area means a Metropolitan Statistical Area, as defined by the 
Executive Office of Management and Budget.

0
19. Section 414.610 is amended by revising paragraph (g) to read as 
follows:


Sec.  414.610  Basis of payment.

* * * * *
    (g) Adjustments. The Secretary monitors payment and billing data on 
an ongoing basis and adjusts the CF and air ambulance rates as 
appropriate to reflect actual practices under the fee schedule. These 
rates are not adjusted solely because of changes in the total number of 
ambulance transports.

Subpart J--Submission of Manufacturer's Average Sales Price Data

0
20. Section 414.802 is amended by adding the definition of ``Bona fide 
service fees'' in alphabetical order to read as follows:


Sec.  414.802  Definitions.

* * * * *
    Bona fide service fees means fees paid by a manufacturer to an 
entity, that represent fair market value for a bona fide, itemized 
service actually performed on behalf of the manufacturer that the 
manufacturer would otherwise perform (or contract for) in the absence 
of the service arrangement, and that are not passed on in whole or in 
part to a client or customer of an entity, whether or not the entity 
takes title to the drug.
* * * * *

0
21. Section 414.804 is amended by revising paragraphs (a)(1) through 
(a)(4) to read as follows:


Sec.  414.804  Basis of payment.

    (a) * * *
    (1) The manufacturer's average sales price for a quarter for a drug 
represented by a particular 11-digit National Drug Code must be 
calculated as the manufacturer's sales to all purchasers in the United 
States for that particular 11-digit National Drug Code (after excluding 
sales as specified in paragraph (a)(4) of this section and then 
deducting price concessions as specified in paragraphs (a)(2) and 
(a)(3) of this section) divided by the total number of units sold by 
the manufacturer in that quarter (after excluding units associated with 
sales as specified in paragraph (a)(4) of this section).
    (2) Price concessions. (i) In calculating the manufacturer's 
average sales price, a manufacturer must deduct price concessions. 
Price concessions include the following types of transactions and 
items:
    (A) Volume discounts.
    (B) Prompt pay discounts.
    (C) Cash discounts.
    (D) Free goods that are contingent on any purchase requirement.
    (E) Chargebacks and rebates (other than rebates under the Medicaid 
program).
    (ii) For the purposes of paragraph (a)(2)(i), bona fide services 
fees are not considered price concessions.
    (3) To the extent that data on price concessions, as described in 
paragraph (a)(2) of this section, are available on a lagged basis, the 
manufacturer must estimate this amount in accordance with the 
methodology described in this paragraph.
    (i)(A) For each National Drug Code with at least 12 months of sales 
(including products for which the manufacturer has redesignated the 
National Drug Code for the specific product and package size and has 12 
months of sales across the prior and current National Drug Codes), 
after adjusting for exempted sales, the manufacturer calculates a 
percentage equal to the sum of the price concessions for the most 
recent 12-month period available associated with sales subject to the 
average sales price reporting requirement divided by the total in 
dollars for the sales subject to the average sales price reporting 
requirement for the same 12-month period.
    (B) For each National Drug Code with less than 12 months of sales, 
the calculation described in paragraph (i)(A) of this section is 
performed for the time period equaling the total number of months of 
sales.
    (ii) The manufacturer multiplies the applicable percentage 
described in paragraph (a)(3)(i)(A) or (a)(3)(i)(B) of this section by 
the total in dollars for the sales subject to the average sales price 
reporting requirement (after adjusting for exempted sales) for the 
quarter being submitted. (The manufacturer must carry a sufficient 
number of decimal places in the calculation of the price concessions 
percentage in order to round accurately the net total sales amount for 
the quarter to the nearest whole dollar.) The result of this 
multiplication is then subtracted from the total in dollars for the 
sales subject to the average sales price reporting requirement (after 
adjusting for exempted sales) for the quarter being submitted.
    (iii) The manufacturer uses the result of the calculation described 
in paragraph (a)(3)(ii) of this section as the numerator and the number 
of units sold in the quarter (after adjusting for exempted sales) as 
the denominator to calculate the manufacturer's average sales price for 
the National Drug Code for the quarter being submitted.
    (iv) Example. After adjusting for exempted sales, the total lagged 
price concessions (discounts, rebates, etc.) over the most recent 12-
month period available associated with sales for National Drug Code 
12345-6789-01 subject to the ASP reporting requirement equal $200,000, 
and the total in dollars for the sales subject to the average sales 
price reporting requirement for the same period equals $600,000. The 
lagged price concessions percentage for this period equals 200,000/
600,000 = 0.33333. The total in dollars for the sales subject to the

[[Page 69788]]

average sales price reporting requirement for the quarter being 
reported, after accounting for non-lagged price concessions, equals 
$50,000 for 10,000 units sold. The manufacturer's average sales price 
calculation for this National Drug Code for this quarter is: $50,000-
(0.33333 x $50,000) = $33,334 (net total sales amount); $33,334/10,000 
= $3.33 (average sales price).
    (4) Exempted sales. (i) In calculating the manufacturer's average 
sales price, a manufacturer must exclude sales that are exempt from 
inclusion in the determination of the best price under section 
1927(c)(1)(C)(i) of the Act and sales that are merely nominal in amount 
as applied for purposes of section 1927(c)(1)(C)(ii)(III) of the Act, 
as limited by section 1927(c)(1)(D) of the Act.
    (ii) In determining nominal sales exempted under section 
1927(c)(1)(C)(ii)(III) of the Act, the manufacturer calculates the 
average manufacturer price as defined in section 1927(k) of the Act and 
then identifies sales that are eligible to be considered a nominal sale 
under section 1927(c)(1)(D) of the Act and are at less than 10 percent 
of the average manufacturer price. To identify nominal sales, the 
manufacturer must use the average manufacturer price for the calendar 
quarter that is the same calendar quarter as the average sales price 
reporting period.
* * * * *

Subpart K--Payment for Drugs and Biologicals Under Part B

0
22. Section 414.904 is amended by revising paragraphs (d)(2)(iii) and 
(d)(3) to read as follows:


Sec.  414.904  Average sales price as the basis for payment.

* * * * *
    (d) * * *
    (2) * * *
    (iii) Effective for drugs and biologicals furnished in CY 2006 and 
subsequent calendar years, the payment for such drugs and biologicals 
furnished in connection with renal dialysis services and separately 
billed by freestanding and hospital-based renal dialysis facilities not 
paid on a cost basis is the amount determined under section 1847A of 
the Act.
    (3) Widely available market price and average manufacturer price. 
If the Inspector General finds that the average sales price exceeds the 
widely available market price or the average manufacturer price by 5 
percent or more in CYs 2005, 2006, and 2007, the payment limit in the 
quarter following the transmittal of this information to the Secretary 
is the lesser of the widely available market price or 103 percent of 
the average manufacturer price.
* * * * *

PART 415--SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS, 
SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN 
CERTAIN SETTINGS

0
23. The authority citation for part 415 continues to read as follows:

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 
U.S.C. 1302 and 1395hh).

Subpart C--Part B Carrier Payments for Physician Services to 
Beneficiaries in Providers

0
24. Section 415.130 is amended by revising paragraph (d) to read as 
follows:


Sec.  415.130  Conditions for payment: Physician pathology services.

* * * * *
    (d) Physician pathology services furnished by an independent 
laboratory. The technical component of physician pathology services 
furnished by an independent laboratory to a hospital inpatient or 
outpatient on or before December 31, 2006 may be paid to the laboratory 
by the carrier under the physician fee schedule if the Medicare 
beneficiary is a patient of a covered hospital as defined in paragraph 
(a)(1) of this section. For services furnished after December 31, 2006, 
an independent laboratory may not bill the carrier for the technical 
component of physician pathology services furnished to a hospital 
inpatient or outpatient.

PART 424--CONDITIONS FOR MEDICARE PAYMENT

0
25. The authority citation for part 424 continues to read as follows:

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 
U.S.C. 1302 and 1395hh).

Subpart B--Certification and Plan of Treatment Requirements

0
26. Section 424.24 is amended by--
0
A. Redesignating paragraph (f) as paragraph (g).
0
B. Adding a new paragraph (f).
    The addition reads as follows:


Sec.  424.24  Requirements for medical and other health services 
furnished by providers under Medicare Part B.

* * * * *
    (f) Blood glucose testing. For each blood glucose test, the 
physician must certify that the test is medically necessary. A 
physician's standing order is not sufficient to order a series of blood 
glucose tests payable under the clinical laboratory fee schedule.
* * * * *

Subpart F--Limitations on Assignment and Reassignment of Claims

0
27. Section 424.80 is amended by--
0
A. Revising the heading of paragraph (d).
0
B. Revising paragraph (d)(2)
    The revisions read as follows:


Sec.  424.80  Prohibition of reassignment of claims by suppliers.

* * * * *
    (d) Reassignment to an entity under an employer-employee 
relationship or under a contractual arrangement: Conditions and 
limitations. (1) * * *
    (2) Access to records. The supplier who furnishes the service has 
unrestricted access to claims submitted by an entity for services 
provided by that supplier. This paragraph applies irrespective of 
whether the supplier is an employee or whether the service is provided 
under a contractual arrangement. If an entity refuses to provide, upon 
request, the billing information to the supplier performing the 
service, the entity's right to receive reassigned benefits may be 
revoked under Sec.  424.82(c)(3).

(Catalog of Federal Domestic Assistance Program No. 93.774, 
Medicare--Supplementary Medical Insurance Program)

    Dated: October 31, 2006.
Leslie V. Norwalk,
Acting Adminstrator, Centers for Medicare & Medicaid Services.
    Approved: November 1, 2006.
Michael O. Leavitt,
Secretary.

    Note: These addenda will not appear in the Code of Federal 
Regulations.

Addendum A: Explanation and Use of Addenda B

    The addenda on the following pages provide various data 
pertaining to the Medicare fee schedule for physicians' services 
furnished in 2007. Addendum B contains the RVUs for work, non-
facility PE, facility PE, and malpractice expense, and other 
information for all services included in the PFS.
    In previous years, we have listed many services in Addendum B 
that are not paid under the PFS. To avoid publishing as many pages 
of codes for these services, we are not including clinical 
laboratory codes or the alphanumeric codes (Healthcare Common 
Procedure Coding System (HCPCS) codes not

[[Page 69789]]

included in CPT) not paid under the PFS in Addendum B.

Addendum B--2007 Relative Value Units and Related Information Used in 
Determining Medicare Payments for 2007

    This addendum contains the following information for each CPT 
code and alphanumeric HCPCS code, except for: Alphanumeric codes 
beginning with B (enteral and parenteral therapy), E (durable 
medical equipment), K (temporary codes for nonphysicians' services 
or items), or L (orthotics); and codes for anesthesiology. Please 
also note the following:
     An ``NA'' in the ``Non-facility PE RVUs'' column of 
Addendum B means that CMS has not developed a PE RVU in the non-
facility setting for the service because it is typically performed 
in the hospital (for example, an open heart surgery is generally 
performed in the hospital setting and not a physician's office). If 
there is an ``NA'' in the non-facility PE RVU column, and the 
contractor determines that this service can be performed in the non-
facility setting, the service will be paid at the facility PE RVU 
rate.
     Services that have an ``NA'' in the ``Facility PE 
RVUs'' column of Addendum B are typically not paid using the PFS 
when provided in a facility setting. These services (which include 
``incident to'' services and the technical portion of diagnostic 
tests) are generally paid under either the outpatient hospital 
prospective payment system or bundled into the hospital inpatient 
prospective payment system payment.
    1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number 
for the service. Alphanumeric HCPCS codes are included at the end of 
this addendum.
    2. Modifier. A modifier is shown if there is a technical 
component (modifier TC) and a professional component (PC) (modifier 
-26) for the service. If there is a PC and a TC for the service, 
Addendum B contains three entries for the code. A code for: The 
global values (both professional and technical); modifier -26 (PC); 
and, modifier TC. The global service is not designated by a 
modifier, and physicians must bill using the code without a modifier 
if the physician furnishes both the PC and the TC of the service.
    Modifier-53 is shown for a discontinued procedure, for example, 
a colonoscopy that is not completed. There will be RVUs for a code 
with this modifier.
    3. Status indicator. This indicator shows whether the CPT/HCPCS 
code is in the PFS and whether it is separately payable if the 
service is covered.
    A = Active code. These codes are separately payable under the 
PFS if covered. There will be RVUs for codes with this status. The 
presence of an ``A'' indicator does not mean that Medicare has made 
a national coverage determination regarding the service. Carriers 
remain responsible for coverage decisions in the absence of a 
national Medicare policy.
    B = Bundled code. Payments for covered services are always 
bundled into payment for other services not specified. If RVUs are 
shown, they are not used for Medicare payment. If these services are 
covered, payment for them is subsumed by the payment for the 
services to which they are incident (an example is a telephone call 
from a hospital nurse regarding care of a patient).
    C = Carriers price the code. Carriers will establish RVUs and 
payment amounts for these services, generally on an individual case 
basis following review of documentation, such as an operative 
report.
    D* = Deleted/discontinued code.
    E = Excluded from the PFS by regulation. These codes are for 
items and services that CMS chose to exclude from the fee schedule 
payment by regulation. No RVUs are shown, and no payment may be made 
under the PFS for these codes. Payment for them, when covered, 
continues under reasonable charge procedures.
    F = Deleted/discontinued codes. (Code not subject to a 90-day 
grace period.) These codes are deleted effective with the beginning 
of the year and are never subject to a grace period. This indicator 
is no longer effective beginning with the 2005 fee schedule as of 
January 1, 2005.
    G = Code not valid for Medicare purposes. Medicare uses another 
code for reporting of, and payment for, these services. (Codes 
subject to a 90-day grace period.) This indicator is no longer 
effective with the 2005 PFS as of January 1, 2005.
    H* = Deleted modifier. For 2000 and later years, either the TC 
or PC component shown for the code has been deleted and the deleted 
component is shown in the database with the H status indicator.
    I = Not valid for Medicare purposes. Medicare uses another code 
for the reporting of, and the payment for these services. (Codes not 
subject to a 90-day grace period.)
    L = Local codes. Carriers will apply this status to all local 
codes in effect on January 1, 1998 or subsequently approved by 
central office for use. Carriers will complete the RVUs and payment 
amounts for these codes.
    M = Measurement codes, used for reporting purposes only. There 
are no RVUs and no payment amounts for these codes. Medicare uses 
them to aid with performance measurement. No separate payment is 
made. These codes should be billed with a zero (($0.00) charge and 
are denied) on the MPFSDB.
    N = Non-covered service. These codes are noncovered services. 
Medicare payment may not be made for these codes. If RVUs are shown, 
they are not used for Medicare payment.
    R = Restricted coverage. Special coverage instructions apply. If 
the service is covered and no RVUs are shown, it is carrier-priced.
    T = There are RVUs for these services, but they are only paid if 
there are no other services payable under the PFS billed on the same 
date by the same provider. If any other services payable under the 
PFS are billed on the same date by the same provider, these services 
are bundled into the service(s) for which payment is made.
    X = Statutory exclusion. These codes represent an item or 
service that is not within the statutory definition of 
``physicians'' services'' for PFS payment purposes. No RVUs are 
shown for these codes, and no payment may be made under the PFS. 
(Examples are ambulance services and clinical diagnostic laboratory 
services.)
    4. Description of code. This is an abbreviated version of the 
narrative description of the code.
    5. Physician work RVUs. These are the RVUs for the physician 
work for this service in 2007. As stated in the June 29, 2006 
proposed notice, the RVUs for codes with a 10-or 90-day global 
period reflect the application of the RUC-recommended values for the 
E/ M services that are included as part of the global period for the 
service.

    Note: The separate budget neutrality adjustor is not reflected 
in these physician work RVUs.

    6. Fully implemented non-facility practice expense RVUs. These 
are the fully implemented resource-based PE RVUs for non-facility 
settings.
    7. Transitional Non-facility practice expense RVUs. These are 
the 2007 resource-based PE RVUs for non-facility settings.
    8. Fully implemented facility practice expense RVUs. These are 
the fully implemented resource-based PE RVUs for facility settings.
    9. Transitional facility practice expense RVUs. These are the 
2007 resource-based PE RVUs for facility settings.
    10. Malpractice expense RVUs. These are the RVUs for the 
malpractice expense for the service for 2006.
    11. Non-facility total. This is the sum of the work, fully 
implemented non-facility PE, and malpractice expense RVUs.
    12. Transitional non-facility total. This is the sum of the 
work, 2007 transitional non-facility PE, and malpractice expense 
RVUs.
    13. Facility total. This is the sum of the work, fully 
implemented facility PE, and malpractice expense RVUs.
    14. Transitional facility total. This is the sum of the work, 
2007 transitional facility PE, and malpractice expense RVUs.
    15. Global period. This indicator shows the number of days in 
the global period for the code (0, 10, or 90 days). An explanation 
of the alpha codes follows:
    MMM = Code describes a service furnished in uncomplicated 
maternity cases including antepartum care, delivery, and postpartum 
care. The usual global surgical concept does not apply. See the 1999 
Physicians' Current Procedural Terminology for specific definitions.
    XXX = The global concept does not apply.
    YYY = The global period is to be set by the carrier (for 
example, unlisted surgery codes).
    ZZZ = Code related to another service that is always included in 
the global period of the other service. (Note: Physician work and PE 
are associated with intra service time and in some instances in the 
post service time. *Codes with these indicators had a 90-day grace 
period before January 1, 2005.

[[Page 69790]]



                                          ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
0016T.......  ........  C          Thermotx choroid       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vasc lesion.
0017T.......  ........  C          Photocoagulat          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    macular drusen.
0019T.......  ........  C          Extracorp shock        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    wv tx,ms nos.
0024T.......  ........  C          Transcath              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cardiac
                                    reduction.
0026T.......  ........  C          Measure remnant        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    lipoproteins.
0027T.......  ........  C          Endoscopic             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    epidural lysis.
0028T.......  ........  C          Dexa body              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    composition
                                    study.
0029T.......  ........  C          Magnetic tx for        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    incontinence.
0030T.......  ........  C          Antiprothrombin        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    antibody.
0031T.......  ........  C          Speculoscopy....       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
0032T.......  ........  C          Speculoscopy w/        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    direct sample.
0041T.......  ........  C          Detect ur infect       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    agnt w/cpas.
0042T.......  ........  C          Ct perfusion w/        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    contrast, cbf.
0043T.......  ........  C          Co expired gas         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    analysis.
0046T.......  ........  C          Cath lavage,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    mammary duct(s).
0047T.......  ........  C          Cath lavage,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    mammary duct(s).
0048T.......  ........  C          Implant                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ventricular
                                    device.
0049T.......  ........  C          External               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    circulation
                                    assist.
0050T.......  ........  C          Removal                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    circulation
                                    assist.
0051T.......  ........  C          Implant total          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    heart system.
0052T.......  ........  C          Replace                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    component heart
                                    syst.
0053T.......  ........  C          Replace                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    component heart
                                    syst.
0054T.......  ........  C          Bone surgery           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    using computer.
0055T.......  ........  C          Bone surgery           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    using computer.
0056T.......  ........  C          Bone surgery           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    using computer.
0058T.......  ........  C          Cryopreservation       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    , ovary tiss.
0059T.......  ........  C          Cryopreservation       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    , oocyte.
0060T.......  ........  C          Electrical             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    impedance scan.
0061T.......  ........  C          Destruction of         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    tumor, breast.
0062T.......  ........  C          Rep intradisc          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    annulus;1 lev.
0063T.......  ........  C          Rep intradisc          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    annulus;>1lev.
0064T.......  ........  C          Spectroscop eval       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    expired gas.
0065T.......  ........  C          Ocular                 0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    photoscreen
                                    bilat.
0066T.......  ........  N          Ct                     0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    colonography;sc
                                    reen.
0066T.......  TC......  N          Ct                     0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    colonography;sc
                                    reen.
0066T.......  26......  N          Ct                     0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    colonography;sc
                                    reen.
0067T.......  ........  C          Ct                     0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    colonography;dx.
0067T.......  TC......  C          Ct                     0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    colonography;dx.
0067T.......  26......  C          Ct                     0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    colonography;dx.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69791]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
0068T.......  ........  C          Interp/rept            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    heart sound.
0069T.......  ........  C          Analysis only          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    heart sound.
0070T.......  ........  C          Interp only            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    heart sound.
0071T.......  ........  C          U/s leiomyomata        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ablate <200.
0072T.......  ........  C          U/s leiomyomata        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ablate >200.
0073T.......  ........  A          Delivery, comp         0.00       13.15         16.80           NA            NA        0.13       13.28         16.93           NA            NA         XXX
                                    imrt.
0074T.......  ........  N          Online physician       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    e/m.
0075T.......  ........  C          Perq stent/chest       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vert art.
0075T.......  TC......  C          Perq stent/chest       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vert art.
0075T.......  26......  C          Perq stent/chest       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vert art.
0076T.......  ........  C          S&i stent/chest        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vert art.
0076T.......  TC......  C          S&i stent/chest        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vert art.
0076T.......  26......  C          S&i stent/chest        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vert art.
0077T.......  ........  C          Cereb therm            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    perfusion probe.
0078T.......  ........  C          Endovasc aort          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    repr w/device.
0079T.......  ........  C          Endovasc visc          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    extnsn repr.
0080T.......  ........  C          Endovasc aort          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    repr rad s&i.
0081T.......  ........  C          Endovasc visc          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    extnsn s&i.
0084T.......  ........  C          Temp prostate          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    urethral stent.
0085T.......  ........  C          Breath test            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    heart reject.
0086T.......  ........  C          L ventricle fill       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pressure.
0087T.......  ........  C          Sperm eval             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    hyaluronan.
0088T.......  ........  C          Rf tongue base         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vol reduxn.
0089T.......  ........  C          Actigraphy             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    testing, 3-day.
0090T.......  ........  C          Cervical artific       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    disc.
0092T.......  ........  C          Artific disc           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    addl.
0093T.......  ........  C          Cervical artific       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    diskectomy.
0095T.......  ........  C          Artific                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    diskectomy addl.
0096T.......  ........  C          Rev cervical           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    artific disc.
0098T.......  ........  C          Rev artific disc       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    addl.
0099T.......  ........  C          Implant corneal        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ring.
0100T.......  ........  C          Prosth retina          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    receive&gen.
0101T.......  ........  C          Extracorp              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    shockwv tx,hi
                                    enrg.
0102T.......  ........  C          Extracorp              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    shockwv
                                    tx,anesth.
0103T.......  ........  C          Holotranscobalam       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    in.
0104T.......  ........  C          At rest cardio         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    gas rebreathe.
0105T.......  ........  C          Exerc cardio gas       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    rebreathe.
0106T.......  ........  C          Touch quant            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sensory test.
0107T.......  ........  C          Vibrate quant          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sensory test.
0108T.......  ........  C          Cool quant             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sensory test.
0109T.......  ........  C          Heat quant             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sensory test.
0110T.......  ........  C          Nos quant              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sensory test.
0111T.......  ........  C          Rbc membranes          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    fatty acids.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69792]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
0115T.......  ........  C          Med tx mngmt 15        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    min.
0116T.......  ........  C          Med tx mngmt           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    subsqt.
0117T.......  ........  C          Med tx mngmt           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    addl 15 min.
0123T.......  ........  C          Scleral                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    fistulization.
0124T.......  ........  C          Conjunctival           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    drug placement.
0126T.......  ........  C          Chd risk imt           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    study.
0130T.......  ........  C          Chron care drug        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    investigatn.
0133T.......  ........  C          Esophageal             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    implant injexn.
0135T.......  ........  C          Perq cryoablate        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    renal tumor.
0137T.......  ........  C          Prostate               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    saturation
                                    sampling.
0140T.......  ........  C          Exhaled breath         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    condensate ph.
0141T.......  ........  I          Perq islet             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transplant.
0142T.......  ........  I          Open islet             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transplant.
0143T.......  ........  I          Laparoscopic           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    islet transplnt.
0144T.......  ........  C          CT heart wo dye;       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    qual calc.
0144T.......  TC......  C          CT heart wo dye;       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    qual calc.
0144T.......  26......  C          CT heart wo dye;       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    qual calc.
0145T.......  ........  C          CT heart w/wo          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    dye funct.
0145T.......  TC......  C          CT heart w/wo          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    dye funct.
0145T.......  26......  C          CT heart w/wo          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    dye funct.
0146T.......  ........  C          CCTA w/wo dye...       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
0146T.......  TC......  C          CCTA w/wo dye...       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
0146T.......  26......  C          CCTA w/wo dye...       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
0147T.......  ........  C          CCTA w/wo, quan        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    calcium.
0147T.......  TC......  C          CCTA w/wo, quan        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    calcium.
0147T.......  26......  C          CCTA w/wo, quan        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    calcium.
0148T.......  ........  C          CCTA w/wo, strxr       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
0148T.......  TC......  C          CCTA w/wo, strxr       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
0148T.......  26......  C          CCTA w/wo, strxr       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
0149T.......  ........  C          CCTA w/wo, strxr       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    quan calc.
0149T.......  TC......  C          CCTA w/wo, strxr       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    quan calc.
0149T.......  26......  C          CCTA w/wo, strxr       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    quan calc.
0150T.......  ........  C          CCTA w/wo,             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    disease strxr.
0150T.......  TC......  C          CCTA w/wo,             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    disease strxr.
0150T.......  26......  C          CCTA w/wo,             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    disease strxr.
0151T.......  ........  C          CT heart funct         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    add-on.
0151T.......  TC......  C          CT heart funct         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    add-on.
0151T.......  26......  C          CT heart funct         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    add-on.
0152T.......  ........  C          Computer chest         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    add-on.
0153T.......  ........  C          Tcath sensor           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    aneurysm sac.
0154T.......  ........  C          Study sensor           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    aneurysm sac.
0155T.......  ........  C          Lap impl gast          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    curve electrd.
0156T.......  ........  C          Lap remv gast          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    curve electrd.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69793]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
0157T.......  ........  C          Open impl gast         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    curve electrd.
0158T.......  ........  C          Open remv gast         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    curve electrd.
0159T.......  ........  C          Cad breast mri..       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
0159T.......  TC......  C          Cad breast mri..       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
0159T.......  26......  C          Cad breast mri..       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
0160T.......  ........  C          Tcranial magn          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    stim tx plan.
0161T.......  ........  C          Tcranial magn          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    stim tx deliv.
0162T.......  ........  C          Anal program           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    gast neurostim.
0163T.......  ........  C          Lumb artif             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    diskectomy addl.
0164T.......  ........  C          Remove lumb            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    artif disc addl.
0165T.......  ........  C          Revise lumb            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    artif disc addl.
0166T.......  ........  C          Tcath vsd close        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    w/o bypass.
0167T.......  ........  C          Tcath vsd close        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    w bypass.
0168T.......  ........  C          Rhinophototx           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    light app bilat.
0169T.......  ........  C          Place stereo           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cath brain.
0170T.......  ........  C          Anorectal              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    fistula plug
                                    rpr.
0171T.......  ........  C          Lumbar spine           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    proces distract.
0172T.......  ........  C          Lumbar spine           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    proces addl.
0173T.......  ........  C          Iop monit io           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pressure.
0174T.......  ........  C          Cad cxr with           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    interp.
0175T.......  ........  C          Cad cxr remote..       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
0176T.......  ........  C          Aqu canal dilat        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    w/o retent.
0177T.......  ........  C          Aqu canal dilat        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    w retent.
10021.......  ........  A          Fna w/o image...       1.27        2.11          2.14         0.36          0.50        0.10        3.48          3.51         1.73          1.87         XXX
10022.......  ........  A          Fna w/image.....       1.27        2.02          2.41         0.35          0.40        0.08        3.37          3.76         1.70          1.75         XXX
10040.......  ........  A          Acne surgery....       1.19        1.32          1.09         0.99          0.84        0.05        2.56          2.33         2.23          2.08         010
10060.......  ........  A          Drainage of skin       1.19        1.51          1.29         1.09          0.97        0.12        2.82          2.60         2.40          2.28         010
                                    abscess.
10061.......  ........  A          Drainage of skin       2.42        2.09          1.89         1.54          1.51        0.26        4.77          4.57         4.22          4.19         010
                                    abscess.
10080.......  ........  A          Drainage of            1.19        2.65          2.99         1.10          1.11        0.11        3.95          4.29         2.40          2.41         010
                                    pilonidal cyst.
10081.......  ........  A          Drainage of            2.47        3.47          3.92         1.45          1.49        0.24        6.18          6.63         4.16          4.20         010
                                    pilonidal cyst.
10120.......  ........  A          Remove foreign         1.23        1.95          2.12         0.95          0.97        0.12        3.30          3.47         2.30          2.32         010
                                    body.
10121.......  ........  A          Remove foreign         2.71        3.51          3.51         1.66          1.75        0.33        6.55          6.55         4.70          4.79         010
                                    body.
10140.......  ........  A          Drainage of            1.55        2.26          1.89         1.30          1.29        0.19        4.00          3.63         3.04          3.03         010
                                    hematoma/fluid.
10160.......  ........  A          Puncture               1.22        1.84          1.66         1.07          1.08        0.14        3.20          3.02         2.43          2.44         010
                                    drainage of
                                    lesion.
10180.......  ........  A          Complex                2.27        3.28          3.06         1.83          1.94        0.35        5.90          5.68         4.45          4.56         010
                                    drainage, wound.
11000.......  ........  A          Debride infected       0.60        0.73          0.62         0.17          0.21        0.07        1.40          1.29         0.84          0.88         000
                                    skin.
11001.......  ........  A          Debride infected       0.30        0.23          0.23         0.08          0.10        0.04        0.57          0.57         0.42          0.44         ZZZ
                                    skin add-on.
11004.......  ........  A          Debride               10.80          NA            NA         3.23          3.73        0.67          NA            NA        14.70         15.20         000
                                    genitalia &
                                    perineum.
11005.......  ........  A          Debride abdom         14.24          NA            NA         4.23          5.23        0.96          NA            NA        19.43         20.43         000
                                    wall.
11006.......  ........  A          Debride genit/        13.10          NA            NA         3.82          4.59        1.28          NA            NA        18.20         18.97         000
                                    per/abdom wall.
11008.......  ........  A          Remove mesh from       5.00          NA            NA         1.37          1.86        0.61          NA            NA         6.98          7.47         ZZZ
                                    abd wall.
11010.......  ........  A          Debride skin, fx       4.19        6.72          6.83         2.34          2.55        0.66       11.57         11.68         7.19          7.40         010
11011.......  ........  A          Debride skin/          4.94        7.04          7.88         2.05          2.27        0.74       12.72         13.56         7.73          7.95         000
                                    muscle, fx.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69794]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
11012.......  ........  A          Debride skin/          6.87        8.98         11.32         3.14          3.67        1.16       17.01         19.35        11.17         11.70         000
                                    muscle/bone, fx.
11040.......  ........  A          Debride skin,          0.50        0.68          0.56         0.17          0.20        0.06        1.24          1.12         0.73          0.76         000
                                    partial.
11041.......  ........  A          Debride skin,          0.60        0.73          0.68         0.19          0.30        0.10        1.43          1.38         0.89          1.00         000
                                    full.
11042.......  ........  A          Debride skin/          0.80        0.96          0.97         0.25          0.39        0.13        1.89          1.90         1.18          1.32         000
                                    tissue.
11043.......  ........  A          Debride tissue/        3.04        3.64          3.45         2.71          2.62        0.32        7.00          6.81         6.07          5.98         010
                                    muscle.
11044.......  ........  A          Debride tissue/        4.11        4.95          4.58         3.68          3.73        0.43        9.49          9.12         8.22          8.27         010
                                    muscle/bone.
11055.......  ........  R          Trim skin lesion       0.43        0.82          0.63         0.12          0.16        0.05        1.30          1.11         0.60          0.64         000
11056.......  ........  R          Trim skin              0.61        0.89          0.70         0.17          0.22        0.07        1.57          1.38         0.85          0.90         000
                                    lesions, 2 to 4.
11057.......  ........  R          Trim skin              0.79        1.00          0.81         0.21          0.28        0.10        1.89          1.70         1.10          1.17         000
                                    lesions, over 4.
11100.......  ........  A          Biopsy, skin           0.81        1.89          1.41         0.40          0.38        0.03        2.73          2.25         1.24          1.22         000
                                    lesion.
11101.......  ........  A          Biopsy, skin add-      0.41        0.42          0.35         0.21          0.20        0.02        0.85          0.78         0.64          0.63         ZZZ
                                    on.
11200.......  ........  A          Removal of skin        0.79        1.23          1.09         0.90          0.80        0.04        2.06          1.92         1.73          1.63         010
                                    tags.
11201.......  ........  A          Remove skin tags       0.29        0.16          0.16         0.11          0.12        0.02        0.47          0.47         0.42          0.43         ZZZ
                                    add-on.
11300.......  ........  A          Shave skin             0.51        1.19          1.04         0.21          0.21        0.03        1.73          1.58         0.75          0.75         000
                                    lesion.
11301.......  ........  A          Shave skin             0.85        1.51          1.21         0.39          0.38        0.04        2.40          2.10         1.28          1.27         000
                                    lesion.
11302.......  ........  A          Shave skin             1.05        1.78          1.42         0.50          0.47        0.05        2.88          2.52         1.60          1.57         000
                                    lesion.
11303.......  ........  A          Shave skin             1.24        2.03          1.69         0.57          0.53        0.07        3.34          3.00         1.88          1.84         000
                                    lesion.
11305.......  ........  A          Shave skin             0.67        1.07          0.91         0.21          0.26        0.07        1.81          1.65         0.95          1.00         000
                                    lesion.
11306.......  ........  A          Shave skin             0.99        1.43          1.18         0.39          0.41        0.07        2.49          2.24         1.45          1.47         000
                                    lesion.
11307.......  ........  A          Shave skin             1.14        1.71          1.40         0.49          0.49        0.07        2.92          2.61         1.70          1.70         000
                                    lesion.
11308.......  ........  A          Shave skin             1.41        1.75          1.53         0.53          0.58        0.13        3.29          3.07         2.07          2.12         000
                                    lesion.
11310.......  ........  A          Shave skin             0.73        1.39          1.18         0.33          0.32        0.04        2.16          1.95         1.10          1.09         000
                                    lesion.
11311.......  ........  A          Shave skin             1.05        1.65          1.34         0.50          0.49        0.05        2.75          2.44         1.60          1.59         000
                                    lesion.
11312.......  ........  A          Shave skin             1.20        1.94          1.55         0.58          0.56        0.06        3.20          2.81         1.84          1.82         000
                                    lesion.
11313.......  ........  A          Shave skin             1.62        2.21          1.90         0.76          0.73        0.10        3.93          3.62         2.48          2.45         000
                                    lesion.
11400.......  ........  A          Exc tr-ext             0.87        1.88          1.96         0.94          0.90        0.06        2.81          2.89         1.87          1.83         010
                                    b9+marg 0.5 <
                                    cm.
11401.......  ........  A          Exc tr-ext             1.25        2.18          2.08         1.15          1.05        0.10        3.53          3.43         2.50          2.40         010
                                    b9+marg 0.6-1
                                    cm.
11402.......  ........  A          Exc tr-ext             1.42        2.39          2.26         1.21          1.11        0.13        3.94          3.81         2.76          2.66         010
                                    b9+marg 1.1-2
                                    cm.
11403.......  ........  A          Exc tr-ext             1.81        2.55          2.43         1.57          1.38        0.17        4.53          4.41         3.55          3.36         010
                                    b9+marg 2.1-3
                                    cm.
11404.......  ........  A          Exc tr-ext             2.08        2.86          2.74         1.64          1.46        0.21        5.15          5.03         3.93          3.75         010
                                    b9+marg 3.1-4
                                    cm.
11406.......  ........  A          Exc tr-ext             3.47        3.50          3.17         2.08          1.76        0.32        7.29          6.96         5.87          5.55         010
                                    b9+marg > 4.0
                                    cm.
11420.......  ........  A          Exc h-f-nk-sp          1.00        1.83          1.78         0.94          0.93        0.09        2.92          2.87         2.03          2.02         010
                                    b9+marg 0.5 <.
11421.......  ........  A          Exc h-f-nk-sp          1.44        2.22          2.10         1.17          1.13        0.13        3.79          3.67         2.74          2.70         010
                                    b9+marg 0.6-1.
11422.......  ........  A          Exc h-f-nk-sp          1.65        2.42          2.29         1.53          1.38        0.16        4.23          4.10         3.34          3.19         010
                                    b9+marg 1.1-2.
11423.......  ........  A          Exc h-f-nk-sp          2.03        2.65          2.60         1.66          1.50        0.20        4.88          4.83         3.89          3.73         010
                                    b9+marg 2.1-3.
11424.......  ........  A          Exc h-f-nk-sp          2.45        2.97          2.84         1.78          1.65        0.25        5.67          5.54         4.48          4.35         010
                                    b9+marg 3.1-4.
11426.......  ........  A          Exc h-f-nk-sp          4.04        3.59          3.51         2.32          2.16        0.44        8.07          7.99         6.80          6.64         010
                                    b9+marg > 4 cm.
11440.......  ........  A          Exc face-mm            1.02        2.01          2.15         1.32          1.31        0.08        3.11          3.25         2.42          2.41         010
                                    b9+marg 0.5 <
                                    cm.
11441.......  ........  A          Exc face-mm            1.50        2.39          2.35         1.56          1.51        0.13        4.02          3.98         3.19          3.14         010
                                    b9+marg 0.6-1
                                    cm.
11442.......  ........  A          Exc face-mm            1.74        2.63          2.56         1.66          1.59        0.16        4.53          4.46         3.56          3.49         010
                                    b9+marg 1.1-2
                                    cm.
11443.......  ........  A          Exc face-mm            2.31        2.87          2.90         1.84          1.82        0.22        5.40          5.43         4.37          4.35         010
                                    b9+marg 2.1-3
                                    cm.
11444.......  ........  A          Exc face-mm            3.16        3.28          3.42         2.09          2.16        0.30        6.74          6.88         5.55          5.62         010
                                    b9+marg 3.1-4
                                    cm.
11446.......  ........  A          Exc face-mm            4.75        4.06          4.05         2.67          2.75        0.43        9.24          9.23         7.85          7.93         010
                                    b9+marg > 4 cm.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69795]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
11450.......  ........  A          Removal, sweat         3.14        5.14          5.06         2.43          2.12        0.34        8.62          8.54         5.91          5.60         090
                                    gland lesion.
11451.......  ........  A          Removal, sweat         4.35        6.11          6.48         2.79          2.60        0.53       10.99         11.36         7.67          7.48         090
                                    gland lesion.
11462.......  ........  A          Removal, sweat         2.92        5.31          5.16         2.48          2.13        0.32        8.55          8.40         5.72          5.37         090
                                    gland lesion.
11463.......  ........  A          Removal, sweat         4.35        6.61          6.77         2.99          2.76        0.54       11.50         11.66         7.88          7.65         090
                                    gland lesion.
11470.......  ........  A          Removal, sweat         3.66        5.58          5.19         2.71          2.37        0.40        9.64          9.25         6.77          6.43         090
                                    gland lesion.
11471.......  ........  A          Removal, sweat         4.81        6.46          6.64         3.00          2.82        0.58       11.85         12.03         8.39          8.21         090
                                    gland lesion.
11600.......  ........  A          Exc tr-ext             1.58        2.75          2.66         1.15          1.02        0.10        4.43          4.34         2.83          2.70         010
                                    mlg+marg 0.5 <
                                    cm.
11601.......  ........  A          Exc tr-ext             2.02        3.46          2.89         1.53          1.30        0.12        5.60          5.03         3.67          3.44         010
                                    mlg+marg 0.6-1
                                    cm.
11602.......  ........  A          Exc tr-ext             2.22        3.85          3.08         1.72          1.38        0.12        6.19          5.42         4.06          3.72         010
                                    mlg+marg 1.1-2
                                    cm.
11603.......  ........  A          Exc tr-ext             2.77        4.06          3.32         1.89          1.47        0.16        6.99          6.25         4.82          4.40         010
                                    mlg+marg 2.1-3
                                    cm.
11604.......  ........  A          Exc tr-ext             3.12        4.36          3.62         1.96          1.53        0.20        7.68          6.94         5.28          4.85         010
                                    mlg+marg 3.1-4
                                    cm.
11606.......  ........  A          Exc tr-ext             4.97        5.49          4.42         2.48          1.92        0.36       10.82          9.75         7.81          7.25         010
                                    mlg+marg > 4 cm.
11620.......  ........  A          Exc h-f-nk-sp          1.59        2.85          2.66         1.20          1.01        0.09        4.53          4.34         2.88          2.69         010
                                    mlg+marg 0.5 <.
11621.......  ........  A          Exc h-f-nk-sp          2.03        3.51          2.90         1.56          1.32        0.12        5.66          5.05         3.71          3.47         010
                                    mlg+marg 0.6-1.
11622.......  ........  A          Exc h-f-nk-sp          2.36        3.91          3.20         1.77          1.49        0.14        6.41          5.70         4.27          3.99         010
                                    mlg+marg 1.1-2.
11623.......  ........  A          Exc h-f-nk-sp          3.06        4.13          3.53         1.98          1.68        0.20        7.39          6.79         5.24          4.94         010
                                    mlg+marg 2.1-3.
11624.......  ........  A          Exc h-f-nk-sp          3.57        4.44          3.92         2.11          1.86        0.27        8.28          7.76         5.95          5.70         010
                                    mlg+marg 3.1-4.
11626.......  ........  A          Exc h-f-nk-sp          4.56        4.96          4.71         2.35          2.38        0.45        9.97          9.72         7.36          7.39         010
                                    mlg+mar > 4 cm.
11640.......  ........  A          Exc face-mm            1.62        3.06          2.75         1.30          1.16        0.11        4.79          4.48         3.03          2.89         010
                                    malig+marg 0.5
                                    <.
11641.......  ........  A          Exc face-mm            2.12        3.64          3.18         1.63          1.56        0.16        5.92          5.46         3.91          3.84         010
                                    malig+marg 0.6-
                                    1.
11642.......  ........  A          Exc face-mm            2.57        4.04          3.56         1.86          1.75        0.19        6.80          6.32         4.62          4.51         010
                                    malig+marg 1.1-
                                    2.
11643.......  ........  A          Exc face-mm            3.37        4.29          3.92         2.13          2.00        0.26        7.92          7.55         5.76          5.63         010
                                    malig+marg 2.1-
                                    3.
11644.......  ........  A          Exc face-mm            4.29        5.06          4.78         2.48          2.46        0.37        9.72          9.44         7.14          7.12         010
                                    malig+marg 3.1-
                                    4.
11646.......  ........  A          Exc face-mm            6.21        5.88          5.78         3.15          3.39        0.61       12.70         12.60         9.97         10.21         010
                                    mlg+marg > 4 cm.
11719.......  ........  R          Trim nail(s)....       0.17        0.38          0.28         0.05          0.07        0.02        0.57          0.47         0.24          0.26         000
11720.......  ........  A          Debride nail, 1-       0.32        0.47          0.37         0.09          0.11        0.04        0.83          0.73         0.45          0.47         000
                                    5.
11721.......  ........  A          Debride nail, 6        0.54        0.55          0.47         0.15          0.20        0.07        1.16          1.08         0.76          0.81         000
                                    or more.
11730.......  ........  A          Removal of nail        1.10        1.35          1.11         0.30          0.40        0.14        2.59          2.35         1.54          1.64         000
                                    plate.
11732.......  ........  A          Remove nail            0.57        0.55          0.47         0.15          0.20        0.07        1.19          1.11         0.79          0.84         ZZZ
                                    plate, add-on.
11740.......  ........  A          Drain blood from       0.37        0.80          0.61         0.44          0.37        0.04        1.21          1.02         0.85          0.78         000
                                    under nail.
11750.......  ........  A          Removal of nail        2.40        2.99          2.37         1.92          1.79        0.22        5.61          4.99         4.54          4.41         010
                                    bed.
11752.......  ........  A          Remove nail bed/       3.48        4.14          3.28         2.84          2.95        0.35        7.97          7.11         6.67          6.78         010
                                    finger tip.
11755.......  ........  A          Biopsy, nail           1.31        2.04          1.69         0.77          0.77        0.14        3.49          3.14         2.22          2.22         000
                                    unit.
11760.......  ........  A          Repair of nail         1.60        3.45          2.83         1.45          1.70        0.21        5.26          4.64         3.26          3.51         010
                                    bed.
11762.......  ........  A          Reconstruction         2.91        3.74          3.10         1.72          2.19        0.36        7.01          6.37         4.99          5.46         010
                                    of nail bed.
11765.......  ........  A          Excision of nail       0.71        2.69          2.01         1.02          0.83        0.08        3.48          2.80         1.81          1.62         010
                                    fold, toe.
11770.......  ........  A          Removal of             2.63        3.47          3.48         1.54          1.51        0.33        6.43          6.44         4.50          4.47         010
                                    pilonidal
                                    lesion.
11771.......  ........  A          Removal of             5.98        6.66          5.90         3.72          3.41        0.74       13.38         12.62        10.44         10.13         090
                                    pilonidal
                                    lesion.
11772.......  ........  A          Removal of             7.23        7.97          7.62         5.52          5.18        0.89       16.09         15.74        13.64         13.30         090
                                    pilonidal
                                    lesion.
11900.......  ........  A          Injection into         0.52        0.92          0.72         0.26          0.22        0.02        1.46          1.26         0.80          0.76         000
                                    skin lesions.
11901.......  ........  A          Added skin             0.80        1.02          0.75         0.41          0.37        0.03        1.85          1.58         1.24          1.20         000
                                    lesions
                                    injection.
11920.......  ........  R          Correct skin           1.61        2.42          3.38         1.15          1.11        0.24        4.27          5.23         3.00          2.96         000
                                    color defects.
11921.......  ........  R          Correct skin           1.93        2.70          3.65         1.30          1.28        0.29        4.92          5.87         3.52          3.50         000
                                    color defects.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69796]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
11922.......  ........  R          Correct skin           0.49        0.94          1.09         0.23          0.25        0.07        1.50          1.65         0.79          0.81         ZZZ
                                    color defects.
11950.......  ........  R          Therapy for            0.84        0.87          1.07         0.36          0.38        0.06        1.77          1.97         1.26          1.28         000
                                    contour defects.
11951.......  ........  R          Therapy for            1.19        1.19          1.42         0.54          0.52        0.11        2.49          2.72         1.84          1.82         000
                                    contour defects.
11952.......  ........  R          Therapy for            1.69        1.75          1.83         0.84          0.72        0.16        3.60          3.68         2.69          2.57         000
                                    contour defects.
11954.......  ........  R          Therapy for            1.85        1.77          2.27         0.78          0.87        0.25        3.87          4.37         2.88          2.97         000
                                    contour defects.
11960.......  ........  A          Insert tissue         11.01          NA            NA        10.76         10.48        1.31          NA            NA        23.08         22.80         090
                                    expander(s).
11970.......  ........  A          Replace tissue         7.86          NA            NA         6.35          6.19        1.05          NA            NA        15.26         15.10         090
                                    expander.
11971.......  ........  A          Remove tissue          3.21        7.48          8.70         4.09          3.87        0.32       11.01         12.23         7.62          7.40         090
                                    expander(s).
11975.......  ........  N          Insert                 1.48        1.52          1.45         0.34          0.51        0.17        3.17          3.10         1.99          2.16         XXX
                                    contraceptive
                                    cap.
11976.......  ........  R          Removal of             1.78        1.70          1.72         0.47          0.63        0.21        3.69          3.71         2.46          2.62         000
                                    contraceptive
                                    cap.
11977.......  ........  N          Removal/reinsert       3.30        1.97          2.20         0.76          1.14        0.37        5.64          5.87         4.43          4.81         XXX
                                    contra cap.
11980.......  ........  A          Implant hormone        1.48        1.16          1.10         0.56          0.55        0.13        2.77          2.71         2.17          2.16         000
                                    pellet(s).
11981.......  ........  A          Insert drug            1.48        1.92          1.76         0.60          0.66        0.12        3.52          3.36         2.20          2.26         XXX
                                    implant device.
11982.......  ........  A          Remove drug            1.78        2.04          1.97         0.73          0.81        0.17        3.99          3.92         2.68          2.76         XXX
                                    implant device.
11983.......  ........  A          Remove/insert          3.30        2.68          2.38         1.36          1.44        0.23        6.21          5.91         4.89          4.97         XXX
                                    drug implant.
12001.......  ........  A          Repair                 1.72        1.73          1.92         0.73          0.76        0.15        3.60          3.79         2.60          2.63         010
                                    superficial
                                    wound(s).
12002.......  ........  A          Repair                 1.88        1.79          1.98         0.84          0.89        0.17        3.84          4.03         2.89          2.94         010
                                    superficial
                                    wound(s).
12004.......  ........  A          Repair                 2.26        2.07          2.26         0.93          0.99        0.21        4.54          4.73         3.40          3.46         010
                                    superficial
                                    wound(s).
12005.......  ........  A          Repair                 2.88        2.52          2.75         1.08          1.17        0.27        5.67          5.90         4.23          4.32         010
                                    superficial
                                    wound(s).
12006.......  ........  A          Repair                 3.68        3.03          3.30         1.31          1.46        0.35        7.06          7.33         5.34          5.49         010
                                    superficial
                                    wound(s).
12007.......  ........  A          Repair                 4.13        3.39          3.71         1.50          1.73        0.45        7.97          8.29         6.08          6.31         010
                                    superficial
                                    wound(s).
12011.......  ........  A          Repair                 1.78        1.90          2.07         0.76          0.78        0.16        3.84          4.01         2.70          2.72         010
                                    superficial
                                    wound(s).
12013.......  ........  A          Repair                 2.01        2.06          2.22         0.89          0.92        0.18        4.25          4.41         3.08          3.11         010
                                    superficial
                                    wound(s).
12014.......  ........  A          Repair                 2.48        2.28          2.50         0.98          1.04        0.23        4.99          5.21         3.69          3.75         010
                                    superficial
                                    wound(s).
12015.......  ........  A          Repair                 3.21        2.76          3.04         1.13          1.22        0.29        6.26          6.54         4.63          4.72         010
                                    superficial
                                    wound(s).
12016.......  ........  A          Repair                 3.94        3.16          3.45         1.30          1.47        0.37        7.47          7.76         5.61          5.78         010
                                    superficial
                                    wound(s).
12017.......  ........  A          Repair                 4.72          NA            NA         1.50          1.79        0.47          NA            NA         6.69          6.98         010
                                    superficial
                                    wound(s).
12018.......  ........  A          Repair                 5.54          NA            NA         2.01          2.19        0.64          NA            NA         8.19          8.37         010
                                    superficial
                                    wound(s).
12020.......  ........  A          Closure of split       2.64        3.75          3.80         1.79          1.89        0.30        6.69          6.74         4.73          4.83         010
                                    wound.
12021.......  ........  A          Closure of split       1.86        1.85          1.83         1.33          1.39        0.24        3.95          3.93         3.43          3.49         010
                                    wound.
12031.......  ........  A          Layer closure of       2.17        3.90          2.69         1.79          1.17        0.17        6.24          5.03         4.13          3.51         010
                                    wound(s).
12032.......  ........  A          Layer closure of       2.49        5.22          4.19         2.30          1.92        0.16        7.87          6.84         4.95          4.57         010
                                    wound(s).
12034.......  ........  A          Layer closure of       2.94        4.58          3.54         2.00          1.59        0.25        7.77          6.73         5.19          4.78         010
                                    wound(s).
12035.......  ........  A          Layer closure of       3.44        5.26          5.21         2.11          2.14        0.39        9.09          9.04         5.94          5.97         010
                                    wound(s).
12036.......  ........  A          Layer closure of       4.06        5.37          5.51         2.24          2.47        0.55        9.98         10.12         6.85          7.08         010
                                    wound(s).
12037.......  ........  A          Layer closure of       4.68        5.94          6.05         2.62          2.88        0.66       11.28         11.39         7.96          8.22         010
                                    wound(s).
12041.......  ........  A          Layer closure of       2.39        3.85          2.87         1.78          1.29        0.19        6.43          5.45         4.36          3.87         010
                                    wound(s).
12042.......  ........  A          Layer closure of       2.76        4.49          3.57         2.14          1.63        0.17        7.42          6.50         5.07          4.56         010
                                    wound(s).
12044.......  ........  A          Layer closure of       3.16        5.34          3.74         1.94          1.69        0.27        8.77          7.17         5.37          5.12         010
                                    wound(s).
12045.......  ........  A          Layer closure of       3.65        5.07          5.21         2.08          2.23        0.41        9.13          9.27         6.14          6.29         010
                                    wound(s).
12046.......  ........  A          Layer closure of       4.26        5.63          6.28         2.29          2.64        0.54       10.43         11.08         7.09          7.44         010
                                    wound(s).
12047.......  ........  A          Layer closure of       4.66        6.17          6.30         2.54          2.95        0.58       11.41         11.54         7.78          8.19         010
                                    wound(s).
12051.......  ........  A          Layer closure of       2.49        4.12          3.48         1.94          1.57        0.20        6.81          6.17         4.63          4.26         010
                                    wound(s).
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69797]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
12052.......  ........  A          Layer closure of       2.81        4.89          3.64         2.60          1.72        0.17        7.87          6.62         5.58          4.70         010
                                    wound(s).
12053.......  ........  A          Layer closure of       3.14        5.36          3.77         2.13          1.68        0.23        8.73          7.14         5.50          5.05         010
                                    wound(s).
12054.......  ........  A          Layer closure of       3.47        5.40          4.02         2.08          1.74        0.30        9.17          7.79         5.85          5.51         010
                                    wound(s).
12055.......  ........  A          Layer closure of       4.44        6.05          4.87         2.15          2.13        0.45       10.94          9.76         7.04          7.02         010
                                    wound(s).
12056.......  ........  A          Layer closure of       5.25        6.23          6.62         2.42          2.89        0.59       12.07         12.46         8.26          8.73         010
                                    wound(s).
12057.......  ........  A          Layer closure of       5.97        7.47          6.47         2.86          3.53        0.56       14.00         13.00         9.39         10.06         010
                                    wound(s).
13100.......  ........  A          Repair of wound        3.14        4.44          4.15         2.49          2.35        0.26        7.84          7.55         5.89          5.75         010
                                    or lesion.
13101.......  ........  A          Repair of wound        3.93        5.99          4.99         3.02          2.77        0.26       10.18          9.18         7.21          6.96         010
                                    or lesion.
13102.......  ........  A          Repair wound/          1.24        1.37          1.22         0.55          0.57        0.13        2.74          2.59         1.92          1.94         ZZZ
                                    lesion add-on.
13120.......  ........  A          Repair of wound        3.32        4.60          4.26         2.61          2.41        0.26        8.18          7.84         6.19          5.99         010
                                    or lesion.
13121.......  ........  A          Repair of wound        4.36        6.74          5.32         3.69          3.02        0.25       11.35          9.93         8.30          7.63         010
                                    or lesion.
13122.......  ........  A          Repair wound/          1.44        1.40          1.48         0.61          0.63        0.15        2.99          3.07         2.20          2.22         ZZZ
                                    lesion add-on.
13131.......  ........  A          Repair of wound        3.80        5.03          4.53         2.91          2.74        0.26        9.09          8.59         6.97          6.80         010
                                    or lesion.
13132.......  ........  A          Repair of wound        6.48        7.97          6.42         5.04          4.38        0.32       14.77         13.22        11.84         11.18         010
                                    or lesion.
13133.......  ........  A          Repair wound/          2.19        1.88          1.72         1.00          1.02        0.18        4.25          4.09         3.37          3.39         ZZZ
                                    lesion add-on.
13150.......  ........  A          Repair of wound        3.82        4.72          4.83         2.74          2.76        0.34        8.88          8.99         6.90          6.92         010
                                    or lesion.
13151.......  ........  A          Repair of wound        4.46        5.55          4.99         3.27          3.17        0.31       10.32          9.76         8.04          7.94         010
                                    or lesion.
13152.......  ........  A          Repair of wound        6.34        7.60          6.42         3.99          4.03        0.40       14.34         13.16        10.73         10.77         010
                                    or lesion.
13153.......  ........  A          Repair wound/          2.38        2.03          1.96         1.03          1.11        0.24        4.65          4.58         3.65          3.73         ZZZ
                                    lesion add-on.
13160.......  ........  A          Late closure of       11.84          NA            NA         7.13          7.15        1.54          NA            NA        20.51         20.53         090
                                    wound.
14000.......  ........  A          Skin tissue            6.83        9.00          8.14         6.12          5.63        0.59       16.42         15.56        13.54         13.05         090
                                    rearrangement.
14001.......  ........  A          Skin tissue            9.60       11.20          9.86         7.67          7.22        0.82       21.62         20.28        18.09         17.64         090
                                    rearrangement.
14020.......  ........  A          Skin tissue            7.66       10.07          8.98         6.95          6.64        0.64       18.37         17.28        15.25         14.94         090
                                    rearrangement.
14021.......  ........  A          Skin tissue           11.18       12.57         10.63         8.79          8.41        0.81       24.56         22.62        20.78         20.40         090
                                    rearrangement.
14040.......  ........  A          Skin tissue            8.44       10.26          9.17         7.07          7.17        0.62       19.32         18.23        16.13         16.23         090
                                    rearrangement.
14041.......  ........  A          Skin tissue           12.67       13.72         11.37         9.51          8.88        0.73       27.12         24.77        22.91         22.28         090
                                    rearrangement.
14060.......  ........  A          Skin tissue            9.07        9.74          9.02         7.25          7.39        0.68       19.49         18.77        17.00         17.14         090
                                    rearrangement.
14061.......  ........  A          Skin tissue           13.67       15.01         12.45        10.37          9.72        0.76       29.44         26.88        24.80         24.15         090
                                    rearrangement.
14300.......  ........  A          Skin tissue           13.26       13.67         11.77         9.62          9.28        1.16       28.09         26.19        24.04         23.70         090
                                    rearrangement.
14350.......  ........  A          Skin tissue           10.82          NA            NA         7.05          7.12        1.34          NA            NA        19.21         19.28         090
                                    rearrangement.
15002.......  ........  A          Wnd prep, ch/          3.65        4.12          4.12         1.65          1.65        0.49        8.26          8.26         5.79          5.79         000
                                    inf, trk/arm/lg.
15003.......  ........  A          Wnd prep, ch/inf       0.80        0.92          0.92         0.28          0.28        0.11        1.83          1.83         1.19          1.19         ZZZ
                                    addl 100 cm.
15004.......  ........  A          Wnd prep ch/inf,       4.58        4.77          4.77         1.97          1.97        0.62        9.97          9.97         7.17          7.17         000
                                    f/n/hf/g.
15005.......  ........  A          Wnd prep, f/n/hf/      1.60        1.28          1.28         0.56          0.56        0.22        3.10          3.10         2.38          2.38         ZZZ
                                    g, addl cm.
15040.......  ........  A          Harvest cultured       2.00        3.86          4.39         1.05          1.11        0.24        6.10          6.63         3.29          3.35         000
                                    skin graft.
15050.......  ........  A          Skin pinch graft       5.37        7.71          7.11         5.09          5.11        0.57       13.65         13.05        11.03         11.05         090
15100.......  ........  A          Skin splt grft,        9.74        9.91         11.91         6.82          7.57        1.28       20.93         22.93        17.84         18.59         090
                                    trnk/arm/leg.
15101.......  ........  A          Skin splt grft t/      1.72        2.51          3.43         0.88          1.10        0.24        4.47          5.39         2.84          3.06         ZZZ
                                    a/l, add-on.
15110.......  ........  A          Epidrm autogrft       10.88        9.01         10.26         6.61          6.90        1.31       21.20         22.45        18.80         19.09         090
                                    trnk/arm/leg.
15111.......  ........  A          Epidrm autogrft        1.85        0.90          1.19         0.65          0.76        0.26        3.01          3.30         2.76          2.87         ZZZ
                                    t/a/l add-on.
15115.......  ........  A          Epidrm a-grft         11.19        9.31          9.24         6.83          7.22        1.15       21.65         21.58        19.17         19.56         090
                                    face/nck/hf/g.
15116.......  ........  A          Epidrm a-grft f/       2.50        1.24          1.50         0.91          1.07        0.33        4.07          4.33         3.74          3.90         ZZZ
                                    n/hf/g addl.
15120.......  ........  A          Skn splt a-grft       10.96       11.33         10.87         7.48          7.71        1.16       23.45         22.99        19.60         19.83         090
                                    fac/nck/hf/g.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69798]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
15121.......  ........  A          Skn splt a-grft        2.67        3.47          4.24         1.34          1.72        0.36        6.50          7.27         4.37          4.75         ZZZ
                                    f/n/hf/g add.
15130.......  ........  A          Derm autograft,        7.41        8.09          9.42         5.71          6.18        0.97       16.47         17.80        14.09         14.56         090
                                    trnk/arm/leg.
15131.......  ........  A          Derm autograft t/      1.50        0.71          0.98         0.53          0.61        0.21        2.42          2.69         2.24          2.32         ZZZ
                                    a/l add-on.
15135.......  ........  A          Derm autograft        10.91        9.56          9.79         7.14          7.88        1.23       21.70         21.93        19.28         20.02         090
                                    face/nck/hf/g.
15136.......  ........  A          Derm autograft,        1.50        0.69          0.84         0.55          0.64        0.20        2.39          2.54         2.25          2.34         ZZZ
                                    f/n/hf/g add.
15150.......  ........  A          Cult epiderm           9.30        7.29          8.17         6.01          6.33        1.14       17.73         18.61        16.45         16.77         090
                                    grft t/arm/leg.
15151.......  ........  A          Cult epiderm           2.00        0.92          1.21         0.71          0.82        0.28        3.20          3.49         2.99          3.10         ZZZ
                                    grft t/a/l addl.
15152.......  ........  A          Cult epiderm           2.50        1.09          1.44         0.89          1.02        0.35        3.94          4.29         3.74          3.87         ZZZ
                                    graft t/a/l +%.
15155.......  ........  A          Cult epiderm          10.05        7.74          7.80         6.40          6.82        1.05       18.84         18.90        17.50         17.92         090
                                    graft, f/n/hf/g.
15156.......  ........  A          Cult epidrm grft       2.75        1.20          1.47         1.00          1.18        0.36        4.31          4.58         4.11          4.29         ZZZ
                                    f/n/hfg add.
15157.......  ........  A          Cult epiderm           3.00        1.39          1.68         1.09          1.29        0.39        4.78          5.07         4.48          4.68         ZZZ
                                    grft f/n/hfg +%.
15170.......  ........  A          Acell graft            5.99        3.68          3.79         2.39          2.37        0.55       10.22         10.33         8.93          8.91         090
                                    trunk/arms/legs.
15171.......  ........  A          Acell graft t/         1.55        0.66          0.68         0.52          0.60        0.19        2.40          2.42         2.26          2.34         ZZZ
                                    arm/leg add-on.
15175.......  ........  A          Acellular graft,       7.99        5.33          5.40         3.84          3.96        0.82       14.14         14.21        12.65         12.77         090
                                    f/n/hf/g.
15176.......  ........  A          Acell graft, f/n/      2.45        1.08          1.10         0.83          0.95        0.29        3.82          3.84         3.57          3.69         ZZZ
                                    hf/g add-on.
15200.......  ........  A          Skin full graft,       8.97        9.97          9.54         6.42          6.26        0.98       19.92         19.49        16.37         16.21         090
                                    trunk.
15201.......  ........  A          Skin full graft        1.32        2.13          2.45         0.58          0.61        0.19        3.64          3.96         2.09          2.12         ZZZ
                                    trunk add-on.
15220.......  ........  A          Skin full graft        7.95       10.46          9.50         6.73          6.69        0.84       19.25         18.29        15.52         15.48         090
                                    sclp/arm/leg.
15221.......  ........  A          Skin full graft        1.19        2.03          2.25         0.52          0.55        0.16        3.38          3.60         1.87          1.90         ZZZ
                                    add-on.
15240.......  ........  A          Skin full grft        10.15       12.05         10.66         8.94          8.20        0.92       23.12         21.73        20.01         19.27         090
                                    face/genit/hf.
15241.......  ........  A          Skin full graft        1.86        2.54          2.47         0.83          0.89        0.23        4.63          4.56         2.92          2.98         ZZZ
                                    add-on.
15260.......  ........  A          Skin full graft       11.39       13.08         10.93         9.43          8.79        0.69       25.16         23.01        21.51         20.87         090
                                    een & lips.
15261.......  ........  A          Skin full graft        2.23        2.97          2.76         1.17          1.34        0.21        5.41          5.20         3.61          3.78         ZZZ
                                    add-on.
15300.......  ........  A          Apply                  4.65        3.38          3.25         2.13          2.21        0.49        8.52          8.39         7.27          7.35         090
                                    skinallogrft, t/
                                    arm/lg.
15301.......  ........  A          Apply                  1.00        0.48          0.47         0.34          0.39        0.14        1.62          1.61         1.48          1.53         ZZZ
                                    sknallogrft t/a/
                                    l addl.
15320.......  ........  A          Apply skin             5.36        3.77          3.66         2.35          2.49        0.58        9.71          9.60         8.29          8.43         090
                                    allogrft f/n/hf/
                                    g.
15321.......  ........  A          Aply sknallogrft       1.50        0.69          0.69         0.51          0.57        0.21        2.40          2.40         2.22          2.28         ZZZ
                                    f/n/hfg add.
15330.......  ........  A          Aply acell             3.99        3.16          3.18         1.93          2.15        0.49        7.64          7.66         6.41          6.63         090
                                    alogrft t/arm/
                                    leg.
15331.......  ........  A          Aply acell grft        1.00        0.47          0.46         0.34          0.39        0.14        1.61          1.60         1.48          1.53         ZZZ
                                    t/a/l add-on.
15335.......  ........  A          Apply acell            4.50        3.42          3.46         2.09          2.35        0.55        8.47          8.51         7.14          7.40         090
                                    graft, f/n/hf/g.
15336.......  ........  A          Aply acell grft        1.43        0.72          0.70         0.49          0.55        0.20        2.35          2.33         2.12          2.18         ZZZ
                                    f/n/hf/g add.
15340.......  ........  A          Apply cult skin        3.76        3.80          3.95         2.74          2.75        0.41        7.97          8.12         6.91          6.92         010
                                    substitute.
15341.......  ........  A          Apply cult skin        0.50        0.72          0.64         0.17          0.19        0.06        1.28          1.20         0.73          0.75         ZZZ
                                    sub add-on.
15360.......  ........  A          Apply cult derm        3.93        4.46          4.47         3.27          3.13        0.43        8.82          8.83         7.63          7.49         090
                                    sub, t/a/l.
15361.......  ........  A          Aply cult derm         1.15        0.58          0.58         0.39          0.44        0.14        1.87          1.87         1.68          1.73         ZZZ
                                    sub t/a/l add.
15365.......  ........  A          Apply cult derm        4.21        4.36          4.50         3.21          3.20        0.46        9.03          9.17         7.88          7.87         090
                                    sub f/n/hf/g.
15366.......  ........  A          Apply cult derm        1.45        0.69          0.70         0.49          0.56        0.17        2.31          2.32         2.11          2.18         ZZZ
                                    f/hf/g add.
15400.......  ........  A          Apply skin             4.38        4.97          4.25         3.76          3.95        0.47        9.82          9.10         8.61          8.80         090
                                    xenograft, t/a/
                                    l.
15401.......  ........  A          Apply skn              1.00        1.02          1.67         0.35          0.42        0.14        2.16          2.81         1.49          1.56         ZZZ
                                    xenogrft t/a/l
                                    add.
15420.......  ........  A          Apply skin             4.89        5.11          4.86         3.93          3.83        0.52       10.52         10.27         9.34          9.24         090
                                    xgraft, f/n/hf/
                                    g.
15421.......  ........  A          Apply skn xgrft        1.50        1.20          1.29         0.53          0.60        0.21        2.91          3.00         2.24          2.31         ZZZ
                                    f/n/hf/g add.
15430.......  ........  A          Apply acellular        5.93        7.11          6.95         6.53          6.59        0.66       13.70         13.54        13.12         13.18         090
                                    xenograft.
15431.......  ........  C          Apply acellular        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    xgraft add.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69799]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
15570.......  ........  A          Form skin             10.00       10.45         11.09         6.57          6.71        1.34       21.79         22.43        17.91         18.05         090
                                    pedicle flap.
15572.......  ........  A          Form skin              9.94        9.89          9.59         6.78          6.53        1.20       21.03         20.73        17.92         17.67         090
                                    pedicle flap.
15574.......  ........  A          Form skin             10.52       10.50         10.64         7.04          7.60        1.20       22.22         22.36        18.76         19.32         090
                                    pedicle flap.
15576.......  ........  A          Form skin              9.24        9.72          9.74         6.60          6.81        0.87       19.83         19.85        16.71         16.92         090
                                    pedicle flap.
15600.......  ........  A          Skin graft......       1.95        5.31          7.03         2.75          2.98        0.27        7.53          9.25         4.97          5.20         090
15610.......  ........  A          Skin graft......       2.46        5.59          4.92         3.07          3.33        0.35        8.40          7.73         5.88          6.14         090
15620.......  ........  A          Skin graft......       3.62        6.40          7.44         3.87          3.88        0.35       10.37         11.41         7.84          7.85         090
15630.......  ........  A          Skin graft......       3.95        7.03          7.04         4.31          4.19        0.34       11.32         11.33         8.60          8.48         090
15650.......  ........  A          Transfer skin          4.64        7.12          7.14         4.30          4.23        0.42       12.18         12.20         9.36          9.29         090
                                    pedicle flap.
15731.......  ........  A          Forehead flap w/      14.12       12.13         12.13         9.56          9.56        1.28       27.53         27.53        24.96         24.96         090
                                    vasc pedicle.
15732.......  ........  A          Muscle-skin           19.70       14.97         17.27        11.41         12.01        2.00       36.67         38.97        33.11         33.71         090
                                    graft, head/
                                    neck.
15734.......  ........  A          Muscle-skin           19.62       16.00         17.58        12.16         12.32        2.62       38.24         39.82        34.40         34.56         090
                                    graft, trunk.
15736.......  ........  A          Muscle-skin           16.92       13.99         17.17        10.18         10.96        2.46       33.37         36.55        29.56         30.34         090
                                    graft, arm.
15738.......  ........  A          Muscle-skin           18.92       14.24         17.04        10.63         11.45        2.66       35.82         38.62        32.21         33.03         090
                                    graft, leg.
15740.......  ........  A          Island pedicle        11.57       13.63         11.01         9.52          8.58        0.63       25.83         23.21        21.72         20.78         090
                                    flap graft.
15750.......  ........  A          Neurovascular         12.73          NA            NA         9.04          9.04        1.42          NA            NA        23.19         23.19         090
                                    pedicle graft.
15756.......  ........  A          Free myo/skin         36.74          NA            NA        18.90         20.15        4.62          NA            NA        60.26         61.51         090
                                    flap microvasc.
15757.......  ........  A          Free skin flap,       36.95          NA            NA        17.08         20.46        3.90          NA            NA        57.93         61.31         090
                                    microvasc.
15758.......  ........  A          Free fascial          36.70          NA            NA        16.92         20.41        4.24          NA            NA        57.86         61.35         090
                                    flap, microvasc.
15760.......  ........  A          Composite skin         9.68       10.35         10.10         7.04          7.21        0.85       20.88         20.63        17.57         17.74         090
                                    graft.
15770.......  ........  A          Derma-fat-fascia       8.73          NA            NA         6.66          6.68        1.05          NA            NA        16.44         16.46         090
                                    graft.
15775.......  ........  R          Hair transplant        3.95        3.50          4.05         1.72          1.41        0.52        7.97          8.52         6.19          5.88         000
                                    punch grafts.
15776.......  ........  R          Hair transplant        5.53        3.91          4.99         1.60          2.50        0.72       10.16         11.24         7.85          8.75         000
                                    punch grafts.
15780.......  ........  A          Abrasion               8.50       11.84         11.60         6.91          7.92        0.67       21.01         20.77        16.08         17.09         090
                                    treatment of
                                    skin.
15781.......  ........  A          Abrasion               4.91        8.68          7.35         5.68          5.44        0.34       13.93         12.60        10.93         10.69         090
                                    treatment of
                                    skin.
15782.......  ........  A          Abrasion               4.36        9.63          9.80         5.58          6.31        0.34       14.33         14.50        10.28         11.01         090
                                    treatment of
                                    skin.
15783.......  ........  A          Abrasion               4.33        8.13          7.19         5.13          4.42        0.28       12.74         11.80         9.74          9.03         090
                                    treatment of
                                    skin.
15786.......  ........  A          Abrasion,              2.05        3.81          3.47         1.26          1.31        0.11        5.97          5.63         3.42          3.47         010
                                    lesion, single.
15787.......  ........  A          Abrasion,              0.33        0.83          1.03         0.11          0.15        0.04        1.20          1.40         0.48          0.52         ZZZ
                                    lesions, add-on.
15788.......  ........  R          Chemical peel,         2.09        8.55          7.17         3.73          3.24        0.11       10.75          9.37         5.93          5.44         090
                                    face, epiderm.
15789.......  ........  R          Chemical peel,         4.91        9.26          8.38         5.77          5.04        0.20       14.37         13.49        10.88         10.15         090
                                    face, dermal.
15792.......  ........  R          Chemical peel,         1.86        6.83          7.03         3.47          4.21        0.13        8.82          9.02         5.46          6.20         090
                                    nonfacial.
15793.......  ........  A          Chemical peel,         3.82        5.56          6.10         3.31          4.11        0.19        9.57         10.11         7.32          8.12         090
                                    nonfacial.
15819.......  ........  A          Plastic surgery,      10.45          NA            NA         6.83          7.09        0.97          NA            NA        18.25         18.51         090
                                    neck.
15820.......  ........  A          Revision of            6.09        6.53          6.86         5.32          5.50        0.40       13.02         13.35        11.81         11.99         090
                                    lower eyelid.
15821.......  ........  A          Revision of            6.66        6.78          7.21         5.47          5.65        0.45       13.89         14.32        12.58         12.76         090
                                    lower eyelid.
15822.......  ........  A          Revision of            4.51        5.38          5.72         4.23          4.43        0.37       10.26         10.60         9.11          9.31         090
                                    upper eyelid.
15823.......  ........  A          Revision of            8.12        7.65          7.80         6.36          6.41        0.50       16.27         16.42        14.98         15.03         090
                                    upper eyelid.
15824.......  ........  R          Removal of             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    forehead
                                    wrinkles.
15825.......  ........  R          Removal of neck        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    wrinkles.
15826.......  ........  R          Removal of brow        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    wrinkles.
15828.......  ........  R          Removal of face        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    wrinkles.
15829.......  ........  R          Removal of skin        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    wrinkles.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69800]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
15830.......  ........  R          Exc skin abd....      16.90          NA            NA        10.15         10.15        2.93          NA            NA        29.98         29.98         090
15832.......  ........  A          Excise excessive      12.65          NA            NA         8.43          8.36        1.66          NA            NA        22.74         22.67         090
                                    skin tissue.
15833.......  ........  A          Excise excessive      11.70          NA            NA         7.16          7.95        1.49          NA            NA        20.35         21.14         090
                                    skin tissue.
15834.......  ........  A          Excise excessive      11.97          NA            NA         7.86          7.73        1.61          NA            NA        21.44         21.31         090
                                    skin tissue.
15835.......  ........  A          Excise excessive      12.79          NA            NA         7.92          7.64        1.60          NA            NA        22.31         22.03         090
                                    skin tissue.
15836.......  ........  A          Excise excessive      10.41          NA            NA         7.12          6.87        1.34          NA            NA        18.87         18.62         090
                                    skin tissue.
15837.......  ........  A          Excise excessive       9.37        8.77          8.61         5.80          6.98        1.18       19.32         19.16        16.35         17.53         090
                                    skin tissue.
15838.......  ........  A          Excise excessive       8.07          NA            NA         4.97          5.79        0.58          NA            NA        13.62         14.44         090
                                    skin tissue.
15839.......  ........  A          Excise excessive      10.32        9.42          8.97         6.25          6.36        1.22       20.96         20.51        17.79         17.90         090
                                    skin tissue.
15840.......  ........  A          Graft for face        14.76          NA            NA         8.75          9.67        1.32          NA            NA        24.83         25.75         090
                                    nerve palsy.
15841.......  ........  A          Graft for face        25.69          NA            NA        13.33         14.58        2.55          NA            NA        41.57         42.82         090
                                    nerve palsy.
15842.......  ........  A          Flap for face         40.68          NA            NA        21.64         22.59        4.94          NA            NA        67.26         68.21         090
                                    nerve palsy.
15845.......  ........  A          Skin and muscle       14.04          NA            NA         8.90          9.20        0.81          NA            NA        23.75         24.05         090
                                    repair, face.
15847.......  ........  C          Exc skin abd add-      0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    on.
15850.......  ........  B          Removal of             0.78        1.19          1.47         0.18          0.27        0.05        2.02          2.30         1.01          1.10         XXX
                                    sutures.
15851.......  ........  A          Removal of             0.86        1.33          1.59         0.24          0.29        0.06        2.25          2.51         1.16          1.21         000
                                    sutures.
15852.......  ........  A          Dressing change        0.86          NA            NA         0.26          0.31        0.09          NA            NA         1.21          1.26         000
                                    not for burn.
15860.......  ........  A          Test for blood         1.95          NA            NA         0.71          0.76        0.27          NA            NA         2.93          2.98         000
                                    flow in graft.
15876.......  ........  R          Suction assisted       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    lipectomy.
15877.......  ........  R          Suction assisted       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    lipectomy.
15878.......  ........  R          Suction assisted       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    lipectomy.
15879.......  ........  R          Suction assisted       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    lipectomy.
15920.......  ........  A          Removal of tail        8.15          NA            NA         5.86          5.63        1.04          NA            NA        15.05         14.82         090
                                    bone ulcer.
15922.......  ........  A          Removal of tail       10.23          NA            NA         7.11          7.19        1.42          NA            NA        18.76         18.84         090
                                    bone ulcer.
15931.......  ........  A          Remove sacrum          9.96          NA            NA         5.57          5.65        1.25          NA            NA        16.78         16.86         090
                                    pressure sore.
15933.......  ........  A          Remove sacrum         11.60          NA            NA         7.39          7.74        1.52          NA            NA        20.51         20.86         090
                                    pressure sore.
15934.......  ........  A          Remove sacrum         13.54          NA            NA         7.72          7.96        1.79          NA            NA        23.05         23.29         090
                                    pressure sore.
15935.......  ........  A          Remove sacrum         15.58          NA            NA        10.34         10.33        2.10          NA            NA        28.02         28.01         090
                                    pressure sore.
15936.......  ........  A          Remove sacrum         13.04          NA            NA         7.60          8.07        1.77          NA            NA        22.41         22.88         090
                                    pressure sore.
15937.......  ........  A          Remove sacrum         15.00          NA            NA         9.14          9.65        2.07          NA            NA        26.21         26.72         090
                                    pressure sore.
15940.......  ........  A          Remove hip            10.11          NA            NA         5.91          6.11        1.31          NA            NA        17.33         17.53         090
                                    pressure sore.
15941.......  ........  A          Remove hip            12.24          NA            NA         8.66          9.25        1.66          NA            NA        22.56         23.15         090
                                    pressure sore.
15944.......  ........  A          Remove hip            12.27          NA            NA         8.42          8.56        1.65          NA            NA        22.34         22.48         090
                                    pressure sore.
15945.......  ........  A          Remove hip            13.57          NA            NA         9.35          9.57        1.85          NA            NA        24.77         24.99         090
                                    pressure sore.
15946.......  ........  A          Remove hip            23.80          NA            NA        14.26         14.34        3.17          NA            NA        41.23         41.31         090
                                    pressure sore.
15950.......  ........  A          Remove thigh           7.91          NA            NA         5.43          5.42        1.04          NA            NA        14.38         14.37         090
                                    pressure sore.
15951.......  ........  A          Remove thigh          11.41          NA            NA         8.11          7.92        1.49          NA            NA        21.01         20.82         090
                                    pressure sore.
15952.......  ........  A          Remove thigh          12.14          NA            NA         7.90          7.79        1.60          NA            NA        21.64         21.53         090
                                    pressure sore.
15953.......  ........  A          Remove thigh          13.39          NA            NA         9.28          9.06        1.80          NA            NA        24.47         24.25         090
                                    pressure sore.
15956.......  ........  A          Remove thigh          16.59          NA            NA         9.79         10.53        2.22          NA            NA        28.60         29.34         090
                                    pressure sore.
15958.......  ........  A          Remove thigh          16.55          NA            NA        10.48         10.90        2.26          NA            NA        29.29         29.71         090
                                    pressure sore.
15999.......  ........  C          Removal of             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    pressure sore.
16000.......  ........  A          Initial                0.89        0.73          0.83         0.24          0.26        0.08        1.70          1.80         1.21          1.23         000
                                    treatment of
                                    burn(s).
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69801]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
16020.......  ........  A          Dress/debrid p-        0.80        1.11          1.25         0.56          0.58        0.08        1.99          2.13         1.44          1.46         000
                                    thick burn, s.
16025.......  ........  A          Dress/debrid p-        1.85        1.61          1.72         0.89          0.94        0.19        3.65          3.76         2.93          2.98         000
                                    thick burn, m.
16030.......  ........  A          Dress/debrid p-        2.08        1.98          2.12         0.97          1.08        0.24        4.30          4.44         3.29          3.40         000
                                    thick burn, l.
16035.......  ........  A          Incision of burn       3.74          NA            NA         1.29          1.51        0.46          NA            NA         5.49          5.71         090
                                    scab, initi.
16036.......  ........  A          Escharotomy;           1.50          NA            NA         0.49          0.57        0.20          NA            NA         2.19          2.27         ZZZ
                                    add[AElig]l
                                    incision.
17000.......  ........  A          Destruct premalg       0.62        1.42          1.08         0.75          0.59        0.03        2.07          1.73         1.40          1.24         010
                                    lesion.
17003.......  ........  A          Destruct premalg       0.07        0.10          0.11         0.03          0.06        0.01        0.18          0.19         0.11          0.14         ZZZ
                                    les, 2-14.
17004.......  ........  A          Destroy premlg         1.82        2.43          2.33         1.39          1.54        0.11        4.36          4.26         3.32          3.47         010
                                    lesions 15+.
17106.......  ........  A          Destruction of         4.62        4.72          4.63         3.32          3.33        0.35        9.69          9.60         8.29          8.30         090
                                    skin lesions.
17107.......  ........  A          Destruction of         9.19        7.36          7.24         5.27          5.41        0.63       17.18         17.06        15.09         15.23         090
                                    skin lesions.
17108.......  ........  A          Destruction of        13.22        9.56          9.34         6.99          7.49        0.54       23.32         23.10        20.75         21.25         090
                                    skin lesions.
17110.......  ........  A          Destruct b9            0.67        1.76          1.66         0.87          0.74        0.05        2.48          2.38         1.59          1.46         010
                                    lesion, 1-14.
17111.......  ........  A          Destruct lesion,       0.94        2.29          1.83         1.14          0.89        0.05        3.28          2.82         2.13          1.88         010
                                    15 or more.
17250.......  ........  A          Chemical               0.50        1.32          1.25         0.38          0.35        0.06        1.88          1.81         0.94          0.91         000
                                    cautery, tissue.
17260.......  ........  A          Destruction of         0.93        1.43          1.32         0.73          0.69        0.04        2.40          2.29         1.70          1.66         010
                                    skin lesions.
17261.......  ........  A          Destruction of         1.19        2.51          1.84         1.09          0.90        0.05        3.75          3.08         2.33          2.14         010
                                    skin lesions.
17262.......  ........  A          Destruction of         1.60        2.86          2.13         1.30          1.09        0.06        4.52          3.79         2.96          2.75         010
                                    skin lesions.
17263.......  ........  A          Destruction of         1.81        3.09          2.31         1.40          1.17        0.07        4.97          4.19         3.28          3.05         010
                                    skin lesions.
17264.......  ........  A          Destruction of         1.96        3.30          2.49         1.47          1.21        0.08        5.34          4.53         3.51          3.25         010
                                    skin lesions.
17266.......  ........  A          Destruction of         2.36        3.56          2.77         1.64          1.33        0.09        6.01          5.22         4.09          3.78         010
                                    skin lesions.
17270.......  ........  A          Destruction of         1.34        2.46          1.89         1.12          0.93        0.05        3.85          3.28         2.51          2.32         010
                                    skin lesions.
17271.......  ........  A          Destruction of         1.51        2.69          2.00         1.25          1.05        0.06        4.26          3.57         2.82          2.62         010
                                    skin lesions.
17272.......  ........  A          Destruction of         1.79        3.00          2.24         1.40          1.18        0.07        4.86          4.10         3.26          3.04         010
                                    skin lesions.
17273.......  ........  A          Destruction of         2.07        3.25          2.46         1.53          1.29        0.08        5.40          4.61         3.68          3.44         010
                                    skin lesions.
17274.......  ........  A          Destruction of         2.61        3.66          2.84         1.79          1.53        0.10        6.37          5.55         4.50          4.24         010
                                    skin lesions.
17276.......  ........  A          Destruction of         3.22        3.95          3.19         2.04          1.77        0.16        7.33          6.57         5.42          5.15         010
                                    skin lesions.
17280.......  ........  A          Destruction of         1.19        2.38          1.80         1.05          0.87        0.05        3.62          3.04         2.29          2.11         010
                                    skin lesions.
17281.......  ........  A          Destruction of         1.74        2.77          2.12         1.36          1.16        0.07        4.58          3.93         3.17          2.97         010
                                    skin lesions.
17282.......  ........  A          Destruction of         2.06        3.18          2.41         1.53          1.31        0.08        5.32          4.55         3.67          3.45         010
                                    skin lesions.
17283.......  ........  A          Destruction of         2.66        3.60          2.81         1.81          1.57        0.11        6.37          5.58         4.58          4.34         010
                                    skin lesions.
17284.......  ........  A          Destruction of         3.23        4.05          3.20         2.09          1.84        0.13        7.41          6.56         5.45          5.20         010
                                    skin lesions.
17286.......  ........  A          Destruction of         4.45        4.45          3.87         2.52          2.46        0.23        9.13          8.55         7.20          7.14         010
                                    skin lesions.
17311.......  ........  A          Mohs, 1 stage, h/      6.20       10.79         10.79         3.16          3.16        0.24       17.23         17.23         9.60          9.60         000
                                    n/hf/g.
17312.......  ........  A          Mohs addl stage.       3.30        6.92          6.92         1.68          1.68        0.13       10.35         10.35         5.11          5.11         ZZZ
17313.......  ........  A          Mohs, 1 stage, t/      5.56        9.95          9.95         2.83          2.83        0.22       15.73         15.73         8.61          8.61         000
                                    a/l.
17314.......  ........  A          Mohs, addl             3.06        6.41          6.41         1.55          1.55        0.12        9.59          9.59         4.73          4.73         ZZZ
                                    stage, t/a/l.
17315.......  ........  A          Mohs surg, addl        0.87        1.15          1.15         0.44          0.44        0.03        2.05          2.05         1.34          1.34         ZZZ
                                    block.
17340.......  ........  A          Cryotherapy of         0.76        0.34          0.36         0.34          0.36        0.05        1.15          1.17         1.15          1.17         010
                                    skin.
17360.......  ........  A          Skin peel              1.44        1.85          1.54         1.02          0.91        0.06        3.35          3.04         2.52          2.41         010
                                    therapy.
17380.......  ........  R          Hair removal by        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    electrolysis.
17999.......  ........  C          Skin tissue            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
19000.......  ........  A          Drainage of            0.84        1.82          1.94         0.23          0.29        0.08        2.74          2.86         1.15          1.21         000
                                    breast lesion.
19001.......  ........  A          Drain breast           0.42        0.23          0.25         0.12          0.14        0.04        0.69          0.71         0.58          0.60         ZZZ
                                    lesion add-on.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69802]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
19020.......  ........  A          Incision of            3.74        6.58          6.39         3.02          2.76        0.45       10.77         10.58         7.21          6.95         090
                                    breast lesion.
19030.......  ........  A          Injection for          1.53        2.46          2.76         0.43          0.48        0.09        4.08          4.38         2.05          2.10         000
                                    breast x-ray.
19100.......  ........  A          Bx breast percut       1.27        2.05          2.07         0.33          0.40        0.16        3.48          3.50         1.76          1.83         000
                                    w/o image.
19101.......  ........  A          Biopsy of              3.20        4.28          4.45         1.75          1.87        0.39        7.87          8.04         5.34          5.46         010
                                    breast, open.
19102.......  ........  A          Bx breast percut       2.00        3.22          3.68         0.56          0.64        0.14        5.36          5.82         2.70          2.78         000
                                    w/image.
19103.......  ........  A          Bx breast percut       3.69        9.55         11.01         1.01          1.18        0.30       13.54         15.00         5.00          5.17         000
                                    w/device.
19105.......  ........  A          Cryosurg ablate        3.69       45.93         45.93         1.00          1.00        0.30       49.92         49.92         4.99          4.99         000
                                    fa, each.
19110.......  ........  A          Nipple                 4.35        6.35          5.93         3.24          2.96        0.57       11.27         10.85         8.16          7.88         090
                                    exploration.
19112.......  ........  A          Excise breast          3.72        6.22          6.10         3.14          2.80        0.48       10.42         10.30         7.34          7.00         090
                                    duct fistula.
19120.......  ........  A          Removal of             5.84        5.06          4.67         3.36          3.14        0.73       11.63         11.24         9.93          9.71         090
                                    breast lesion.
19125.......  ........  A          Excision, breast       6.59        5.53          4.97         3.64          3.37        0.80       12.92         12.36        11.03         10.76         090
                                    lesion.
19126.......  ........  A          Excision, addl         2.93          NA            NA         0.76          0.94        0.38          NA            NA         4.07          4.25         ZZZ
                                    breast lesion.
19260.......  ........  A          Removal of chest      17.60          NA            NA        10.26         10.93        2.14          NA            NA        30.00         30.67         090
                                    wall lesion.
19271.......  ........  A          Revision of           21.86          NA            NA        15.88         17.43        2.63          NA            NA        40.37         41.92         090
                                    chest wall.
19272.......  ........  A          Extensive chest       24.82          NA            NA        16.99         18.45        3.00          NA            NA        44.81         46.27         090
                                    wall surgery.
19290.......  ........  A          Place needle           1.27        2.68          2.81         0.36          0.41        0.07        4.02          4.15         1.70          1.75         000
                                    wire, breast.
19291.......  ........  A          Place needle           0.63        1.05          1.17         0.18          0.20        0.04        1.72          1.84         0.85          0.87         ZZZ
                                    wire, breast.
19295.......  ........  A          Place breast           0.00        2.19          2.57         0.00          2.02        0.01        2.20          2.58         0.01          2.03         ZZZ
                                    clip, percut.
19296.......  ........  A          Place po breast        3.63       83.51        114.92         1.20          1.45        0.36       87.50        118.91         5.19          5.44         000
                                    cath for rad.
19297.......  ........  A          Place breast           1.72          NA            NA         0.47          0.60        0.17          NA            NA         2.36          2.49         ZZZ
                                    cath for rad.
19298.......  ........  A          Place breast rad       6.00       23.09         37.39         2.20          2.36        0.43       29.52         43.82         8.63          8.79         000
                                    tube/caths.
19300.......  ........  A          Removal of             5.20        7.95          7.34         3.82          3.50        0.69       13.84         13.23         9.71          9.39         090
                                    breast tissue.
19301.......  ........  A          Partical               6.03          NA            NA         3.60          3.47        0.79          NA            NA        10.42         10.29         090
                                    mastectomy.
19302.......  ........  A          P-mastectomy w/       13.88          NA            NA         6.15          6.29        1.80          NA            NA        21.83         21.97         090
                                    ln removal.
19303.......  ........  A          Mast, simple,         15.67          NA            NA         7.00          5.52        1.18          NA            NA        23.85         22.37         090
                                    complete.
19304.......  ........  A          Mast, subq......       7.81          NA            NA         4.93          4.80        1.04          NA            NA        13.78         13.65         090
19305.......  ........  A          Mast, radical...      17.23          NA            NA         8.16          8.01        1.93          NA            NA        27.32         27.17         090
19306.......  ........  A          Mast, rad, urban      17.85          NA            NA         8.62          8.33        2.08          NA            NA        28.55         28.26         090
                                    type.
19307.......  ........  A          Mast, mod rad...      17.95          NA            NA         8.77          8.34        2.13          NA            NA        28.85         28.42         090
19316.......  ........  A          Suspension of         10.98          NA            NA         7.28          7.45        1.64          NA            NA        19.90         20.07         090
                                    breast.
19318.......  ........  A          Reduction of          15.91          NA            NA        10.25         10.94        2.93          NA            NA        29.09         29.78         090
                                    large breast.
19324.......  ........  A          Enlarge breast..       6.65          NA            NA         4.69          4.84        0.84          NA            NA        12.18         12.33         090
19325.......  ........  A          Enlarge breast         8.52          NA            NA         6.62          6.55        1.33          NA            NA        16.47         16.40         090
                                    with implant.
19328.......  ........  A          Removal of             6.35          NA            NA         5.13          5.05        0.91          NA            NA        12.39         12.31         090
                                    breast implant.
19330.......  ........  A          Removal of             8.39          NA            NA         6.34          6.11        1.26          NA            NA        15.99         15.76         090
                                    implant
                                    material.
19340.......  ........  A          Immediate breast       6.32          NA            NA         2.96          3.07        1.06          NA            NA        10.34         10.45         ZZZ
                                    prosthesis.
19342.......  ........  A          Delayed breast        12.40          NA            NA         9.23          9.00        1.84          NA            NA        23.47         23.24         090
                                    prosthesis.
19350.......  ........  A          Breast                 8.99       10.09         12.90         6.77          7.07        1.41       20.49         23.30        17.17         17.47         090
                                    reconstruction.
19355.......  ........  A          Correct inverted       8.37        7.85          9.65         5.03          4.78        0.92       17.14         18.94        14.32         14.07         090
                                    nipple(s).
19357.......  ........  A          Breast                20.57          NA            NA        15.91         15.69        2.94          NA            NA        39.42         39.20         090
                                    reconstruction.
19361.......  ........  A          Breast reconstr       23.17          NA            NA        17.30         13.65        2.93          NA            NA        43.40         39.75         090
                                    w/lat flap.
19364.......  ........  A          Breast                42.40          NA            NA        23.56         23.55        6.24          NA            NA        72.20         72.19         090
                                    reconstruction.
19366.......  ........  A          Breast                21.70          NA            NA        10.28         11.26        3.25          NA            NA        35.23         36.21         090
                                    reconstruction.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69803]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
19367.......  ........  A          Breast                26.59          NA            NA        15.75         16.46        4.04          NA            NA        46.38         47.09         090
                                    reconstruction.
19368.......  ........  A          Breast                33.61          NA            NA        18.79         18.89        5.54          NA            NA        57.94         58.04         090
                                    reconstruction.
19369.......  ........  A          Breast                31.02          NA            NA        16.41         17.90        4.51          NA            NA        51.94         53.43         090
                                    reconstruction.
19370.......  ........  A          Surgery of             8.99          NA            NA         7.02          6.93        1.29          NA            NA        17.30         17.21         090
                                    breast capsule.
19371.......  ........  A          Removal of            10.42          NA            NA         7.92          7.85        1.62          NA            NA        19.96         19.89         090
                                    breast capsule.
19380.......  ........  A          Revise breast         10.21          NA            NA         7.85          7.74        1.44          NA            NA        19.50         19.39         090
                                    reconstruction.
19396.......  ........  A          Design custom          2.17        4.54          1.95         1.27          1.06        0.30        7.01          4.42         3.74          3.53         000
                                    breast implant.
19499.......  ........  C          Breast surgery         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
20000.......  ........  A          Incision of            2.14        2.78          2.71         1.53          1.68        0.25        5.17          5.10         3.92          4.07         010
                                    abscess.
20005.......  ........  A          Incision of deep       3.55        3.70          3.54         2.04          2.20        0.46        7.71          7.55         6.05          6.21         010
                                    abscess.
20100.......  ........  A          Explore wound,        10.33          NA            NA         3.67          4.26        1.21          NA            NA        15.21         15.80         010
                                    neck.
20101.......  ........  A          Explore wound,         3.22        6.37          6.03         1.51          1.59        0.44       10.03          9.69         5.17          5.25         010
                                    chest.
20102.......  ........  A          Explore wound,         3.95        6.89          7.32         1.85          1.89        0.49       11.33         11.76         6.29          6.33         010
                                    abdomen.
20103.......  ........  A          Explore wound,         5.31        7.68          8.36         2.75          3.23        0.75       13.74         14.42         8.81          9.29         010
                                    extremity.
20150.......  ........  A          Excise                14.60          NA            NA         7.81          7.23        2.04          NA            NA        24.45         23.87         090
                                    epiphyseal bar.
20200.......  ........  A          Muscle biopsy...       1.46        3.13          3.06         0.70          0.74        0.23        4.82          4.75         2.39          2.43         000
20205.......  ........  A          Deep muscle            2.35        3.81          3.87         1.11          1.17        0.33        6.49          6.55         3.79          3.85         000
                                    biopsy.
20206.......  ........  A          Needle biopsy,         0.99        4.99          6.12         0.50          0.60        0.07        6.05          7.18         1.56          1.66         000
                                    muscle.
20220.......  ........  A          Bone biopsy,           1.27        2.59          4.07         0.61          0.75        0.08        3.94          5.42         1.96          2.10         000
                                    trocar/needle.
20225.......  ........  A          Bone biopsy,           1.87       12.62         21.49         0.99          1.10        0.22       14.71         23.58         3.08          3.19         000
                                    trocar/needle.
20240.......  ........  A          Bone biopsy,           3.25          NA            NA         2.09          2.44        0.44          NA            NA         5.78          6.13         010
                                    excisional.
20245.......  ........  A          Bone biopsy,           8.77          NA            NA         5.82          6.38        1.31          NA            NA        15.90         16.46         010
                                    excisional.
20250.......  ........  A          Open bone biopsy       5.16          NA            NA         3.73          3.56        1.02          NA            NA         9.91          9.74         010
20251.......  ........  A          Open bone biopsy       5.69          NA            NA         3.91          4.10        1.15          NA            NA        10.75         10.94         010
20500.......  ........  A          Injection of           1.25        1.27          2.01         0.83          1.36        0.12        2.64          3.38         2.20          2.73         010
                                    sinus tract.
20501.......  ........  A          Inject sinus           0.76        2.22          2.74         0.22          0.24        0.04        3.02          3.54         1.02          1.04         000
                                    tract for x-ray.
20520.......  ........  A          Removal of             1.87        2.58          2.83         1.45          1.68        0.21        4.66          4.91         3.53          3.76         010
                                    foreign body.
20525.......  ........  A          Removal of             3.51        7.05          8.62         2.21          2.52        0.51       11.07         12.64         6.23          6.54         010
                                    foreign body.
20526.......  ........  A          Ther injection,        0.94        0.82          0.93         0.42          0.50        0.13        1.89          2.00         1.49          1.57         000
                                    carp tunnel.
20550.......  ........  A          Inj tendon             0.75        0.63          0.69         0.29          0.25        0.09        1.47          1.53         1.13          1.09         000
                                    sheath/ligament.
20551.......  ........  A          Inj tendon             0.75        0.63          0.67         0.29          0.32        0.08        1.46          1.50         1.12          1.15         000
                                    origin/
                                    insertion.
20552.......  ........  A          Inj trigger            0.66        0.58          0.69         0.25          0.21        0.05        1.29          1.40         0.96          0.92         000
                                    point, 1/2
                                    muscl.
20553.......  ........  A          Inject trigger         0.75        0.64          0.78         0.27          0.23        0.04        1.43          1.57         1.06          1.02         000
                                    points, =/> 3.
20600.......  ........  A          Drain/inject,          0.66        0.67          0.66         0.32          0.34        0.08        1.41          1.40         1.06          1.08         000
                                    joint/bursa.
20605.......  ........  A          Drain/inject,          0.68        0.74          0.76         0.33          0.35        0.08        1.50          1.52         1.09          1.11         000
                                    joint/bursa.
20610.......  ........  A          Drain/inject,          0.79        1.06          0.98         0.40          0.42        0.11        1.96          1.88         1.30          1.32         000
                                    joint/bursa.
20612.......  ........  A          Aspirate/inj           0.70        0.70          0.71         0.32          0.35        0.10        1.50          1.51         1.12          1.15         000
                                    ganglion cyst.
20615.......  ........  A          Treatment of           2.30        2.70          3.31         1.41          1.73        0.20        5.20          5.81         3.91          4.23         010
                                    bone cyst.
20650.......  ........  A          Insert and             2.25        2.51          2.40         1.49          1.54        0.31        5.07          4.96         4.05          4.10         010
                                    remove bone pin.
20660.......  ........  A          Apply, rem             2.51        3.39          3.14         1.52          1.59        0.59        6.49          6.24         4.62          4.69         000
                                    fixation device.
20661.......  ........  A          Application of         5.14          NA            NA         6.03          5.19        1.14          NA            NA        12.31         11.47         090
                                    head brace.
20662.......  ........  A          Application of         6.26          NA            NA         4.89          5.36        0.56          NA            NA        11.71         12.18         090
                                    pelvis brace.
20663.......  ........  A          Application of         5.62          NA            NA         5.17          4.92        0.94          NA            NA        11.73         11.48         090
                                    thigh brace.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69804]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
20664.......  ........  A          Halo brace             9.86          NA            NA         8.19          7.33        1.75          NA            NA        19.80         18.94         090
                                    application.
20665.......  ........  A          Removal of             1.33        1.45          1.98         1.03          1.27        0.19        2.97          3.50         2.55          2.79         010
                                    fixation device.
20670.......  ........  A          Removal of             1.76        6.65         10.32         1.69          2.00        0.28        8.69         12.36         3.73          4.04         010
                                    support implant.
20680.......  ........  A          Removal of             5.90        8.16          8.63         4.11          3.82        0.56       14.62         15.09        10.57         10.28         090
                                    support implant.
20690.......  ........  A          Apply bone             3.67          NA            NA         2.29          2.46        0.59          NA            NA         6.55          6.72         090
                                    fixation device.
20692.......  ........  A          Apply bone             6.40          NA            NA         3.30          3.65        1.05          NA            NA        10.75         11.10         090
                                    fixation device.
20693.......  ........  A          Adjust bone            5.97          NA            NA         4.54          5.22        0.98          NA            NA        11.49         12.17         090
                                    fixation device.
20694.......  ........  A          Remove bone            4.20        5.35          6.69         3.57          3.92        0.71       10.26         11.60         8.48          8.83         090
                                    fixation device.
20802.......  ........  A          Replantation,         42.30          NA            NA        24.78         21.91        3.82          NA            NA        70.90         68.03         090
                                    arm, complete.
20805.......  ........  A          Replant forearm,      51.14          NA            NA        26.11         32.26        4.85          NA            NA        82.10         88.25         090
                                    complete.
20808.......  ........  A          Replantation          62.77          NA            NA        39.72         41.60        6.88          NA            NA       109.37        111.25         090
                                    hand, complete.
20816.......  ........  A          Replantation          31.74          NA            NA        24.63         34.50        4.53          NA            NA        60.90         70.77         090
                                    digit, complete.
20822.......  ........  A          Replantation          26.42          NA            NA        22.54         31.58        4.19          NA            NA        53.15         62.19         090
                                    digit, complete.
20824.......  ........  A          Replantation          31.74          NA            NA        25.93         33.89        4.62          NA            NA        62.29         70.25         090
                                    thumb, complete.
20827.......  ........  A          Replantation          27.24          NA            NA        24.10         33.38        3.67          NA            NA        55.01         64.29         090
                                    thumb, complete.
20838.......  ........  A          Replantation          42.56          NA            NA        13.52         20.09        1.12          NA            NA        57.20         63.77         090
                                    foot, complete.
20900.......  ........  A          Removal of bone        5.77        9.30          8.65         4.97          5.50        0.94       16.01         15.36        11.68         12.21         090
                                    for graft.
20902.......  ........  A          Removal of bone        7.98          NA            NA         5.87          6.63        1.30          NA            NA        15.15         15.91         090
                                    for graft.
20910.......  ........  A          Remove cartilage       5.41          NA            NA         4.69          5.06        0.71          NA            NA        10.81         11.18         090
                                    for graft.
20912.......  ........  A          Remove cartilage       6.42          NA            NA         4.76          5.53        0.69          NA            NA        11.87         12.64         090
                                    for graft.
20920.......  ........  A          Removal of             5.42          NA            NA         4.40          4.27        0.66          NA            NA        10.48         10.35         090
                                    fascia for
                                    graft.
20922.......  ........  A          Removal of             6.84        7.57          7.55         5.02          4.91        0.70       15.11         15.09        12.56         12.45         090
                                    fascia for
                                    graft.
20924.......  ........  A          Removal of             6.59          NA            NA         5.04          5.67        1.04          NA            NA        12.67         13.30         090
                                    tendon for
                                    graft.
20926.......  ........  A          Removal of             5.70          NA            NA         4.44          4.67        0.87          NA            NA        11.01         11.24         090
                                    tissue for
                                    graft.
20930.......  ........  B          Spinal bone            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    allograft.
20931.......  ........  A          Spinal bone            1.81          NA            NA         0.70          0.87        0.43          NA            NA         2.94          3.11         ZZZ
                                    allograft.
20936.......  ........  B          Spinal bone            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    autograft.
20937.......  ........  A          Spinal bone            2.79          NA            NA         1.11          1.37        0.54          NA            NA         4.44          4.70         ZZZ
                                    autograft.
20938.......  ........  A          Spinal bone            3.02          NA            NA         1.18          1.47        0.64          NA            NA         4.84          5.13         ZZZ
                                    autograft.
20950.......  ........  A          Fluid pressure,        1.26        4.14          6.17         0.88          0.96        0.20        5.60          7.63         2.34          2.42         000
                                    muscle.
20955.......  ........  A          Fibula bone           40.02          NA            NA        18.50         22.83        4.90          NA            NA        63.42         67.75         090
                                    graft,
                                    microvasc.
20956.......  ........  A          Iliac bone            40.93          NA            NA        20.95         23.79        7.03          NA            NA        68.91         71.75         090
                                    graft,
                                    microvasc.
20957.......  ........  A          Mt bone graft,        42.33          NA            NA        19.65         19.12        7.07          NA            NA        69.05         68.52         090
                                    microvasc.
20962.......  ........  A          Other bone            39.21          NA            NA        21.46         25.26        6.57          NA            NA        67.24         71.04         090
                                    graft,
                                    microvasc.
20969.......  ........  A          Bone/skin graft,      45.11          NA            NA        20.79         25.17        4.80          NA            NA        70.70         75.08         090
                                    microvasc.
20970.......  ........  A          Bone/skin graft,      44.26          NA            NA        20.52         24.17        6.62          NA            NA        71.40         75.05         090
                                    iliac crest.
20972.......  ........  A          Bone/skin graft,      44.19          NA            NA        17.83         19.89        5.32          NA            NA        67.34         69.40         090
                                    metatarsal.
20973.......  ........  A          Bone/skin graft,      46.95          NA            NA        15.20         22.67        5.56          NA            NA        67.71         75.18         090
                                    great toe.
20974.......  ........  A          Electrical bone        0.62        0.99          0.77         0.49          0.53        0.11        1.72          1.50         1.22          1.26         000
                                    stimulation.
20975.......  ........  A          Electrical bone        2.60          NA            NA         1.49          1.66        0.51          NA            NA         4.60          4.77         000
                                    stimulation.
20979.......  ........  A          Us bone                0.62        0.58          0.75         0.20          0.31        0.09        1.29          1.46         0.91          1.02         000
                                    stimulation.
20982.......  ........  A          Ablate, bone           7.27       78.40        101.76         2.35          2.82        0.69       86.36        109.72        10.31         10.78         000
                                    tumor(s) perq.
20999.......  ........  C          Musculoskeletal        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69805]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
21010.......  ........  A          Incision of jaw       10.90          NA            NA         5.97          6.81        1.11          NA            NA        17.98         18.82         090
                                    joint.
21015.......  ........  A          Resection of           5.59          NA            NA         4.35          4.85        0.70          NA            NA        10.64         11.14         090
                                    facial tumor.
21025.......  ........  A          Excision of           11.07       12.54         12.32         8.77          9.21        1.32       24.93         24.71        21.16         21.60         090
                                    bone, lower jaw.
21026.......  ........  A          Excision of            5.54        8.74          8.08         5.89          6.21        0.60       14.88         14.22        12.03         12.35         090
                                    facial bone(s).
21029.......  ........  A          Contour of face        8.26        9.34          9.36         6.37          6.85        0.94       18.54         18.56        15.57         16.05         090
                                    bone lesion.
21030.......  ........  A          Excise max/            4.80        7.20          6.55         4.71          4.95        0.54       12.54         11.89        10.05         10.29         090
                                    zygoma b9 tumor.
21031.......  ........  A          Remove                 3.26        5.98          5.37         3.53          3.60        0.48        9.72          9.11         7.27          7.34         090
                                    exostosis,
                                    mandible.
21032.......  ........  A          Remove                 3.28        6.07          5.52         3.40          3.48        0.47        9.82          9.27         7.15          7.23         090
                                    exostosis,
                                    maxilla.
21034.......  ........  A          Excise max/           17.17       13.31         15.27         9.67         11.91        1.72       32.20         34.16        28.56         30.80         090
                                    zygoma mlg
                                    tumor.
21040.......  ........  A          Excise mandible        4.80        7.27          6.61         4.71          4.72        0.54       12.61         11.95        10.05         10.06         090
                                    lesion.
21044.......  ........  A          Removal of jaw        12.61          NA            NA         7.60          8.93        1.12          NA            NA        21.33         22.66         090
                                    bone lesion.
21045.......  ........  A          Extensive jaw         18.13          NA            NA        10.18         11.81        1.52          NA            NA        29.83         31.46         090
                                    surgery.
21046.......  ........  A          Remove mandible       13.97          NA            NA        11.72         11.86        1.86          NA            NA        27.55         27.69         090
                                    cyst complex.
21047.......  ........  A          Excise lwr jaw        19.83          NA            NA         9.92         12.56        2.13          NA            NA        31.88         34.52         090
                                    cyst w/repair.
21048.......  ........  A          Remove maxilla        14.47          NA            NA        11.48         11.97        1.77          NA            NA        27.72         28.21         090
                                    cyst complex.
21049.......  ........  A          Excis uppr jaw        19.08          NA            NA         9.25         12.08        1.59          NA            NA        29.92         32.75         090
                                    cyst w/repair.
21050.......  ........  A          Removal of jaw        11.54          NA            NA         8.28          9.15        1.47          NA            NA        21.29         22.16         090
                                    joint.
21060.......  ........  A          Remove jaw joint      10.91          NA            NA         7.61          8.36        1.38          NA            NA        19.90         20.65         090
                                    cartilage.
21070.......  ........  A          Remove coronoid        8.50          NA            NA         6.21          6.88        1.27          NA            NA        15.98         16.65         090
                                    process.
21076.......  ........  A          Prepare face/         13.40        7.97         11.26         4.90          8.73        2.00       23.37         26.66        20.30         24.13         010
                                    oral prosthesis.
21077.......  ........  A          Prepare face/         33.70       18.75         28.19        12.57         22.64        4.56       57.01         66.45        50.83         60.90         090
                                    oral prosthesis.
21079.......  ........  A          Prepare face/         22.31       13.89         19.60         8.45         14.98        3.16       39.36         45.07        33.92         40.45         090
                                    oral prosthesis.
21080.......  ........  A          Prepare face/         25.06       16.10         22.39         9.41         16.87        3.75       44.91         51.20        38.22         45.68         090
                                    oral prosthesis.
21081.......  ........  A          Prepare face/         22.85       14.84         20.44         8.66         15.28        3.21       40.90         46.50        34.72         41.34         090
                                    oral prosthesis.
21082.......  ........  A          Prepare face/         20.84       15.02         18.26         8.57         13.94        3.12       38.98         42.22        32.53         37.90         090
                                    oral prosthesis.
21083.......  ........  A          Prepare face/         19.27       14.79         17.79         8.05         12.84        2.89       36.95         39.95        30.21         35.00         090
                                    oral prosthesis.
21084.......  ........  A          Prepare face/         22.48       16.37         20.92         8.99         15.52        2.19       41.04         45.59        33.66         40.19         090
                                    oral prosthesis.
21085.......  ........  A          Prepare face/          8.99        6.90          7.94         3.64          6.00        1.27       17.16         18.20        13.90         16.26         010
                                    oral prosthesis.
21086.......  ........  A          Prepare face/         24.88       12.93         21.04         8.82         16.78        3.72       41.53         49.64        37.42         45.38         090
                                    oral prosthesis.
21087.......  ........  A          Prepare face/         24.88       13.17         20.75         9.02         16.65        3.45       41.50         49.08        37.35         44.98         090
                                    oral prosthesis.
21088.......  ........  C          Prepare face/          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         090
                                    oral prosthesis.
21089.......  ........  C          Prepare face/          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         090
                                    oral prosthesis.
21100.......  ........  A          Maxillofacial          4.56       13.76         12.09         5.11          4.83        0.34       18.66         16.99        10.01          9.73         090
                                    fixation.
21110.......  ........  A          Interdental            5.80       13.27         10.49         9.91          8.75        0.72       19.79         17.01        16.43         15.27         090
                                    fixation.
21116.......  ........  A          Injection, jaw         0.81        2.38          3.84         0.21          0.30        0.06        3.25          4.71         1.08          1.17         000
                                    joint x-ray.
21120.......  ........  A          Reconstruction         4.99       10.09         10.46         6.96          7.36        0.60       15.68         16.05        12.55         12.95         090
                                    of chin.
21121.......  ........  A          Reconstruction         7.70       10.63          9.96         7.56          7.76        0.90       19.23         18.56        16.16         16.36         090
                                    of chin.
21122.......  ........  A          Reconstruction         8.59          NA            NA         7.75          8.40        1.07          NA            NA        17.41         18.06         090
                                    of chin.
21123.......  ........  A          Reconstruction        11.22          NA            NA        10.14         10.64        1.40          NA            NA        22.76         23.26         090
                                    of chin.
21125.......  ........  A          Augmentation,         10.68       68.54         58.55         7.14          8.03        0.79       80.01         70.02        18.61         19.50         090
                                    lower jaw bone.
21127.......  ........  A          Augmentation,         12.24       87.23         53.91         8.01          9.09        1.52      100.99         67.67        21.77         22.85         090
                                    lower jaw bone.
21137.......  ........  A          Reduction of          10.12          NA            NA         6.43          7.41        1.32          NA            NA        17.87         18.85         090
                                    forehead.
21138.......  ........  A          Reduction of          12.73          NA            NA         8.83          9.36        1.75          NA            NA        23.31         23.84         090
                                    forehead.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69806]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
21139.......  ........  A          Reduction of          14.90          NA            NA         8.50         10.42        1.18          NA            NA        24.58         26.50         090
                                    forehead.
21141.......  ........  A          Reconstruct           19.27          NA            NA        11.69         13.16        2.36          NA            NA        33.32         34.79         090
                                    midface, lefort.
21142.......  ........  A          Reconstruct           19.98          NA            NA        10.64         12.28        2.39          NA            NA        33.01         34.65         090
                                    midface, lefort.
21143.......  ........  A          Reconstruct           20.75          NA            NA         8.80         12.93        1.66          NA            NA        31.21         35.34         090
                                    midface, lefort.
21145.......  ........  A          Reconstruct           23.64          NA            NA        12.72         13.61        2.85          NA            NA        39.21         40.10         090
                                    midface, lefort.
21146.......  ........  A          Reconstruct           24.54          NA            NA         9.16         13.79        3.10          NA            NA        36.80         41.43         090
                                    midface, lefort.
21147.......  ........  A          Reconstruct           26.14          NA            NA        13.75         14.73        1.85          NA            NA        41.74         42.72         090
                                    midface, lefort.
21150.......  ........  A          Reconstruct           25.78          NA            NA        13.05         15.83        2.56          NA            NA        41.39         44.17         090
                                    midface, lefort.
21151.......  ........  A          Reconstruct           28.84          NA            NA        11.57         20.11        2.31          NA            NA        42.72         51.26         090
                                    midface, lefort.
21154.......  ........  A          Reconstruct           31.05          NA            NA        21.78         22.79        2.49          NA            NA        55.32         56.33         090
                                    midface, lefort.
21155.......  ........  A          Reconstruct           34.98          NA            NA        13.28         21.24        6.66          NA            NA        54.92         62.88         090
                                    midface, lefort.
21159.......  ........  A          Reconstruct           42.90          NA            NA        15.10         25.59        8.20          NA            NA        66.20         76.69         090
                                    midface, lefort.
21160.......  ........  A          Reconstruct           46.95          NA            NA        24.15         26.64        4.14          NA            NA        75.24         77.73         090
                                    midface, lefort.
21172.......  ........  A          Reconstruct           28.07          NA            NA        13.88         13.78        3.56          NA            NA        45.51         45.41         090
                                    orbit/forehead.
21175.......  ........  A          Reconstruct           33.43          NA            NA        13.17         16.64        4.84          NA            NA        51.44         54.91         090
                                    orbit/forehead.
21179.......  ........  A          Reconstruct           22.53          NA            NA        11.17         13.39        2.81          NA            NA        36.51         38.73         090
                                    entire forehead.
21180.......  ........  A          Reconstruct           25.46          NA            NA        12.78         14.73        3.49          NA            NA        41.73         43.68         090
                                    entire forehead.
21181.......  ........  A          Contour cranial       10.18          NA            NA         7.10          7.37        1.32          NA            NA        18.60         18.87         090
                                    bone lesion.
21182.......  ........  A          Reconstruct           32.45          NA            NA        14.40         17.93        2.81          NA            NA        49.66         53.19         090
                                    cranial bone.
21183.......  ........  A          Reconstruct           35.57          NA            NA        15.57         19.52        4.48          NA            NA        55.62         59.57         090
                                    cranial bone.
21184.......  ........  A          Reconstruct           38.49          NA            NA        21.42         21.81        5.72          NA            NA        65.63         66.02         090
                                    cranial bone.
21188.......  ........  A          Reconstruction        22.97          NA            NA        14.93         17.89        1.70          NA            NA        39.60         42.56         090
                                    of midface.
21193.......  ........  A          Reconst lwr jaw       18.65          NA            NA         9.93         11.97        2.24          NA            NA        30.82         32.86         090
                                    w/o graft.
21194.......  ........  A          Reconst lwr jaw       21.54          NA            NA        11.48         13.18        2.03          NA            NA        35.05         36.75         090
                                    w/graft.
21195.......  ........  A          Reconst lwr jaw       18.88          NA            NA        13.47         14.48        1.64          NA            NA        33.99         35.00         090
                                    w/o fixation.
21196.......  ........  A          Reconst lwr jaw       20.55          NA            NA        13.41         15.12        2.08          NA            NA        36.04         37.75         090
                                    w/fixation.
21198.......  ........  A          Reconstr lwr jaw      15.48          NA            NA        11.21         12.33        1.44          NA            NA        28.13         29.25         090
                                    segment.
21199.......  ........  A          Reconstr lwr jaw      16.62          NA            NA         6.96          8.57        1.39          NA            NA        24.97         26.58         090
                                    w/advance.
21206.......  ........  A          Reconstruct           15.36          NA            NA        11.25         12.29        1.33          NA            NA        27.94         28.98         090
                                    upper jaw bone.
21208.......  ........  A          Augmentation of       11.15       32.41         24.85         7.83          9.14        1.09       44.65         37.09        20.07         21.38         090
                                    facial bones.
21209.......  ........  A          Reduction of           7.58       12.40         11.20         7.52          7.93        0.90       20.88         19.68        16.00         16.41         090
                                    facial bones.
21210.......  ........  A          Face bone graft.      11.40       43.70         29.58         7.81          8.97        1.30       56.40         42.28        20.51         21.67         090
21215.......  ........  A          Lower jaw bone        11.94       86.14         52.95         8.10          9.05        1.53       99.61         66.42        21.57         22.52         090
                                    graft.
21230.......  ........  A          Rib cartilage         11.06          NA            NA         6.94          7.77        1.29          NA            NA        19.29         20.12         090
                                    graft.
21235.......  ........  A          Ear cartilage          7.31        9.88          9.85         6.05          6.32        0.61       17.80         17.77        13.97         14.24         090
                                    graft.
21240.......  ........  A          Reconstruction        15.77          NA            NA         9.64         11.45        2.25          NA            NA        27.66         29.47         090
                                    of jaw joint.
21242.......  ........  A          Reconstruction        14.32          NA            NA         8.95         10.87        1.79          NA            NA        25.06         26.98         090
                                    of jaw joint.
21243.......  ........  A          Reconstruction        24.03          NA            NA        14.17         16.62        3.26          NA            NA        41.46         43.91         090
                                    of jaw joint.
21244.......  ........  A          Reconstruction        13.35          NA            NA        11.07         11.84        1.25          NA            NA        25.67         26.44         090
                                    of lower jaw.
21245.......  ........  A          Reconstruction        12.88       13.48         14.17         8.14          9.42        1.19       27.55         28.24        22.21         23.49         090
                                    of jaw.
21246.......  ........  A          Reconstruction        12.78          NA            NA         6.81          8.48        1.35          NA            NA        20.94         22.61         090
                                    of jaw.
21247.......  ........  A          Reconstruct           24.05          NA            NA        12.11         16.04        2.84          NA            NA        39.00         42.93         090
                                    lower jaw bone.
21248.......  ........  A          Reconstruction        12.54       12.64         12.26         7.59          8.95        1.55       26.73         26.35        21.68         23.04         090
                                    of jaw.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69807]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
21249.......  ........  A          Reconstruction        18.57       16.25         16.60        10.10         12.04        2.49       37.31         37.66        31.16         33.10         090
                                    of jaw.
21255.......  ........  A          Reconstruct           18.14          NA            NA        13.51         15.48        2.39          NA            NA        34.04         36.01         090
                                    lower jaw bone.
21256.......  ........  A          Reconstruction        17.42          NA            NA         9.98         11.36        1.50          NA            NA        28.90         30.28         090
                                    of orbit.
21260.......  ........  A          Revise eye            17.74          NA            NA         9.39         11.92        0.97          NA            NA        28.10         30.63         090
                                    sockets.
21261.......  ........  A          Revise eye            33.78          NA            NA        14.69         21.85        3.43          NA            NA        51.90         59.06         090
                                    sockets.
21263.......  ........  A          Revise eye            30.72          NA            NA        13.99         17.80        2.63          NA            NA        47.34         51.15         090
                                    sockets.
21267.......  ........  A          Revise eye            20.45          NA            NA        16.34         18.91        1.71          NA            NA        38.50         41.07         090
                                    sockets.
21268.......  ........  A          Revise eye            26.78          NA            NA        16.04         19.17        3.66          NA            NA        46.48         49.61         090
                                    sockets.
21270.......  ........  A          Augmentation,         10.52       11.23         11.55         5.99          6.94        0.72       22.47         22.79        17.23         18.18         090
                                    cheek bone.
21275.......  ........  A          Revision,             11.65          NA            NA         7.58          8.02        1.29          NA            NA        20.52         20.96         090
                                    orbitofacial
                                    bones.
21280.......  ........  A          Revision of            6.92          NA            NA         5.91          5.92        0.42          NA            NA        13.25         13.26         090
                                    eyelid.
21282.......  ........  A          Revision of            4.11          NA            NA         4.30          4.44        0.26          NA            NA         8.67          8.81         090
                                    eyelid.
21295.......  ........  A          Revision of jaw        1.82          NA            NA         2.61          2.55        0.16          NA            NA         4.59          4.53         090
                                    muscle/bone.
21296.......  ........  A          Revision of jaw        4.67          NA            NA         5.49          5.06        0.34          NA            NA        10.50         10.07         090
                                    muscle/bone.
21299.......  ........  C          Cranio/                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    maxillofacial
                                    surgery.
21310.......  ........  A          Treatment of           0.58        1.96          2.20         0.11          0.14        0.05        2.59          2.83         0.74          0.77         000
                                    nose fracture.
21315.......  ........  A          Treatment of           1.78        4.47          4.29         1.67          1.83        0.14        6.39          6.21         3.59          3.75         010
                                    nose fracture.
21320.......  ........  A          Treatment of           1.86        4.06          3.95         1.27          1.53        0.18        6.10          5.99         3.31          3.57         010
                                    nose fracture.
21325.......  ........  A          Treatment of           4.07          NA            NA         6.79          8.16        0.31          NA            NA        11.17         12.54         090
                                    nose fracture.
21330.......  ........  A          Treatment of           5.68          NA            NA         7.52          9.16        0.56          NA            NA        13.76         15.40         090
                                    nose fracture.
21335.......  ........  A          Treatment of           8.91          NA            NA         7.84          9.18        0.74          NA            NA        17.49         18.83         090
                                    nose fracture.
21336.......  ........  A          Treat nasal            6.56          NA            NA         8.24          9.27        0.55          NA            NA        15.35         16.38         090
                                    septal fracture.
21337.......  ........  A          Treat nasal            3.26        5.91          6.07         3.41          3.53        0.28        9.45          9.61         6.95          7.07         090
                                    septal fracture.
21338.......  ........  A          Treat                  6.76          NA            NA         9.73         12.95        0.82          NA            NA        17.31         20.53         090
                                    nasoethmoid
                                    fracture.
21339.......  ........  A          Treat                  8.39          NA            NA        10.80         13.13        0.96          NA            NA        20.15         22.48         090
                                    nasoethmoid
                                    fracture.
21340.......  ........  A          Treatment of          11.33          NA            NA         7.21          8.10        1.15          NA            NA        19.69         20.58         090
                                    nose fracture.
21343.......  ........  A          Treatment of          14.11          NA            NA        12.68         14.77        1.47          NA            NA        28.26         30.35         090
                                    sinus fracture.
21344.......  ........  A          Treatment of          21.36          NA            NA        13.37         15.72        2.44          NA            NA        37.17         39.52         090
                                    sinus fracture.
21345.......  ........  A          Treat nose/jaw         8.87        9.76          9.82         6.07          6.90        0.92       19.55         19.61        15.86         16.69         090
                                    fracture.
21346.......  ........  A          Treat nose/jaw        11.29          NA            NA        10.87         11.87        1.21          NA            NA        23.37         24.37         090
                                    fracture.
21347.......  ........  A          Treat nose/jaw        13.37          NA            NA        11.73         15.08        1.47          NA            NA        26.57         29.92         090
                                    fracture.
21348.......  ........  A          Treat nose/jaw        17.36          NA            NA         6.29          9.91        2.49          NA            NA        26.14         29.76         090
                                    fracture.
21355.......  ........  A          Treat cheek bone       4.32        5.63          6.08         3.04          3.37        0.34       10.29         10.74         7.70          8.03         010
                                    fracture.
21356.......  ........  A          Treat cheek bone       4.70        6.84          7.05         3.99          4.41        0.46       12.00         12.21         9.15          9.57         010
                                    fracture.
21360.......  ........  A          Treat cheek bone       7.03          NA            NA         5.35          5.79        0.74          NA            NA        13.12         13.56         090
                                    fracture.
21365.......  ........  A          Treat cheek bone      16.52          NA            NA         9.11         10.40        1.70          NA            NA        27.33         28.62         090
                                    fracture.
21366.......  ........  A          Treat cheek bone      18.44          NA            NA        10.46         11.11        2.50          NA            NA        31.40         32.05         090
                                    fracture.
21385.......  ........  A          Treat eye socket       9.46          NA            NA         7.01          7.96        0.97          NA            NA        17.44         18.39         090
                                    fracture.
21386.......  ........  A          Treat eye socket       9.46          NA            NA         5.86          6.77        0.97          NA            NA        16.29         17.20         090
                                    fracture.
21387.......  ........  A          Treat eye socket      10.00          NA            NA         7.38          8.56        1.08          NA            NA        18.46         19.64         090
                                    fracture.
21390.......  ........  A          Treat eye socket      11.07          NA            NA         7.17          7.64        0.90          NA            NA        19.14         19.61         090
                                    fracture.
21395.......  ........  A          Treat eye socket      14.62          NA            NA         7.96          8.76        1.44          NA            NA        24.02         24.82         090
                                    fracture.
21400.......  ........  A          Treat eye socket       1.44        2.74          2.64         1.98          1.90        0.15        4.33          4.23         3.57          3.49         090
                                    fracture.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69808]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
21401.......  ........  A          Treat eye socket       3.57        7.24          7.80         3.15          3.41        0.38       11.19         11.75         7.10          7.36         090
                                    fracture.
21406.......  ........  A          Treat eye socket       7.31          NA            NA         5.17          5.85        0.73          NA            NA        13.21         13.89         090
                                    fracture.
21407.......  ........  A          Treat eye socket       8.91          NA            NA         5.99          6.64        0.94          NA            NA        15.84         16.49         090
                                    fracture.
21408.......  ........  A          Treat eye socket      12.67          NA            NA         8.08          8.68        1.44          NA            NA        22.19         22.79         090
                                    fracture.
21421.......  ........  A          Treat mouth roof       5.80       12.12         10.03         9.01          8.49        0.73       18.65         16.56        15.54         15.02         090
                                    fracture.
21422.......  ........  A          Treat mouth roof       8.62          NA            NA         6.88          7.78        0.99          NA            NA        16.49         17.39         090
                                    fracture.
21423.......  ........  A          Treat mouth roof      10.71          NA            NA         7.41          8.84        1.27          NA            NA        19.39         20.82         090
                                    fracture.
21431.......  ........  A          Treat                  7.74          NA            NA         9.40          9.49        0.70          NA            NA        17.84         17.93         090
                                    craniofacial
                                    fracture.
21432.......  ........  A          Treat                  8.76          NA            NA         7.26          7.86        0.81          NA            NA        16.83         17.43         090
                                    craniofacial
                                    fracture.
21433.......  ........  A          Treat                 26.13          NA            NA        12.56         15.44        2.79          NA            NA        41.48         44.36         090
                                    craniofacial
                                    fracture.
21435.......  ........  A          Treat                 20.02          NA            NA        10.73         12.21        1.99          NA            NA        32.74         34.22         090
                                    craniofacial
                                    fracture.
21436.......  ........  A          Treat                 30.01          NA            NA        14.45         17.28        3.10          NA            NA        47.56         50.39         090
                                    craniofacial
                                    fracture.
21440.......  ........  A          Treat dental           3.28       10.30          7.90         7.65          6.53        0.38       13.96         11.56        11.31         10.19         090
                                    ridge fracture.
21445.......  ........  A          Treat dental           6.04       12.49         10.44         8.65          8.44        0.78       19.31         17.26        15.47         15.26         090
                                    ridge fracture.
21450.......  ........  A          Treat lower jaw        3.55       10.39          8.13         7.65          7.07        0.33       14.27         12.01        11.53         10.95         090
                                    fracture.
21451.......  ........  A          Treat lower jaw        5.46       12.93         10.25         9.65          8.71        0.63       19.02         16.34        15.74         14.80         090
                                    fracture.
21452.......  ........  A          Treat lower jaw        2.29       11.74         12.70         5.90          4.93        0.27       14.30         15.26         8.46          7.49         090
                                    fracture.
21453.......  ........  A          Treat lower jaw        6.40       14.76         11.75        11.63         10.96        0.74       21.90         18.89        18.77         18.10         090
                                    fracture.
21454.......  ........  A          Treat lower jaw        7.17          NA            NA         5.76          6.14        0.82          NA            NA        13.75         14.13         090
                                    fracture.
21461.......  ........  A          Treat lower jaw        9.07       41.16         28.64        12.67         12.66        0.98       51.21         38.69        22.72         22.71         090
                                    fracture.
21462.......  ........  A          Treat lower jaw       10.77       42.36         31.30        13.25         12.85        1.27       54.40         43.34        25.29         24.89         090
                                    fracture.
21465.......  ........  A          Treat lower jaw       12.88          NA            NA         8.42          9.46        1.50          NA            NA        22.80         23.84         090
                                    fracture.
21470.......  ........  A          Treat lower jaw       17.24          NA            NA        10.26         11.58        1.97          NA            NA        29.47         30.79         090
                                    fracture.
21480.......  ........  A          Reset dislocated       0.61        1.50          1.70         0.18          0.19        0.06        2.17          2.37         0.85          0.86         000
                                    jaw.
21485.......  ........  A          Reset dislocated       4.58       12.19          9.21         9.19          8.04        0.51       17.28         14.30        14.28         13.13         090
                                    jaw.
21490.......  ........  A          Repair                12.71          NA            NA         7.95          9.26        1.97          NA            NA        22.63         23.94         090
                                    dislocated jaw.
21495.......  ........  A          Treat hyoid bone       6.55          NA            NA         9.65          8.73        0.46          NA            NA        16.66         15.74         090
                                    fracture.
21497.......  ........  A          Interdental            4.45       11.98          9.33         9.18          8.03        0.50       16.93         14.28        14.13         12.98         090
                                    wiring.
21499.......  ........  C          Head surgery           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
21501.......  ........  A          Drain neck/chest       3.87        6.39          6.41         3.44          3.73        0.43       10.69         10.71         7.74          8.03         090
                                    lesion.
21502.......  ........  A          Drain chest            7.43          NA            NA         4.78          5.42        0.97          NA            NA        13.18         13.82         090
                                    lesion.
21510.......  ........  A          Drainage of bone       6.06          NA            NA         4.74          5.43        0.80          NA            NA        11.60         12.29         090
                                    lesion.
21550.......  ........  A          Biopsy of neck/        2.08        4.26          3.75         1.73          1.72        0.16        6.50          5.99         3.97          3.96         010
                                    chest.
21555.......  ........  A          Remove lesion,         4.40        5.74          5.57         3.41          3.25        0.56       10.70         10.53         8.37          8.21         090
                                    neck/chest.
21556.......  ........  A          Remove lesion,         5.63          NA            NA         4.02          4.08        0.65          NA            NA        10.30         10.36         090
                                    neck/chest.
21557.......  ........  A          Remove tumor,          8.91          NA            NA         4.46          5.13        1.08          NA            NA        14.45         15.12         090
                                    neck/chest.
21600.......  ........  A          Partial removal        7.14          NA            NA         5.82          5.75        0.99          NA            NA        13.95         13.88         090
                                    of rib.
21610.......  ........  A          Partial removal       15.76          NA            NA         8.21          8.70        3.08          NA            NA        27.05         27.54         090
                                    of rib.
21615.......  ........  A          Removal of rib..      10.31          NA            NA         5.47          6.38        1.45          NA            NA        17.23         18.14         090
21616.......  ........  A          Removal of rib        12.54          NA            NA         7.12          7.80        1.87          NA            NA        21.53         22.21         090
                                    and nerves.
21620.......  ........  A          Partial removal        7.16          NA            NA         4.90          5.70        0.98          NA            NA        13.04         13.84         090
                                    of sternum.
21627.......  ........  A          Sternal                7.18          NA            NA         5.64          6.14        1.02          NA            NA        13.84         14.34         090
                                    debridement.
21630.......  ........  A          Extensive             19.01          NA            NA        10.75         11.57        2.59          NA            NA        32.35         33.17         090
                                    sternum surgery.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69809]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
21632.......  ........  A          Extensive             19.51          NA            NA         9.58         10.73        2.66          NA            NA        31.75         32.90         090
                                    sternum surgery.
21685.......  ........  A          Hyoid myotomy &       14.89          NA            NA         7.99          9.48        1.06          NA            NA        23.94         25.43         090
                                    suspension.
21700.......  ........  A          Revision of neck       6.23          NA            NA         4.03          4.34        0.32          NA            NA        10.58         10.89         090
                                    muscle.
21705.......  ........  A          Revision of neck       9.83          NA            NA         4.71          5.36        1.43          NA            NA        15.97         16.62         090
                                    muscle/rib.
21720.......  ........  A          Revision of neck       5.72          NA            NA         4.36          2.94        0.91          NA            NA        10.99          9.57         090
                                    muscle.
21725.......  ........  A          Revision of neck       7.10          NA            NA         4.60          5.23        1.21          NA            NA        12.91         13.54         090
                                    muscle.
21740.......  ........  A          Reconstruction        17.47          NA            NA         8.85          8.60        2.37          NA            NA        28.69         28.44         090
                                    of sternum.
21742.......  ........  C          Repair stern/          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         090
                                    nuss w/o scope.
21743.......  ........  C          Repair sternum/        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         090
                                    nuss w/scope.
21750.......  ........  A          Repair of             11.35          NA            NA         5.43          5.94        1.63          NA            NA        18.41         18.92         090
                                    sternum
                                    separation.
21800.......  ........  A          Treatment of rib       0.98        1.35          1.34         1.35          1.34        0.09        2.42          2.41         2.42          2.41         090
                                    fracture.
21805.......  ........  A          Treatment of rib       2.80          NA            NA         3.53          3.28        0.38          NA            NA         6.71          6.46         090
                                    fracture.
21810.......  ........  A          Treatment of rib       6.92          NA            NA         5.21          5.03        0.94          NA            NA        13.07         12.89         090
                                    fracture(s).
21820.......  ........  A          Treat sternum          1.31        1.80          1.82         1.80          1.77        0.16        3.27          3.29         3.27          3.24         090
                                    fracture.
21825.......  ........  A          Treat sternum          7.65          NA            NA         5.46          6.16        1.11          NA            NA        14.22         14.92         090
                                    fracture.
21899.......  ........  C          Neck/chest             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery
                                    procedure.
21920.......  ........  A          Biopsy soft            2.08        4.42          3.57         1.89          1.58        0.14        6.64          5.79         4.11          3.80         010
                                    tissue of back.
21925.......  ........  A          Biopsy soft            4.54        5.44          5.24         3.43          3.29        0.60       10.58         10.38         8.57          8.43         090
                                    tissue of back.
21930.......  ........  A          Remove lesion,         5.06        6.01          5.79         3.76          3.49        0.66       11.73         11.51         9.48          9.21         090
                                    back or flank.
21935.......  ........  A          Remove tumor,         18.38          NA            NA         8.60          9.37        2.48          NA            NA        29.46         30.23         090
                                    back.
22010.......  ........  A          I&d, p-spine, c/      12.57          NA            NA         7.87          8.63        1.74          NA            NA        22.18         22.94         090
                                    t/cerv-thor.
22015.......  ........  A          I&d, p-spine, l/      12.46          NA            NA         7.83          8.57        1.72          NA            NA        22.01         22.75         090
                                    s/ls.
22100.......  ........  A          Remove part of        10.80          NA            NA         8.09          7.67        2.14          NA            NA        21.03         20.61         090
                                    neck vertebra.
22101.......  ........  A          Remove part,          10.88          NA            NA         8.02          7.82        1.91          NA            NA        20.81         20.61         090
                                    thorax vertebra.
22102.......  ........  A          Remove part,          10.88          NA            NA         7.27          7.90        1.88          NA            NA        20.03         20.66         090
                                    lumbar vertebra.
22103.......  ........  A          Remove extra           2.34          NA            NA         0.90          1.13        0.44          NA            NA         3.68          3.91         ZZZ
                                    spine segment.
22110.......  ........  A          Remove part of        13.80          NA            NA         9.17          9.16        2.77          NA            NA        25.74         25.73         090
                                    neck vertebra.
22112.......  ........  A          Remove part,          13.87          NA            NA         9.02          9.21        2.53          NA            NA        25.42         25.61         090
                                    thorax vertebra.
22114.......  ........  A          Remove part,          13.87          NA            NA         9.12          9.22        2.64          NA            NA        25.63         25.73         090
                                    lumbar vertebra.
22116.......  ........  A          Remove extra           2.32          NA            NA         0.89          1.10        0.50          NA            NA         3.71          3.92         ZZZ
                                    spine segment.
22210.......  ........  A          Revision of neck      25.13          NA            NA        14.86         15.27        5.46          NA            NA        45.45         45.86         090
                                    spine.
22212.......  ........  A          Revision of           20.74          NA            NA        12.55         13.09        3.91          NA            NA        37.20         37.74         090
                                    thorax spine.
22214.......  ........  A          Revision of           20.77          NA            NA        12.67         13.53        3.92          NA            NA        37.36         38.22         090
                                    lumbar spine.
22216.......  ........  A          Revise, extra          6.03          NA            NA         2.39          2.95        1.29          NA            NA         9.71         10.27         ZZZ
                                    spine segment.
22220.......  ........  A          Revision of neck      22.69          NA            NA        13.56         13.61        5.08          NA            NA        41.33         41.38         090
                                    spine.
22222.......  ........  A          Revision of           22.84          NA            NA        12.30         11.42        4.13          NA            NA        39.27         38.39         090
                                    thorax spine.
22224.......  ........  A          Revision of           22.84          NA            NA        13.25         13.98        4.19          NA            NA        40.28         41.01         090
                                    lumbar spine.
22226.......  ........  A          Revise, extra          6.03          NA            NA         2.18          2.86        1.29          NA            NA         9.50         10.18         ZZZ
                                    spine segment.
22305.......  ........  A          Treat spine            2.08        2.15          2.27         1.81          1.89        0.39        4.62          4.74         4.28          4.36         090
                                    process
                                    fracture.
22310.......  ........  A          Treat spine            3.69        3.01          2.85         2.53          2.40        0.50        7.20          7.04         6.72          6.59         090
                                    fracture.
22315.......  ........  A          Treat spine            9.91        9.82          9.72         7.43          7.36        1.86       21.59         21.49        19.20         19.13         090
                                    fracture.
22318.......  ........  A          Treat odontoid        22.54          NA            NA        13.42         13.39        5.30          NA            NA        41.26         41.23         090
                                    fx w/o graft.
22319.......  ........  A          Treat odontoid        25.15          NA            NA        14.18         14.58        6.05          NA            NA        45.38         45.78         090
                                    fx w/graft.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69810]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
22325.......  ........  A          Treat spine           19.62          NA            NA        12.10         12.08        3.88          NA            NA        35.60         35.58         090
                                    fracture.
22326.......  ........  A          Treat neck spine      20.64          NA            NA        12.24         12.59        4.43          NA            NA        37.31         37.66         090
                                    fracture.
22327.......  ........  A          Treat thorax          20.52          NA            NA        12.37         12.36        3.99          NA            NA        36.88         36.87         090
                                    spine fracture.
22328.......  ........  A          Treat each add         4.60          NA            NA         1.83          2.15        0.94          NA            NA         7.37          7.69         ZZZ
                                    spine fx.
22505.......  ........  A          Manipulation of        1.87          NA            NA         1.06          0.97        0.36          NA            NA         3.29          3.20         010
                                    spine.
22520.......  ........  A          Percut                 9.17       42.34         56.83         4.07          4.84        1.72       53.23         67.72        14.96         15.73         010
                                    vertebroplasty
                                    thor.
22521.......  ........  A          Percut                 8.60       43.56         52.87         3.90          4.69        1.60       53.76         63.07        14.10         14.89         010
                                    vertebroplasty
                                    lumb.
22522.......  ........  A          Percut                 4.30          NA            NA         1.30          1.59        0.82          NA            NA         6.42          6.71         ZZZ
                                    vertebroplasty
                                    add[AElig]l.
22523.......  ........  A          Percut                 9.21          NA            NA         4.69          5.60        1.72          NA            NA        15.62         16.53         010
                                    kyphoplasty,
                                    thor.
22524.......  ........  A          Percut                 8.81          NA            NA         4.54          5.40        1.60          NA            NA        14.95         15.81         010
                                    kyphoplasty,
                                    lumbar.
22525.......  ........  A          Percut                 4.47          NA            NA         1.66          2.12        0.82          NA            NA         6.95          7.41         ZZZ
                                    kyphoplasty,
                                    add-on.
22526.......  ........  A          Idet, single           6.07       46.51         46.51         2.08          2.08        1.16       53.74         53.74         9.31          9.31         010
                                    level.
22527.......  ........  A          Idet, 1 or more        3.03       39.89         39.89         0.70          0.70        0.58       43.50         43.50         4.31          4.31         ZZZ
                                    levels.
22532.......  ........  A          Lat thorax spine      25.81          NA            NA        13.92         14.60        4.35          NA            NA        44.08         44.76         090
                                    fusion.
22533.......  ........  A          Lat lumbar spine      24.61          NA            NA        13.52         13.57        3.16          NA            NA        41.29         41.34         090
                                    fusion.
22534.......  ........  A          Lat thor/lumb,         5.99          NA            NA         2.35          2.86        1.25          NA            NA         9.59         10.10         ZZZ
                                    add[AElig]l seg.
22548.......  ........  A          Neck spine            26.86          NA            NA        15.32         15.68        5.61          NA            NA        47.79         48.15         090
                                    fusion.
22554.......  ........  A          Neck spine            17.54          NA            NA        10.84         11.97        4.46          NA            NA        32.84         33.97         090
                                    fusion.
22556.......  ........  A          Thorax spine          24.50          NA            NA        13.15         14.34        4.35          NA            NA        42.00         43.19         090
                                    fusion.
22558.......  ........  A          Lumbar spine          23.33          NA            NA        11.57         12.86        3.16          NA            NA        38.06         39.35         090
                                    fusion.
22585.......  ........  A          Additional             5.52          NA            NA         2.12          2.62        1.25          NA            NA         8.89          9.39         ZZZ
                                    spinal fusion.
22590.......  ........  A          Spine & skull         21.56          NA            NA        13.24         13.30        4.79          NA            NA        39.59         39.65         090
                                    spinal fusion.
22595.......  ........  A          Neck spinal           20.44          NA            NA        12.74         12.81        4.41          NA            NA        37.59         37.66         090
                                    fusion.
22600.......  ........  A          Neck spine            17.20          NA            NA        11.37         11.24        3.73          NA            NA        32.30         32.17         090
                                    fusion.
22610.......  ........  A          Thorax spine          17.08          NA            NA        10.96         11.30        3.53          NA            NA        31.57         31.91         090
                                    fusion.
22612.......  ........  A          Lumbar spine          23.38          NA            NA        12.72         13.83        4.47          NA            NA        40.57         41.68         090
                                    fusion.
22614.......  ........  A          Spine fusion,          6.43          NA            NA         2.53          3.15        1.38          NA            NA        10.34         10.96         ZZZ
                                    extra segment.
22630.......  ........  A          Lumbar spine          21.89          NA            NA        12.75         13.39        4.73          NA            NA        39.37         40.01         090
                                    fusion.
22632.......  ........  A          Spine fusion,          5.22          NA            NA         2.04          2.51        1.16          NA            NA         8.42          8.89         ZZZ
                                    extra segment.
22800.......  ........  A          Fusion of spine.      19.30          NA            NA        11.22         12.38        3.76          NA            NA        34.28         35.44         090
22802.......  ........  A          Fusion of spine.      31.91          NA            NA        16.28         18.76        6.17          NA            NA        54.36         56.84         090
22804.......  ........  A          Fusion of spine.      37.30          NA            NA        18.33         21.60        7.00          NA            NA        62.63         65.90         090
22808.......  ........  A          Fusion of spine.      27.31          NA            NA        13.94         15.71        4.93          NA            NA        46.18         47.95         090
22810.......  ........  A          Fusion of spine.      31.30          NA            NA        15.00         17.52        5.15          NA            NA        51.45         53.97         090
22812.......  ........  A          Fusion of spine.      34.00          NA            NA        16.90         19.27        5.30          NA            NA        56.20         58.57         090
22818.......  ........  A          Kyphectomy, 1-2       34.18          NA            NA        16.75         18.34        6.47          NA            NA        57.40         58.99         090
                                    segments.
22819.......  ........  A          Kyphectomy, 3 or      39.18          NA            NA        19.61         19.94        7.67          NA            NA        66.46         66.79         090
                                    more.
22830.......  ........  A          Exploration of        11.13          NA            NA         7.15          7.76        2.30          NA            NA        20.58         21.19         090
                                    spinal fusion.
22840.......  ........  A          Insert spine          12.52          NA            NA         4.91          6.10        2.79          NA            NA        20.22         21.41         ZZZ
                                    fixation device.
22841.......  ........  B          Insert spine           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    fixation device.
22842.......  ........  A          Insert spine          12.56          NA            NA         4.93          6.11        2.75          NA            NA        20.24         21.42         ZZZ
                                    fixation device.
22843.......  ........  A          Insert spine          13.44          NA            NA         5.32          6.28        2.86          NA            NA        21.62         22.58         ZZZ
                                    fixation device.
22844.......  ........  A          Insert spine          16.42          NA            NA         6.54          8.20        3.19          NA            NA        26.15         27.81         ZZZ
                                    fixation device.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69811]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
22845.......  ........  A          Insert spine          11.94          NA            NA         4.62          5.71        2.86          NA            NA        19.42         20.51         ZZZ
                                    fixation device.
22846.......  ........  A          Insert spine          12.40          NA            NA         4.80          5.95        2.96          NA            NA        20.16         21.31         ZZZ
                                    fixation device.
22847.......  ........  A          Insert spine          13.78          NA            NA         5.42          6.62        3.00          NA            NA        22.20         23.40         ZZZ
                                    fixation device.
22848.......  ........  A          Insert pelv            5.99          NA            NA         2.39          2.98        1.15          NA            NA         9.53         10.12         ZZZ
                                    fixation device.
22849.......  ........  A          Reinsert spinal       19.08          NA            NA        10.37         11.39        3.90          NA            NA        33.35         34.37         090
                                    fixation.
22850.......  ........  A          Remove spine           9.74          NA            NA         6.55          6.88        2.05          NA            NA        18.34         18.67         090
                                    fixation device.
22851.......  ........  A          Apply spine            6.70          NA            NA         2.62          3.18        1.49          NA            NA        10.81         11.37         ZZZ
                                    prosth device.
22852.......  ........  A          Remove spine           9.29          NA            NA         6.26          6.66        1.90          NA            NA        17.45         17.85         090
                                    fixation device.
22855.......  ........  A          Remove spine          15.77          NA            NA         9.38          9.59        3.52          NA            NA        28.67         28.88         090
                                    fixation device.
22857.......  ........  R          Lumbar artif          26.93          NA            NA         8.80          8.80        3.56          NA            NA        39.29         39.29         090
                                    diskectomy.
22862.......  ........  R          Revise lumbar         32.43          NA            NA        10.07         10.07        5.36          NA            NA        47.86         47.86         090
                                    artif disc.
22865.......  ........  R          Remove lumb           31.55          NA            NA         9.87          9.87        5.18          NA            NA        46.60         46.60         090
                                    artif disc.
22899.......  ........  C          Spine surgery          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
22900.......  ........  A          Remove abdominal       6.14          NA            NA         3.53          3.30        0.76          NA            NA        10.43         10.20         090
                                    wall lesion.
22999.......  ........  C          Abdomen surgery        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
23000.......  ........  A          Removal of             4.40        7.78          8.34         3.69          4.24        0.68       12.86         13.42         8.77          9.32         090
                                    calcium
                                    deposits.
23020.......  ........  A          Release shoulder       9.24          NA            NA         6.53          7.30        1.54          NA            NA        17.31         18.08         090
                                    joint.
23030.......  ........  A          Drain shoulder         3.44        6.27          7.11         2.42          2.78        0.57       10.28         11.12         6.43          6.79         010
                                    lesion.
23031.......  ........  A          Drain shoulder         2.76        6.45          7.51         2.22          2.60        0.46        9.67         10.73         5.44          5.82         010
                                    bursa.
23035.......  ........  A          Drain shoulder         9.04          NA            NA         7.04          7.96        1.47          NA            NA        17.55         18.47         090
                                    bone lesion.
23040.......  ........  A          Exploratory            9.63          NA            NA         6.82          7.60        1.60          NA            NA        18.05         18.83         090
                                    shoulder
                                    surgery.
23044.......  ........  A          Exploratory            7.48          NA            NA         5.60          6.22        1.24          NA            NA        14.32         14.94         090
                                    shoulder
                                    surgery.
23065.......  ........  A          Biopsy shoulder        2.28        2.96          2.60         1.74          1.65        0.20        5.44          5.08         4.22          4.13         010
                                    tissues.
23066.......  ........  A          Biopsy shoulder        4.21        7.64          7.66         3.59          3.88        0.63       12.48         12.50         8.43          8.72         090
                                    tissues.
23075.......  ........  A          Removal of             2.41        3.70          3.67         1.74          1.77        0.34        6.45          6.42         4.49          4.52         010
                                    shoulder lesion.
23076.......  ........  A          Removal of             7.77          NA            NA         5.33          5.50        1.13          NA            NA        14.23         14.40         090
                                    shoulder lesion.
23077.......  ........  A          Remove tumor of       18.08          NA            NA         9.85         10.12        2.34          NA            NA        30.27         30.54         090
                                    shoulder.
23100.......  ........  A          Biopsy of              6.09          NA            NA         5.16          5.53        1.04          NA            NA        12.29         12.66         090
                                    shoulder joint.
23101.......  ........  A          Shoulder joint         5.63          NA            NA         4.58          5.14        0.96          NA            NA        11.17         11.73         090
                                    surgery.
23105.......  ........  A          Remove shoulder        8.36          NA            NA         6.14          6.88        1.42          NA            NA        15.92         16.66         090
                                    joint lining.
23106.......  ........  A          Incision of            6.02          NA            NA         4.62          5.43        0.99          NA            NA        11.63         12.44         090
                                    collarbone
                                    joint.
23107.......  ........  A          Explore treat          8.75          NA            NA         6.29          7.12        1.49          NA            NA        16.53         17.36         090
                                    shoulder joint.
23120.......  ........  A          Partial removal,       7.23          NA            NA         5.51          6.22        1.23          NA            NA        13.97         14.68         090
                                    collar bone.
23125.......  ........  A          Removal of             9.52          NA            NA         6.38          7.27        1.62          NA            NA        17.52         18.41         090
                                    collar bone.
23130.......  ........  A          Remove shoulder        7.63          NA            NA         6.12          6.88        1.30          NA            NA        15.05         15.81         090
                                    bone, part.
23140.......  ........  A          Removal of bone        7.01          NA            NA         4.81          5.12        1.08          NA            NA        12.90         13.21         090
                                    lesion.
23145.......  ........  A          Removal of bone        9.28          NA            NA         5.84          7.04        1.49          NA            NA        16.61         17.81         090
                                    lesion.
23146.......  ........  A          Removal of bone        7.96          NA            NA         6.00          6.83        1.35          NA            NA        15.31         16.14         090
                                    lesion.
23150.......  ........  A          Removal of             8.79          NA            NA         6.09          6.71        1.32          NA            NA        16.20         16.82         090
                                    humerus lesion.
23155.......  ........  A          Removal of            10.72          NA            NA         7.38          8.09        1.81          NA            NA        19.91         20.62         090
                                    humerus lesion.
23156.......  ........  A          Removal of             8.99          NA            NA         6.44          7.15        1.50          NA            NA        16.93         17.64         090
                                    humerus lesion.
23170.......  ........  A          Remove collar          7.10          NA            NA         5.08          5.79        1.12          NA            NA        13.30         14.01         090
                                    bone lesion.
23172.......  ........  A          Remove shoulder        7.20          NA            NA         5.03          5.97        1.01          NA            NA        13.24         14.18         090
                                    blade lesion.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69812]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
23174.......  ........  A          Remove humerus         9.90          NA            NA         7.33          8.10        1.65          NA            NA        18.88         19.65         090
                                    lesion.
23180.......  ........  A          Remove collar          8.85          NA            NA         7.09          8.52        1.47          NA            NA        17.41         18.84         090
                                    bone lesion.
23182.......  ........  A          Remove shoulder        8.47          NA            NA         6.92          8.14        1.37          NA            NA        16.76         17.98         090
                                    blade lesion.
23184.......  ........  A          Remove humerus         9.76          NA            NA         7.56          8.87        1.63          NA            NA        18.95         20.26         090
                                    lesion.
23190.......  ........  A          Partial removal        7.36          NA            NA         5.44          5.99        1.17          NA            NA        13.97         14.52         090
                                    of scapula.
23195.......  ........  A          Removal of head       10.24          NA            NA         6.82          7.50        1.71          NA            NA        18.77         19.45         090
                                    of humerus.
23200.......  ........  A          Removal of            12.69          NA            NA         7.51          8.42        1.94          NA            NA        22.14         23.05         090
                                    collar bone.
23210.......  ........  A          Removal of            13.16          NA            NA         8.28          8.81        2.03          NA            NA        23.47         24.00         090
                                    shoulder blade.
23220.......  ........  A          Partial removal       15.36          NA            NA         9.12         10.40        2.49          NA            NA        26.97         28.25         090
                                    of humerus.
23221.......  ........  A          Partial removal       18.41          NA            NA         6.61         10.44        3.06          NA            NA        28.08         31.91         090
                                    of humerus.
23222.......  ........  A          Partial removal       25.44          NA            NA        13.64         15.25        3.95          NA            NA        43.03         44.64         090
                                    of humerus.
23330.......  ........  A          Remove shoulder        1.87        3.36          3.60         1.54          1.80        0.24        5.47          5.71         3.65          3.91         010
                                    foreign body.
23331.......  ........  A          Remove shoulder        7.51          NA            NA         5.91          6.57        1.27          NA            NA        14.69         15.35         090
                                    foreign body.
23332.......  ........  A          Remove shoulder       12.23          NA            NA         8.06          9.01        2.03          NA            NA        22.32         23.27         090
                                    foreign body.
23350.......  ........  A          Injection for          1.00        2.55          3.23         0.29          0.32        0.06        3.61          4.29         1.35          1.38         000
                                    shoulder x-ray.
23395.......  ........  A          Muscle                18.29          NA            NA        11.32         12.48        2.94          NA            NA        32.55         33.71         090
                                    transfer,should
                                    er/arm.
23397.......  ........  A          Muscle transfers      16.62          NA            NA         9.75         10.97        2.74          NA            NA        29.11         30.33         090
23400.......  ........  A          Fixation of           13.73          NA            NA         8.60          9.70        2.30          NA            NA        24.63         25.73         090
                                    shoulder blade.
23405.......  ........  A          Incision of            8.43          NA            NA         5.99          6.69        1.45          NA            NA        15.87         16.57         090
                                    tendon & muscle.
23406.......  ........  A          Incise tendon(s)      10.90          NA            NA         6.98          8.00        1.88          NA            NA        19.76         20.78         090
                                    & muscle(s).
23410.......  ........  A          Repair rotator        12.63          NA            NA         7.87          9.02        2.17          NA            NA        22.67         23.82         090
                                    cuff, acute.
23412.......  ........  A          Repair rotator        13.55          NA            NA         8.27          9.49        2.32          NA            NA        24.14         25.36         090
                                    cuff, chronic.
23415.......  ........  A          Release of            10.09          NA            NA         6.64          7.65        1.74          NA            NA        18.47         19.48         090
                                    shoulder
                                    ligament.
23420.......  ........  A          Repair of             14.75          NA            NA         9.82         10.59        2.32          NA            NA        26.89         27.66         090
                                    shoulder.
23430.......  ........  A          Repair biceps         10.05          NA            NA         6.83          7.78        1.74          NA            NA        18.62         19.57         090
                                    tendon.
23440.......  ........  A          Remove/               10.53          NA            NA         6.85          7.91        1.83          NA            NA        19.21         20.27         090
                                    transplant
                                    tendon.
23450.......  ........  A          Repair shoulder       13.58          NA            NA         8.24          9.44        2.33          NA            NA        24.15         25.35         090
                                    capsule.
23455.......  ........  A          Repair shoulder       14.55          NA            NA         8.64          9.99        2.50          NA            NA        25.69         27.04         090
                                    capsule.
23460.......  ........  A          Repair shoulder       15.68          NA            NA         9.40         10.88        2.67          NA            NA        27.75         29.23         090
                                    capsule.
23462.......  ........  A          Repair shoulder       15.60          NA            NA         9.15         10.35        2.60          NA            NA        27.35         28.55         090
                                    capsule.
23465.......  ........  A          Repair shoulder       16.16          NA            NA         9.66         10.80        2.77          NA            NA        28.59         29.73         090
                                    capsule.
23466.......  ........  A          Repair shoulder       15.55          NA            NA        10.14         11.06        2.47          NA            NA        28.16         29.08         090
                                    capsule.
23470.......  ........  A          Reconstruct           17.75          NA            NA        10.25         11.75        2.99          NA            NA        30.99         32.49         090
                                    shoulder joint.
23472.......  ........  A          Reconstruct           22.47          NA            NA        12.32         13.89        3.67          NA            NA        38.46         40.03         090
                                    shoulder joint.
23480.......  ........  A          Revision of           11.42          NA            NA         7.40          8.43        1.95          NA            NA        20.77         21.80         090
                                    collar bone.
23485.......  ........  A          Revision of           13.79          NA            NA         8.38          9.51        2.34          NA            NA        24.51         25.64         090
                                    collar bone.
23490.......  ........  A          Reinforce             12.04          NA            NA         6.55          8.16        1.47          NA            NA        20.06         21.67         090
                                    clavicle.
23491.......  ........  A          Reinforce             14.40          NA            NA         8.93         10.27        2.47          NA            NA        25.80         27.14         090
                                    shoulder bones.
23500.......  ........  A          Treat clavicle         2.13        2.64          2.81         2.64          2.55        0.30        5.07          5.24         5.07          4.98         090
                                    fracture.
23505.......  ........  A          Treat clavicle         3.74        4.02          4.31         3.63          3.79        0.61        8.37          8.66         7.98          8.14         090
                                    fracture.
23515.......  ........  A          Treat clavicle         7.47          NA            NA         5.61          6.32        1.28          NA            NA        14.36         15.07         090
                                    fracture.
23520.......  ........  A          Treat clavicle         2.21        2.64          2.80         2.64          2.72        0.34        5.19          5.35         5.19          5.27         090
                                    dislocation.
23525.......  ........  A          Treat clavicle         3.67        4.51          4.53         3.93          3.94        0.46        8.64          8.66         8.06          8.07         090
                                    dislocation.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69813]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
23530.......  ........  A          Treat clavicle         7.37          NA            NA         5.29          5.77        1.20          NA            NA        13.86         14.34         090
                                    dislocation.
23532.......  ........  A          Treat clavicle         8.08          NA            NA         6.10          6.75        1.38          NA            NA        15.56         16.21         090
                                    dislocation.
23540.......  ........  A          Treat clavicle         2.28        2.62          2.80         2.62          2.43        0.29        5.19          5.37         5.19          5.00         090
                                    dislocation.
23545.......  ........  A          Treat clavicle         3.32        3.75          4.08         3.28          3.34        0.35        7.42          7.75         6.95          7.01         090
                                    dislocation.
23550.......  ........  A          Treat clavicle         7.48          NA            NA         5.54          6.16        1.25          NA            NA        14.27         14.89         090
                                    dislocation.
23552.......  ........  A          Treat clavicle         8.70          NA            NA         6.29          7.06        1.46          NA            NA        16.45         17.22         090
                                    dislocation.
23570.......  ........  A          Treat shoulder         2.28        2.80          2.96         2.80          2.87        0.36        5.44          5.60         5.44          5.51         090
                                    blade fx.
23575.......  ........  A          Treat shoulder         4.12        4.36          4.75         3.87          4.20        0.59        9.07          9.46         8.58          8.91         090
                                    blade fx.
23585.......  ........  A          Treat scapula          9.15          NA            NA         6.54          7.37        1.54          NA            NA        17.23         18.06         090
                                    fracture.
23600.......  ........  A          Treat humerus          3.00        4.08          4.43         3.66          3.58        0.48        7.56          7.91         7.14          7.06         090
                                    fracture.
23605.......  ........  A          Treat humerus          4.94        5.42          5.97         4.63          4.99        0.84       11.20         11.75        10.41         10.77         090
                                    fracture.
23615.......  ........  A          Treat humerus         10.93          NA            NA         8.35          8.71        1.62          NA            NA        20.90         21.26         090
                                    fracture.
23616.......  ........  A          Treat humerus         21.68          NA            NA        11.62         13.51        3.70          NA            NA        37.00         38.89         090
                                    fracture.
23620.......  ........  A          Treat humerus          2.46        3.42          3.56         3.15          3.02        0.40        6.28          6.42         6.01          5.88         090
                                    fracture.
23625.......  ........  A          Treat humerus          3.99        4.44          4.82         3.92          4.19        0.67        9.10          9.48         8.58          8.85         090
                                    fracture.
23630.......  ........  A          Treat humerus          7.47          NA            NA         5.71          6.40        1.27          NA            NA        14.45         15.14         090
                                    fracture.
23650.......  ........  A          Treat shoulder         3.44        3.27          3.65         2.81          2.77        0.30        7.01          7.39         6.55          6.51         090
                                    dislocation.
23655.......  ........  A          Treat shoulder         4.64          NA            NA         4.18          4.17        0.69          NA            NA         9.51          9.50         090
                                    dislocation.
23660.......  ........  A          Treat shoulder         7.55          NA            NA         5.65          6.20        1.29          NA            NA        14.49         15.04         090
                                    dislocation.
23665.......  ........  A          Treat                  4.54        4.84          5.21         4.26          4.61        0.71       10.09         10.46         9.51          9.86         090
                                    dislocation/
                                    fracture.
23670.......  ........  A          Treat                  8.02          NA            NA         5.90          6.60        1.36          NA            NA        15.28         15.98         090
                                    dislocation/
                                    fracture.
23675.......  ........  A          Treat                  6.13        6.16          6.66         5.18          5.67        1.01       13.30         13.80        12.32         12.81         090
                                    dislocation/
                                    fracture.
23680.......  ........  A          Treat                 10.30          NA            NA         7.04          7.84        1.76          NA            NA        19.10         19.90         090
                                    dislocation/
                                    fracture.
23700.......  ........  A          Fixation of            2.54          NA            NA         1.92          2.11        0.44          NA            NA         4.90          5.09         010
                                    shoulder.
23800.......  ........  A          Fusion of             14.59          NA            NA         7.64          9.72        2.36          NA            NA        24.59         26.67         090
                                    shoulder joint.
23802.......  ........  A          Fusion of             18.17          NA            NA        11.08         10.40        2.71          NA            NA        31.96         31.28         090
                                    shoulder joint.
23900.......  ........  A          Amputation of         20.57          NA            NA        10.73         11.47        3.19          NA            NA        34.49         35.23         090
                                    arm & girdle.
23920.......  ........  A          Amputation at         16.03          NA            NA         9.60          9.84        2.47          NA            NA        28.10         28.34         090
                                    shoulder joint.
23921.......  ........  A          Amputation             5.61          NA            NA         4.89          5.03        0.78          NA            NA        11.28         11.42         090
                                    follow-up
                                    surgery.
23929.......  ........  C          Shoulder surgery       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
23930.......  ........  A          Drainage of arm        2.96        4.94          5.98         1.98          2.23        0.43        8.33          9.37         5.37          5.62         010
                                    lesion.
23931.......  ........  A          Drainage of arm        1.81        4.31          5.51         1.75          2.07        0.28        6.40          7.60         3.84          4.16         010
                                    bursa.
23935.......  ........  A          Drain arm/elbow        6.27          NA            NA         5.15          5.72        1.05          NA            NA        12.47         13.04         090
                                    bone lesion.
24000.......  ........  A          Exploratory            5.99          NA            NA         4.79          5.26        0.97          NA            NA        11.75         12.22         090
                                    elbow surgery.
24006.......  ........  A          Release elbow          9.62          NA            NA         6.71          7.49        1.50          NA            NA        17.83         18.61         090
                                    joint.
24065.......  ........  A          Biopsy arm/elbow       2.10        4.16          3.45         1.93          1.79        0.17        6.43          5.72         4.20          4.06         010
                                    soft tissue.
24066.......  ........  A          Biopsy arm/elbow       5.26        8.25          8.76         3.93          4.08        0.80       14.31         14.82         9.99         10.14         090
                                    soft tissue.
24075.......  ........  A          Remove arm/elbow       3.96        7.16          7.30         3.27          3.37        0.56       11.68         11.82         7.79          7.89         090
                                    lesion.
24076.......  ........  A          Remove arm/elbow       6.36          NA            NA         4.60          4.80        0.95          NA            NA        11.91         12.11         090
                                    lesion.
24077.......  ........  A          Remove tumor of       11.95          NA            NA         7.00          7.56        1.73          NA            NA        20.68         21.24         090
                                    arm/elbow.
24100.......  ........  A          Biopsy elbow           4.98          NA            NA         4.29          4.46        0.85          NA            NA        10.12         10.29         090
                                    joint lining.
24101.......  ........  A          Explore/treat          6.19          NA            NA         5.10          5.72        1.03          NA            NA        12.32         12.94         090
                                    elbow joint.
24102.......  ........  A          Remove elbow           8.15          NA            NA         5.85          6.61        1.33          NA            NA        15.33         16.09         090
                                    joint lining.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69814]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
24105.......  ........  A          Removal of elbow       3.67          NA            NA         4.04          4.30        0.61          NA            NA         8.32          8.58         090
                                    bursa.
24110.......  ........  A          Remove humerus         7.46          NA            NA         5.68          6.42        1.28          NA            NA        14.42         15.16         090
                                    lesion.
24115.......  ........  A          Remove/graft          10.00          NA            NA         6.85          7.12        1.68          NA            NA        18.53         18.80         090
                                    bone lesion.
24116.......  ........  A          Remove/graft          12.11          NA            NA         7.70          8.73        2.06          NA            NA        21.87         22.90         090
                                    bone lesion.
24120.......  ........  A          Remove elbow           6.71          NA            NA         5.23          5.75        1.10          NA            NA        13.04         13.56         090
                                    lesion.
24125.......  ........  A          Remove/graft           8.02          NA            NA         6.05          6.13        1.06          NA            NA        15.13         15.21         090
                                    bone lesion.
24126.......  ........  A          Remove/graft           8.50          NA            NA         6.24          6.83        1.16          NA            NA        15.90         16.49         090
                                    bone lesion.
24130.......  ........  A          Removal of head        6.31          NA            NA         5.15          5.80        1.04          NA            NA        12.50         13.15         090
                                    of radius.
24134.......  ........  A          Removal of arm        10.10          NA            NA         7.52          8.52        1.64          NA            NA        19.26         20.26         090
                                    bone lesion.
24136.......  ........  A          Remove radius          8.29          NA            NA         5.70          6.84        1.38          NA            NA        15.37         16.51         090
                                    bone lesion.
24138.......  ........  A          Remove elbow           8.33          NA            NA         6.74          7.52        1.34          NA            NA        16.41         17.19         090
                                    bone lesion.
24140.......  ........  A          Partial removal        9.43          NA            NA         7.24          8.64        1.51          NA            NA        18.18         19.58         090
                                    of arm bone.
24145.......  ........  A          Partial removal        7.70          NA            NA         6.32          7.63        1.25          NA            NA        15.27         16.58         090
                                    of radius.
24147.......  ........  A          Partial removal        7.69          NA            NA         6.93          8.18        1.30          NA            NA        15.92         17.17         090
                                    of elbow.
24149.......  ........  A          Radical               15.92          NA            NA        10.94         11.45        2.35          NA            NA        29.21         29.72         090
                                    resection of
                                    elbow.
24150.......  ........  A          Extensive             13.70          NA            NA         8.58          9.64        2.33          NA            NA        24.61         25.67         090
                                    humerus surgery.
24151.......  ........  A          Extensive             16.08          NA            NA         9.82         11.09        2.60          NA            NA        28.50         29.77         090
                                    humerus surgery.
24152.......  ........  A          Extensive radius      10.24          NA            NA         6.35          7.39        1.48          NA            NA        18.07         19.11         090
                                    surgery.
24153.......  ........  A          Extensive radius      11.73          NA            NA         4.87          5.40        0.74          NA            NA        17.34         17.87         090
                                    surgery.
24155.......  ........  A          Removal of elbow      11.97          NA            NA         7.64          8.21        1.93          NA            NA        21.54         22.11         090
                                    joint.
24160.......  ........  A          Remove elbow           7.89          NA            NA         5.85          6.63        1.30          NA            NA        15.04         15.82         090
                                    joint implant.
24164.......  ........  A          Remove radius          6.34          NA            NA         4.94          5.56        1.03          NA            NA        12.31         12.93         090
                                    head implant.
24200.......  ........  A          Removal of arm         1.78        2.76          3.25         1.38          1.57        0.20        4.74          5.23         3.36          3.55         010
                                    foreign body.
24201.......  ........  A          Removal of arm         4.61        7.85          9.32         3.70          4.10        0.72       13.18         14.65         9.03          9.43         090
                                    foreign body.
24220.......  ........  A          Injection for          1.31        2.50          3.35         0.39          0.43        0.08        3.89          4.74         1.78          1.82         000
                                    elbow x-ray.
24300.......  ........  A          Manipulate elbow       3.86          NA            NA         5.19          5.58        0.65          NA            NA         9.70         10.09         090
                                    w/anesth.
24301.......  ........  A          Muscle/tendon         10.26          NA            NA         6.91          7.86        1.66          NA            NA        18.83         19.78         090
                                    transfer.
24305.......  ........  A          Arm tendon             7.51          NA            NA         5.72          6.46        1.15          NA            NA        14.38         15.12         090
                                    lengthening.
24310.......  ........  A          Revision of arm        6.03          NA            NA         4.80          5.39        0.96          NA            NA        11.79         12.38         090
                                    tendon.
24320.......  ........  A          Repair of arm         10.74          NA            NA         7.15          7.44        1.74          NA            NA        19.63         19.92         090
                                    tendon.
24330.......  ........  A          Revision of arm        9.67          NA            NA         6.69          7.58        1.60          NA            NA        17.96         18.85         090
                                    muscles.
24331.......  ........  A          Revision of arm       10.83          NA            NA         6.57          8.15        1.78          NA            NA        19.18         20.76         090
                                    muscles.
24332.......  ........  A          Tenolysis,             7.77          NA            NA         5.81          6.53        1.23          NA            NA        14.81         15.53         090
                                    triceps.
24340.......  ........  A          Repair of biceps       7.96          NA            NA         6.02          6.74        1.36          NA            NA        15.34         16.06         090
                                    tendon.
24341.......  ........  A          Repair arm             9.24          NA            NA         7.54          7.83        1.36          NA            NA        18.14         18.43         090
                                    tendon/muscle.
24342.......  ........  A          Repair of             10.74          NA            NA         7.15          8.18        1.86          NA            NA        19.75         20.78         090
                                    ruptured tendon.
24343.......  ........  A          Repr elbow lat         8.99          NA            NA         7.06          7.88        1.43          NA            NA        17.48         18.30         090
                                    ligmnt w/tiss.
24344.......  ........  A          Reconstruct           14.97          NA            NA        10.11         11.17        2.37          NA            NA        27.45         28.51         090
                                    elbow lat
                                    ligmnt.
24345.......  ........  A          Repr elbw med          8.99          NA            NA         7.01          7.77        1.44          NA            NA        17.44         18.20         090
                                    ligmnt w/tissu.
24346.......  ........  A          Reconstruct           14.97          NA            NA        10.11         11.03        2.34          NA            NA        27.42         28.34         090
                                    elbow med
                                    ligmnt.
24350.......  ........  A          Repair of tennis       5.32          NA            NA         4.90          5.41        0.87          NA            NA        11.09         11.60         090
                                    elbow.
24351.......  ........  A          Repair of tennis       5.97          NA            NA         5.02          5.70        1.02          NA            NA        12.01         12.69         090
                                    elbow.
24352.......  ........  A          Repair of tennis       6.49          NA            NA         5.24          5.95        1.10          NA            NA        12.83         13.54         090
                                    elbow.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69815]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
24354.......  ........  A          Repair of tennis       6.54          NA            NA         5.27          5.93        1.07          NA            NA        12.88         13.54         090
                                    elbow.
24356.......  ........  A          Revision of            6.74          NA            NA         5.35          6.07        1.11          NA            NA        13.20         13.92         090
                                    tennis elbow.
24360.......  ........  A          Reconstruct           12.53          NA            NA         8.01          9.11        2.06          NA            NA        22.60         23.70         090
                                    elbow joint.
24361.......  ........  A          Reconstruct           14.27          NA            NA         8.86         10.15        2.19          NA            NA        25.32         26.61         090
                                    elbow joint.
24362.......  ........  A          Reconstruct           15.18          NA            NA         9.37          9.87        2.61          NA            NA        27.16         27.66         090
                                    elbow joint.
24363.......  ........  A          Replace elbow         22.47          NA            NA        12.36         13.37        3.02          NA            NA        37.85         38.86         090
                                    joint.
24365.......  ........  A          Reconstruct head       8.51          NA            NA         5.96          6.89        1.41          NA            NA        15.88         16.81         090
                                    of radius.
24366.......  ........  A          Reconstruct head       9.25          NA            NA         6.35          7.24        1.52          NA            NA        17.12         18.01         090
                                    of radius.
24400.......  ........  A          Revision of           11.19          NA            NA         7.65          8.55        1.93          NA            NA        20.77         21.67         090
                                    humerus.
24410.......  ........  A          Revision of           14.96          NA            NA         9.37         10.08        2.58          NA            NA        26.91         27.62         090
                                    humerus.
24420.......  ........  A          Revision of           13.58          NA            NA         8.89         10.13        2.18          NA            NA        24.65         25.89         090
                                    humerus.
24430.......  ........  A          Repair of             15.07          NA            NA         9.34          9.64        2.22          NA            NA        26.63         26.93         090
                                    humerus.
24435.......  ........  A          Repair humerus        14.74          NA            NA         9.90         10.64        2.28          NA            NA        26.92         27.66         090
                                    with graft.
24470.......  ........  A          Revision of            8.81          NA            NA         6.44          7.40        1.48          NA            NA        16.73         17.69         090
                                    elbow joint.
24495.......  ........  A          Decompression of       8.30          NA            NA         6.65          8.22        1.18          NA            NA        16.13         17.70         090
                                    forearm.
24498.......  ........  A          Reinforce             12.16          NA            NA         7.78          8.89        2.07          NA            NA        22.01         23.12         090
                                    humerus.
24500.......  ........  A          Treat humerus          3.29        4.44          4.75         3.81          3.71        0.50        8.23          8.54         7.60          7.50         090
                                    fracture.
24505.......  ........  A          Treat humerus          5.25        5.86          6.42         4.91          5.27        0.89       12.00         12.56        11.05         11.41         090
                                    fracture.
24515.......  ........  A          Treat humerus         11.97          NA            NA         8.12          9.07        2.03          NA            NA        22.12         23.07         090
                                    fracture.
24516.......  ........  A          Treat humerus         12.07          NA            NA         7.74          8.77        2.03          NA            NA        21.84         22.87         090
                                    fracture.
24530.......  ........  A          Treat humerus          3.57        4.73          5.08         4.01          4.03        0.57        8.87          9.22         8.15          8.17         090
                                    fracture.
24535.......  ........  A          Treat humerus          6.96        6.82          7.59         5.88          6.44        1.18       14.96         15.73        14.02         14.58         090
                                    fracture.
24538.......  ........  A          Treat humerus          9.63          NA            NA         7.25          8.34        1.64          NA            NA        18.52         19.61         090
                                    fracture.
24545.......  ........  A          Treat humerus         10.88          NA            NA         7.27          8.16        1.83          NA            NA        19.98         20.87         090
                                    fracture.
24546.......  ........  A          Treat humerus         15.99          NA            NA         9.54         10.88        2.74          NA            NA        28.27         29.61         090
                                    fracture.
24560.......  ........  A          Treat humerus          2.87        4.04          4.37         3.38          3.24        0.44        7.35          7.68         6.69          6.55         090
                                    fracture.
24565.......  ........  A          Treat humerus          5.64        5.86          6.42         4.99          5.39        0.93       12.43         12.99        11.56         11.96         090
                                    fracture.
24566.......  ........  A          Treat humerus          8.86          NA            NA         6.99          7.87        1.30          NA            NA        17.15         18.03         090
                                    fracture.
24575.......  ........  A          Treat humerus         11.02          NA            NA         7.30          8.13        1.87          NA            NA        20.19         21.02         090
                                    fracture.
24576.......  ........  A          Treat humerus          2.94        4.43          4.68         3.73          3.72        0.46        7.83          8.08         7.13          7.12         090
                                    fracture.
24577.......  ........  A          Treat humerus          5.87        6.02          6.70         5.09          5.65        0.95       12.84         13.52        11.91         12.47         090
                                    fracture.
24579.......  ........  A          Treat humerus         11.96          NA            NA         7.90          8.60        2.03          NA            NA        21.89         22.59         090
                                    fracture.
24582.......  ........  A          Treat humerus          9.89          NA            NA         8.23          8.89        1.48          NA            NA        19.60         20.26         090
                                    fracture.
24586.......  ........  A          Treat elbow           15.64          NA            NA         9.41         10.78        2.65          NA            NA        27.70         29.07         090
                                    fracture.
24587.......  ........  A          Treat elbow           15.65          NA            NA         9.43         10.62        2.53          NA            NA        27.61         28.80         090
                                    fracture.
24600.......  ........  A          Treat elbow            4.28        3.87          4.61         3.30          3.45        0.50        8.65          9.39         8.08          8.23         090
                                    dislocation.
24605.......  ........  A          Treat elbow            5.50          NA            NA         4.97          5.26        0.89          NA            NA        11.36         11.65         090
                                    dislocation.
24615.......  ........  A          Treat elbow            9.72          NA            NA         6.61          7.52        1.60          NA            NA        17.93         18.84         090
                                    dislocation.
24620.......  ........  A          Treat elbow            7.07          NA            NA         5.49          6.06        1.07          NA            NA        13.63         14.20         090
                                    fracture.
24635.......  ........  A          Treat elbow           13.56          NA            NA        10.25         13.10        2.29          NA            NA        26.10         28.95         090
                                    fracture.
24640.......  ........  A          Treat elbow            1.22        1.47          1.75         0.81          0.80        0.12        2.81          3.09         2.15          2.14         010
                                    dislocation.
24650.......  ........  A          Treat radius           2.22        3.43          3.69         3.00          2.81        0.35        6.00          6.26         5.57          5.38         090
                                    fracture.
24655.......  ........  A          Treat radius           4.48        5.19          5.76         4.42          4.70        0.70       10.37         10.94         9.60          9.88         090
                                    fracture.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69816]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
24665.......  ........  A          Treat radius           8.22          NA            NA         6.55          7.27        1.41          NA            NA        16.18         16.90         090
                                    fracture.
24666.......  ........  A          Treat radius           9.74          NA            NA         7.02          7.81        1.62          NA            NA        18.38         19.17         090
                                    fracture.
24670.......  ........  A          Treat ulnar            2.60        3.73          4.02         3.16          3.09        0.41        6.74          7.03         6.17          6.10         090
                                    fracture.
24675.......  ........  A          Treat ulnar            4.79        5.30          5.83         4.51          4.86        0.81       10.90         11.43        10.11         10.46         090
                                    fracture.
24685.......  ........  A          Treat ulnar            8.92          NA            NA         6.50          7.27        1.52          NA            NA        16.94         17.71         090
                                    fracture.
24800.......  ........  A          Fusion of elbow       11.27          NA            NA         7.68          8.48        1.63          NA            NA        20.58         21.38         090
                                    joint.
24802.......  ........  A          Fusion/graft of       14.18          NA            NA         8.61          9.94        2.38          NA            NA        25.17         26.50         090
                                    elbow joint.
24900.......  ........  A          Amputation of         10.04          NA            NA         6.49          6.92        1.53          NA            NA        18.06         18.49         090
                                    upper arm.
24920.......  ........  A          Amputation of         10.02          NA            NA         6.50          6.83        1.61          NA            NA        18.13         18.46         090
                                    upper arm.
24925.......  ........  A          Amputation             7.19          NA            NA         4.95          5.80        1.14          NA            NA        13.28         14.13         090
                                    follow-up
                                    surgery.
24930.......  ........  A          Amputation            10.72          NA            NA         5.93          6.91        1.68          NA            NA        18.33         19.31         090
                                    follow-up
                                    surgery.
24931.......  ........  A          Amputate upper        13.32          NA            NA         8.42          6.40        1.90          NA            NA        23.64         21.62         090
                                    arm & implant.
24935.......  ........  A          Revision of           16.30          NA            NA         8.90          8.24        2.14          NA            NA        27.34         26.68         090
                                    amputation.
24940.......  ........  C          Revision of            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         090
                                    upper arm.
24999.......  ........  C          Upper arm/elbow        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery.
25000.......  ........  A          Incision of            3.44          NA            NA         5.06          6.42        0.55          NA            NA         9.05         10.41         090
                                    tendon sheath.
25001.......  ........  A          Incise flexor          3.68          NA            NA         3.87          4.14        0.55          NA            NA         8.10          8.37         090
                                    carpi radialis.
25020.......  ........  A          Decompress             5.97          NA            NA         6.90          8.90        0.93          NA            NA        13.80         15.80         090
                                    forearm 1 space.
25023.......  ........  A          Decompress            13.69          NA            NA        11.53         14.09        2.04          NA            NA        27.26         29.82         090
                                    forearm 1 space.
25024.......  ........  A          Decompress            10.62          NA            NA         7.27          7.42        1.36          NA            NA        19.25         19.40         090
                                    forearm 2
                                    spaces.
25025.......  ........  A          Decompress            17.77          NA            NA         9.14          9.76        1.83          NA            NA        28.74         29.36         090
                                    forearm 2
                                    spaces.
25028.......  ........  A          Drainage of            5.30          NA            NA         6.24          7.68        0.81          NA            NA        12.35         13.79         090
                                    forearm lesion.
25031.......  ........  A          Drainage of            4.18          NA            NA         5.46          7.31        0.63          NA            NA        10.27         12.12         090
                                    forearm bursa.
25035.......  ........  A          Treat forearm          7.54          NA            NA         8.87         12.41        1.24          NA            NA        17.65         21.19         090
                                    bone lesion.
25040.......  ........  A          Explore/treat          7.41          NA            NA         5.93          6.96        1.15          NA            NA        14.49         15.52         090
                                    wrist joint.
25065.......  ........  A          Biopsy forearm         2.01        4.29          3.49         1.97          1.92        0.15        6.45          5.65         4.13          4.08         010
                                    soft tissues.
25066.......  ........  A          Biopsy forearm         4.18          NA            NA         5.46          6.66        0.64          NA            NA        10.28         11.48         090
                                    soft tissues.
25075.......  ........  A          Removal forearm        3.78          NA            NA         4.89          5.64        0.55          NA            NA         9.22          9.97         090
                                    lesion subcu.
25076.......  ........  A          Removal forearm        4.97          NA            NA         6.89          8.88        0.74          NA            NA        12.60         14.59         090
                                    lesion deep.
25077.......  ........  A          Remove tumor,          9.90          NA            NA         8.95         11.30        1.42          NA            NA        20.27         22.62         090
                                    forearm/wrist.
25085.......  ........  A          Incision of            5.55          NA            NA         5.48          6.71        0.85          NA            NA        11.88         13.11         090
                                    wrist capsule.
25100.......  ........  A          Biopsy of wrist        3.94          NA            NA         4.30          5.03        0.59          NA            NA         8.83          9.56         090
                                    joint.
25101.......  ........  A          Explore/treat          4.74          NA            NA         4.84          5.63        0.75          NA            NA        10.33         11.12         090
                                    wrist joint.
25105.......  ........  A          Remove wrist           5.91          NA            NA         5.85          6.94        0.92          NA            NA        12.68         13.77         090
                                    joint lining.
25107.......  ........  A          Remove wrist           7.50          NA            NA         7.20          8.06        0.99          NA            NA        15.69         16.55         090
                                    joint cartilage.
25109.......  ........  A          Excise tendon          6.81          NA            NA         5.32          5.32        0.96          NA            NA        13.09         13.09         090
                                    forearm/wrist.
25110.......  ........  A          Remove wrist           3.96          NA            NA         5.28          6.61        0.62          NA            NA         9.86         11.19         090
                                    tendon lesion.
25111.......  ........  A          Remove wrist           3.44          NA            NA         4.11          4.55        0.53          NA            NA         8.08          8.52         090
                                    tendon lesion.
25112.......  ........  A          Reremove wrist         4.58          NA            NA         4.56          5.08        0.70          NA            NA         9.84         10.36         090
                                    tendon lesion.
25115.......  ........  A          Remove wrist/          9.89          NA            NA        10.27         13.09        1.31          NA            NA        21.47         24.29         090
                                    forearm lesion.
25116.......  ........  A          Remove wrist/          7.38          NA            NA         9.11         12.13        1.11          NA            NA        17.60         20.62         090
                                    forearm lesion.
25118.......  ........  A          Excise wrist           4.42          NA            NA         4.66          5.47        0.68          NA            NA         9.76         10.57         090
                                    tendon sheath.
25119.......  ........  A          Partial removal        6.10          NA            NA         5.89          7.17        0.96          NA            NA        12.95         14.23         090
                                    of ulna.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69817]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
25120.......  ........  A          Removal of             6.16          NA            NA         7.92         11.04        1.00          NA            NA        15.08         18.20         090
                                    forearm lesion.
25125.......  ........  A          Remove/graft           7.55          NA            NA         8.77         11.82        1.06          NA            NA        17.38         20.43         090
                                    forearm lesion.
25126.......  ........  A          Remove/graft           7.62          NA            NA         8.80         11.96        1.27          NA            NA        17.69         20.85         090
                                    forearm lesion.
25130.......  ........  A          Removal of wrist       5.32          NA            NA         5.23          6.12        0.80          NA            NA        11.35         12.24         090
                                    lesion.
25135.......  ........  A          Remove & graft         6.96          NA            NA         6.17          7.18        1.02          NA            NA        14.15         15.16         090
                                    wrist lesion.
25136.......  ........  A          Remove & graft         6.03          NA            NA         5.55          6.33        1.03          NA            NA        12.61         13.39         090
                                    wrist lesion.
25145.......  ........  A          Remove forearm         6.43          NA            NA         8.13         11.08        1.01          NA            NA        15.57         18.52         090
                                    bone lesion.
25150.......  ........  A          Partial removal        7.27          NA            NA         6.41          7.76        1.14          NA            NA        14.82         16.17         090
                                    of ulna.
25151.......  ........  A          Partial removal        7.57          NA            NA         8.53         11.67        1.18          NA            NA        17.28         20.42         090
                                    of radius.
25170.......  ........  A          Extensive             11.34          NA            NA        10.54         14.00        1.78          NA            NA        23.66         27.12         090
                                    forearm surgery.
25210.......  ........  A          Removal of wrist       6.01          NA            NA         5.58          6.49        0.88          NA            NA        12.47         13.38         090
                                    bone.
25215.......  ........  A          Removal of wrist       8.02          NA            NA         6.88          8.28        1.19          NA            NA        16.09         17.49         090
                                    bones.
25230.......  ........  A          Partial removal        5.28          NA            NA         4.99          5.85        0.79          NA            NA        11.06         11.92         090
                                    of radius.
25240.......  ........  A          Partial removal        5.22          NA            NA         5.29          6.54        0.81          NA            NA        11.32         12.57         090
                                    of ulna.
25246.......  ........  A          Injection for          1.45        2.55          3.22         0.44          0.47        0.09        4.09          4.76         1.98          2.01         000
                                    wrist x-ray.
25248.......  ........  A          Remove forearm         5.20          NA            NA         6.54          8.03        0.72          NA            NA        12.46         13.95         090
                                    foreign body.
25250.......  ........  A          Removal of wrist       6.66          NA            NA         5.37          5.92        1.01          NA            NA        13.04         13.59         090
                                    prosthesis.
25251.......  ........  A          Removal of wrist       9.70          NA            NA         6.77          7.63        1.26          NA            NA        17.73         18.59         090
                                    prosthesis.
25259.......  ........  A          Manipulate wrist       3.86          NA            NA         5.15          5.58        0.62          NA            NA         9.63         10.06         090
                                    w/anesthes.
25260.......  ........  A          Repair forearm         7.89          NA            NA         9.28         12.30        1.19          NA            NA        18.36         21.38         090
                                    tendon/muscle.
25263.......  ........  A          Repair forearm         7.90          NA            NA         9.00         12.20        1.18          NA            NA        18.08         21.28         090
                                    tendon/muscle.
25265.......  ........  A          Repair forearm         9.96          NA            NA        10.08         13.25        1.47          NA            NA        21.51         24.68         090
                                    tendon/muscle.
25270.......  ........  A          Repair forearm         6.06          NA            NA         7.92         11.00        0.95          NA            NA        14.93         18.01         090
                                    tendon/muscle.
25272.......  ........  A          Repair forearm         7.10          NA            NA         8.38         11.69        1.11          NA            NA        16.59         19.90         090
                                    tendon/muscle.
25274.......  ........  A          Repair forearm         8.82          NA            NA         9.24         12.53        1.36          NA            NA        19.42         22.71         090
                                    tendon/muscle.
25275.......  ........  A          Repair forearm         8.82          NA            NA         6.57          7.33        1.31          NA            NA        16.70         17.46         090
                                    tendon sheath.
25280.......  ........  A          Revise wrist/          7.28          NA            NA         8.49         11.60        1.08          NA            NA        16.85         19.96         090
                                    forearm tendon.
25290.......  ........  A          Incise wrist/          5.34          NA            NA         9.15         13.53        0.82          NA            NA        15.31         19.69         090
                                    forearm tendon.
25295.......  ........  A          Release wrist/         6.61          NA            NA         8.17         11.16        1.00          NA            NA        15.78         18.77         090
                                    forearm tendon.
25300.......  ........  A          Fusion of              8.88          NA            NA         7.29          8.16        1.26          NA            NA        17.43         18.30         090
                                    tendons at
                                    wrist.
25301.......  ........  A          Fusion of              8.47          NA            NA         6.80          7.75        1.29          NA            NA        16.56         17.51         090
                                    tendons at
                                    wrist.
25310.......  ........  A          Transplant             8.26          NA            NA         8.85         11.99        1.21          NA            NA        18.32         21.46         090
                                    forearm tendon.
25312.......  ........  A          Transplant             9.70          NA            NA         9.65         12.87        1.41          NA            NA        20.76         23.98         090
                                    forearm tendon.
25315.......  ........  A          Revise palsy          10.56          NA            NA        10.08         13.32        1.58          NA            NA        22.22         25.46         090
                                    hand tendon(s).
25316.......  ........  A          Revise palsy          12.76          NA            NA        11.10         14.94        1.75          NA            NA        25.61         29.45         090
                                    hand tendon(s).
25320.......  ........  A          Repair/revise         12.38          NA            NA        10.46         11.16        1.61          NA            NA        24.45         25.15         090
                                    wrist joint.
25332.......  ........  A          Revise wrist          11.60          NA            NA         7.81          8.83        1.84          NA            NA        21.25         22.27         090
                                    joint.
25335.......  ........  A          Realignment of        13.25          NA            NA         7.07         10.46        1.93          NA            NA        22.25         25.64         090
                                    hand.
25337.......  ........  A          Reconstruct ulna/     11.44          NA            NA         9.45         10.67        1.61          NA            NA        22.50         23.72         090
                                    radioulnar.
25350.......  ........  A          Revision of            8.97          NA            NA         9.28         12.80        1.46          NA            NA        19.71         23.23         090
                                    radius.
25355.......  ........  A          Revision of           10.41          NA            NA        10.08         13.48        1.74          NA            NA        22.23         25.63         090
                                    radius.
25360.......  ........  A          Revision of ulna       8.62          NA            NA         9.12         12.68        1.41          NA            NA        19.15         22.71         090
25365.......  ........  A          Revise radius &       12.77          NA            NA        11.08         14.50        2.16          NA            NA        26.01         29.43         090
                                    ulna.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69818]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
25370.......  ........  A          Revise radius or      13.93          NA            NA        11.96         15.04        2.29          NA            NA        28.18         31.26         090
                                    ulna.
25375.......  ........  A          Revise radius &       13.41          NA            NA        11.32         15.15        2.27          NA            NA        27.00         30.83         090
                                    ulna.
25390.......  ........  A          Shorten radius        10.58          NA            NA         9.98         13.43        1.65          NA            NA        22.21         25.66         090
                                    or ulna.
25391.......  ........  A          Lengthen radius       14.14          NA            NA        11.71         15.34        2.22          NA            NA        28.07         31.70         090
                                    or ulna.
25392.......  ........  A          Shorten radius &      14.44          NA            NA        11.86         14.94        2.11          NA            NA        28.41         31.49         090
                                    ulna.
25393.......  ........  A          Lengthen radius       16.42          NA            NA        13.47         16.55        2.77          NA            NA        32.66         35.74         090
                                    & ulna.
25394.......  ........  A          Repair carpal         10.71          NA            NA         6.85          7.76        1.59          NA            NA        19.15         20.06         090
                                    bone, shorten.
25400.......  ........  A          Repair radius or      11.16          NA            NA        10.19         13.94        1.83          NA            NA        23.18         26.93         090
                                    ulna.
25405.......  ........  A          Repair/graft          14.87          NA            NA        11.95         15.94        2.33          NA            NA        29.15         33.14         090
                                    radius or ulna.
25415.......  ........  A          Repair radius &       13.66          NA            NA        11.02         15.14        2.18          NA            NA        26.86         30.98         090
                                    ulna.
25420.......  ........  A          Repair/graft          16.89          NA            NA        12.83         16.91        2.62          NA            NA        32.34         36.42         090
                                    radius & ulna.
25425.......  ........  A          Repair/graft          13.58          NA            NA        14.17         19.59        2.09          NA            NA        29.84         35.26         090
                                    radius or ulna.
25426.......  ........  A          Repair/graft          16.31          NA            NA        12.50         15.54        2.55          NA            NA        31.36         34.40         090
                                    radius & ulna.
25430.......  ........  A          Vasc graft into        9.57          NA            NA         7.11          7.28        1.27          NA            NA        17.95         18.12         090
                                    carpal bone.
25431.......  ........  A          Repair nonunion       10.75          NA            NA         7.33          8.13        1.91          NA            NA        19.99         20.79         090
                                    carpal bone.
25440.......  ........  A          Repair/graft          10.56          NA            NA         7.56          8.94        1.63          NA            NA        19.75         21.13         090
                                    wrist bone.
25441.......  ........  A          Reconstruct           13.15          NA            NA         8.62          9.66        2.08          NA            NA        23.85         24.89         090
                                    wrist joint.
25442.......  ........  A          Reconstruct           10.98          NA            NA         7.42          8.52        1.53          NA            NA        19.93         21.03         090
                                    wrist joint.
25443.......  ........  A          Reconstruct           10.52          NA            NA         6.69          8.25        1.37          NA            NA        18.58         20.14         090
                                    wrist joint.
25444.......  ........  A          Reconstruct           11.28          NA            NA         7.75          8.71        1.72          NA            NA        20.75         21.71         090
                                    wrist joint.
25445.......  ........  A          Reconstruct            9.76          NA            NA         6.78          7.69        1.55          NA            NA        18.09         19.00         090
                                    wrist joint.
25446.......  ........  A          Wrist                 17.16          NA            NA         9.99         11.44        2.48          NA            NA        29.63         31.08         090
                                    replacement.
25447.......  ........  A          Repair wrist          10.95          NA            NA         7.95          8.48        1.61          NA            NA        20.51         21.04         090
                                    joint(s).
25449.......  ........  A          Remove wrist          14.80          NA            NA         9.19         10.30        2.22          NA            NA        26.21         27.32         090
                                    joint implant.
25450.......  ........  A          Revision of            7.94          NA            NA         7.28          9.46        1.36          NA            NA        16.58         18.76         090
                                    wrist joint.
25455.......  ........  A          Revision of            9.57          NA            NA         6.41          9.75        0.96          NA            NA        16.94         20.28         090
                                    wrist joint.
25490.......  ........  A          Reinforce radius       9.61          NA            NA         9.50         12.67        1.43          NA            NA        20.54         23.71         090
25491.......  ........  A          Reinforce ulna..      10.03          NA            NA         9.71         13.27        1.60          NA            NA        21.34         24.90         090
25492.......  ........  A          Reinforce radius      12.52          NA            NA        10.56         14.12        2.15          NA            NA        25.23         28.79         090
                                    and ulna.
25500.......  ........  A          Treat fracture         2.51        3.33          3.51         2.89          2.76        0.35        6.19          6.37         5.75          5.62         090
                                    of radius.
25505.......  ........  A          Treat fracture         5.30        5.87          6.37         5.03          5.32        0.90       12.07         12.57        11.23         11.52         090
                                    of radius.
25515.......  ........  A          Treat fracture         9.37          NA            NA         6.78          7.29        1.59          NA            NA        17.74         18.25         090
                                    of radius.
25520.......  ........  A          Treat fracture         6.35        6.00          6.65         5.43          5.90        1.08       13.43         14.08        12.86         13.33         090
                                    of radius.
25525.......  ........  A          Treat fracture        12.69          NA            NA         8.78          9.69        2.13          NA            NA        23.60         24.51         090
                                    of radius.
25526.......  ........  A          Treat fracture        13.43          NA            NA        10.26         12.69        2.20          NA            NA        25.89         28.32         090
                                    of radius.
25530.......  ........  A          Treat fracture         2.15        3.46          3.69         2.96          2.89        0.34        5.95          6.18         5.45          5.38         090
                                    of ulna.
25535.......  ........  A          Treat fracture         5.22        5.69          5.93         4.95          5.21        0.89       11.80         12.04        11.06         11.32         090
                                    of ulna.
25545.......  ........  A          Treat fracture         9.09          NA            NA         6.67          7.41        1.53          NA            NA        17.29         18.03         090
                                    of ulna.
25560.......  ........  A          Treat fracture         2.50        3.38          3.61         2.87          2.67        0.35        6.23          6.46         5.72          5.52         090
                                    radius & ulna.
25565.......  ........  A          Treat fracture         5.71        5.97          6.52         5.00          5.32        0.93       12.61         13.16        11.64         11.96         090
                                    radius & ulna.
25574.......  ........  A          Treat fracture         7.47          NA            NA         6.65          7.06        1.21          NA            NA        15.33         15.74         090
                                    radius & ulna.
25575.......  ........  A          Treat fracture        12.02          NA            NA         9.02          9.39        1.82          NA            NA        22.86         23.23         090
                                    radius/ulna.
25600.......  ........  A          Treat fracture         2.69        3.68          3.99         3.18          3.02        0.42        6.79          7.10         6.29          6.13         090
                                    radius/ulna.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69819]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
25605.......  ........  A          Treat fracture         7.02        6.91          7.15         6.19          6.21        1.00       14.93         15.17        14.21         14.23         090
                                    radius/ulna.
25606.......  ........  A          Treat fx distal        8.10          NA            NA         6.75          8.41        1.26          NA            NA        16.11         17.77         090
                                    radial.
25607.......  ........  A          Treat fx rad           9.35          NA            NA         7.26          7.26        1.36          NA            NA        17.97         17.97         090
                                    extra-articul.
25608.......  ........  A          Treat fx rad          10.86          NA            NA         7.88          7.88        1.84          NA            NA        20.58         20.58         090
                                    intra-articul.
25609.......  ........  A          Treat fx radial       14.12          NA            NA         9.77          9.77        2.38          NA            NA        26.27         26.27         090
                                    3+ frag.
25622.......  ........  A          Treat wrist bone       2.68        3.90          4.18         3.36          3.17        0.41        6.99          7.27         6.45          6.26         090
                                    fracture.
25624.......  ........  A          Treat wrist bone       4.62        5.59          6.12         4.74          4.99        0.76       10.97         11.50        10.12         10.37         090
                                    fracture.
25628.......  ........  A          Treat wrist bone       9.50          NA            NA         7.38          7.71        1.37          NA            NA        18.25         18.58         090
                                    fracture.
25630.......  ........  A          Treat wrist bone       2.94        3.76          4.08         3.25          3.02        0.45        7.15          7.47         6.64          6.41         090
                                    fracture.
25635.......  ........  A          Treat wrist bone       4.47        5.39          5.80         4.57          4.07        0.74       10.60         11.01         9.78          9.28         090
                                    fracture.
25645.......  ........  A          Treat wrist bone       7.31          NA            NA         5.84          6.43        1.20          NA            NA        14.35         14.94         090
                                    fracture.
25650.......  ........  A          Treat wrist bone       3.12        3.85          4.20         3.46          3.24        0.45        7.42          7.77         7.03          6.81         090
                                    fracture.
25651.......  ........  A          Pin ulnar              5.68          NA            NA         5.15          5.40        0.86          NA            NA        11.69         11.94         090
                                    styloid
                                    fracture.
25652.......  ........  A          Treat fracture         7.92          NA            NA         6.25          6.81        1.21          NA            NA        15.38         15.94         090
                                    ulnar styloid.
25660.......  ........  A          Treat wrist            4.84          NA            NA         4.49          4.66        0.58          NA            NA         9.91         10.08         090
                                    dislocation.
25670.......  ........  A          Treat wrist            7.98          NA            NA         6.02          6.75        1.28          NA            NA        15.28         16.01         090
                                    dislocation.
25671.......  ........  A          Pin radioulnar         6.32          NA            NA         5.55          6.00        1.00          NA            NA        12.87         13.32         090
                                    dislocation.
25675.......  ........  A          Treat wrist            4.75        4.89          5.46         4.16          4.53        0.62       10.26         10.83         9.53          9.90         090
                                    dislocation.
25676.......  ........  A          Treat wrist            8.17          NA            NA         6.31          7.05        1.34          NA            NA        15.82         16.56         090
                                    dislocation.
25680.......  ........  A          Treat wrist            6.08          NA            NA         4.40          4.66        0.78          NA            NA        11.26         11.52         090
                                    fracture.
25685.......  ........  A          Treat wrist            9.97          NA            NA         6.74          7.54        1.60          NA            NA        18.31         19.11         090
                                    fracture.
25690.......  ........  A          Treat wrist            5.58          NA            NA         4.85          5.34        0.88          NA            NA        11.31         11.80         090
                                    dislocation.
25695.......  ........  A          Treat wrist            8.40          NA            NA         6.23          6.88        1.32          NA            NA        15.95         16.60         090
                                    dislocation.
25800.......  ........  A          Fusion of wrist        9.95          NA            NA         7.33          8.65        1.57          NA            NA        18.85         20.17         090
                                    joint.
25805.......  ........  A          Fusion/graft of       11.59          NA            NA         8.23          9.75        1.81          NA            NA        21.63         23.15         090
                                    wrist joint.
25810.......  ........  A          Fusion/graft of       11.75          NA            NA         8.62          9.58        1.68          NA            NA        22.05         23.01         090
                                    wrist joint.
25820.......  ........  A          Fusion of hand         7.52          NA            NA         6.32          7.47        1.22          NA            NA        15.06         16.21         090
                                    bones.
25825.......  ........  A          Fuse hand bones        9.54          NA            NA         7.63          8.83        1.41          NA            NA        18.58         19.78         090
                                    with graft.
25830.......  ........  A          Fusion,               10.69          NA            NA        10.48         13.43        1.55          NA            NA        22.72         25.67         090
                                    radioulnar jnt/
                                    ulna.
25900.......  ........  A          Amputation of          9.46          NA            NA         9.28         11.74        1.30          NA            NA        20.04         22.50         090
                                    forearm.
25905.......  ........  A          Amputation of          9.48          NA            NA         8.47         11.34        1.40          NA            NA        19.35         22.22         090
                                    forearm.
25907.......  ........  A          Amputation             7.98          NA            NA         7.78         10.77        1.10          NA            NA        16.86         19.85         090
                                    follow-up
                                    surgery.
25909.......  ........  A          Amputation             9.20          NA            NA         9.05         11.47        1.44          NA            NA        19.69         22.11         090
                                    follow-up
                                    surgery.
25915.......  ........  A          Amputation of         17.38          NA            NA         8.13         16.19        2.94          NA            NA        28.45         36.51         090
                                    forearm.
25920.......  ........  A          Amputate hand at       8.92          NA            NA         6.78          7.58        1.35          NA            NA        17.05         17.85         090
                                    wrist.
25922.......  ........  A          Amputate hand at       7.54          NA            NA         6.55          6.93        1.12          NA            NA        15.21         15.59         090
                                    wrist.
25924.......  ........  A          Amputation             8.70          NA            NA         6.77          7.76        1.32          NA            NA        16.79         17.78         090
                                    follow-up
                                    surgery.
25927.......  ........  A          Amputation of          8.98          NA            NA         8.65         10.92        1.27          NA            NA        18.90         21.17         090
                                    hand.
25929.......  ........  A          Amputation             7.71          NA            NA         5.46          5.77        1.14          NA            NA        14.31         14.62         090
                                    follow-up
                                    surgery.
25931.......  ........  A          Amputation             7.93          NA            NA         8.58         10.74        1.15          NA            NA        17.66         19.82         090
                                    follow-up
                                    surgery.
25999.......  ........  C          Forearm or wrist       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery.
26010.......  ........  A          Drainage of            1.56        4.00          5.17         1.51          1.60        0.18        5.74          6.91         3.25          3.34         010
                                    finger abscess.
26011.......  ........  A          Drainage of            2.21        6.26          8.17         1.99          2.24        0.33        8.80         10.71         4.53          4.78         010
                                    finger abscess.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69820]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
26020.......  ........  A          Drain hand             4.97          NA            NA         4.78          5.21        0.73          NA            NA        10.48         10.91         090
                                    tendon sheath.
26025.......  ........  A          Drainage of palm       4.99          NA            NA         4.49          4.96        0.76          NA            NA        10.24         10.71         090
                                    bursa.
26030.......  ........  A          Drainage of palm       6.16          NA            NA         5.03          5.55        0.92          NA            NA        12.11         12.63         090
                                    bursa(s).
26034.......  ........  A          Treat hand bone        6.49          NA            NA         5.58          6.16        1.01          NA            NA        13.08         13.66         090
                                    lesion.
26035.......  ........  A          Decompress            11.14          NA            NA         8.11          7.93        1.47          NA            NA        20.72         20.54         090
                                    fingers/hand.
26037.......  ........  A          Decompress             7.48          NA            NA         5.57          6.13        1.13          NA            NA        14.18         14.74         090
                                    fingers/hand.
26040.......  ........  A          Release palm           3.38          NA            NA         3.63          3.95        0.53          NA            NA         7.54          7.86         090
                                    contracture.
26045.......  ........  A          Release palm           5.62          NA            NA         4.90          5.46        0.93          NA            NA        11.45         12.01         090
                                    contracture.
26055.......  ........  A          Incise finger          3.00        9.03         13.02         3.84          3.92        0.43       12.46         16.45         7.27          7.35         090
                                    tendon sheath.
26060.......  ........  A          Incision of            2.85          NA            NA         3.07          3.40        0.45          NA            NA         6.37          6.70         090
                                    finger tendon.
26070.......  ........  A          Explore/treat          3.73          NA            NA         3.04          3.28        0.48          NA            NA         7.25          7.49         090
                                    hand joint.
26075.......  ........  A          Explore/treat          3.83          NA            NA         3.43          3.69        0.53          NA            NA         7.79          8.05         090
                                    finger joint.
26080.......  ........  A          Explore/treat          4.36          NA            NA         4.37          4.73        0.66          NA            NA         9.39          9.75         090
                                    finger joint.
26100.......  ........  A          Biopsy hand            3.71          NA            NA         3.58          3.99        0.54          NA            NA         7.83          8.24         090
                                    joint lining.
26105.......  ........  A          Biopsy finger          3.75          NA            NA         3.76          4.11        0.59          NA            NA         8.10          8.45         090
                                    joint lining.
26110.......  ........  A          Biopsy finger          3.57          NA            NA         3.62          3.94        0.53          NA            NA         7.72          8.04         090
                                    joint lining.
26115.......  ........  A          Removal hand           3.92        9.82         12.27         4.25          4.64        0.59       14.33         16.78         8.76          9.15         090
                                    lesion subcut.
26116.......  ........  A          Removal hand           5.61          NA            NA         5.34          5.84        0.84          NA            NA        11.79         12.29         090
                                    lesion, deep.
26117.......  ........  A          Remove tumor,          8.62          NA            NA         6.29          6.87        1.26          NA            NA        16.17         16.75         090
                                    hand/finger.
26121.......  ........  A          Release palm           7.61          NA            NA         5.99          6.72        1.17          NA            NA        14.77         15.50         090
                                    contracture.
26123.......  ........  A          Release palm          10.63          NA            NA         8.31          8.72        1.43          NA            NA        20.37         20.78         090
                                    contracture.
26125.......  ........  A          Release palm           4.60          NA            NA         1.93          2.31        0.70          NA            NA         7.23          7.61         ZZZ
                                    contracture.
26130.......  ........  A          Remove wrist           5.48          NA            NA         4.88          5.23        0.94          NA            NA        11.30         11.65         090
                                    joint lining.
26135.......  ........  A          Revise finger          7.02          NA            NA         5.55          6.23        1.07          NA            NA        13.64         14.32         090
                                    joint, each.
26140.......  ........  A          Revise finger          6.23          NA            NA         5.22          5.84        0.92          NA            NA        12.37         12.99         090
                                    joint, each.
26145.......  ........  A          Tendon excision,       6.38          NA            NA         5.23          5.85        0.97          NA            NA        12.58         13.20         090
                                    palm/finger.
26160.......  ........  A          Remove tendon          3.46        8.99         11.53         3.94          4.08        0.49       12.94         15.48         7.89          8.03         090
                                    sheath lesion.
26170.......  ........  A          Removal of palm        4.82          NA            NA         4.40          4.81        0.69          NA            NA         9.91         10.32         090
                                    tendon, each.
26180.......  ........  A          Removal of             5.24          NA            NA         4.81          5.26        0.78          NA            NA        10.83         11.28         090
                                    finger tendon.
26185.......  ........  A          Remove finger          6.32          NA            NA         5.84          5.98        0.81          NA            NA        12.97         13.11         090
                                    bone.
26200.......  ........  A          Remove hand bone       5.56          NA            NA         4.60          5.16        0.88          NA            NA        11.04         11.60         090
                                    lesion.
26205.......  ........  A          Remove/graft           7.82          NA            NA         5.90          6.64        1.20          NA            NA        14.92         15.66         090
                                    bone lesion.
26210.......  ........  A          Removal of             5.21          NA            NA         4.79          5.26        0.79          NA            NA        10.79         11.26         090
                                    finger lesion.
26215.......  ........  A          Remove/graft           7.16          NA            NA         5.58          6.13        0.98          NA            NA        13.72         14.27         090
                                    finger lesion.
26230.......  ........  A          Partial removal        6.38          NA            NA         5.05          5.70        1.01          NA            NA        12.44         13.09         090
                                    of hand bone.
26235.......  ........  A          Partial removal,       6.24          NA            NA         5.00          5.61        0.95          NA            NA        12.19         12.80         090
                                    finger bone.
26236.......  ........  A          Partial removal,       5.37          NA            NA         4.59          5.14        0.81          NA            NA        10.77         11.32         090
                                    finger bone.
26250.......  ........  A          Extensive hand         7.61          NA            NA         5.24          6.13        1.07          NA            NA        13.92         14.81         090
                                    surgery.
26255.......  ........  A          Extensive hand        12.80          NA            NA         8.51          9.16        1.69          NA            NA        23.00         23.65         090
                                    surgery.
26260.......  ........  A          Extensive finger       7.09          NA            NA         5.41          5.99        1.01          NA            NA        13.51         14.09         090
                                    surgery.
26261.......  ........  A          Extensive finger       9.28          NA            NA         7.05          6.39        1.14          NA            NA        17.47         16.81         090
                                    surgery.
26262.......  ........  A          Partial removal        5.72          NA            NA         4.70          5.17        0.88          NA            NA        11.30         11.77         090
                                    of finger.
26320.......  ........  A          Removal of             4.02          NA            NA         3.81          4.19        0.59          NA            NA         8.42          8.80         090
                                    implant from
                                    hand.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69821]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
26340.......  ........  A          Manipulate             2.62          NA            NA         4.63          4.82        0.39          NA            NA         7.64          7.83         090
                                    finger w/anesth.
26350.......  ........  A          Repair finger/         6.07          NA            NA         9.48         13.33        0.93          NA            NA        16.48         20.33         090
                                    hand tendon.
26352.......  ........  A          Repair/graft           7.75          NA            NA        10.05         14.03        1.13          NA            NA        18.93         22.91         090
                                    hand tendon.
26356.......  ........  A          Repair finger/        10.22          NA            NA        13.76         17.22        1.21          NA            NA        25.19         28.65         090
                                    hand tendon.
26357.......  ........  A          Repair finger/         8.65          NA            NA        10.28         14.29        1.33          NA            NA        20.26         24.27         090
                                    hand tendon.
26358.......  ........  A          Repair/graft           9.22          NA            NA        10.85         15.19        1.38          NA            NA        21.45         25.79         090
                                    hand tendon.
26370.......  ........  A          Repair finger/         7.17          NA            NA         9.51         13.71        1.12          NA            NA        17.80         22.00         090
                                    hand tendon.
26372.......  ........  A          Repair/graft           8.89          NA            NA        10.52         15.03        1.40          NA            NA        20.81         25.32         090
                                    hand tendon.
26373.......  ........  A          Repair finger/         8.29          NA            NA        10.18         14.58        1.23          NA            NA        19.70         24.10         090
                                    hand tendon.
26390.......  ........  A          Revise hand/           9.31          NA            NA         9.13         12.24        1.40          NA            NA        19.84         22.95         090
                                    finger tendon.
26392.......  ........  A          Repair/graft          10.38          NA            NA        11.07         15.31        1.57          NA            NA        23.02         27.26         090
                                    hand tendon.
26410.......  ........  A          Repair hand            4.68          NA            NA         7.56         10.85        0.73          NA            NA        12.97         16.26         090
                                    tendon.
26412.......  ........  A          Repair/graft           6.37          NA            NA         8.56         12.09        0.97          NA            NA        15.90         19.43         090
                                    hand tendon.
26415.......  ........  A          Excision, hand/        8.40          NA            NA         6.73         10.52        0.98          NA            NA        16.11         19.90         090
                                    finger tendon.
26416.......  ........  A          Graft hand or          9.44          NA            NA         8.71         13.12        0.79          NA            NA        18.94         23.35         090
                                    finger tendon.
26418.......  ........  A          Repair finger          4.33          NA            NA         8.08         11.26        0.67          NA            NA        13.08         16.26         090
                                    tendon.
26420.......  ........  A          Repair/graft           6.83          NA            NA         8.75         12.41        1.07          NA            NA        16.65         20.31         090
                                    finger tendon.
26426.......  ........  A          Repair finger/         6.21          NA            NA         8.54         12.01        0.95          NA            NA        15.70         19.17         090
                                    hand tendon.
26428.......  ........  A          Repair/graft           7.28          NA            NA         9.28         12.72        1.09          NA            NA        17.65         21.09         090
                                    finger tendon.
26432.......  ........  A          Repair finger          4.07          NA            NA         6.70          9.37        0.64          NA            NA        11.41         14.08         090
                                    tendon.
26433.......  ........  A          Repair finger          4.61          NA            NA         6.95          9.83        0.72          NA            NA        12.28         15.16         090
                                    tendon.
26434.......  ........  A          Repair/graft           6.15          NA            NA         7.90         10.63        0.93          NA            NA        14.98         17.71         090
                                    finger tendon.
26437.......  ........  A          Realignment of         5.88          NA            NA         7.73         10.61        0.89          NA            NA        14.50         17.38         090
                                    tendons.
26440.......  ........  A          Release palm/          5.07          NA            NA         8.44         12.18        0.75          NA            NA        14.26         18.00         090
                                    finger tendon.
26442.......  ........  A          Release palm &         9.50          NA            NA        11.66         14.87        1.20          NA            NA        22.36         25.57         090
                                    finger tendon.
26445.......  ........  A          Release hand/          4.36          NA            NA         8.10         11.88        0.65          NA            NA        13.11         16.89         090
                                    finger tendon.
26449.......  ........  A          Release forearm/       8.34          NA            NA        11.33         14.66        1.06          NA            NA        20.73         24.06         090
                                    hand tendon.
26450.......  ........  A          Incision of palm       3.71          NA            NA         5.12          6.78        0.59          NA            NA         9.42         11.08         090
                                    tendon.
26455.......  ........  A          Incision of            3.68          NA            NA         5.06          6.73        0.58          NA            NA         9.32         10.99         090
                                    finger tendon.
26460.......  ........  A          Incise hand/           3.50          NA            NA         5.02          6.61        0.55          NA            NA         9.07         10.66         090
                                    finger tendon.
26471.......  ........  A          Fusion of finger       5.79          NA            NA         7.69         10.35        0.88          NA            NA        14.36         17.02         090
                                    tendons.
26474.......  ........  A          Fusion of finger       5.38          NA            NA         7.50         10.42        0.76          NA            NA        13.64         16.56         090
                                    tendons.
26476.......  ........  A          Tendon                 5.24          NA            NA         7.42         10.05        0.79          NA            NA        13.45         16.08         090
                                    lengthening.
26477.......  ........  A          Tendon                 5.21          NA            NA         7.48         10.17        0.81          NA            NA        13.50         16.19         090
                                    shortening.
26478.......  ........  A          Lengthening of         5.86          NA            NA         7.65         10.79        0.90          NA            NA        14.41         17.55         090
                                    hand tendon.
26479.......  ........  A          Shortening of          5.80          NA            NA         7.71         10.60        0.92          NA            NA        14.43         17.32         090
                                    hand tendon.
26480.......  ........  A          Transplant hand        6.76          NA            NA         9.58         13.68        1.02          NA            NA        17.36         21.46         090
                                    tendon.
26483.......  ........  A          Transplant/graft       8.36          NA            NA        10.22         14.18        1.26          NA            NA        19.84         23.80         090
                                    hand tendon.
26485.......  ........  A          Transplant palm        7.77          NA            NA         9.96         14.01        1.15          NA            NA        18.88         22.93         090
                                    tendon.
26489.......  ........  A          Transplant/graft       9.74          NA            NA        10.29         11.62        1.26          NA            NA        21.29         22.62         090
                                    palm tendon.
26490.......  ........  A          Revise thumb           8.48          NA            NA         8.94         11.85        1.21          NA            NA        18.63         21.54         090
                                    tendon.
26492.......  ........  A          Tendon transfer        9.70          NA            NA         9.82         12.66        1.40          NA            NA        20.92         23.76         090
                                    with graft.
26494.......  ........  A          Hand tendon/           8.54          NA            NA         9.02         11.98        1.28          NA            NA        18.84         21.80         090
                                    muscle transfer.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69822]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
26496.......  ........  A          Revise thumb           9.66          NA            NA         9.50         12.30        1.45          NA            NA        20.61         23.41         090
                                    tendon.
26497.......  ........  A          Finger tendon          9.64          NA            NA         9.46         12.54        1.41          NA            NA        20.51         23.59         090
                                    transfer.
26498.......  ........  A          Finger tendon         14.07          NA            NA        11.58         15.02        2.11          NA            NA        27.76         31.20         090
                                    transfer.
26499.......  ........  A          Revision of            9.05          NA            NA         8.80         11.98        1.35          NA            NA        19.20         22.38         090
                                    finger.
26500.......  ........  A          Hand tendon            6.02          NA            NA         7.82         10.54        0.90          NA            NA        14.74         17.46         090
                                    reconstruction.
26502.......  ........  A          Hand tendon            7.20          NA            NA         8.39         11.11        1.13          NA            NA        16.72         19.44         090
                                    reconstruction.
26508.......  ........  A          Release thumb          6.07          NA            NA         7.76         10.70        0.98          NA            NA        14.81         17.75         090
                                    contracture.
26510.......  ........  A          Thumb tendon           5.49          NA            NA         7.59         10.40        0.79          NA            NA        13.87         16.68         090
                                    transfer.
26516.......  ........  A          Fusion of              7.21          NA            NA         8.24         11.23        1.10          NA            NA        16.55         19.54         090
                                    knuckle joint.
26517.......  ........  A          Fusion of              8.96          NA            NA         9.28         12.45        1.41          NA            NA        19.65         22.82         090
                                    knuckle joints.
26518.......  ........  A          Fusion of              9.15          NA            NA         9.23         12.35        1.35          NA            NA        19.73         22.85         090
                                    knuckle joints.
26520.......  ........  A          Release knuckle        5.36          NA            NA         8.82         12.62        0.80          NA            NA        14.98         18.78         090
                                    contracture.
26525.......  ........  A          Release finger         5.39          NA            NA         8.83         12.69        0.81          NA            NA        15.03         18.89         090
                                    contracture.
26530.......  ........  A          Revise knuckle         6.76          NA            NA         5.47          5.97        1.04          NA            NA        13.27         13.77         090
                                    joint.
26531.......  ........  A          Revise knuckle         7.99          NA            NA         6.22          6.90        1.17          NA            NA        15.38         16.06         090
                                    with implant.
26535.......  ........  A          Revise finger          5.30          NA            NA         4.10          3.83        0.71          NA            NA        10.11          9.84         090
                                    joint.
26536.......  ........  A          Revise/implant         6.44          NA            NA         9.16          9.53        0.96          NA            NA        16.56         16.93         090
                                    finger joint.
26540.......  ........  A          Repair hand            6.49          NA            NA         8.01         10.91        0.99          NA            NA        15.49         18.39         090
                                    joint.
26541.......  ........  A          Repair hand            8.69          NA            NA         9.08         12.31        1.28          NA            NA        19.05         22.28         090
                                    joint with
                                    graft.
26542.......  ........  A          Repair hand            6.84          NA            NA         8.14         11.06        1.02          NA            NA        16.00         18.92         090
                                    joint with
                                    graft.
26545.......  ........  A          Reconstruct            6.99          NA            NA         8.37         11.19        1.05          NA            NA        16.41         19.23         090
                                    finger joint.
26546.......  ........  A          Repair nonunion       10.53          NA            NA        11.46         14.14        1.44          NA            NA        23.43         26.11         090
                                    hand.
26548.......  ........  A          Reconstruct            8.10          NA            NA         8.83         11.85        1.20          NA            NA        18.13         21.15         090
                                    finger joint.
26550.......  ........  A          Construct thumb       21.54          NA            NA        15.48         17.06        2.46          NA            NA        39.48         41.06         090
                                    replacement.
26551.......  ........  A          Great toe-hand        48.23          NA            NA        21.70         29.76        7.98          NA            NA        77.91         85.97         090
                                    transfer.
26553.......  ........  A          Single transfer,      47.92          NA            NA        20.69         22.18        2.42          NA            NA        71.03         72.52         090
                                    toe-hand.
26554.......  ........  A          Double transfer,      56.73          NA            NA        19.35         32.99        9.44          NA            NA        85.52         99.16         090
                                    toe-hand.
26555.......  ........  A          Positional            16.94          NA            NA        13.95         17.12        2.49          NA            NA        33.38         36.55         090
                                    change of
                                    finger.
26556.......  ........  A          Toe joint             49.43          NA            NA        17.83         29.45        2.58          NA            NA        69.84         81.46         090
                                    transfer.
26560.......  ........  A          Repair of web          5.43          NA            NA         7.10          9.13        0.85          NA            NA        13.38         15.41         090
                                    finger.
26561.......  ........  A          Repair of web         10.98          NA            NA         9.48         11.63        1.45          NA            NA        21.91         24.06         090
                                    finger.
26562.......  ........  A          Repair of web         16.40          NA            NA        14.12         16.39        2.24          NA            NA        32.76         35.03         090
                                    finger.
26565.......  ........  A          Correct                6.80          NA            NA         7.91         10.99        1.00          NA            NA        15.71         18.79         090
                                    metacarpal flaw.
26567.......  ........  A          Correct finger         6.88          NA            NA         8.18         11.01        1.04          NA            NA        16.10         18.93         090
                                    deformity.
26568.......  ........  A          Lengthen               9.15          NA            NA        10.18         14.12        1.49          NA            NA        20.82         24.76         090
                                    metacarpal/
                                    finger.
26580.......  ........  A          Repair hand           19.50          NA            NA        11.36         13.07        2.29          NA            NA        33.15         34.86         090
                                    deformity.
26587.......  ........  A          Reconstruct           14.36          NA            NA         8.49          9.03        1.53          NA            NA        24.38         24.92         090
                                    extra finger.
26590.......  ........  A          Repair finger         18.51          NA            NA        10.52         13.09        2.78          NA            NA        31.81         34.38         090
                                    deformity.
26591.......  ........  A          Repair muscles         3.30          NA            NA         6.28          8.79        0.48          NA            NA        10.06         12.57         090
                                    of hand.
26593.......  ........  A          Release muscles        5.38          NA            NA         7.76         10.29        0.78          NA            NA        13.92         16.45         090
                                    of hand.
26596.......  ........  A          Excision               9.02          NA            NA         7.50          8.49        1.43          NA            NA        17.95         18.94         090
                                    constricting
                                    tissue.
26600.......  ........  A          Treat metacarpal       2.48        3.83          3.67         3.48          2.86        0.30        6.61          6.45         6.26          5.64         090
                                    fracture.
26605.......  ........  A          Treat metacarpal       2.92        4.08          4.44         3.51          3.62        0.49        7.49          7.85         6.92          7.03         090
                                    fracture.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69823]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
26607.......  ........  A          Treat metacarpal       5.40          NA            NA         4.91          5.93        0.87          NA            NA        11.18         12.20         090
                                    fracture.
26608.......  ........  A          Treat metacarpal       5.43          NA            NA         5.27          6.01        0.88          NA            NA        11.58         12.32         090
                                    fracture.
26615.......  ........  A          Treat metacarpal       5.38          NA            NA         4.78          5.17        0.86          NA            NA        11.02         11.41         090
                                    fracture.
26641.......  ........  A          Treat thumb            4.01        4.17          4.47         3.52          3.53        0.39        8.57          8.87         7.92          7.93         090
                                    dislocation.
26645.......  ........  A          Treat thumb            4.47        4.60          5.03         3.92          4.12        0.67        9.74         10.17         9.06          9.26         090
                                    fracture.
26650.......  ........  A          Treat thumb            5.80          NA            NA         5.65          6.43        0.94          NA            NA        12.39         13.17         090
                                    fracture.
26665.......  ........  A          Treat thumb            7.72          NA            NA         5.93          6.44        0.90          NA            NA        14.55         15.06         090
                                    fracture.
26670.......  ........  A          Treat hand             3.74        3.54          4.08         2.96          2.95        0.39        7.67          8.21         7.09          7.08         090
                                    dislocation.
26675.......  ........  A          Treat hand             4.71        4.88          5.32         4.18          4.40        0.77       10.36         10.80         9.66          9.88         090
                                    dislocation.
26676.......  ........  A          Pin hand               5.60          NA            NA         5.59          6.42        0.91          NA            NA        12.10         12.93         090
                                    dislocation.
26685.......  ........  A          Treat hand             7.09          NA            NA         5.47          5.97        1.09          NA            NA        13.65         14.15         090
                                    dislocation.
26686.......  ........  A          Treat hand             8.06          NA            NA         6.18          6.72        1.24          NA            NA        15.48         16.02         090
                                    dislocation.
26700.......  ........  A          Treat knuckle          3.74        3.33          3.65         2.96          2.89        0.35        7.42          7.74         7.05          6.98         090
                                    dislocation.
26705.......  ........  A          Treat knuckle          4.26        4.82          5.20         4.11          4.25        0.66        9.74         10.12         9.03          9.17         090
                                    dislocation.
26706.......  ........  A          Pin knuckle            5.19          NA            NA         4.74          5.00        0.81          NA            NA        10.74         11.00         090
                                    dislocation.
26715.......  ........  A          Treat knuckle          5.79          NA            NA         4.95          5.37        0.91          NA            NA        11.65         12.07         090
                                    dislocation.
26720.......  ........  A          Treat finger           1.70        2.58          2.73         2.31          2.12        0.24        4.52          4.67         4.25          4.06         090
                                    fracture, each.
26725.......  ........  A          Treat finger           3.39        4.09          4.60         3.43          3.48        0.53        8.01          8.52         7.35          7.40         090
                                    fracture, each.
26727.......  ........  A          Treat finger           5.30          NA            NA         5.24          5.98        0.84          NA            NA        11.38         12.12         090
                                    fracture, each.
26735.......  ........  A          Treat finger           6.03          NA            NA         5.04          5.42        0.95          NA            NA        12.02         12.40         090
                                    fracture, each.
26740.......  ........  A          Treat finger           1.99        2.95          3.09         2.67          2.69        0.31        5.25          5.39         4.97          4.99         090
                                    fracture, each.
26742.......  ........  A          Treat finger           3.90        4.35          4.83         3.64          3.82        0.58        8.83          9.31         8.12          8.30         090
                                    fracture, each.
26746.......  ........  A          Treat finger           5.86          NA            NA         5.01          5.42        0.91          NA            NA        11.78         12.19         090
                                    fracture, each.
26750.......  ........  A          Treat finger           1.74        2.24          2.42         2.24          2.07        0.22        4.20          4.38         4.20          4.03         090
                                    fracture, each.
26755.......  ........  A          Treat finger           3.15        3.80          4.27         2.99          3.00        0.42        7.37          7.84         6.56          6.57         090
                                    fracture, each.
26756.......  ........  A          Pin finger             4.46          NA            NA         4.89          5.51        0.71          NA            NA        10.06         10.68         090
                                    fracture, each.
26765.......  ........  A          Treat finger           4.21          NA            NA         4.04          4.30        0.66          NA            NA         8.91          9.17         090
                                    fracture, each.
26770.......  ........  A          Treat finger           3.07        2.91          3.30         2.54          2.44        0.27        6.25          6.64         5.88          5.78         090
                                    dislocation.
26775.......  ........  A          Treat finger           3.78        4.56          5.03         3.83          3.82        0.54        8.88          9.35         8.15          8.14         090
                                    dislocation.
26776.......  ........  A          Pin finger             4.87          NA            NA         5.04          5.76        0.77          NA            NA        10.68         11.40         090
                                    dislocation.
26785.......  ........  A          Treat finger           4.25          NA            NA         4.10          4.42        0.68          NA            NA         9.03          9.35         090
                                    dislocation.
26820.......  ........  A          Thumb fusion           8.33          NA            NA         8.71         12.12        1.30          NA            NA        18.34         21.75         090
                                    with graft.
26841.......  ........  A          Fusion of thumb.       7.21          NA            NA         8.69         12.10        1.18          NA            NA        17.08         20.49         090
26842.......  ........  A          Thumb fusion           8.37          NA            NA         8.97         12.27        1.32          NA            NA        18.66         21.96         090
                                    with graft.
26843.......  ........  A          Fusion of hand         7.67          NA            NA         8.19         11.31        1.15          NA            NA        17.01         20.13         090
                                    joint.
26844.......  ........  A          Fusion/graft of        8.86          NA            NA         9.18         12.32        1.33          NA            NA        19.37         22.51         090
                                    hand joint.
26850.......  ........  A          Fusion of              7.03          NA            NA         8.31         11.23        1.06          NA            NA        16.40         19.32         090
                                    knuckle.
26852.......  ........  A          Fusion of              8.59          NA            NA         9.17         11.96        1.22          NA            NA        18.98         21.77         090
                                    knuckle with
                                    graft.
26860.......  ........  A          Fusion of finger       4.76          NA            NA         7.54         10.28        0.73          NA            NA        13.03         15.77         090
                                    joint.
26861.......  ........  A          Fusion of finger       1.74          NA            NA         0.72          0.88        0.27          NA            NA         2.73          2.89         ZZZ
                                    jnt, add-on.
26862.......  ........  A          Fusion/graft of        7.44          NA            NA         8.72         11.44        1.10          NA            NA        17.26         19.98         090
                                    finger joint.
26863.......  ........  A          Fuse/graft added       3.89          NA            NA         1.61          1.99        0.56          NA            NA         6.06          6.44         ZZZ
                                    joint.
26910.......  ........  A          Amputate               7.67          NA            NA         8.32         10.50        1.16          NA            NA        17.15         19.33         090
                                    metacarpal bone.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69824]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
26951.......  ........  A          Amputation of          5.85          NA            NA         8.39          9.71        0.71          NA            NA        14.95         16.27         090
                                    finger/thumb.
26952.......  ........  A          Amputation of          6.37          NA            NA         7.99         10.74        0.95          NA            NA        15.31         18.06         090
                                    finger/thumb.
26989.......  ........  C          Hand/finger            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery.
26990.......  ........  A          Drainage of            7.84          NA            NA         6.28          6.98        1.22          NA            NA        15.34         16.04         090
                                    pelvis lesion.
26991.......  ........  A          Drainage of            6.97        8.55         10.51         4.86          5.29        1.11       16.63         18.59        12.94         13.37         090
                                    pelvis bursa.
26992.......  ........  A          Drainage of bone      13.37          NA            NA         8.67          9.95        2.17          NA            NA        24.21         25.49         090
                                    lesion.
27000.......  ........  A          Incision of hip        5.66          NA            NA         4.57          5.10        0.98          NA            NA        11.21         11.74         090
                                    tendon.
27001.......  ........  A          Incision of hip        7.05          NA            NA         5.24          5.88        1.24          NA            NA        13.53         14.17         090
                                    tendon.
27003.......  ........  A          Incision of hip        7.70          NA            NA         5.85          6.32        1.12          NA            NA        14.67         15.14         090
                                    tendon.
27005.......  ........  A          Incision of hip        9.96          NA            NA         6.82          7.57        1.73          NA            NA        18.51         19.26         090
                                    tendon.
27006.......  ........  A          Incision of hip        9.99          NA            NA         6.86          7.70        1.70          NA            NA        18.55         19.39         090
                                    tendons.
27025.......  ........  A          Incision of hip/      12.66          NA            NA         8.12          8.44        1.85          NA            NA        22.63         22.95         090
                                    thigh fascia.
27030.......  ........  A          Drainage of hip       13.54          NA            NA         8.14          9.27        2.27          NA            NA        23.95         25.08         090
                                    joint.
27033.......  ........  A          Exploration of        13.99          NA            NA         8.49          9.56        2.33          NA            NA        24.81         25.88         090
                                    hip joint.
27035.......  ........  A          Denervation of        17.23          NA            NA         9.74         10.86        2.16          NA            NA        29.13         30.25         090
                                    hip joint.
27036.......  ........  A          Excision of hip       14.18          NA            NA         9.01          9.75        2.27          NA            NA        25.46         26.20         090
                                    joint/muscle.
27040.......  ........  A          Biopsy of soft         2.89        4.99          5.17         1.77          1.95        0.27        8.15          8.33         4.93          5.11         010
                                    tissues.
27041.......  ........  A          Biopsy of soft        10.07          NA            NA         5.70          6.41        1.35          NA            NA        17.12         17.83         090
                                    tissues.
27047.......  ........  A          Remove hip/            7.51        7.07          7.10         4.55          4.72        1.03       15.61         15.64        13.09         13.26         090
                                    pelvis lesion.
27048.......  ........  A          Remove hip/            6.44          NA            NA         4.64          4.76        0.92          NA            NA        12.00         12.12         090
                                    pelvis lesion.
27049.......  ........  A          Remove tumor,         15.20          NA            NA         8.24          8.36        2.07          NA            NA        25.51         25.63         090
                                    hip/pelvis.
27050.......  ........  A          Biopsy of              4.65          NA            NA         3.76          4.26        0.60          NA            NA         9.01          9.51         090
                                    sacroiliac
                                    joint.
27052.......  ........  A          Biopsy of hip          7.27          NA            NA         5.68          5.83        1.08          NA            NA        14.03         14.18         090
                                    joint.
27054.......  ........  A          Removal of hip         9.09          NA            NA         6.51          7.13        1.47          NA            NA        17.07         17.69         090
                                    joint lining.
27060.......  ........  A          Removal of             5.78          NA            NA         4.43          4.39        0.80          NA            NA        11.01         10.97         090
                                    ischial bursa.
27062.......  ........  A          Remove femur           5.66          NA            NA         4.64          5.05        0.93          NA            NA        11.23         11.64         090
                                    lesion/bursa.
27065.......  ........  A          Removal of hip         6.44          NA            NA         5.12          5.36        1.01          NA            NA        12.57         12.81         090
                                    bone lesion.
27066.......  ........  A          Removal of hip        11.06          NA            NA         7.49          8.20        1.80          NA            NA        20.35         21.06         090
                                    bone lesion.
27067.......  ........  A          Remove/graft hip      14.57          NA            NA         8.86         10.21        1.85          NA            NA        25.28         26.63         090
                                    bone lesion.
27070.......  ........  A          Partial removal       11.44          NA            NA         7.97          8.84        1.75          NA            NA        21.16         22.03         090
                                    of hip bone.
27071.......  ........  A          Partial removal       12.25          NA            NA         8.56          9.73        1.93          NA            NA        22.74         23.91         090
                                    of hip bone.
27075.......  ........  A          Extensive hip         36.77          NA            NA        16.74         18.59        5.66          NA            NA        59.17         61.02         090
                                    surgery.
27076.......  ........  A          Extensive hip         24.25          NA            NA        12.83         14.09        3.71          NA            NA        40.79         42.05         090
                                    surgery.
27077.......  ........  A          Extensive hip         42.54          NA            NA        20.10         22.02        6.14          NA            NA        68.78         70.70         090
                                    surgery.
27078.......  ........  A          Extensive hip         14.54          NA            NA         8.87          9.67        2.23          NA            NA        25.64         26.44         090
                                    surgery.
27079.......  ........  A          Extensive hip         14.91          NA            NA         7.50          9.03        1.95          NA            NA        24.36         25.89         090
                                    surgery.
27080.......  ........  A          Removal of tail        6.80          NA            NA         4.75          4.81        0.93          NA            NA        12.48         12.54         090
                                    bone.
27086.......  ........  A          Remove hip             1.89        3.75          4.35         1.54          1.75        0.25        5.89          6.49         3.68          3.89         010
                                    foreign body.
27087.......  ........  A          Remove hip             8.72          NA            NA         5.67          6.41        1.35          NA            NA        15.74         16.48         090
                                    foreign body.
27090.......  ........  A          Removal of hip        11.57          NA            NA         7.47          8.45        1.95          NA            NA        20.99         21.97         090
                                    prosthesis.
27091.......  ........  A          Removal of hip        24.15          NA            NA        13.11         13.77        3.85          NA            NA        41.11         41.77         090
                                    prosthesis.
27093.......  ........  A          Injection for          1.30        2.97          4.09         0.42          0.47        0.13        4.40          5.52         1.85          1.90         000
                                    hip x-ray.
27095.......  ........  A          Injection for          1.50        3.61          5.19         0.48          0.51        0.14        5.25          6.83         2.12          2.15         000
                                    hip x-ray.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69825]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
27096.......  ........  A          Inject                 1.40        2.48          3.88         0.33          0.33        0.08        3.96          5.36         1.81          1.81         000
                                    sacroiliac
                                    joint.
27097.......  ........  A          Revision of hip        9.16          NA            NA         6.36          6.40        1.57          NA            NA        17.09         17.13         090
                                    tendon.
27098.......  ........  A          Transfer tendon        9.20          NA            NA         4.89          6.49        0.95          NA            NA        15.04         16.64         090
                                    to pelvis.
27100.......  ........  A          Transfer of           11.21          NA            NA         7.41          8.35        1.86          NA            NA        20.48         21.42         090
                                    abdominal
                                    muscle.
27105.......  ........  A          Transfer of           11.90          NA            NA         7.96          8.86        1.73          NA            NA        21.59         22.49         090
                                    spinal muscle.
27110.......  ........  A          Transfer of           13.63          NA            NA         8.67          9.00        2.19          NA            NA        24.49         24.82         090
                                    iliopsoas
                                    muscle.
27111.......  ........  A          Transfer of           12.46          NA            NA         8.17          8.89        1.95          NA            NA        22.58         23.30         090
                                    iliopsoas
                                    muscle.
27120.......  ........  A          Reconstruction        19.10          NA            NA        10.85         11.59        3.09          NA            NA        33.04         33.78         090
                                    of hip socket.
27122.......  ........  A          Reconstruction        15.95          NA            NA         9.54         10.67        2.62          NA            NA        28.11         29.24         090
                                    of hip socket.
27125.......  ........  A          Partial hip           16.46          NA            NA         9.72         10.40        2.55          NA            NA        28.73         29.41         090
                                    replacement.
27130.......  ........  A          Total hip             21.61          NA            NA        11.95         12.96        3.51          NA            NA        37.07         38.08         090
                                    arthroplasty.
27132.......  ........  A          Total hip             25.49          NA            NA        13.64         15.13        4.05          NA            NA        43.18         44.67         090
                                    arthroplasty.
27134.......  ........  A          Revise hip joint      30.13          NA            NA        14.94         17.08        4.95          NA            NA        50.02         52.16         090
                                    replacement.
27137.......  ........  A          Revise hip joint      22.55          NA            NA        11.90         13.42        3.68          NA            NA        38.13         39.65         090
                                    replacement.
27138.......  ........  A          Revise hip joint      23.55          NA            NA        12.30         13.87        3.85          NA            NA        39.70         41.27         090
                                    replacement.
27140.......  ........  A          Transplant femur      12.66          NA            NA         7.84          9.02        2.12          NA            NA        22.62         23.80         090
                                    ridge.
27146.......  ........  A          Incision of hip       18.72          NA            NA        10.78         11.79        2.97          NA            NA        32.47         33.48         090
                                    bone.
27147.......  ........  A          Revision of hip       21.87          NA            NA        12.05         12.95        3.58          NA            NA        37.50         38.40         090
                                    bone.
27151.......  ........  A          Incision of hip       23.92          NA            NA        12.50          9.09        3.92          NA            NA        40.34         36.93         090
                                    bones.
27156.......  ........  A          Revision of hip       26.03          NA            NA        13.61         15.45        4.22          NA            NA        43.86         45.70         090
                                    bones.
27158.......  ........  A          Revision of           20.89          NA            NA         7.12         10.01        3.17          NA            NA        31.18         34.07         090
                                    pelvis.
27161.......  ........  A          Incision of neck      17.74          NA            NA        10.47         11.69        2.95          NA            NA        31.16         32.38         090
                                    of femur.
27165.......  ........  A          Incision/             20.06          NA            NA        11.77         12.63        3.11          NA            NA        34.94         35.80         090
                                    fixation of
                                    femur.
27170.......  ........  A          Repair/graft          17.46          NA            NA         9.86         10.94        2.82          NA            NA        30.14         31.22         090
                                    femur head/neck.
27175.......  ........  A          Treat slipped          9.29          NA            NA         5.83          6.46        1.46          NA            NA        16.58         17.21         090
                                    epiphysis.
27176.......  ........  A          Treat slipped         12.78          NA            NA         8.30          8.83        2.23          NA            NA        23.31         23.84         090
                                    epiphysis.
27177.......  ........  A          Treat slipped         15.94          NA            NA         9.74         10.60        2.62          NA            NA        28.30         29.16         090
                                    epiphysis.
27178.......  ........  A          Treat slipped         12.78          NA            NA         8.29          8.39        2.09          NA            NA        23.16         23.26         090
                                    epiphysis.
27179.......  ........  A          Revise head/neck      13.83          NA            NA         8.59          9.64        2.26          NA            NA        24.68         25.73         090
                                    of femur.
27181.......  ........  A          Treat slipped         15.98          NA            NA         9.86         10.12        1.57          NA            NA        27.41         27.67         090
                                    epiphysis.
27185.......  ........  A          Revision of            9.67          NA            NA         6.71          7.32        2.40          NA            NA        18.78         19.39         090
                                    femur epiphysis.
27187.......  ........  A          Reinforce hip         14.09          NA            NA         8.76          9.93        2.38          NA            NA        25.23         26.40         090
                                    bones.
27193.......  ........  A          Treat pelvic           5.98        4.66          4.98         4.66          4.98        0.96       11.60         11.92        11.60         11.92         090
                                    ring fracture.
27194.......  ........  A          Treat pelvic          10.08          NA            NA         6.65          7.40        1.65          NA            NA        18.38         19.13         090
                                    ring fracture.
27200.......  ........  A          Treat tail bone        1.87        2.08          2.19         2.08          2.13        0.28        4.23          4.34         4.23          4.28         090
                                    fracture.
27202.......  ........  A          Treat tail bone        7.25          NA            NA        11.14         15.43        1.06          NA            NA        19.45         23.74         090
                                    fracture.
27215.......  ........  A          Treat pelvic          10.45          NA            NA         6.55          6.95        1.98          NA            NA        18.98         19.38         090
                                    fracture(s).
27216.......  ........  A          Treat pelvic          15.73          NA            NA         9.29          9.52        2.64          NA            NA        27.66         27.89         090
                                    ring fracture.
27217.......  ........  A          Treat pelvic          14.65          NA            NA         8.74          9.79        2.42          NA            NA        25.81         26.86         090
                                    ring fracture.
27218.......  ........  A          Treat pelvic          20.93          NA            NA        11.45         11.41        3.49          NA            NA        35.87         35.83         090
                                    ring fracture.
27220.......  ........  A          Treat hip socket       6.72        5.29          5.61         5.19          5.52        1.07       13.08         13.40        12.98         13.31         090
                                    fracture.
27222.......  ........  A          Treat hip socket      13.97          NA            NA         8.52          9.61        2.20          NA            NA        24.69         25.78         090
                                    fracture.
27226.......  ........  A          Treat hip wall        15.45          NA            NA         9.04          8.12        2.49          NA            NA        26.98         26.06         090
                                    fracture.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69826]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
27227.......  ........  A          Treat hip             25.21          NA            NA        13.50         14.93        4.06          NA            NA        42.77         44.20         090
                                    fracture(s).
27228.......  ........  A          Treat hip             29.13          NA            NA        15.10         16.99        4.67          NA            NA        48.90         50.79         090
                                    fracture(s).
27230.......  ........  A          Treat thigh            5.69        4.99          5.38         4.92          5.06        0.95       11.63         12.02        11.56         11.70         090
                                    fracture.
27232.......  ........  A          Treat thigh           11.66          NA            NA         6.02          6.88        1.86          NA            NA        19.54         20.40         090
                                    fracture.
27235.......  ........  A          Treat thigh           12.88          NA            NA         8.08          9.11        2.12          NA            NA        23.08         24.11         090
                                    fracture.
27236.......  ........  A          Treat thigh           17.43          NA            NA        10.26         10.85        2.72          NA            NA        30.41         31.00         090
                                    fracture.
27238.......  ........  A          Treat thigh            5.64          NA            NA         4.70          5.03        0.89          NA            NA        11.23         11.56         090
                                    fracture.
27240.......  ........  A          Treat thigh           13.66          NA            NA         8.12          9.13        2.17          NA            NA        23.95         24.96         090
                                    fracture.
27244.......  ........  A          Treat thigh           17.08          NA            NA         9.75         10.91        2.78          NA            NA        29.61         30.77         090
                                    fracture.
27245.......  ........  A          Treat thigh           21.09          NA            NA        11.52         13.19        3.53          NA            NA        36.14         37.81         090
                                    fracture.
27246.......  ........  A          Treat thigh            4.75        3.94          4.33         3.94          4.30        0.81        9.50          9.89         9.50          9.86         090
                                    fracture.
27248.......  ........  A          Treat thigh           10.80          NA            NA         7.03          7.92        1.82          NA            NA        19.65         20.54         090
                                    fracture.
27250.......  ........  A          Treat hip              7.21          NA            NA         4.30          4.54        0.62          NA            NA        12.13         12.37         090
                                    dislocation.
27252.......  ........  A          Treat hip             10.92          NA            NA         6.53          7.21        1.66          NA            NA        19.11         19.79         090
                                    dislocation.
27253.......  ........  A          Treat hip             13.46          NA            NA         8.28          9.41        2.25          NA            NA        23.99         25.12         090
                                    dislocation.
27254.......  ........  A          Treat hip             18.80          NA            NA        10.61         11.67        3.18          NA            NA        32.59         33.65         090
                                    dislocation.
27256.......  ........  A          Treat hip              4.25        2.40          3.24         1.41          1.91        0.46        7.11          7.95         6.12          6.62         010
                                    dislocation.
27257.......  ........  A          Treat hip              5.35          NA            NA         2.56          2.75        0.69          NA            NA         8.60          8.79         010
                                    dislocation.
27258.......  ........  A          Treat hip             16.04          NA            NA         9.50         10.53        2.65          NA            NA        28.19         29.22         090
                                    dislocation.
27259.......  ........  A          Treat hip             23.03          NA            NA        12.96         13.83        3.75          NA            NA        39.74         40.61         090
                                    dislocation.
27265.......  ........  A          Treat hip              5.12          NA            NA         3.99          4.59        0.63          NA            NA         9.74         10.34         090
                                    dislocation.
27266.......  ........  A          Treat hip              7.67          NA            NA         5.57          6.15        1.29          NA            NA        14.53         15.11         090
                                    dislocation.
27275.......  ........  A          Manipulation of        2.29          NA            NA         1.90          2.05        0.39          NA            NA         4.58          4.73         010
                                    hip joint.
27280.......  ........  A          Fusion of             14.49          NA            NA         9.10          9.97        2.54          NA            NA        26.13         27.00         090
                                    sacroiliac
                                    joint.
27282.......  ........  A          Fusion of pubic       11.71          NA            NA         7.86          7.97        1.87          NA            NA        21.44         21.55         090
                                    bones.
27284.......  ........  A          Fusion of hip         24.91          NA            NA        12.92         14.30        3.93          NA            NA        41.76         43.14         090
                                    joint.
27286.......  ........  A          Fusion of hip         24.97          NA            NA        13.54         15.23        3.13          NA            NA        41.64         43.33         090
                                    joint.
27290.......  ........  A          Amputation of         24.38          NA            NA        12.56         13.69        3.44          NA            NA        40.38         41.51         090
                                    leg at hip.
27295.......  ........  A          Amputation of         19.54          NA            NA         9.83         10.94        2.96          NA            NA        32.33         33.44         090
                                    leg at hip.
27299.......  ........  C          Pelvis/hip joint       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery.
27301.......  ........  A          Drain thigh/knee       6.67        8.18          9.60         4.67          5.02        1.04       15.89         17.31        12.38         12.73         090
                                    lesion.
27303.......  ........  A          Drainage of bone       8.52          NA            NA         6.09          6.76        1.43          NA            NA        16.04         16.71         090
                                    lesion.
27305.......  ........  A          Incise thigh           6.09          NA            NA         4.63          5.04        1.01          NA            NA        11.73         12.14         090
                                    tendon & fascia.
27306.......  ........  A          Incision of            4.66          NA            NA         4.07          4.56        0.85          NA            NA         9.58         10.07         090
                                    thigh tendon.
27307.......  ........  A          Incision of            5.97          NA            NA         4.82          5.24        1.04          NA            NA        11.83         12.25         090
                                    thigh tendons.
27310.......  ........  A          Exploration of         9.88          NA            NA         6.85          7.40        1.61          NA            NA        18.34         18.89         090
                                    knee joint.
27323.......  ........  A          Biopsy, thigh          2.30        4.12          3.66         1.91          1.89        0.24        6.66          6.20         4.45          4.43         010
                                    soft tissues.
27324.......  ........  A          Biopsy, thigh          4.95          NA            NA         3.84          4.10        0.75          NA            NA         9.54          9.80         090
                                    soft tissues.
27325.......  ........  A          Neurectomy,            7.09          NA            NA         5.45          5.08        1.09          NA            NA        13.63         13.26         090
                                    hamstring.
27326.......  ........  A          Neurectomy,            6.36          NA            NA         4.77          5.12        1.06          NA            NA        12.19         12.54         090
                                    popliteal.
27327.......  ........  A          Removal of thigh       4.52        6.04          6.00         3.61          3.69        0.64       11.20         11.16         8.77          8.85         090
                                    lesion.
27328.......  ........  A          Removal of thigh       5.62          NA            NA         4.06          4.29        0.84          NA            NA        10.52         10.75         090
                                    lesion.
27329.......  ........  A          Remove tumor,         15.68          NA            NA         8.58          8.91        2.15          NA            NA        26.41         26.74         090
                                    thigh/knee.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69827]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
27330.......  ........  A          Biopsy, knee           5.02          NA            NA         4.12          4.46        0.86          NA            NA        10.00         10.34         090
                                    joint lining.
27331.......  ........  A          Explore/treat          5.93          NA            NA         4.85          5.35        1.02          NA            NA        11.80         12.30         090
                                    knee joint.
27332.......  ........  A          Removal of knee        8.34          NA            NA         6.17          6.88        1.43          NA            NA        15.94         16.65         090
                                    cartilage.
27333.......  ........  A          Removal of knee        7.43          NA            NA         5.74          6.44        1.26          NA            NA        14.43         15.13         090
                                    cartilage.
27334.......  ........  A          Remove knee            9.07          NA            NA         6.51          7.19        1.51          NA            NA        17.09         17.77         090
                                    joint lining.
27335.......  ........  A          Remove knee           10.43          NA            NA         7.08          7.94        1.75          NA            NA        19.26         20.12         090
                                    joint lining.
27340.......  ........  A          Removal of             4.23          NA            NA         4.05          4.43        0.72          NA            NA         9.00          9.38         090
                                    kneecap bursa.
27345.......  ........  A          Removal of knee        5.98          NA            NA         4.90          5.44        1.00          NA            NA        11.88         12.42         090
                                    cyst.
27347.......  ........  A          Remove knee cyst       6.58          NA            NA         5.26          5.38        0.98          NA            NA        12.82         12.94         090
27350.......  ........  A          Removal of             8.54          NA            NA         6.30          7.01        1.41          NA            NA        16.25         16.96         090
                                    kneecap.
27355.......  ........  A          Remove femur           7.89          NA            NA         5.88          6.55        1.32          NA            NA        15.09         15.76         090
                                    lesion.
27356.......  ........  A          Remove femur           9.97          NA            NA         6.88          7.61        1.65          NA            NA        18.50         19.23         090
                                    lesion/graft.
27357.......  ........  A          Remove femur          11.02          NA            NA         7.56          8.42        1.96          NA            NA        20.54         21.40         090
                                    lesion/graft.
27358.......  ........  A          Remove femur           4.73          NA            NA         1.91          2.37        0.82          NA            NA         7.46          7.92         ZZZ
                                    lesion/fixation.
27360.......  ........  A          Partial removal,      11.34          NA            NA         8.15          9.20        1.84          NA            NA        21.33         22.38         090
                                    leg bone(s).
27365.......  ........  A          Extensive leg         17.93          NA            NA        10.56         11.40        2.80          NA            NA        31.29         32.13         090
                                    surgery.
27370.......  ........  A          Injection for          0.96        2.72          3.47         0.32          0.32        0.08        3.76          4.51         1.36          1.36         000
                                    knee x-ray.
27372.......  ........  A          Removal of             5.12        8.28          9.61         4.05          4.53        0.84       14.24         15.57        10.01         10.49         090
                                    foreign body.
27380.......  ........  A          Repair of              7.34          NA            NA         6.09          6.98        1.24          NA            NA        14.67         15.56         090
                                    kneecap tendon.
27381.......  ........  A          Repair/graft          10.64          NA            NA         7.58          8.71        1.80          NA            NA        20.02         21.15         090
                                    kneecap tendon.
27385.......  ........  A          Repair of thigh        8.00          NA            NA         6.37          7.32        1.36          NA            NA        15.73         16.68         090
                                    muscle.
27386.......  ........  A          Repair/graft of       10.99          NA            NA         8.00          9.13        1.86          NA            NA        20.85         21.98         090
                                    thigh muscle.
27390.......  ........  A          Incision of            5.44          NA            NA         4.57          4.98        0.92          NA            NA        10.93         11.34         090
                                    thigh tendon.
27391.......  ........  A          Incision of            7.38          NA            NA         5.55          6.31        1.23          NA            NA        14.16         14.92         090
                                    thigh tendons.
27392.......  ........  A          Incision of            9.51          NA            NA         6.76          7.38        1.57          NA            NA        17.84         18.46         090
                                    thigh tendons.
27393.......  ........  A          Lengthening of         6.50          NA            NA         5.02          5.63        1.10          NA            NA        12.62         13.23         090
                                    thigh tendon.
27394.......  ........  A          Lengthening of         8.68          NA            NA         6.21          6.97        1.47          NA            NA        16.36         17.12         090
                                    thigh tendons.
27395.......  ........  A          Lengthening of        12.10          NA            NA         8.02          9.00        2.05          NA            NA        22.17         23.15         090
                                    thigh tendons.
27396.......  ........  A          Transplant of          8.04          NA            NA         5.94          6.74        1.34          NA            NA        15.32         16.12         090
                                    thigh tendon.
27397.......  ........  A          Transplants of        12.46          NA            NA         8.44          8.89        1.83          NA            NA        22.73         23.18         090
                                    thigh tendons.
27400.......  ........  A          Revise thigh           9.21          NA            NA         6.19          6.99        1.31          NA            NA        16.71         17.51         090
                                    muscles/tendons.
27403.......  ........  A          Repair of knee         8.51          NA            NA         6.11          6.91        1.44          NA            NA        16.06         16.86         090
                                    cartilage.
27405.......  ........  A          Repair of knee         8.96          NA            NA         6.46          7.23        1.51          NA            NA        16.93         17.70         090
                                    ligament.
27407.......  ........  A          Repair of knee        10.71          NA            NA         6.71          7.92        1.79          NA            NA        19.21         20.42         090
                                    ligament.
27409.......  ........  A          Repair of knee        13.57          NA            NA         8.47          9.58        2.25          NA            NA        24.29         25.40         090
                                    ligaments.
27412.......  ........  A          Autochondrocyte       24.53          NA            NA        13.71         14.53        4.36          NA            NA        42.60         43.42         090
                                    implant knee.
27415.......  ........  A          Osteochondral         19.79          NA            NA        11.90         12.39        4.36          NA            NA        36.05         36.54         090
                                    knee allograft.
27418.......  ........  A          Repair                11.46          NA            NA         7.64          8.59        1.89          NA            NA        20.99         21.94         090
                                    degenerated
                                    kneecap.
27420.......  ........  A          Revision of           10.14          NA            NA         6.98          7.83        1.72          NA            NA        18.84         19.69         090
                                    unstable
                                    kneecap.
27422.......  ........  A          Revision of           10.09          NA            NA         6.93          7.82        1.71          NA            NA        18.73         19.62         090
                                    unstable
                                    kneecap.
27424.......  ........  A          Revision/removal      10.12          NA            NA         6.94          7.80        1.71          NA            NA        18.77         19.63         090
                                    of kneecap.
27425.......  ........  A          Lat retinacular        5.28          NA            NA         4.72          5.32        0.90          NA            NA        10.90         11.50         090
                                    release open.
27427.......  ........  A          Reconstruction,        9.67          NA            NA         6.73          7.53        1.63          NA            NA        18.03         18.83         090
                                    knee.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69828]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
27428.......  ........  A          Reconstruction,       15.33          NA            NA        10.16         10.97        2.43          NA            NA        27.92         28.73         090
                                    knee.
27429.......  ........  A          Reconstruction,       17.24          NA            NA        11.37         12.15        2.71          NA            NA        31.32         32.10         090
                                    knee.
27430.......  ........  A          Revision of           10.04          NA            NA         6.91          7.73        1.70          NA            NA        18.65         19.47         090
                                    thigh muscles.
27435.......  ........  A          Incision of knee      10.68          NA            NA         7.71          8.29        1.70          NA            NA        20.09         20.67         090
                                    joint.
27437.......  ........  A          Revise kneecap..       8.82          NA            NA         6.25          6.99        1.49          NA            NA        16.56         17.30         090
27438.......  ........  A          Revise kneecap        11.77          NA            NA         7.60          8.31        1.96          NA            NA        21.33         22.04         090
                                    with implant.
27440.......  ........  A          Revision of knee      10.97          NA            NA         7.19          6.29        1.82          NA            NA        19.98         19.08         090
                                    joint.
27441.......  ........  A          Revision of knee      11.42          NA            NA         7.54          6.92        1.89          NA            NA        20.85         20.23         090
                                    joint.
27442.......  ........  A          Revision of knee      12.25          NA            NA         7.81          8.64        2.10          NA            NA        22.16         22.99         090
                                    joint.
27443.......  ........  A          Revision of knee      11.29          NA            NA         7.43          8.40        1.91          NA            NA        20.63         21.60         090
                                    joint.
27445.......  ........  A          Revision of knee      18.52          NA            NA        10.58         11.91        3.09          NA            NA        32.19         33.52         090
                                    joint.
27446.......  ........  A          Revision of knee      16.26          NA            NA         9.41         10.81        2.81          NA            NA        28.48         29.88         090
                                    joint.
27447.......  ........  A          Total knee            23.04          NA            NA        12.75         14.14        3.80          NA            NA        39.59         40.98         090
                                    arthroplasty.
27448.......  ........  A          Incision of           11.48          NA            NA         7.46          8.32        1.95          NA            NA        20.89         21.75         090
                                    thigh.
27450.......  ........  A          Incision of           14.47          NA            NA         8.85         10.15        2.43          NA            NA        25.75         27.05         090
                                    thigh.
27454.......  ........  A          Realignment of        18.97          NA            NA        10.79         12.07        3.13          NA            NA        32.89         34.17         090
                                    thigh bone.
27455.......  ........  A          Realignment of        13.24          NA            NA         8.43          9.52        2.25          NA            NA        23.92         25.01         090
                                    knee.
27457.......  ........  A          Realignment of        13.92          NA            NA         8.29          9.51        2.35          NA            NA        24.56         25.78         090
                                    knee.
27465.......  ........  A          Shortening of         18.44          NA            NA        10.40         10.27        2.48          NA            NA        31.32         31.19         090
                                    thigh bone.
27466.......  ........  A          Lengthening of        17.13          NA            NA        10.20         11.42        2.78          NA            NA        30.11         31.33         090
                                    thigh bone.
27468.......  ........  A          Shorten/lengthen      19.82          NA            NA        11.33         12.10        3.31          NA            NA        34.46         35.23         090
                                    thighs.
27470.......  ........  A          Repair of thigh.      16.97          NA            NA        10.26         11.41        2.80          NA            NA        30.03         31.18         090
27472.......  ........  A          Repair/graft of       18.57          NA            NA        10.77         12.20        3.08          NA            NA        32.42         33.85         090
                                    thigh.
27475.......  ........  A          Surgery to stop        8.82          NA            NA         6.88          7.13        1.36          NA            NA        17.06         17.31         090
                                    leg growth.
27477.......  ........  A          Surgery to stop       10.03          NA            NA         6.67          7.47        1.74          NA            NA        18.44         19.24         090
                                    leg growth.
27479.......  ........  A          Surgery to stop       13.04          NA            NA         5.06          8.50        2.79          NA            NA        20.89         24.33         090
                                    leg growth.
27485.......  ........  A          Surgery to stop        9.02          NA            NA         6.26          7.12        1.53          NA            NA        16.81         17.67         090
                                    leg growth.
27486.......  ........  A          Revise/replace        20.92          NA            NA        11.79         13.07        3.37          NA            NA        36.08         37.36         090
                                    knee joint.
27487.......  ........  A          Revise/replace        26.91          NA            NA        14.21         15.97        4.40          NA            NA        45.52         47.28         090
                                    knee joint.
27488.......  ........  A          Removal of knee       17.40          NA            NA        10.38         11.37        2.75          NA            NA        30.53         31.52         090
                                    prosthesis.
27495.......  ........  A          Reinforce thigh.      16.40          NA            NA         9.74         10.99        2.72          NA            NA        28.86         30.11         090
27496.......  ........  A          Decompression of       6.66          NA            NA         5.02          5.46        0.99          NA            NA        12.67         13.11         090
                                    thigh/knee.
27497.......  ........  A          Decompression of       7.70          NA            NA         4.67          5.24        1.15          NA            NA        13.52         14.09         090
                                    thigh/knee.
27498.......  ........  A          Decompression of       8.54          NA            NA         5.37          5.81        1.24          NA            NA        15.15         15.59         090
                                    thigh/knee.
27499.......  ........  A          Decompression of       9.31          NA            NA         5.84          6.58        1.47          NA            NA        16.62         17.36         090
                                    thigh/knee.
27500.......  ........  A          Treatment of           6.21        5.44          5.95         4.66          4.91        1.02       12.67         13.18        11.89         12.14         090
                                    thigh fracture.
27501.......  ........  A          Treatment of           6.34        5.05          5.61         4.96          5.28        1.03       12.42         12.98        12.33         12.65         090
                                    thigh fracture.
27502.......  ........  A          Treatment of          11.24          NA            NA         6.95          7.82        1.79          NA            NA        19.98         20.85         090
                                    thigh fracture.
27503.......  ........  A          Treatment of          11.13          NA            NA         7.29          8.04        1.85          NA            NA        20.27         21.02         090
                                    thigh fracture.
27506.......  ........  A          Treatment of          19.42          NA            NA        11.26         12.40        3.04          NA            NA        33.72         34.86         090
                                    thigh fracture.
27507.......  ........  A          Treatment of          14.39          NA            NA         8.23          9.44        2.43          NA            NA        25.05         26.26         090
                                    thigh fracture.
27508.......  ........  A          Treatment of           6.08        5.71          6.27         5.08          5.38        0.97       12.76         13.32        12.13         12.43         090
                                    thigh fracture.
27509.......  ........  A          Treatment of           8.02          NA            NA         6.57          7.61        1.34          NA            NA        15.93         16.97         090
                                    thigh fracture.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69829]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
27510.......  ........  A          Treatment of           9.68          NA            NA         6.36          7.09        1.53          NA            NA        17.57         18.30         090
                                    thigh fracture.
27511.......  ........  A          Treatment of          13.94          NA            NA         9.13         10.68        2.38          NA            NA        25.45         27.00         090
                                    thigh fracture.
27513.......  ........  A          Treatment of          19.45          NA            NA        11.89         13.38        3.13          NA            NA        34.47         35.96         090
                                    thigh fracture.
27514.......  ........  A          Treatment of          19.09          NA            NA        12.01         13.02        3.01          NA            NA        34.11         35.12         090
                                    thigh fracture.
27516.......  ........  A          Treat thigh fx         5.45        5.69          6.19         5.06          5.40        0.81       11.95         12.45        11.32         11.66         090
                                    growth plate.
27517.......  ........  A          Treat thigh fx         8.98          NA            NA         6.07          7.11        1.22          NA            NA        16.27         17.31         090
                                    growth plate.
27519.......  ........  A          Treat thigh fx        15.80          NA            NA         9.92         11.17        2.56          NA            NA        28.28         29.53         090
                                    growth plate.
27520.......  ........  A          Treat kneecap          2.93        4.10          4.43         3.53          3.46        0.47        7.50          7.83         6.93          6.86         090
                                    fracture.
27524.......  ........  A          Treat kneecap         10.25          NA            NA         7.00          7.92        1.75          NA            NA        19.00         19.92         090
                                    fracture.
27530.......  ........  A          Treat knee             3.97        4.83          5.19         4.27          4.38        0.65        9.45          9.81         8.89          9.00         090
                                    fracture.
27532.......  ........  A          Treat knee             7.43        6.45          7.13         5.68          6.26        1.26       15.14         15.82        14.37         14.95         090
                                    fracture.
27535.......  ........  A          Treat knee            11.80          NA            NA         8.28          9.65        2.01          NA            NA        22.09         23.46         090
                                    fracture.
27536.......  ........  A          Treat knee            17.19          NA            NA        10.33         11.29        2.74          NA            NA        30.26         31.22         090
                                    fracture.
27538.......  ........  A          Treat knee             4.95        5.54          5.98         4.92          5.12        0.84       11.33         11.77        10.71         10.91         090
                                    fracture(s).
27540.......  ........  A          Treat knee            13.45          NA            NA         8.05          9.15        2.28          NA            NA        23.78         24.88         090
                                    fracture.
27550.......  ........  A          Treat knee             5.84        5.31          5.84         4.61          4.85        0.76       11.91         12.44        11.21         11.45         090
                                    dislocation.
27552.......  ........  A          Treat knee             8.04          NA            NA         6.14          6.75        1.36          NA            NA        15.54         16.15         090
                                    dislocation.
27556.......  ........  A          Treat knee            14.95          NA            NA         9.35         11.08        2.51          NA            NA        26.81         28.54         090
                                    dislocation.
27557.......  ........  A          Treat knee            17.31          NA            NA        10.63         12.50        2.98          NA            NA        30.92         32.79         090
                                    dislocation.
27558.......  ........  A          Treat knee            18.01          NA            NA        10.66         12.45        3.09          NA            NA        31.76         33.55         090
                                    dislocation.
27560.......  ........  A          Treat kneecap          3.88        3.93          4.61         3.41          3.24        0.40        8.21          8.89         7.69          7.52         090
                                    dislocation.
27562.......  ........  A          Treat kneecap          5.86          NA            NA         4.46          4.69        0.94          NA            NA        11.26         11.49         090
                                    dislocation.
27566.......  ........  A          Treat kneecap         12.59          NA            NA         7.89          8.96        2.13          NA            NA        22.61         23.68         090
                                    dislocation.
27570.......  ........  A          Fixation of knee       1.76          NA            NA         1.62          1.73        0.30          NA            NA         3.68          3.79         010
                                    joint.
27580.......  ........  A          Fusion of knee..      20.90          NA            NA        12.38         14.20        3.38          NA            NA        36.66         38.48         090
27590.......  ........  A          Amputate leg at       13.35          NA            NA         6.12          6.53        1.75          NA            NA        21.22         21.63         090
                                    thigh.
27591.......  ........  A          Amputate leg at       13.82          NA            NA         7.44          8.34        2.03          NA            NA        23.29         24.19         090
                                    thigh.
27592.......  ........  A          Amputate leg at       10.86          NA            NA         5.48          6.00        1.45          NA            NA        17.79         18.31         090
                                    thigh.
27594.......  ........  A          Amputation             7.17          NA            NA         4.75          5.07        1.02          NA            NA        12.94         13.26         090
                                    follow-up
                                    surgery.
27596.......  ........  A          Amputation            11.15          NA            NA         6.05          6.62        1.57          NA            NA        18.77         19.34         090
                                    follow-up
                                    surgery.
27598.......  ........  A          Amputate lower        11.08          NA            NA         6.34          6.85        1.65          NA            NA        19.07         19.58         090
                                    leg at knee.
27599.......  ........  C          Leg surgery            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
27600.......  ........  A          Decompression of       5.94          NA            NA         3.84          4.36        0.86          NA            NA        10.64         11.16         090
                                    lower leg.
27601.......  ........  A          Decompression of       5.94          NA            NA         4.26          4.70        0.80          NA            NA        11.00         11.44         090
                                    lower leg.
27602.......  ........  A          Decompression of       7.71          NA            NA         4.37          4.94        1.10          NA            NA        13.18         13.75         090
                                    lower leg.
27603.......  ........  A          Drain lower leg        5.12        7.01          7.37         3.90          4.10        0.74       12.87         13.23         9.76          9.96         090
                                    lesion.
27604.......  ........  A          Drain lower leg        4.51        6.46          6.18         3.44          3.83        0.69       11.66         11.38         8.64          9.03         090
                                    bursa.
27605.......  ........  A          Incision of            2.89        5.27          7.08         1.80          2.19        0.41        8.57         10.38         5.10          5.49         010
                                    achilles tendon.
27606.......  ........  A          Incision of            4.15          NA            NA         2.68          3.19        0.69          NA            NA         7.52          8.03         010
                                    achilles tendon.
27607.......  ........  A          Treat lower leg        8.51          NA            NA         5.79          6.08        1.31          NA            NA        15.61         15.90         090
                                    bone lesion.
27610.......  ........  A          Explore/treat          9.01          NA            NA         6.20          6.80        1.40          NA            NA        16.61         17.21         090
                                    ankle joint.
27612.......  ........  A          Exploration of         8.01          NA            NA         5.39          5.92        1.13          NA            NA        14.53         15.06         090
                                    ankle joint.
27613.......  ........  A          Biopsy lower leg       2.19        3.86          3.39         1.76          1.79        0.20        6.25          5.78         4.15          4.18         010
                                    soft tissue.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69830]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
27614.......  ........  A          Biopsy lower leg       5.71        7.87          7.32         4.03          4.34        0.78       14.36         13.81        10.52         10.83         090
                                    soft tissue.
27615.......  ........  A          Remove tumor,         12.93          NA            NA         8.12          9.07        1.84          NA            NA        22.89         23.84         090
                                    lower leg.
27618.......  ........  A          Remove lower leg       5.14        6.38          6.10         3.79          3.94        0.72       12.24         11.96         9.65          9.80         090
                                    lesion.
27619.......  ........  A          Remove lower leg       8.47       10.05          9.65         5.32          5.79        1.25       19.77         19.37        15.04         15.51         090
                                    lesion.
27620.......  ........  A          Explore/treat          6.04          NA            NA         4.62          5.25        0.97          NA            NA        11.63         12.26         090
                                    ankle joint.
27625.......  ........  A          Remove ankle           8.37          NA            NA         5.63          6.25        1.28          NA            NA        15.28         15.90         090
                                    joint lining.
27626.......  ........  A          Remove ankle           8.98          NA            NA         5.99          6.69        1.48          NA            NA        16.45         17.15         090
                                    joint lining.
27630.......  ........  A          Removal of             4.85        7.94          7.66         3.81          4.24        0.74       13.53         13.25         9.40          9.83         090
                                    tendon lesion.
27635.......  ........  A          Remove lower leg       7.91          NA            NA         5.70          6.48        1.31          NA            NA        14.92         15.70         090
                                    bone lesion.
27637.......  ........  A          Remove/graft leg      10.17          NA            NA         7.19          8.02        1.66          NA            NA        19.02         19.85         090
                                    bone lesion.
27638.......  ........  A          Remove/graft leg      10.87          NA            NA         7.01          7.97        1.85          NA            NA        19.73         20.69         090
                                    bone lesion.
27640.......  ........  A          Partial removal       12.10          NA            NA         8.24          9.79        1.89          NA            NA        22.23         23.78         090
                                    of tibia.
27641.......  ........  A          Partial removal        9.73          NA            NA         6.82          7.96        1.46          NA            NA        18.01         19.15         090
                                    of fibula.
27645.......  ........  A          Extensive lower       14.78          NA            NA         9.54         11.42        2.42          NA            NA        26.74         28.62         090
                                    leg surgery.
27646.......  ........  A          Extensive lower       13.21          NA            NA         8.45         10.39        2.06          NA            NA        23.72         25.66         090
                                    leg surgery.
27647.......  ........  A          Extensive ankle/      12.85          NA            NA         6.70          7.38        1.76          NA            NA        21.31         21.99         090
                                    heel surgery.
27648.......  ........  A          Injection for          0.96        2.62          3.30         0.30          0.32        0.08        3.66          4.34         1.34          1.36         000
                                    ankle x-ray.
27650.......  ........  A          Repair achilles        9.94          NA            NA         6.34          7.22        1.59          NA            NA        17.87         18.75         090
                                    tendon.
27652.......  ........  A          Repair/graft          10.64          NA            NA         6.51          7.65        1.72          NA            NA        18.87         20.01         090
                                    achilles tendon.
27654.......  ........  A          Repair of             10.32          NA            NA         6.03          6.86        1.58          NA            NA        17.93         18.76         090
                                    achilles tendon.
27656.......  ........  A          Repair leg             4.62        8.06          8.41         3.69          3.75        0.69       13.37         13.72         9.00          9.06         090
                                    fascia defect.
27658.......  ........  A          Repair of leg          5.03          NA            NA         3.92          4.40        0.79          NA            NA         9.74         10.22         090
                                    tendon, each.
27659.......  ........  A          Repair of leg          6.99          NA            NA         4.91          5.46        1.09          NA            NA        12.99         13.54         090
                                    tendon, each.
27664.......  ........  A          Repair of leg          4.64          NA            NA         3.95          4.40        0.76          NA            NA         9.35          9.80         090
                                    tendon, each.
27665.......  ........  A          Repair of leg          5.46          NA            NA         4.50          4.85        0.89          NA            NA        10.85         11.20         090
                                    tendon, each.
27675.......  ........  A          Repair lower leg       7.24          NA            NA         4.78          5.49        1.11          NA            NA        13.13         13.84         090
                                    tendons.
27676.......  ........  A          Repair lower leg       8.61          NA            NA         5.80          6.51        1.37          NA            NA        15.78         16.49         090
                                    tendons.
27680.......  ........  A          Release of lower       5.79          NA            NA         4.40          4.93        0.93          NA            NA        11.12         11.65         090
                                    leg tendon.
27681.......  ........  A          Release of lower       6.94          NA            NA         4.79          5.63        1.15          NA            NA        12.88         13.72         090
                                    leg tendons.
27685.......  ........  A          Revision of            6.57        8.84          7.68         4.65          5.26        0.97       16.38         15.22        12.19         12.80         090
                                    lower leg
                                    tendon.
27686.......  ........  A          Revise lower leg       7.64          NA            NA         5.41          6.22        1.24          NA            NA        14.29         15.10         090
                                    tendons.
27687.......  ........  A          Revision of calf       6.30          NA            NA         4.56          5.12        1.00          NA            NA        11.86         12.42         090
                                    tendon.
27690.......  ........  A          Revise lower leg       8.96          NA            NA         5.53          6.15        1.33          NA            NA        15.82         16.44         090
                                    tendon.
27691.......  ........  A          Revise lower leg      10.28          NA            NA         6.76          7.51        1.64          NA            NA        18.68         19.43         090
                                    tendon.
27692.......  ........  A          Revise                 1.87          NA            NA         0.73          0.88        0.32          NA            NA         2.92          3.07         ZZZ
                                    additional leg
                                    tendon.
27695.......  ........  A          Repair of ankle        6.58          NA            NA         5.03          5.66        1.05          NA            NA        12.66         13.29         090
                                    ligament.
27696.......  ........  A          Repair of ankle        8.46          NA            NA         5.47          6.19        1.28          NA            NA        15.21         15.93         090
                                    ligaments.
27698.......  ........  A          Repair of ankle        9.49          NA            NA         5.97          6.70        1.47          NA            NA        16.93         17.66         090
                                    ligament.
27700.......  ........  A          Revision of            9.54          NA            NA         5.21          5.56        1.30          NA            NA        16.05         16.40         090
                                    ankle joint.
27702.......  ........  A          Reconstruct           14.28          NA            NA         8.77         10.04        2.38          NA            NA        25.43         26.70         090
                                    ankle joint.
27703.......  ........  A          Reconstruction,       16.79          NA            NA         9.95         10.91        2.77          NA            NA        29.51         30.47         090
                                    ankle joint.
27704.......  ........  A          Removal of ankle       7.69          NA            NA         5.72          5.62        1.27          NA            NA        14.68         14.58         090
                                    implant.
27705.......  ........  A          Incision of           10.74          NA            NA         6.95          7.87        1.81          NA            NA        19.50         20.42         090
                                    tibia.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69831]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
27707.......  ........  A          Incision of            4.67          NA            NA         4.51          4.83        0.76          NA            NA         9.94         10.26         090
                                    fibula.
27709.......  ........  A          Incision of           17.32          NA            NA         9.99          8.60        1.74          NA            NA        29.05         27.66         090
                                    tibia & fibula.
27712.......  ........  A          Realignment of        15.67          NA            NA         9.23         10.36        2.48          NA            NA        27.38         28.51         090
                                    lower leg.
27715.......  ........  A          Revision of           15.36          NA            NA         9.06         10.34        2.50          NA            NA        26.92         28.20         090
                                    lower leg.
27720.......  ........  A          Repair of tibia.      12.22          NA            NA         8.00          9.05        2.05          NA            NA        22.27         23.32         090
27722.......  ........  A          Repair/graft of       12.31          NA            NA         8.10          8.87        2.06          NA            NA        22.47         23.24         090
                                    tibia.
27724.......  ........  A          Repair/graft of       19.18          NA            NA        10.38         11.87        3.17          NA            NA        32.73         34.22         090
                                    tibia.
27725.......  ........  A          Repair of lower       17.15          NA            NA        10.63         11.59        2.72          NA            NA        30.50         31.46         090
                                    leg.
27727.......  ........  A          Repair of lower       14.69          NA            NA         8.65          9.92        2.44          NA            NA        25.78         27.05         090
                                    leg.
27730.......  ........  A          Repair of tibia        7.59          NA            NA         5.32          6.15        1.73          NA            NA        14.64         15.47         090
                                    epiphysis.
27732.......  ........  A          Repair of fibula       5.37          NA            NA         4.69          4.87        0.77          NA            NA        10.83         11.01         090
                                    epiphysis.
27734.......  ........  A          Repair lower leg       8.72          NA            NA         6.22          6.27        1.35          NA            NA        16.29         16.34         090
                                    epiphyses.
27740.......  ........  A          Repair of leg          9.49          NA            NA         6.67          7.66        1.62          NA            NA        17.78         18.77         090
                                    epiphyses.
27742.......  ........  A          Repair of leg         10.49          NA            NA         5.93          5.65        1.80          NA            NA        18.22         17.94         090
                                    epiphyses.
27745.......  ........  A          Reinforce tibia.      10.37          NA            NA         7.04          7.89        1.76          NA            NA        19.17         20.02         090
27750.......  ........  A          Treatment of           3.26        4.32          4.65         3.74          3.82        0.55        8.13          8.46         7.55          7.63         090
                                    tibia fracture.
27752.......  ........  A          Treatment of           6.15        5.98          6.48         5.15          5.54        1.01       13.14         13.64        12.31         12.70         090
                                    tibia fracture.
27756.......  ........  A          Treatment of           7.33          NA            NA         5.78          6.29        1.17          NA            NA        14.28         14.79         090
                                    tibia fracture.
27758.......  ........  A          Treatment of          12.40          NA            NA         8.09          8.91        2.04          NA            NA        22.53         23.35         090
                                    tibia fracture.
27759.......  ........  A          Treatment of          14.31          NA            NA         8.76          9.92        2.39          NA            NA        25.46         26.62         090
                                    tibia fracture.
27760.......  ........  A          Treatment of           3.09        4.29          4.58         3.69          3.62        0.48        7.86          8.15         7.26          7.19         090
                                    ankle fracture.
27762.......  ........  A          Treatment of           5.33        5.58          6.14         4.76          5.14        0.85       11.76         12.32        10.94         11.32         090
                                    ankle fracture.
27766.......  ........  A          Treatment of           8.73          NA            NA         6.31          6.99        1.44          NA            NA        16.48         17.16         090
                                    ankle fracture.
27780.......  ........  A          Treatment of           2.72        3.89          4.11         3.33          3.24        0.41        7.02          7.24         6.46          6.37         090
                                    fibula fracture.
27781.......  ........  A          Treatment of           4.47        4.97          5.36         4.35          4.57        0.73       10.17         10.56         9.55          9.77         090
                                    fibula fracture.
27784.......  ........  A          Treatment of           7.41          NA            NA         5.63          6.26        1.23          NA            NA        14.27         14.90         090
                                    fibula fracture.
27786.......  ........  A          Treatment of           2.91        4.06          4.36         3.44          3.36        0.46        7.43          7.73         6.81          6.73         090
                                    ankle fracture.
27788.......  ........  A          Treatment of           4.52        5.00          5.48         4.28          4.56        0.74       10.26         10.74         9.54          9.82         090
                                    ankle fracture.
27792.......  ........  A          Treatment of           7.91          NA            NA         5.97          6.71        1.32          NA            NA        15.20         15.94         090
                                    ankle fracture.
27808.......  ........  A          Treatment of           2.91        4.39          4.70         3.71          3.70        0.46        7.76          8.07         7.08          7.07         090
                                    ankle fracture.
27810.......  ........  A          Treatment of           5.20        5.46          6.05         4.61          5.02        0.82       11.48         12.07        10.63         11.04         090
                                    ankle fracture.
27814.......  ........  A          Treatment of          11.10          NA            NA         7.31          8.25        1.86          NA            NA        20.27         21.21         090
                                    ankle fracture.
27816.......  ........  A          Treatment of           2.96        4.02          4.29         3.36          3.40        0.43        7.41          7.68         6.75          6.79         090
                                    ankle fracture.
27818.......  ........  A          Treatment of           5.57        5.44          6.14         4.48          5.00        0.82       11.83         12.53        10.87         11.39         090
                                    ankle fracture.
27822.......  ........  A          Treatment of          12.12          NA            NA         8.89         10.21        1.92          NA            NA        22.93         24.25         090
                                    ankle fracture.
27823.......  ........  A          Treatment of          14.26          NA            NA         9.54         10.99        2.26          NA            NA        26.06         27.51         090
                                    ankle fracture.
27824.......  ........  A          Treat lower leg        3.20        3.74          3.98         3.55          3.56        0.45        7.39          7.63         7.20          7.21         090
                                    fracture.
27825.......  ........  A          Treat lower leg        6.60        5.88          6.42         4.86          5.25        1.02       13.50         14.04        12.48         12.87         090
                                    fracture.
27826.......  ........  A          Treat lower leg        8.97          NA            NA         7.03          8.37        1.47          NA            NA        17.47         18.81         090
                                    fracture.
27827.......  ........  A          Treat lower leg       15.75          NA            NA        10.85         12.28        2.44          NA            NA        29.04         30.47         090
                                    fracture.
27828.......  ........  A          Treat lower leg       18.19          NA            NA        12.39         13.55        2.82          NA            NA        33.40         34.56         090
                                    fracture.
27829.......  ........  A          Treat lower leg        5.68          NA            NA         5.53          6.47        0.95          NA            NA        12.16         13.10         090
                                    joint.
27830.......  ........  A          Treat lower leg        3.85        4.31          4.37         3.76          3.83        0.54        8.70          8.76         8.15          8.22         090
                                    dislocation.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69832]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
27831.......  ........  A          Treat lower leg        4.62          NA            NA         4.01          4.35        0.73          NA            NA         9.36          9.70         090
                                    dislocation.
27832.......  ........  A          Treat lower leg        6.67          NA            NA         4.77          5.82        1.03          NA            NA        12.47         13.52         090
                                    dislocation.
27840.......  ........  A          Treat ankle            4.65          NA            NA         3.64          3.73        0.46          NA            NA         8.75          8.84         090
                                    dislocation.
27842.......  ........  A          Treat ankle            6.34          NA            NA         4.92          5.07        1.00          NA            NA        12.26         12.41         090
                                    dislocation.
27846.......  ........  A          Treat ankle           10.16          NA            NA         6.90          7.67        1.71          NA            NA        18.77         19.54         090
                                    dislocation.
27848.......  ........  A          Treat ankle           11.56          NA            NA         7.75          9.22        1.95          NA            NA        21.26         22.73         090
                                    dislocation.
27860.......  ........  A          Fixation of            2.36          NA            NA         1.70          1.91        0.39          NA            NA         4.45          4.66         010
                                    ankle joint.
27870.......  ........  A          Fusion of ankle       15.21          NA            NA         9.24         10.20        2.37          NA            NA        26.82         27.78         090
                                    joint, open.
27871.......  ........  A          Fusion of              9.42          NA            NA         6.55          7.32        1.59          NA            NA        17.56         18.33         090
                                    tibiofibular
                                    joint.
27880.......  ........  A          Amputation of         15.24          NA            NA         6.77          7.04        1.76          NA            NA        23.77         24.04         090
                                    lower leg.
27881.......  ........  A          Amputation of         13.32          NA            NA         7.47          8.50        1.99          NA            NA        22.78         23.81         090
                                    lower leg.
27882.......  ........  A          Amputation of          9.67          NA            NA         5.52          6.24        1.29          NA            NA        16.48         17.20         090
                                    lower leg.
27884.......  ........  A          Amputation             8.64          NA            NA         5.10          5.59        1.22          NA            NA        14.96         15.45         090
                                    follow-up
                                    surgery.
27886.......  ........  A          Amputation             9.88          NA            NA         5.75          6.32        1.40          NA            NA        17.03         17.60         090
                                    follow-up
                                    surgery.
27888.......  ........  A          Amputation of         10.23          NA            NA         6.27          7.19        1.51          NA            NA        18.01         18.93         090
                                    foot at ankle.
27889.......  ........  A          Amputation of         10.72          NA            NA         5.33          6.19        1.46          NA            NA        17.51         18.37         090
                                    foot at ankle.
27892.......  ........  A          Decompression of       7.82          NA            NA         4.87          5.41        1.10          NA            NA        13.79         14.33         090
                                    leg.
27893.......  ........  A          Decompression of       7.78          NA            NA         5.14          5.38        1.10          NA            NA        14.02         14.26         090
                                    leg.
27894.......  ........  A          Decompression of      12.42          NA            NA         7.38          7.67        1.65          NA            NA        21.45         21.74         090
                                    leg.
27899.......  ........  C          Leg/ankle              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery
                                    procedure.
28001.......  ........  A          Drainage of            2.75        4.05          3.25         1.65          1.88        0.33        7.13          6.33         4.73          4.96         010
                                    bursa of foot.
28002.......  ........  A          Treatment of           5.78        6.78          5.44         3.66          3.74        0.61       13.17         11.83        10.05         10.13         010
                                    foot infection.
28003.......  ........  A          Treatment of           8.95        7.88          6.64         4.67          5.08        1.12       17.95         16.71        14.74         15.15         090
                                    foot infection.
28005.......  ........  A          Treat foot bone        9.30          NA            NA         5.55          5.92        1.16          NA            NA        16.01         16.38         090
                                    lesion.
28008.......  ........  A          Incision of foot       4.50        6.24          4.97         3.06          3.17        0.57       11.31         10.04         8.13          8.24         090
                                    fascia.
28010.......  ........  A          Incision of toe        2.89        2.90          2.50         2.38          2.37        0.36        6.15          5.75         5.63          5.62         090
                                    tendon.
28011.......  ........  A          Incision of toe        4.19        3.86          3.44         3.09          3.25        0.59        8.64          8.22         7.87          8.03         090
                                    tendons.
28020.......  ........  A          Exploration of         5.06        7.57          6.40         3.71          4.03        0.72       13.35         12.18         9.49          9.81         090
                                    foot joint.
28022.......  ........  A          Exploration of         4.72        6.95          5.63         3.37          3.73        0.62       12.29         10.97         8.71          9.07         090
                                    foot joint.
28024.......  ........  A          Exploration of         4.43        6.71          5.59         3.22          3.75        0.58       11.72         10.60         8.23          8.76         090
                                    toe joint.
28035.......  ........  A          Decompression of       5.14        7.51          6.27         3.71          4.00        0.70       13.35         12.11         9.55          9.84         090
                                    tibia nerve.
28043.......  ........  A          Excision of foot       3.58        4.85          4.07         2.79          3.08        0.46        8.89          8.11         6.83          7.12         090
                                    lesion.
28045.......  ........  A          Excision of foot       4.77        7.13          5.81         3.33          3.53        0.63       12.53         11.21         8.73          8.93         090
                                    lesion.
28046.......  ........  A          Resection of          10.55       10.52          9.20         5.91          6.33        1.36       22.43         21.11        17.82         18.24         090
                                    tumor, foot.
28050.......  ........  A          Biopsy of foot         4.30        6.92          5.40         3.30          3.52        0.60       11.82         10.30         8.20          8.42         090
                                    joint lining.
28052.......  ........  A          Biopsy of foot         3.98        6.47          5.30         2.98          3.32        0.53       10.98          9.81         7.49          7.83         090
                                    joint lining.
28054.......  ........  A          Biopsy of toe          3.49        6.25          5.10         2.81          3.13        0.46       10.20          9.05         6.76          7.08         090
                                    joint lining.
28055.......  ........  A          Neurectomy, foot       6.20          NA            NA         3.53          3.62        0.74          NA            NA        10.47         10.56         090
28060.......  ........  A          Partial removal,       5.29        7.20          5.90         3.64          3.81        0.70       13.19         11.89         9.63          9.80         090
                                    foot fascia.
28062.......  ........  A          Removal of foot        6.58        7.94          6.87         3.92          3.99        0.83       15.35         14.28        11.33         11.40         090
                                    fascia.
28070.......  ........  A          Removal of foot        5.15        7.28          5.73         3.52          3.74        0.73       13.16         11.61         9.40          9.62         090
                                    joint lining.
28072.......  ........  A          Removal of foot        4.63        7.64          6.05         3.67          4.14        0.68       12.95         11.36         8.98          9.45         090
                                    joint lining.
28080.......  ........  A          Removal of foot        4.65        7.74          5.77         4.26          3.83        0.47       12.86         10.89         9.38          8.95         090
                                    lesion.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69833]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
28086.......  ........  A          Excise foot            4.83        7.83          7.94         3.82          4.47        0.76       13.42         13.53         9.41         10.06         090
                                    tendon sheath.
28088.......  ........  A          Excise foot            3.90        7.00          6.06         3.21          3.72        0.61       11.51         10.57         7.72          8.23         090
                                    tendon sheath.
28090.......  ........  A          Removal of foot        4.46        6.84          5.57         3.24          3.40        0.59       11.89         10.62         8.29          8.45         090
                                    lesion.
28092.......  ........  A          Removal of toe         3.69        6.55          5.55         3.05          3.40        0.49       10.73          9.73         7.23          7.58         090
                                    lesions.
28100.......  ........  A          Removal of ankle/      5.72        8.25          8.03         4.12          4.55        0.82       14.79         14.57        10.66         11.09         090
                                    heel lesion.
28102.......  ........  A          Remove/graft           7.80          NA            NA         5.01          5.71        1.14          NA            NA        13.95         14.65         090
                                    foot lesion.
28103.......  ........  A          Remove/graft           6.56          NA            NA         4.22          4.51        0.91          NA            NA        11.69         11.98         090
                                    foot lesion.
28104.......  ........  A          Removal of foot        5.17        7.30          5.94         3.53          3.82        0.70       13.17         11.81         9.40          9.69         090
                                    lesion.
28106.......  ........  A          Remove/graft           7.23          NA            NA         4.52          4.45        0.97          NA            NA        12.72         12.65         090
                                    foot lesion.
28107.......  ........  A          Remove/graft           5.62        7.90          6.87         3.80          4.10        0.74       14.26         13.23        10.16         10.46         090
                                    foot lesion.
28108.......  ........  A          Removal of toe         4.21        6.43          5.05         3.05          3.20        0.53       11.17          9.79         7.79          7.94         090
                                    lesions.
28110.......  ........  A          Part removal of        4.13        7.02          5.66         3.13          3.20        0.54       11.69         10.33         7.80          7.87         090
                                    metatarsal.
28111.......  ........  A          Part removal of        5.06        7.37          6.55         3.36          3.58        0.67       13.10         12.28         9.09          9.31         090
                                    metatarsal.
28112.......  ........  A          Part removal of        4.54        7.30          6.18         3.33          3.51        0.61       12.45         11.33         8.48          8.66         090
                                    metatarsal.
28113.......  ........  A          Part removal of        5.88        8.50          6.66         4.72          4.41        0.63       15.01         13.17        11.23         10.92         090
                                    metatarsal.
28114.......  ........  A          Removal of            11.61       13.43         12.07         8.37          8.37        1.42       26.46         25.10        21.40         21.40         090
                                    metatarsal
                                    heads.
28116.......  ........  A          Revision of foot       8.94        9.60          7.49         5.47          5.25        1.03       19.57         17.46        15.44         15.22         090
28118.......  ........  A          Removal of heel        6.02        8.00          6.68         4.09          4.28        0.84       14.86         13.54        10.95         11.14         090
                                    bone.
28119.......  ........  A          Removal of heel        5.45        7.30          5.89         3.65          3.70        0.70       13.45         12.04         9.80          9.85         090
                                    spur.
28120.......  ........  A          Part removal of        5.64        8.14          7.50         4.02          4.31        0.77       14.55         13.91        10.43         10.72         090
                                    ankle/heel.
28122.......  ........  A          Partial removal        7.56        8.60          7.27         4.89          5.17        0.98       17.14         15.81        13.43         13.71         090
                                    of foot bone.
28124.......  ........  A          Partial removal        4.88        6.85          5.46         3.52          3.62        0.60       12.33         10.94         9.00          9.10         090
                                    of toe.
28126.......  ........  A          Partial removal        3.56        6.01          4.66         2.70          2.92        0.45       10.02          8.67         6.71          6.93         090
                                    of toe.
28130.......  ........  A          Removal of ankle       9.30          NA            NA         5.96          6.52        1.26          NA            NA        16.52         17.08         090
                                    bone.
28140.......  ........  A          Removal of             7.03        7.91          7.39         4.20          4.62        0.92       15.86         15.34        12.15         12.57         090
                                    metatarsal.
28150.......  ........  A          Removal of toe..       4.14        6.47          5.24         3.06          3.23        0.53       11.14          9.91         7.73          7.90         090
28153.......  ........  A          Partial removal        3.71        6.24          4.79         2.93          2.74        0.47       10.42          8.97         7.11          6.92         090
                                    of toe.
28160.......  ........  A          Partial removal        3.79        6.42          5.03         3.00          3.25        0.49       10.70          9.31         7.28          7.53         090
                                    of toe.
28171.......  ........  A          Extensive foot         9.85          NA            NA         5.43          5.42        1.33          NA            NA        16.61         16.60         090
                                    surgery.
28173.......  ........  A          Extensive foot         9.05        8.89          7.92         4.75          5.08        1.12       19.06         18.09        14.92         15.25         090
                                    surgery.
28175.......  ........  A          Extensive foot         6.17        7.22          6.08         3.70          3.70        0.73       14.12         12.98        10.60         10.60         090
                                    surgery.
28190.......  ........  A          Removal of foot        1.98        4.03          3.55         1.36          1.45        0.22        6.23          5.75         3.56          3.65         010
                                    foreign body.
28192.......  ........  A          Removal of foot        4.69        6.80          5.80         3.26          3.55        0.61       12.10         11.10         8.56          8.85         090
                                    foreign body.
28193.......  ........  A          Removal of foot        5.79        7.40          6.05         3.69          3.86        0.73       13.92         12.57        10.21         10.38         090
                                    foreign body.
28200.......  ........  A          Repair of foot         4.65        6.95          5.56         3.29          3.49        0.61       12.21         10.82         8.55          8.75         090
                                    tendon.
28202.......  ........  A          Repair/graft of        6.96        8.05          7.42         4.14          4.40        0.91       15.92         15.29        12.01         12.27         090
                                    foot tendon.
28208.......  ........  A          Repair of foot         4.42        6.73          5.29         3.23          3.28        0.58       11.73         10.29         8.23          8.28         090
                                    tendon.
28210.......  ........  A          Repair/graft of        6.41        7.61          6.56         3.96          4.01        0.81       14.83         13.78        11.18         11.23         090
                                    foot tendon.
28220.......  ........  A          Release of foot        4.58        6.47          5.12         3.13          3.35        0.57       11.62         10.27         8.28          8.50         090
                                    tendon.
28222.......  ........  A          Release of foot        5.67        6.97          5.67         3.39          3.94        0.69       13.33         12.03         9.75         10.30         090
                                    tendons.
28225.......  ........  A          Release of foot        3.70        6.09          4.73         2.78          2.87        0.46       10.25          8.89         6.94          7.03         090
                                    tendon.
28226.......  ........  A          Release of foot        4.58        7.03          5.35         3.36          3.65        0.58       12.19         10.51         8.52          8.81         090
                                    tendons.
28230.......  ........  A          Incision of foot       4.28        6.35          5.09         2.94          3.49        0.55       11.18          9.92         7.77          8.32         090
                                    tendon(s).
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69834]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
28232.......  ........  A          Incision of toe        3.43        5.99          4.89         2.72          3.16        0.44        9.86          8.76         6.59          7.03         090
                                    tendon.
28234.......  ........  A          Incision of foot       3.43        6.33          5.09         3.09          3.29        0.44       10.20          8.96         6.96          7.16         090
                                    tendon.
28238.......  ........  A          Revision of foot       7.85        8.43          7.54         4.43          4.81        1.06       17.34         16.45        13.34         13.72         090
                                    tendon.
28240.......  ........  A          Release of big         4.40        6.48          5.09         3.04          3.37        0.58       11.46         10.07         8.02          8.35         090
                                    toe.
28250.......  ........  A          Revision of foot       5.97        7.50          6.09         3.82          4.05        0.82       14.29         12.88        10.61         10.84         090
                                    fascia.
28260.......  ........  A          Release of             8.08        8.68          6.91         4.79          4.94        1.14       17.90         16.13        14.01         14.16         090
                                    midfoot joint.
28261.......  ........  A          Revision of foot      12.91       10.85          9.17         6.50          7.10        1.57       25.33         23.65        20.98         21.58         090
                                    tendon.
28262.......  ........  A          Revision of foot      17.01       15.61         14.07         9.85         10.65        2.60       35.22         33.68        29.46         30.26         090
                                    and ankle.
28264.......  ........  A          Release of            10.53       10.49          8.42         6.11          6.99        1.54       22.56         20.49        18.18         19.06         090
                                    midfoot joint.
28270.......  ........  A          Release of foot        4.82        6.99          5.42         3.51          3.68        0.62       12.43         10.86         8.95          9.12         090
                                    contracture.
28272.......  ........  A          Release of toe         3.84        5.89          4.61         2.70          2.81        0.46       10.19          8.91         7.00          7.11         090
                                    joint, each.
28280.......  ........  A          Fusion of toes..       5.24        7.41          6.53         3.63          4.27        0.73       13.38         12.50         9.60         10.24         090
28285.......  ........  A          Repair of              4.65        6.78          5.34         3.41          3.42        0.59       12.02         10.58         8.65          8.66         090
                                    hammertoe.
28286.......  ........  A          Repair of              4.61        6.56          5.23         3.10          3.21        0.57       11.74         10.41         8.28          8.39         090
                                    hammertoe.
28288.......  ........  A          Partial removal        5.81        8.70          6.62         4.78          4.86        0.65       15.16         13.08        11.24         11.32         090
                                    of foot bone.
28289.......  ........  A          Repair hallux          8.11        9.53          8.37         5.44          5.68        1.02       18.66         17.50        14.57         14.81         090
                                    rigidus.
28290.......  ........  A          Correction of          5.72        8.24          6.75         4.02          4.55        0.82       14.78         13.29        10.56         11.09         090
                                    bunion.
28292.......  ........  A          Correction of          8.72       10.46          8.21         6.27          5.72        0.91       20.09         17.84        15.90         15.35         090
                                    bunion.
28293.......  ........  A          Correction of         11.10       14.65         11.72         7.07          6.34        1.13       26.88         23.95        19.30         18.57         090
                                    bunion.
28294.......  ........  A          Correction of          8.63        9.22          7.88         4.68          4.70        1.09       18.94         17.60        14.40         14.42         090
                                    bunion.
28296.......  ........  A          Correction of          9.31        9.71          8.54         4.91          5.29        1.19       20.21         19.04        15.41         15.79         090
                                    bunion.
28297.......  ........  A          Correction of          9.31       10.52          9.34         5.41          6.04        1.32       21.15         19.97        16.04         16.67         090
                                    bunion.
28298.......  ........  A          Correction of          8.01        9.32          7.74         4.65          4.91        1.05       18.38         16.80        13.71         13.97         090
                                    bunion.
28299.......  ........  A          Correction of         11.39       10.68          9.24         5.86          6.01        1.37       23.44         22.00        18.62         18.77         090
                                    bunion.
28300.......  ........  A          Incision of heel       9.61          NA            NA         6.15          6.81        1.54          NA            NA        17.30         17.96         090
                                    bone.
28302.......  ........  A          Incision of            9.62          NA            NA         5.81          6.61        1.42          NA            NA        16.85         17.65         090
                                    ankle bone.
28304.......  ........  A          Incision of            9.29        9.61          8.36         5.16          5.59        1.27       20.17         18.92        15.72         16.15         090
                                    midfoot bones.
28305.......  ........  A          Incise/graft          10.63          NA            NA         5.70          6.47        1.27          NA            NA        17.60         18.37         090
                                    midfoot bones.
28306.......  ........  A          Incision of            5.91        8.39          7.22         3.91          4.11        0.84       15.14         13.97        10.66         10.86         090
                                    metatarsal.
28307.......  ........  A          Incision of            6.39        9.55         10.65         4.51          5.09        0.90       16.84         17.94        11.80         12.38         090
                                    metatarsal.
28308.......  ........  A          Incision of            5.36        7.96          6.30         3.88          3.73        0.70       14.02         12.36         9.94          9.79         090
                                    metatarsal.
28309.......  ........  A          Incision of           13.96          NA            NA         7.85          7.93        2.05          NA            NA        23.86         23.94         090
                                    metatarsals.
28310.......  ........  A          Revision of big        5.48        7.57          6.20         3.46          3.53        0.70       13.75         12.38         9.64          9.71         090
                                    toe.
28312.......  ........  A          Revision of toe.       4.60        7.42          5.93         3.28          3.54        0.63       12.65         11.16         8.51          8.77         090
28313.......  ........  A          Repair deformity       5.06        7.39          5.80         3.70          4.55        0.73       13.18         11.59         9.49         10.34         090
                                    of toe.
28315.......  ........  A          Removal of             4.91        6.76          5.36         3.30          3.32        0.63       12.30         10.90         8.84          8.86         090
                                    sesamoid bone.
28320.......  ........  A          Repair of foot         9.25          NA            NA         5.83          6.49        1.43          NA            NA        16.51         17.17         090
                                    bones.
28322.......  ........  A          Repair of              8.41       10.03          9.39         5.53          6.13        1.27       19.71         19.07        15.21         15.81         090
                                    metatarsals.
28340.......  ........  A          Resect enlarged        7.04        8.13          6.86         4.14          4.22        0.84       16.01         14.74        12.02         12.10         090
                                    toe tissue.
28341.......  ........  A          Resect enlarged        8.60        8.75          7.39         4.55          4.75        1.01       18.36         17.00        14.16         14.36         090
                                    toe.
28344.......  ........  A          Repair extra           4.31        6.80          6.01         3.20          3.52        0.51       11.62         10.83         8.02          8.34         090
                                    toe(s).
28345.......  ........  A          Repair webbed          5.98        7.83          6.60         3.94          4.50        0.80       14.61         13.38        10.72         11.28         090
                                    toe(s).
28360.......  ........  A          Reconstruct           14.67          NA            NA         6.32          9.45        2.29          NA            NA        23.28         26.41         090
                                    cleft foot.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69835]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
28400.......  ........  A          Treatment of           2.22        3.39          3.57         2.94          3.02        0.35        5.96          6.14         5.51          5.59         090
                                    heel fracture.
28405.......  ........  A          Treatment of           4.63        4.55          4.76         3.79          4.41        0.73        9.91         10.12         9.15          9.77         090
                                    heel fracture.
28406.......  ........  A          Treatment of           6.44          NA            NA         5.70          6.52        1.11          NA            NA        13.25         14.07         090
                                    heel fracture.
28415.......  ........  A          Treat heel            17.54          NA            NA        10.98         12.71        2.67          NA            NA        31.19         32.92         090
                                    fracture.
28420.......  ........  A          Treat/graft heel      17.07          NA            NA        10.26         12.25        2.81          NA            NA        30.14         32.13         090
                                    fracture.
28430.......  ........  A          Treatment of           2.14        3.14          3.33         2.59          2.57        0.31        5.59          5.78         5.04          5.02         090
                                    ankle fracture.
28435.......  ........  A          Treatment of           3.45        3.78          3.86         3.09          3.58        0.55        7.78          7.86         7.09          7.58         090
                                    ankle fracture.
28436.......  ........  A          Treatment of           4.78          NA            NA         5.01          5.69        0.81          NA            NA        10.60         11.28         090
                                    ankle fracture.
28445.......  ........  A          Treat ankle           17.07          NA            NA         9.80         10.72        2.59          NA            NA        29.46         30.38         090
                                    fracture.
28450.......  ........  A          Treat midfoot          1.95        2.94          3.07         2.44          2.46        0.28        5.17          5.30         4.67          4.69         090
                                    fracture, each.
28455.......  ........  A          Treat midfoot          3.15        3.70          3.49         3.07          3.33        0.44        7.29          7.08         6.66          6.92         090
                                    fracture, each.
28456.......  ........  A          Treat midfoot          2.75          NA            NA         3.63          4.02        0.44          NA            NA         6.82          7.21         090
                                    fracture.
28465.......  ........  A          Treat midfoot          7.13          NA            NA         5.10          6.01        1.10          NA            NA        13.33         14.24         090
                                    fracture, each.
28470.......  ........  A          Treat metatarsal       1.99        2.82          3.05         2.38          2.43        0.30        5.11          5.34         4.67          4.72         090
                                    fracture.
28475.......  ........  A          Treat metatarsal       2.97        3.18          3.29         2.56          3.05        0.44        6.59          6.70         5.97          6.46         090
                                    fracture.
28476.......  ........  A          Treat metatarsal       3.46          NA            NA         4.36          4.83        0.54          NA            NA         8.36          8.83         090
                                    fracture.
28485.......  ........  A          Treat metatarsal       5.77          NA            NA         4.60          5.23        0.83          NA            NA        11.20         11.83         090
                                    fracture.
28490.......  ........  A          Treat big toe          1.12        2.11          2.04         1.69          1.65        0.14        3.37          3.30         2.95          2.91         090
                                    fracture.
28495.......  ........  A          Treat big toe          1.62        2.49          2.25         1.89          2.02        0.20        4.31          4.07         3.71          3.84         090
                                    fracture.
28496.......  ........  A          Treat big toe          2.39        7.19          7.99         2.91          3.12        0.36        9.94         10.74         5.66          5.87         090
                                    fracture.
28505.......  ........  A          Treat big toe          3.86        7.51          7.95         3.30          3.75        0.56       11.93         12.37         7.72          8.17         090
                                    fracture.
28510.......  ........  A          Treatment of toe       1.12        1.69          1.57         1.62          1.55        0.14        2.95          2.83         2.88          2.81         090
                                    fracture.
28515.......  ........  A          Treatment of toe       1.50        2.26          1.98         1.85          1.88        0.18        3.94          3.66         3.53          3.56         090
                                    fracture.
28525.......  ........  A          Treat toe              3.37        6.89          7.36         2.93          3.31        0.49       10.75         11.22         6.79          7.17         090
                                    fracture.
28530.......  ........  A          Treat sesamoid         1.08        1.65          1.49         1.36          1.42        0.14        2.87          2.71         2.58          2.64         090
                                    bone fracture.
28531.......  ........  A          Treat sesamoid         2.51        5.84          6.91         2.15          2.08        0.34        8.69          9.76         5.00          4.93         090
                                    bone fracture.
28540.......  ........  A          Treat foot             2.10        2.80          2.50         2.35          2.39        0.26        5.16          4.86         4.71          4.75         090
                                    dislocation.
28545.......  ........  A          Treat foot             2.51        3.33          2.59         2.74          2.44        0.37        6.21          5.47         5.62          5.32         090
                                    dislocation.
28546.......  ........  A          Treat foot             3.28        7.67          7.10         3.48          4.16        0.52       11.47         10.90         7.28          7.96         090
                                    dislocation.
28555.......  ........  A          Repair foot            6.42        9.82          9.88         5.00          5.50        1.04       17.28         17.34        12.46         12.96         090
                                    dislocation.
28570.......  ........  A          Treat foot             1.70        2.60          2.47         2.01          2.25        0.23        4.53          4.40         3.94          4.18         090
                                    dislocation.
28575.......  ........  A          Treat foot             3.38        4.38          3.89         3.69          3.71        0.56        8.32          7.83         7.63          7.65         090
                                    dislocation.
28576.......  ........  A          Treat foot             4.48          NA            NA         4.03          4.14        0.69          NA            NA         9.20          9.31         090
                                    dislocation.
28585.......  ........  A          Repair foot            8.17        9.96          7.98         5.33          5.71        1.25       19.38         17.40        14.75         15.13         090
                                    dislocation.
28600.......  ........  A          Treat foot             1.94        3.06          2.87         2.40          2.61        0.27        5.27          5.08         4.61          4.82         090
                                    dislocation.
28605.......  ........  A          Treat foot             2.78        3.77          3.28         3.17          3.13        0.40        6.95          6.46         6.35          6.31         090
                                    dislocation.
28606.......  ........  A          Treat foot             4.97          NA            NA         4.33          4.60        0.82          NA            NA        10.12         10.39         090
                                    dislocation.
28615.......  ........  A          Repair foot            8.96          NA            NA         7.02          7.79        1.30          NA            NA        17.28         18.05         090
                                    dislocation.
28630.......  ........  A          Treat toe              1.72        1.96          1.67         0.96          0.99        0.20        3.88          3.59         2.88          2.91         010
                                    dislocation.
28635.......  ........  A          Treat toe              1.93        2.28          2.09         1.34          1.48        0.26        4.47          4.28         3.53          3.67         010
                                    dislocation.
28636.......  ........  A          Treat toe              2.77        4.35          3.99         2.05          2.48        0.43        7.55          7.19         5.25          5.68         010
                                    dislocation.
28645.......  ........  A          Repair toe             4.27        6.89          5.44         3.23          3.26        0.57       11.73         10.28         8.07          8.10         090
                                    dislocation.
28660.......  ........  A          Treat toe              1.25        1.31          1.27         0.79          0.79        0.13        2.69          2.65         2.17          2.17         010
                                    dislocation.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69836]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
28665.......  ........  A          Treat toe              1.94        1.86          1.54         1.36          1.41        0.26        4.06          3.74         3.56          3.61         010
                                    dislocation.
28666.......  ........  A          Treat toe              2.66          NA            NA         1.93          2.42        0.43          NA            NA         5.02          5.51         010
                                    dislocation.
28675.......  ........  A          Repair of toe          2.97        6.70          7.03         2.88          3.23        0.45       10.12         10.45         6.30          6.65         090
                                    dislocation.
28705.......  ........  A          Fusion of foot        20.12          NA            NA        10.85         12.04        3.09          NA            NA        34.06         35.25         090
                                    bones.
28715.......  ........  A          Fusion of foot        14.40          NA            NA         8.58          9.46        2.17          NA            NA        25.15         26.03         090
                                    bones.
28725.......  ........  A          Fusion of foot        11.97          NA            NA         7.00          7.93        1.87          NA            NA        20.84         21.77         090
                                    bones.
28730.......  ........  A          Fusion of foot        12.21          NA            NA         7.85          8.32        1.71          NA            NA        21.77         22.24         090
                                    bones.
28735.......  ........  A          Fusion of foot        12.03          NA            NA         7.04          7.63        1.69          NA            NA        20.76         21.35         090
                                    bones.
28737.......  ........  A          Revision of foot      10.83          NA            NA         6.18          6.65        1.47          NA            NA        18.48         18.95         090
                                    bones.
28740.......  ........  A          Fusion of foot         9.09       10.97         10.89         6.10          6.37        1.22       21.28         21.20        16.41         16.68         090
                                    bones.
28750.......  ........  A          Fusion of big          8.37       10.88         11.65         5.99          6.49        1.13       20.38         21.15        15.49         15.99         090
                                    toe joint.
28755.......  ........  A          Fusion of big          4.79        7.31          6.40         3.40          3.66        0.65       12.75         11.84         8.84          9.10         090
                                    toe joint.
28760.......  ........  A          Fusion of big          8.94       10.03          8.49         5.41          5.49        1.05       20.02         18.48        15.40         15.48         090
                                    toe joint.
28800.......  ........  A          Amputation of          8.65          NA            NA         5.11          5.62        1.15          NA            NA        14.91         15.42         090
                                    midfoot.
28805.......  ........  A          Amputation thru       12.55          NA            NA         6.04          5.74        1.18          NA            NA        19.77         19.47         090
                                    metatarsal.
28810.......  ........  A          Amputation toe &       6.52          NA            NA         4.13          4.39        0.86          NA            NA        11.51         11.77         090
                                    metatarsal.
28820.......  ........  A          Amputation of          4.89        7.73          7.60         3.61          3.74        0.61       13.23         13.10         9.11          9.24         090
                                    toe.
28825.......  ........  A          Partial                3.71        7.20          7.04         3.17          3.40        0.50       11.41         11.25         7.38          7.61         090
                                    amputation of
                                    toe.
28890.......  ........  A          High energy            3.36        4.79          5.48         2.34          2.15        0.41        8.56          9.25         6.11          5.92         090
                                    eswt, plantar f.
28899.......  ........  C          Foot/toes              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery
                                    procedure.
29000.......  ........  A          Application of         2.25        4.73          3.40         1.85          1.76        0.41        7.39          6.06         4.51          4.42         000
                                    body cast.
29010.......  ........  A          Application of         2.06        3.36          3.30         1.33          1.66        0.45        5.87          5.81         3.84          4.17         000
                                    body cast.
29015.......  ........  A          Application of         2.41        3.36          3.07         1.49          1.57        0.28        6.05          5.76         4.18          4.26         000
                                    body cast.
29020.......  ........  A          Application of         2.11        3.80          3.34         1.51          1.44        0.28        6.19          5.73         3.90          3.83         000
                                    body cast.
29025.......  ........  A          Application of         2.40        3.60          3.26         1.59          1.79        0.44        6.44          6.10         4.43          4.63         000
                                    body cast.
29035.......  ........  A          Application of         1.77        3.67          3.63         1.47          1.55        0.28        5.72          5.68         3.52          3.60         000
                                    body cast.
29040.......  ........  A          Application of         2.22        3.61          2.75         1.50          1.51        0.36        6.19          5.33         4.08          4.09         000
                                    body cast.
29044.......  ........  A          Application of         2.12        3.94          3.96         1.65          1.84        0.35        6.41          6.43         4.12          4.31         000
                                    body cast.
29046.......  ........  A          Application of         2.41        4.17          3.47         1.80          2.02        0.42        7.00          6.30         4.63          4.85         000
                                    body cast.
29049.......  ........  A          Application of         0.89        1.12          1.26         0.60          0.55        0.13        2.14          2.28         1.62          1.57         000
                                    figure eight.
29055.......  ........  A          Application of         1.78        2.90          2.96         1.31          1.43        0.30        4.98          5.04         3.39          3.51         000
                                    shoulder cast.
29058.......  ........  A          Application of         1.31        1.25          1.48         0.69          0.71        0.17        2.73          2.96         2.17          2.19         000
                                    shoulder cast.
29065.......  ........  A          Application of         0.87        1.27          1.32         0.70          0.74        0.15        2.29          2.34         1.72          1.76         000
                                    long arm cast.
29075.......  ........  A          Application of         0.77        1.23          1.25         0.66          0.68        0.13        2.13          2.15         1.56          1.58         000
                                    forearm cast.
29085.......  ........  A          Apply hand/wrist       0.87        1.26          1.28         0.69          0.65        0.14        2.27          2.29         1.70          1.66         000
                                    cast.
29086.......  ........  A          Apply finger           0.62        1.03          0.98         0.53          0.50        0.07        1.72          1.67         1.22          1.19         000
                                    cast.
29105.......  ........  A          Apply long arm         0.87        1.09          1.20         0.53          0.52        0.12        2.08          2.19         1.52          1.51         000
                                    splint.
29125.......  ........  A          Apply forearm          0.59        0.96          1.01         0.43          0.40        0.07        1.62          1.67         1.09          1.06         000
                                    splint.
29126.......  ........  A          Apply forearm          0.77        1.01          1.16         0.48          0.47        0.07        1.85          2.00         1.32          1.31         000
                                    splint.
29130.......  ........  A          Application of         0.50        0.43          0.46         0.19          0.18        0.06        0.99          1.02         0.75          0.74         000
                                    finger splint.
29131.......  ........  A          Application of         0.55        0.62          0.71         0.26          0.25        0.03        1.20          1.29         0.84          0.83         000
                                    finger splint.
29200.......  ........  A          Strapping of           0.65        0.61          0.69         0.35          0.34        0.04        1.30          1.38         1.04          1.03         000
                                    chest.
29220.......  ........  A          Strapping of low       0.64        0.61          0.69         0.35          0.38        0.04        1.29          1.37         1.03          1.06         000
                                    back.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69837]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
29240.......  ........  A          Strapping of           0.71        0.67          0.81         0.39          0.37        0.06        1.44          1.58         1.16          1.14         000
                                    shoulder.
29260.......  ........  A          Strapping of           0.55        0.65          0.72         0.36          0.33        0.05        1.25          1.32         0.96          0.93         000
                                    elbow or wrist.
29280.......  ........  A          Strapping of           0.51        0.66          0.77         0.37          0.33        0.03        1.20          1.31         0.91          0.87         000
                                    hand or finger.
29305.......  ........  A          Application of         2.03        3.37          3.35         1.61          1.72        0.35        5.75          5.73         3.99          4.10         000
                                    hip cast.
29325.......  ........  A          Application of         2.32        3.67          3.57         1.75          1.90        0.40        6.39          6.29         4.47          4.62         000
                                    hip casts.
29345.......  ........  A          Application of         1.40        1.66          1.74         0.95          1.03        0.24        3.30          3.38         2.59          2.67         000
                                    long leg cast.
29355.......  ........  A          Application of         1.53        1.63          1.69         0.95          1.08        0.26        3.42          3.48         2.74          2.87         000
                                    long leg cast.
29358.......  ........  A          Apply long leg         1.43        2.04          2.06         0.94          1.05        0.25        3.72          3.74         2.62          2.73         000
                                    cast brace.
29365.......  ........  A          Application of         1.18        1.57          1.64         0.85          0.93        0.20        2.95          3.02         2.23          2.31         000
                                    long leg cast.
29405.......  ........  A          Apply short leg        0.86        1.20          1.22         0.66          0.70        0.14        2.20          2.22         1.66          1.70         000
                                    cast.
29425.......  ........  A          Apply short leg        1.01        1.24          1.23         0.67          0.72        0.15        2.40          2.39         1.83          1.88         000
                                    cast.
29435.......  ........  A          Apply short leg        1.18        1.53          1.55         0.81          0.90        0.20        2.91          2.93         2.19          2.28         000
                                    cast.
29440.......  ........  A          Addition of            0.57        0.62          0.67         0.25          0.27        0.08        1.27          1.32         0.90          0.92         000
                                    walker to cast.
29445.......  ........  A          Apply rigid leg        1.78        1.62          1.76         0.94          0.96        0.27        3.67          3.81         2.99          3.01         000
                                    cast.
29450.......  ........  A          Application of         2.08        1.54          1.49         0.88          1.04        0.27        3.89          3.84         3.23          3.39         000
                                    leg cast.
29505.......  ........  A          Application,           0.69        1.06          1.15         0.45          0.45        0.08        1.83          1.92         1.22          1.22         000
                                    long leg splint.
29515.......  ........  A          Application            0.73        0.96          0.89         0.46          0.46        0.09        1.78          1.71         1.28          1.28         000
                                    lower leg
                                    splint.
29520.......  ........  A          Strapping of hip       0.54        0.67          0.81         0.38          0.45        0.03        1.24          1.38         0.95          1.02         000
29530.......  ........  A          Strapping of           0.57        0.64          0.75         0.36          0.34        0.05        1.26          1.37         0.98          0.96         000
                                    knee.
29540.......  ........  A          Strapping of           0.51        0.55          0.45         0.32          0.31        0.06        1.12          1.02         0.89          0.88         000
                                    ankle and/or ft.
29550.......  ........  A          Strapping of           0.47        0.57          0.46         0.31          0.29        0.06        1.10          0.99         0.84          0.82         000
                                    toes.
29580.......  ........  A          Application of         0.55        0.72          0.67         0.34          0.35        0.07        1.34          1.29         0.96          0.97         000
                                    paste boot.
29590.......  ........  A          Application of         0.76        0.61          0.54         0.27          0.29        0.09        1.46          1.39         1.12          1.14         000
                                    foot splint.
29700.......  ........  A          Removal/revision       0.57        0.96          0.91         0.26          0.28        0.08        1.61          1.56         0.91          0.93         000
                                    of cast.
29705.......  ........  A          Removal/revision       0.76        0.77          0.81         0.37          0.38        0.13        1.66          1.70         1.26          1.27         000
                                    of cast.
29710.......  ........  A          Removal/revision       1.34        1.44          1.51         0.64          0.69        0.20        2.98          3.05         2.18          2.23         000
                                    of cast.
29715.......  ........  A          Removal/revision       0.94        1.13          1.16         0.41          0.40        0.09        2.16          2.19         1.44          1.43         000
                                    of cast.
29720.......  ........  A          Repair of body         0.68        1.14          1.16         0.34          0.38        0.12        1.94          1.96         1.14          1.18         000
                                    cast.
29730.......  ........  A          Windowing of           0.75        0.75          0.80         0.35          0.35        0.12        1.62          1.67         1.22          1.22         000
                                    cast.
29740.......  ........  A          Wedging of cast.       1.12        1.05          1.13         0.49          0.49        0.18        2.35          2.43         1.79          1.79         000
29750.......  ........  A          Wedging of             1.26        0.92          1.03         0.45          0.55        0.21        2.39          2.50         1.92          2.02         000
                                    clubfoot cast.
29799.......  ........  C          Casting/               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    strapping
                                    procedure.
29800.......  ........  A          Jaw arthroscopy/       6.73          NA            NA         4.96          6.47        0.99          NA            NA        12.68         14.19         090
                                    surgery.
29804.......  ........  A          Jaw arthroscopy/       8.71          NA            NA         5.70          7.14        1.38          NA            NA        15.79         17.23         090
                                    surgery.
29805.......  ........  A          Shoulder               5.94          NA            NA         4.75          5.44        1.02          NA            NA        11.71         12.40         090
                                    arthroscopy, dx.
29806.......  ........  A          Shoulder              14.95          NA            NA         9.45         10.73        2.50          NA            NA        26.90         28.18         090
                                    arthroscopy/
                                    surgery.
29807.......  ........  A          Shoulder              14.48          NA            NA         9.32         10.57        2.42          NA            NA        26.22         27.47         090
                                    arthroscopy/
                                    surgery.
29819.......  ........  A          Shoulder               7.68          NA            NA         5.68          6.51        1.32          NA            NA        14.68         15.51         090
                                    arthroscopy/
                                    surgery.
29820.......  ........  A          Shoulder               7.12          NA            NA         5.22          5.97        1.22          NA            NA        13.56         14.31         090
                                    arthroscopy/
                                    surgery.
29821.......  ........  A          Shoulder               7.78          NA            NA         5.70          6.53        1.33          NA            NA        14.81         15.64         090
                                    arthroscopy/
                                    surgery.
29822.......  ........  A          Shoulder               7.49          NA            NA         5.63          6.43        1.28          NA            NA        14.40         15.20         090
                                    arthroscopy/
                                    surgery.
29823.......  ........  A          Shoulder               8.24          NA            NA         6.09          6.94        1.41          NA            NA        15.74         16.59         090
                                    arthroscopy/
                                    surgery.
29824.......  ........  A          Shoulder               8.82          NA            NA         6.59          7.30        1.42          NA            NA        16.83         17.54         090
                                    arthroscopy/
                                    surgery.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69838]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
29825.......  ........  A          Shoulder               7.68          NA            NA         5.69          6.49        1.32          NA            NA        14.69         15.49         090
                                    arthroscopy/
                                    surgery.
29826.......  ........  A          Shoulder               9.05          NA            NA         6.25          7.21        1.55          NA            NA        16.85         17.81         090
                                    arthroscopy/
                                    surgery.
29827.......  ........  A          Arthroscop            15.44          NA            NA         9.43         11.01        2.67          NA            NA        27.54         29.12         090
                                    rotator cuff
                                    repr.
29830.......  ........  A          Elbow                  5.80          NA            NA         4.53          5.14        0.99          NA            NA        11.32         11.93         090
                                    arthroscopy.
29834.......  ........  A          Elbow                  6.33          NA            NA         4.89          5.60        1.08          NA            NA        12.30         13.01         090
                                    arthroscopy/
                                    surgery.
29835.......  ........  A          Elbow                  6.53          NA            NA         5.01          5.66        1.13          NA            NA        12.67         13.32         090
                                    arthroscopy/
                                    surgery.
29836.......  ........  A          Elbow                  7.61          NA            NA         5.60          6.49        1.22          NA            NA        14.43         15.32         090
                                    arthroscopy/
                                    surgery.
29837.......  ........  A          Elbow                  6.92          NA            NA         5.17          5.89        1.19          NA            NA        13.28         14.00         090
                                    arthroscopy/
                                    surgery.
29838.......  ........  A          Elbow                  7.77          NA            NA         5.72          6.60        1.30          NA            NA        14.79         15.67         090
                                    arthroscopy/
                                    surgery.
29840.......  ........  A          Wrist                  5.59          NA            NA         4.66          5.16        0.84          NA            NA        11.09         11.59         090
                                    arthroscopy.
29843.......  ........  A          Wrist                  6.06          NA            NA         4.95          5.45        0.92          NA            NA        11.93         12.43         090
                                    arthroscopy/
                                    surgery.
29844.......  ........  A          Wrist                  6.42          NA            NA         4.99          5.61        1.04          NA            NA        12.45         13.07         090
                                    arthroscopy/
                                    surgery.
29845.......  ........  A          Wrist                  7.58          NA            NA         5.55          6.24        0.99          NA            NA        14.12         14.81         090
                                    arthroscopy/
                                    surgery.
29846.......  ........  A          Wrist                  6.80          NA            NA         5.14          5.82        1.07          NA            NA        13.01         13.69         090
                                    arthroscopy/
                                    surgery.
29847.......  ........  A          Wrist                  7.13          NA            NA         5.21          5.95        1.08          NA            NA        13.42         14.16         090
                                    arthroscopy/
                                    surgery.
29848.......  ........  A          Wrist endoscopy/       6.24          NA            NA         5.33          5.53        0.86          NA            NA        12.43         12.63         090
                                    surgery.
29850.......  ........  A          Knee arthroscopy/      8.18          NA            NA         5.26          5.10        1.25          NA            NA        14.69         14.53         090
                                    surgery.
29851.......  ........  A          Knee arthroscopy/     13.08          NA            NA         8.32          9.42        2.35          NA            NA        23.75         24.85         090
                                    surgery.
29855.......  ........  A          Tibial                10.60          NA            NA         7.38          8.42        1.85          NA            NA        19.83         20.87         090
                                    arthroscopy/
                                    surgery.
29856.......  ........  A          Tibial                14.12          NA            NA         8.76         10.19        2.40          NA            NA        25.28         26.71         090
                                    arthroscopy/
                                    surgery.
29860.......  ........  A          Hip arthroscopy,       8.85          NA            NA         6.25          6.78        1.36          NA            NA        16.46         16.99         090
                                    dx.
29861.......  ........  A          Hip arthroscopy/       9.95          NA            NA         6.66          7.17        1.59          NA            NA        18.20         18.71         090
                                    surgery.
29862.......  ........  A          Hip arthroscopy/      10.97          NA            NA         7.64          8.33        1.62          NA            NA        20.23         20.92         090
                                    surgery.
29863.......  ........  A          Hip arthroscopy/      10.97          NA            NA         7.55          8.27        1.42          NA            NA        19.94         20.66         090
                                    surgery.
29866.......  ........  A          Autgrft implnt,       14.48          NA            NA         9.57         10.91        2.40          NA            NA        26.45         27.79         090
                                    knee w/scope.
29867.......  ........  A          Allgrft implnt,       18.18          NA            NA        11.28         12.74        2.79          NA            NA        32.25         33.71         090
                                    knee w/scope.
29868.......  ........  A          Meniscal trnspl,      24.89          NA            NA        14.00         16.09        4.36          NA            NA        43.25         45.34         090
                                    knee w/scpe.
29870.......  ........  A          Knee                   5.11          NA            NA         4.19          4.72        0.85          NA            NA        10.15         10.68         090
                                    arthroscopy, dx.
29871.......  ........  A          Knee arthroscopy/      6.60          NA            NA         5.04          5.66        1.14          NA            NA        12.78         13.40         090
                                    drainage.
29873.......  ........  A          Knee arthroscopy/      6.09          NA            NA         5.62          6.33        1.04          NA            NA        12.75         13.46         090
                                    surgery.
29874.......  ........  A          Knee arthroscopy/      7.10          NA            NA         5.20          5.85        1.11          NA            NA        13.41         14.06         090
                                    surgery.
29875.......  ........  A          Knee arthroscopy/      6.36          NA            NA         4.93          5.62        1.09          NA            NA        12.38         13.07         090
                                    surgery.
29876.......  ........  A          Knee arthroscopy/      8.72          NA            NA         6.24          6.83        1.37          NA            NA        16.33         16.92         090
                                    surgery.
29877.......  ........  A          Knee arthroscopy/      8.15          NA            NA         6.00          6.56        1.28          NA            NA        15.43         15.99         090
                                    surgery.
29879.......  ........  A          Knee arthroscopy/      8.84          NA            NA         6.29          6.91        1.39          NA            NA        16.52         17.14         090
                                    surgery.
29880.......  ........  A          Knee arthroscopy/      9.30          NA            NA         6.49          7.14        1.47          NA            NA        17.26         17.91         090
                                    surgery.
29881.......  ........  A          Knee arthroscopy/      8.56          NA            NA         6.19          6.77        1.34          NA            NA        16.09         16.67         090
                                    surgery.
29882.......  ........  A          Knee arthroscopy/      9.45          NA            NA         6.53          7.06        1.50          NA            NA        17.48         18.01         090
                                    surgery.
29883.......  ........  A          Knee arthroscopy/     11.61          NA            NA         7.67          8.71        1.93          NA            NA        21.21         22.25         090
                                    surgery.
29884.......  ........  A          Knee arthroscopy/      8.13          NA            NA         6.02          6.53        1.27          NA            NA        15.42         15.93         090
                                    surgery.
29885.......  ........  A          Knee arthroscopy/     10.03          NA            NA         7.07          7.75        1.58          NA            NA        18.68         19.36         090
                                    surgery.
29886.......  ........  A          Knee arthroscopy/      8.34          NA            NA         6.09          6.66        1.30          NA            NA        15.73         16.30         090
                                    surgery.
29887.......  ........  A          Knee arthroscopy/      9.98          NA            NA         7.06          7.71        1.57          NA            NA        18.61         19.26         090
                                    surgery.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69839]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
29888.......  ........  A          Knee arthroscopy/     14.14          NA            NA         8.38          9.75        2.42          NA            NA        24.94         26.31         090
                                    surgery.
29889.......  ........  A          Knee arthroscopy/     17.15          NA            NA        10.78         12.02        2.79          NA            NA        30.72         31.96         090
                                    surgery.
29891.......  ........  A          Ankle                  9.47          NA            NA         6.72          7.31        1.39          NA            NA        17.58         18.17         090
                                    arthroscopy/
                                    surgery.
29892.......  ........  A          Ankle                 10.07          NA            NA         6.62          7.46        1.41          NA            NA        18.10         18.94         090
                                    arthroscopy/
                                    surgery.
29893.......  ........  A          Scope, plantar         6.08        8.90          6.94         4.73          4.18        0.63       15.61         13.65        11.44         10.89         090
                                    fasciotomy.
29894.......  ........  A          Ankle                  7.26          NA            NA         4.74          5.29        1.15          NA            NA        13.15         13.70         090
                                    arthroscopy/
                                    surgery.
29895.......  ........  A          Ankle                  7.04          NA            NA         4.58          5.25        1.11          NA            NA        12.73         13.40         090
                                    arthroscopy/
                                    surgery.
29897.......  ........  A          Ankle                  7.23          NA            NA         4.99          5.66        1.17          NA            NA        13.39         14.06         090
                                    arthroscopy/
                                    surgery.
29898.......  ........  A          Ankle                  8.38          NA            NA         5.33          5.98        1.28          NA            NA        14.99         15.64         090
                                    arthroscopy/
                                    surgery.
29899.......  ........  A          Ankle                 15.21          NA            NA         9.34         10.24        2.41          NA            NA        26.96         27.86         090
                                    arthroscopy/
                                    surgery.
29900.......  ........  A          Mcp joint              5.74          NA            NA         4.80          5.60        0.94          NA            NA        11.48         12.28         090
                                    arthroscopy, dx.
29901.......  ........  A          Mcp joint              6.45          NA            NA         5.57          6.09        1.06          NA            NA        13.08         13.60         090
                                    arthroscopy,
                                    surg.
29902.......  ........  A          Mcp joint              7.02          NA            NA         3.68          5.83        1.12          NA            NA        11.82         13.97         090
                                    arthroscopy,
                                    surg.
29999.......  ........  C          Arthroscopy of         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    joint.
30000.......  ........  A          Drainage of nose       1.45        3.72          3.98         1.24          1.35        0.12        5.29          5.55         2.81          2.92         010
                                    lesion.
30020.......  ........  A          Drainage of nose       1.45        3.87          3.42         1.28          1.42        0.12        5.44          4.99         2.85          2.99         010
                                    lesion.
30100.......  ........  A          Intranasal             0.94        2.42          2.08         0.70          0.79        0.07        3.43          3.09         1.71          1.80         000
                                    biopsy.
30110.......  ........  A          Removal of nose        1.65        3.64          3.34         1.34          1.51        0.14        5.43          5.13         3.13          3.30         010
                                    polyp(s).
30115.......  ........  A          Removal of nose        4.38          NA            NA         5.51          5.70        0.41          NA            NA        10.30         10.49         090
                                    polyp(s).
30117.......  ........  A          Removal of             3.20       16.92         14.09         4.55          4.61        0.26       20.38         17.55         8.01          8.07         090
                                    intranasal
                                    lesion.
30118.......  ........  A          Removal of             9.81          NA            NA         7.85          8.86        0.78          NA            NA        18.44         19.45         090
                                    intranasal
                                    lesion.
30120.......  ........  A          Revision of nose       5.31        6.92          6.60         4.97          5.74        0.52       12.75         12.43        10.80         11.57         090
30124.......  ........  A          Removal of nose        3.14          NA            NA         3.66          3.62        0.25          NA            NA         7.05          7.01         090
                                    lesion.
30125.......  ........  A          Removal of nose        7.21          NA            NA         7.03          8.00        0.63          NA            NA        14.87         15.84         090
                                    lesion.
30130.......  ........  A          Excise inferior        3.41          NA            NA         5.31          5.52        0.31          NA            NA         9.03          9.24         090
                                    turbinate.
30140.......  ........  A          Resect inferior        3.48          NA            NA         6.58          6.29        0.35          NA            NA        10.41         10.12         090
                                    turbinate.
30150.......  ........  A          Partial removal        9.44          NA            NA         8.64         10.42        0.93          NA            NA        19.01         20.79         090
                                    of nose.
30160.......  ........  A          Removal of nose.       9.88          NA            NA         8.21          9.71        0.88          NA            NA        18.97         20.47         090
30200.......  ........  A          Injection              0.78        1.88          1.69         0.62          0.71        0.06        2.72          2.53         1.46          1.55         000
                                    treatment of
                                    nose.
30210.......  ........  A          Nasal sinus            1.10        2.32          2.16         1.17          1.28        0.09        3.51          3.35         2.36          2.47         010
                                    therapy.
30220.......  ........  A          Insert nasal           1.56        5.41          4.53         1.31          1.48        0.12        7.09          6.21         2.99          3.16         010
                                    septal button.
30300.......  ........  A          Remove nasal           1.06        4.13          4.51         1.79          1.88        0.08        5.27          5.65         2.93          3.02         010
                                    foreign body.
30310.......  ........  A          Remove nasal           1.98          NA            NA         2.73          3.01        0.16          NA            NA         4.87          5.15         010
                                    foreign body.
30320.......  ........  A          Remove nasal           4.56          NA            NA         5.98          6.78        0.39          NA            NA        10.93         11.73         090
                                    foreign body.
30400.......  ........  R          Reconstruction        10.58          NA            NA        13.80         15.07        1.04          NA            NA        25.42         26.69         090
                                    of nose.
30410.......  ........  R          Reconstruction        13.72          NA            NA        14.43         17.39        1.42          NA            NA        29.57         32.53         090
                                    of nose.
30420.......  ........  R          Reconstruction        16.62          NA            NA        14.89         17.16        1.46          NA            NA        32.97         35.24         090
                                    of nose.
30430.......  ........  R          Revision of nose       7.96          NA            NA        12.87         15.23        0.77          NA            NA        21.60         23.96         090
30435.......  ........  R          Revision of nose      12.45          NA            NA        14.86         18.23        1.22          NA            NA        28.53         31.90         090
30450.......  ........  R          Revision of nose      19.38          NA            NA        16.36         20.51        1.97          NA            NA        37.71         41.86         090
30460.......  ........  A          Revision of nose      10.24          NA            NA         7.24          9.27        1.03          NA            NA        18.51         20.54         090
30462.......  ........  A          Revision of nose      20.12          NA            NA        14.54         18.82        2.54          NA            NA        37.20         41.48         090
30465.......  ........  A          Repair nasal          12.20          NA            NA        10.39         11.58        1.06          NA            NA        23.65         24.84         090
                                    stenosis.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69840]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
30520.......  ........  A          Repair of nasal        6.85          NA            NA         7.42          6.85        0.46          NA            NA        14.73         14.16         090
                                    septum.
30540.......  ........  A          Repair nasal           7.81          NA            NA         7.06          8.72        0.67          NA            NA        15.54         17.20         090
                                    defect.
30545.......  ........  A          Repair nasal          11.50          NA            NA        10.15         11.46        1.71          NA            NA        23.36         24.67         090
                                    defect.
30560.......  ........  A          Release of nasal       1.28        4.94          4.81         1.88          2.07        0.10        6.32          6.19         3.26          3.45         010
                                    adhesions.
30580.......  ........  A          Repair upper jaw       6.76        8.19          7.88         4.75          5.53        0.89       15.84         15.53        12.40         13.18         090
                                    fistula.
30600.......  ........  A          Repair mouth/          6.07        7.52          7.52         4.10          4.79        0.70       14.29         14.29        10.87         11.56         090
                                    nose fistula.
30620.......  ........  A          Intranasal             6.04          NA            NA         8.15          8.66        0.57          NA            NA        14.76         15.27         090
                                    reconstruction.
30630.......  ........  A          Repair nasal           7.18          NA            NA         7.13          7.75        0.61          NA            NA        14.92         15.54         090
                                    septum defect.
30801.......  ........  A          Ablate inf             1.11        4.02          4.10         1.97          1.93        0.09        5.22          5.30         3.17          3.13         010
                                    turbinate,
                                    superf.
30802.......  ........  A          Cauterization,         2.05        4.62          4.61         2.32          2.35        0.16        6.83          6.82         4.53          4.56         010
                                    inner nose.
30901.......  ........  A          Control of             1.21        1.21          1.32         0.29          0.31        0.11        2.53          2.64         1.61          1.63         000
                                    nosebleed.
30903.......  ........  A          Control of             1.54        3.08          2.80         0.39          0.47        0.13        4.75          4.47         2.06          2.14         000
                                    nosebleed.
30905.......  ........  A          Control of             1.97        3.73          3.57         0.48          0.69        0.17        5.87          5.71         2.62          2.83         000
                                    nosebleed.
30906.......  ........  A          Repeat control         2.45        3.98          3.91         0.68          1.07        0.20        6.63          6.56         3.33          3.72         000
                                    of nosebleed.
30915.......  ........  A          Ligation, nasal        7.36          NA            NA         5.88          6.49        0.58          NA            NA        13.82         14.43         090
                                    sinus artery.
30920.......  ........  A          Ligation, upper       11.03          NA            NA         8.23          8.79        0.80          NA            NA        20.06         20.62         090
                                    jaw artery.
30930.......  ........  A          Ther fx, nasal         1.28          NA            NA         1.53          1.60        0.12          NA            NA         2.93          3.00         010
                                    inf turbinate.
30999.......  ........  C          Nasal surgery          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
31000.......  ........  A          Irrigation,            1.17        3.01          2.88         1.25          1.36        0.09        4.27          4.14         2.51          2.62         010
                                    maxillary sinus.
31002.......  ........  A          Irrigation,            1.93          NA            NA         2.52          3.06        0.15          NA            NA         4.60          5.14         010
                                    sphenoid sinus.
31020.......  ........  A          Exploration,           2.99        8.07          8.42         5.19          5.18        0.29       11.35         11.70         8.47          8.46         090
                                    maxillary sinus.
31030.......  ........  A          Exploration,           5.95        9.79         11.07         6.05          6.51        0.60       16.34         17.62        12.60         13.06         090
                                    maxillary sinus.
31032.......  ........  A          Explore sinus,         6.61          NA            NA         6.53          7.06        0.59          NA            NA        13.73         14.26         090
                                    remove polyps.
31040.......  ........  A          Exploration            9.66          NA            NA         7.30          9.19        0.87          NA            NA        17.83         19.72         090
                                    behind upper
                                    jaw.
31050.......  ........  A          Exploration,           5.31          NA            NA         6.17          6.31        0.49          NA            NA        11.97         12.11         090
                                    sphenoid sinus.
31051.......  ........  A          Sphenoid sinus         7.16          NA            NA         7.74          8.12        0.62          NA            NA        15.52         15.90         090
                                    surgery.
31070.......  ........  A          Exploration of         4.32          NA            NA         5.73          5.88        0.38          NA            NA        10.43         10.58         090
                                    frontal sinus.
31075.......  ........  A          Exploration of         9.40          NA            NA         8.59          9.45        0.75          NA            NA        18.74         19.60         090
                                    frontal sinus.
31080.......  ........  A          Removal of            12.54          NA            NA        10.47         12.77        1.23          NA            NA        24.24         26.54         090
                                    frontal sinus.
31081.......  ........  A          Removal of            13.99          NA            NA        14.79         14.20        2.47          NA            NA        31.25         30.66         090
                                    frontal sinus.
31084.......  ........  A          Removal of            14.75          NA            NA        11.98         13.12        1.19          NA            NA        27.92         29.06         090
                                    frontal sinus.
31085.......  ........  A          Removal of            15.44          NA            NA        13.04         13.73        1.73          NA            NA        30.21         30.90         090
                                    frontal sinus.
31086.......  ........  A          Removal of            14.16          NA            NA        11.82         12.92        1.07          NA            NA        27.05         28.15         090
                                    frontal sinus.
31087.......  ........  A          Removal of            14.39          NA            NA        10.83         12.11        1.44          NA            NA        26.66         27.94         090
                                    frontal sinus.
31090.......  ........  A          Exploration of        10.88          NA            NA        12.38         12.51        0.94          NA            NA        24.20         24.33         090
                                    sinuses.
31200.......  ........  A          Removal of             5.03          NA            NA         7.45          8.77        0.29          NA            NA        12.77         14.09         090
                                    ethmoid sinus.
31201.......  ........  A          Removal of             8.49          NA            NA         8.32          8.96        0.82          NA            NA        17.63         18.27         090
                                    ethmoid sinus.
31205.......  ........  A          Removal of            10.47          NA            NA         9.59         11.31        0.67          NA            NA        20.73         22.45         090
                                    ethmoid sinus.
31225.......  ........  A          Removal of upper      26.44          NA            NA        16.55         17.50        1.59          NA            NA        44.58         45.53         090
                                    jaw.
31230.......  ........  A          Removal of upper      30.56          NA            NA        17.27         18.84        1.78          NA            NA        49.61         51.18         090
                                    jaw.
31231.......  ........  A          Nasal endoscopy,       1.10        3.34          3.37         0.70          0.84        0.09        4.53          4.56         1.89          2.03         000
                                    dx.
31233.......  ........  A          Nasal/sinus            2.18        3.95          4.21         1.02          1.37        0.20        6.33          6.59         3.40          3.75         000
                                    endoscopy, dx.
31235.......  ........  A          Nasal/sinus            2.64        4.30          4.76         1.15          1.58        0.26        7.20          7.66         4.05          4.48         000
                                    endoscopy, dx.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69841]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
31237.......  ........  A          Nasal/sinus            2.98        4.53          5.03         1.25          1.72        0.28        7.79          8.29         4.51          4.98         000
                                    endoscopy, surg.
31238.......  ........  A          Nasal/sinus            3.26        4.46          5.04         1.34          1.90        0.27        7.99          8.57         4.87          5.43         000
                                    endoscopy, surg.
31239.......  ........  A          Nasal/sinus            9.23          NA            NA         6.34          7.59        0.62          NA            NA        16.19         17.44         010
                                    endoscopy, surg.
31240.......  ........  A          Nasal/sinus            2.61          NA            NA         1.15          1.59        0.24          NA            NA         4.00          4.44         000
                                    endoscopy, surg.
31254.......  ........  A          Revision of            4.64          NA            NA         1.74          2.57        0.45          NA            NA         6.83          7.66         000
                                    ethmoid sinus.
31255.......  ........  A          Removal of             6.95          NA            NA         2.42          3.69        0.73          NA            NA        10.10         11.37         000
                                    ethmoid sinus.
31256.......  ........  A          Exploration            3.29          NA            NA         1.34          1.92        0.33          NA            NA         4.96          5.54         000
                                    maxillary sinus.
31267.......  ........  A          Endoscopy,             5.45          NA            NA         1.98          2.96        0.55          NA            NA         7.98          8.96         000
                                    maxillary sinus.
31276.......  ........  A          Sinus endoscopy,       8.84          NA            NA         2.97          4.58        0.92          NA            NA        12.73         14.34         000
                                    surgical.
31287.......  ........  A          Nasal/sinus            3.91          NA            NA         1.52          2.22        0.39          NA            NA         5.82          6.52         000
                                    endoscopy, surg.
31288.......  ........  A          Nasal/sinus            4.57          NA            NA         1.72          2.54        0.46          NA            NA         6.75          7.57         000
                                    endoscopy, surg.
31290.......  ........  A          Nasal/sinus           18.50          NA            NA         8.19         11.09        1.40          NA            NA        28.09         30.99         010
                                    endoscopy, surg.
31291.......  ........  A          Nasal/sinus           19.45          NA            NA         8.80         11.55        1.69          NA            NA        29.94         32.69         010
                                    endoscopy, surg.
31292.......  ........  A          Nasal/sinus           15.79          NA            NA         7.37          9.80        1.21          NA            NA        24.37         26.80         010
                                    endoscopy, surg.
31293.......  ........  A          Nasal/sinus           17.36          NA            NA         8.00         10.54        1.28          NA            NA        26.64         29.18         010
                                    endoscopy, surg.
31294.......  ........  A          Nasal/sinus           20.20          NA            NA         8.92         11.88        1.53          NA            NA        30.65         33.61         010
                                    endoscopy, surg.
31299.......  ........  C          Sinus surgery          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
31300.......  ........  A          Removal of            15.71          NA            NA        13.59         14.63        1.17          NA            NA        30.47         31.51         090
                                    larynx lesion.
31320.......  ........  A          Diagnostic             5.62          NA            NA         9.20         10.03        0.46          NA            NA        15.28         16.11         090
                                    incision,
                                    larynx.
31360.......  ........  A          Removal of            29.57          NA            NA        18.32         17.12        1.38          NA            NA        49.27         48.07         090
                                    larynx.
31365.......  ........  A          Removal of            38.47          NA            NA        20.91         20.50        1.98          NA            NA        61.36         60.95         090
                                    larynx.
31367.......  ........  A          Partial removal       30.23          NA            NA        20.48         21.54        1.79          NA            NA        52.50         53.56         090
                                    of larynx.
31368.......  ........  A          Partial removal       33.85          NA            NA        22.44         24.73        2.21          NA            NA        58.50         60.79         090
                                    of larynx.
31370.......  ........  A          Partial removal       27.23          NA            NA        20.39         21.79        1.75          NA            NA        49.37         50.77         090
                                    of larynx.
31375.......  ........  A          Partial removal       25.73          NA            NA        19.49         20.16        1.63          NA            NA        46.85         47.52         090
                                    of larynx.
31380.......  ........  A          Partial removal       25.23          NA            NA        19.17         20.24        1.71          NA            NA        46.11         47.18         090
                                    of larynx.
31382.......  ........  A          Partial removal       28.23          NA            NA        20.68         21.38        1.68          NA            NA        50.59         51.29         090
                                    of larynx.
31390.......  ........  A          Removal of            42.17          NA            NA        23.64         24.20        2.24          NA            NA        68.05         68.61         090
                                    larynx &
                                    pharynx.
31395.......  ........  A          Reconstruct           43.46          NA            NA        25.96         27.72        2.49          NA            NA        71.91         73.67         090
                                    larynx &
                                    pharynx.
31400.......  ........  A          Revision of           11.48          NA            NA        11.54         13.21        0.83          NA            NA        23.85         25.52         090
                                    larynx.
31420.......  ........  A          Removal of            11.32          NA            NA         7.94          9.14        0.83          NA            NA        20.09         21.29         090
                                    epiglottis.
31500.......  ........  A          Insert emergency       2.33          NA            NA         0.44          0.52        0.17          NA            NA         2.94          3.02         000
                                    airway.
31502.......  ........  A          Change of              0.65          NA            NA         0.20          0.26        0.05          NA            NA         0.90          0.96         000
                                    windpipe airway.
31505.......  ........  A          Diagnostic             0.61        1.34          1.42         0.55          0.60        0.05        2.00          2.08         1.21          1.26         000
                                    laryngoscopy.
31510.......  ........  A          Laryngoscopy           1.92        2.98          3.22         0.92          1.17        0.16        5.06          5.30         3.00          3.25         000
                                    with biopsy.
31511.......  ........  A          Remove foreign         2.16        2.76          3.03         0.95          1.03        0.19        5.11          5.38         3.30          3.38         000
                                    body, larynx.
31512.......  ........  A          Removal of             2.07        2.73          3.08         0.97          1.26        0.18        4.98          5.33         3.22          3.51         000
                                    larynx lesion.
31513.......  ........  A          Injection into         2.10          NA            NA         0.99          1.34        0.17          NA            NA         3.26          3.61         000
                                    vocal cord.
31515.......  ........  A          Laryngoscopy for       1.80        3.07          3.42         0.85          1.01        0.14        5.01          5.36         2.79          2.95         000
                                    aspiration.
31520.......  ........  A          Dx laryngoscopy,       2.56          NA            NA         1.11          1.45        0.20          NA            NA         3.87          4.21         000
                                    newborn.
31525.......  ........  A          Dx laryngoscopy        2.63        3.24          3.54         1.13          1.53        0.21        6.08          6.38         3.97          4.37         000
                                    excl nb.
31526.......  ........  A          Dx laryngoscopy        2.57          NA            NA         1.13          1.57        0.21          NA            NA         3.91          4.35         000
                                    w/oper scope.
31527.......  ........  A          Laryngoscopy for       3.27          NA            NA         1.31          1.73        0.26          NA            NA         4.84          5.26         000
                                    treatment.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69842]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
31528.......  ........  A          Laryngoscopy and       2.37          NA            NA         0.99          1.34        0.19          NA            NA         3.55          3.90         000
                                    dilation.
31529.......  ........  A          Laryngoscopy and       2.68          NA            NA         1.12          1.56        0.22          NA            NA         4.02          4.46         000
                                    dilation.
31530.......  ........  A          Laryngoscopy w/        3.38          NA            NA         1.32          1.79        0.29          NA            NA         4.99          5.46         000
                                    fb removal.
31531.......  ........  A          Laryngoscopy w/        3.58          NA            NA         1.43          2.06        0.29          NA            NA         5.30          5.93         000
                                    fb & op scope.
31535.......  ........  A          Laryngoscopy w/        3.16          NA            NA         1.30          1.82        0.26          NA            NA         4.72          5.24         000
                                    biopsy.
31536.......  ........  A          Laryngoscopy w/        3.55          NA            NA         1.42          2.04        0.29          NA            NA         5.26          5.88         000
                                    bx & op scope.
31540.......  ........  A          Laryngoscopy w/        4.12          NA            NA         1.59          2.30        0.33          NA            NA         6.04          6.75         000
                                    exc of tumor.
31541.......  ........  A          Larynscop w/tumr       4.52          NA            NA         1.70          2.51        0.37          NA            NA         6.59          7.40         000
                                    exc + scope.
31545.......  ........  A          Remove vc lesion       6.30          NA            NA         2.26          3.17        0.37          NA            NA         8.93          9.84         000
                                    w/scope.
31546.......  ........  A          Remove vc lesion       9.73          NA            NA         3.77          4.67        0.78          NA            NA        14.28         15.18         000
                                    scope/graft.
31560.......  ........  A          Laryngoscop w/         5.45          NA            NA         1.92          2.84        0.43          NA            NA         7.80          8.72         000
                                    arytenoidectom.
31561.......  ........  A          Larynscop, remve       5.99          NA            NA         2.08          3.05        0.49          NA            NA         8.56          9.53         000
                                    cart + scop.
31570.......  ........  A          Laryngoscope w/        3.86        3.96          5.24         1.51          2.16        0.31        8.13          9.41         5.68          6.33         000
                                    vc inj.
31571.......  ........  A          Laryngoscop w/vc       4.26          NA            NA         1.63          2.36        0.35          NA            NA         6.24          6.97         000
                                    inj + scope.
31575.......  ........  A          Diagnostic             1.10        1.57          1.82         0.70          0.84        0.09        2.76          3.01         1.89          2.03         000
                                    laryngoscopy.
31576.......  ........  A          Laryngoscopy           1.97        3.28          3.57         0.96          1.21        0.14        5.39          5.68         3.07          3.32         000
                                    with biopsy.
31577.......  ........  A          Remove foreign         2.47        3.23          3.63         1.11          1.43        0.21        5.91          6.31         3.79          4.11         000
                                    body, larynx.
31578.......  ........  A          Removal of             2.84        3.68          4.13         1.21          1.44        0.23        6.75          7.20         4.28          4.51         000
                                    larynx lesion.
31579.......  ........  A          Diagnostic             2.26        2.64          3.50         1.04          1.37        0.18        5.08          5.94         3.48          3.81         000
                                    laryngoscopy.
31580.......  ........  A          Revision of           14.46          NA            NA        13.49         15.31        1.00          NA            NA        28.95         30.77         090
                                    larynx.
31582.......  ........  A          Revision of           22.87          NA            NA        20.51         24.48        1.76          NA            NA        45.14         49.11         090
                                    larynx.
31584.......  ........  A          Treat larynx          20.35          NA            NA        14.32         17.19        1.72          NA            NA        36.39         39.26         090
                                    fracture.
31587.......  ........  A          Revision of           15.12          NA            NA         8.05          8.96        0.97          NA            NA        24.14         25.05         090
                                    larynx.
31588.......  ........  A          Revision of           14.62          NA            NA        11.46         13.07        1.06          NA            NA        27.14         28.75         090
                                    larynx.
31590.......  ........  A          Reinnervate            7.63          NA            NA        12.10         14.67        0.84          NA            NA        20.57         23.14         090
                                    larynx.
31595.......  ........  A          Larynx nerve           8.75          NA            NA         8.94         10.15        0.68          NA            NA        18.37         19.58         090
                                    surgery.
31599.......  ........  C          Larynx surgery         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
31600.......  ........  A          Incision of            7.17          NA            NA         2.22          2.95        0.80          NA            NA        10.19         10.92         000
                                    windpipe.
31601.......  ........  A          Incision of            4.44          NA            NA         1.63          2.21        0.40          NA            NA         6.47          7.05         000
                                    windpipe.
31603.......  ........  A          Incision of            4.14          NA            NA         1.13          1.57        0.44          NA            NA         5.71          6.15         000
                                    windpipe.
31605.......  ........  A          Incision of            3.57          NA            NA         0.83          1.10        0.40          NA            NA         4.80          5.07         000
                                    windpipe.
31610.......  ........  A          Incision of            9.29          NA            NA         7.19          7.99        0.79          NA            NA        17.27         18.07         090
                                    windpipe.
31611.......  ........  A          Surgery/speech         5.92          NA            NA         6.50          6.92        0.46          NA            NA        12.88         13.30         090
                                    prosthesis.
31612.......  ........  A          Puncture/clear         0.91        1.07          1.09         0.25          0.33        0.08        2.06          2.08         1.24          1.32         000
                                    windpipe.
31613.......  ........  A          Repair windpipe        4.63          NA            NA         5.80          5.94        0.42          NA            NA        10.85         10.99         090
                                    opening.
31614.......  ........  A          Repair windpipe        8.47          NA            NA         8.90          8.76        0.58          NA            NA        17.95         17.81         090
                                    opening.
31615.......  ........  A          Visualization of       2.09        2.22          2.50         0.96          1.14        0.16        4.47          4.75         3.21          3.39         000
                                    windpipe.
31620.......  ........  A          Endobronchial us       1.40        6.00          5.73         0.35          0.50        0.11        7.51          7.24         1.86          2.01         ZZZ
                                    add-on.
31622.......  ........  A          Dx bronchoscope/       2.78        5.23          5.55         0.91          1.02        0.18        8.19          8.51         3.87          3.98         000
                                    wash.
31623.......  ........  A          Dx bronchoscope/       2.88        6.01          6.32         0.92          1.02        0.13        9.02          9.33         3.93          4.03         000
                                    brush.
31624.......  ........  A          Dx bronchoscope/       2.88        5.36          5.67         0.92          1.02        0.13        8.37          8.68         3.93          4.03         000
                                    lavage.
31625.......  ........  A          Bronchoscopy w/        3.36        5.50          5.73         1.04          1.17        0.18        9.04          9.27         4.58          4.71         000
                                    biopsy(s).
31628.......  ........  A          Bronchoscopy/          3.80        7.00          7.02         1.14          1.26        0.18       10.98         11.00         5.12          5.24         000
                                    lung bx, each.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69843]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
31629.......  ........  A          Bronchoscopy/          4.09       12.05         13.70         1.21          1.35        0.16       16.30         17.95         5.46          5.60         000
                                    needle bx, each.
31630.......  ........  A          Bronchoscopy           3.81          NA            NA         1.26          1.61        0.32          NA            NA         5.39          5.74         000
                                    dilate/fx repr.
31631.......  ........  A          Bronchoscopy,          4.36          NA            NA         1.41          1.67        0.34          NA            NA         6.11          6.37         000
                                    dilate w/stent.
31632.......  ........  A          Bronchoscopy/          1.03        0.87          0.83         0.25          0.30        0.18        2.08          2.04         1.46          1.51         ZZZ
                                    lung bx, add'l.
31633.......  ........  A          Bronchoscopy/          1.32        1.00          0.94         0.32          0.38        0.16        2.48          2.42         1.80          1.86         ZZZ
                                    needle bx add'l.
31635.......  ........  A          Bronchoscopy w/        3.67        5.19          5.88         1.15          1.36        0.24        9.10          9.79         5.06          5.27         000
                                    fb removal.
31636.......  ........  A          Bronchoscopy,          4.30          NA            NA         1.38          1.67        0.31          NA            NA         5.99          6.28         000
                                    bronch stents.
31637.......  ........  A          Bronchoscopy,          1.58          NA            NA         0.42          0.53        0.13          NA            NA         2.13          2.24         ZZZ
                                    stent add-on.
31638.......  ........  A          Bronchoscopy,          4.88          NA            NA         1.56          1.87        0.22          NA            NA         6.66          6.97         000
                                    revise stent.
31640.......  ........  A          Bronchoscopy w/        4.93          NA            NA         1.54          1.94        0.46          NA            NA         6.93          7.33         000
                                    tumor excise.
31641.......  ........  A          Bronchoscopy,          5.02          NA            NA         1.51          1.79        0.35          NA            NA         6.88          7.16         000
                                    treat blockage.
31643.......  ........  A          Diag                   3.49          NA            NA         1.07          1.19        0.20          NA            NA         4.76          4.88         000
                                    bronchoscope/
                                    catheter.
31645.......  ........  A          Bronchoscopy,          3.16        4.76          5.05         0.99          1.09        0.16        8.08          8.37         4.31          4.41         000
                                    clear airways.
31646.......  ........  A          Bronchoscopy,          2.72        4.47          4.76         0.88          0.97        0.14        7.33          7.62         3.74          3.83         000
                                    reclear airway.
31656.......  ........  A          Bronchoscopy,          2.17        5.27          6.79         0.65          0.79        0.15        7.59          9.11         2.97          3.11         000
                                    inj for x-ray.
31715.......  ........  A          Injection for          1.11          NA            NA         0.28          0.33        0.07          NA            NA         1.46          1.51         000
                                    bronchus x-ray.
31717.......  ........  A          Bronchial brush        2.12        5.83          7.65         0.77          0.79        0.14        8.09          9.91         3.03          3.05         000
                                    biopsy.
31720.......  ........  A          Clearance of           1.06          NA            NA         0.26          0.31        0.07          NA            NA         1.39          1.44         000
                                    airways.
31725.......  ........  A          Clearance of           1.96          NA            NA         0.45          0.55        0.14          NA            NA         2.55          2.65         000
                                    airways.
31730.......  ........  A          Intro, windpipe        2.85       25.35          7.98         0.74          0.94        0.21       28.41         11.04         3.80          4.00         000
                                    wire/tube.
31750.......  ........  A          Repair of             15.19          NA            NA        16.21         17.22        1.05          NA            NA        32.45         33.46         090
                                    windpipe.
31755.......  ........  A          Repair of             17.19          NA            NA        22.30         23.97        1.29          NA            NA        40.78         42.45         090
                                    windpipe.
31760.......  ........  A          Repair of             23.36          NA            NA         9.76         10.47        2.95          NA            NA        36.07         36.78         090
                                    windpipe.
31766.......  ........  A          Reconstruction        31.58          NA            NA        11.46         13.10        4.53          NA            NA        47.57         49.21         090
                                    of windpipe.
31770.......  ........  A          Repair/graft of       23.48          NA            NA         8.80          9.88        2.84          NA            NA        35.12         36.20         090
                                    bronchus.
31775.......  ........  A          Reconstruct           24.51          NA            NA         8.91         11.07        3.02          NA            NA        36.44         38.60         090
                                    bronchus.
31780.......  ........  A          Reconstruct           19.70          NA            NA         8.12         10.32        1.65          NA            NA        29.47         31.67         090
                                    windpipe.
31781.......  ........  A          Reconstruct           24.77          NA            NA         9.28         11.41        2.25          NA            NA        36.30         38.43         090
                                    windpipe.
31785.......  ........  A          Remove windpipe       18.29          NA            NA         5.60          9.04        1.59          NA            NA        25.48         28.92         090
                                    lesion.
31786.......  ........  A          Remove windpipe       25.34          NA            NA         9.79         12.27        3.30          NA            NA        38.43         40.91         090
                                    lesion.
31800.......  ........  A          Repair of              8.10          NA            NA         8.33          9.01        0.79          NA            NA        17.22         17.90         090
                                    windpipe injury.
31805.......  ........  A          Repair of             13.34          NA            NA         6.32          6.99        1.83          NA            NA        21.49         22.16         090
                                    windpipe injury.
31820.......  ........  A          Closure of             4.58        5.46          5.61         3.02          3.49        0.38       10.42         10.57         7.98          8.45         090
                                    windpipe lesion.
31825.......  ........  A          Repair of              6.98        6.85          7.46         4.08          5.05        0.53       14.36         14.97        11.59         12.56         090
                                    windpipe defect.
31830.......  ........  A          Revise windpipe        4.54        5.62          5.73         3.37          3.83        0.44       10.60         10.71         8.35          8.81         090
                                    scar.
31899.......  ........  C          Airways surgical       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
32000.......  ........  A          Drainage of            1.54        2.30          2.86         0.41          0.46        0.08        3.92          4.48         2.03          2.08         000
                                    chest.
32002.......  ........  A          Treatment of           2.19        2.73          3.09         0.94          1.03        0.12        5.04          5.40         3.25          3.34         000
                                    collapsed lung.
32005.......  ........  A          Treat lung             2.19        5.04          6.10         0.59          0.67        0.23        7.46          8.52         3.01          3.09         000
                                    lining
                                    chemically.
32019.......  ........  A          Insert pleural         4.17       15.15         18.76         1.42          1.59        0.42       19.74         23.35         6.01          6.18         000
                                    catheter.
32020.......  ........  A          Insertion of           3.29          NA            NA         0.94          1.25        0.43          NA            NA         4.66          4.97         000
                                    chest tube.
32035.......  ........  A          Exploration of        11.20          NA            NA         6.07          5.91        1.26          NA            NA        18.53         18.37         090
                                    chest.
32036.......  ........  A          Exploration of        12.21          NA            NA         6.40          6.42        1.43          NA            NA        20.04         20.06         090
                                    chest.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69844]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
32095.......  ........  A          Biopsy through        10.06          NA            NA         5.19          5.32        1.22          NA            NA        16.47         16.60         090
                                    chest wall.
32100.......  ........  A          Exploration/          16.08          NA            NA         7.06          7.63        2.24          NA            NA        25.38         25.95         090
                                    biopsy of chest.
32110.......  ........  A          Explore/repair        25.15          NA            NA         9.99         10.55        3.22          NA            NA        38.36         38.92         090
                                    chest.
32120.......  ........  A          Re-exploration        14.27          NA            NA         6.88          7.02        1.63          NA            NA        22.78         22.92         090
                                    of chest.
32124.......  ........  A          Explore chest         15.33          NA            NA         7.05          7.17        1.90          NA            NA        24.28         24.40         090
                                    free adhesions.
32140.......  ........  A          Removal of lung       16.54          NA            NA         7.44          7.62        1.97          NA            NA        25.95         26.13         090
                                    lesion(s).
32141.......  ........  A          Remove/treat          27.10          NA            NA        10.34          8.25        2.01          NA            NA        39.45         37.36         090
                                    lung lesions.
32150.......  ........  A          Removal of lung       16.70          NA            NA         7.50          7.58        2.01          NA            NA        26.21         26.29         090
                                    lesion(s).
32151.......  ........  A          Remove lung           16.82          NA            NA         8.75          8.19        2.04          NA            NA        27.61         27.05         090
                                    foreign body.
32160.......  ........  A          Open chest heart      13.02          NA            NA         5.86          5.41        1.31          NA            NA        20.19         19.74         090
                                    massage.
32200.......  ........  A          Drain, open,          18.48          NA            NA         8.77          8.65        2.14          NA            NA        29.39         29.27         090
                                    lung lesion.
32201.......  ........  A          Drain, percut,         3.99       18.73         20.21         1.13          1.26        0.24       22.96         24.44         5.36          5.49         000
                                    lung lesion.
32215.......  ........  A          Treat chest           12.93          NA            NA         6.39          6.77        1.69          NA            NA        21.01         21.39         090
                                    lining.
32220.......  ........  A          Release of lung.      26.41          NA            NA        12.07         12.73        3.57          NA            NA        42.05         42.71         090
32225.......  ........  A          Partial release       16.63          NA            NA         7.51          7.62        2.07          NA            NA        26.21         26.32         090
                                    of lung.
32310.......  ........  A          Removal of chest      15.16          NA            NA         6.94          7.28        2.00          NA            NA        24.10         24.44         090
                                    lining.
32320.......  ........  A          Free/remove           27.04          NA            NA        11.58         12.01        3.52          NA            NA        42.14         42.57         090
                                    chest lining.
32400.......  ........  A          Needle biopsy          1.76        2.01          2.09         0.48          0.53        0.10        3.87          3.95         2.34          2.39         000
                                    chest lining.
32402.......  ........  A          Open biopsy            8.89          NA            NA         4.78          5.03        1.07          NA            NA        14.74         14.99         090
                                    chest lining.
32405.......  ........  A          Biopsy, lung or        1.93        0.55          0.64         0.55          0.61        0.11        2.59          2.68         2.59          2.65         000
                                    mediastinum.
32420.......  ........  A          Puncture/clear         2.18          NA            NA         0.61          0.66        0.12          NA            NA         2.91          2.96         000
                                    lung.
32440.......  ........  A          Removal of lung.      27.17          NA            NA        11.08         12.44        3.69          NA            NA        41.94         43.30         090
32442.......  ........  A          Sleeve                56.37          NA            NA        18.56         15.71        3.85          NA            NA        78.78         75.93         090
                                    pneumonectomy.
32445.......  ........  A          Removal of lung.      63.60          NA            NA        23.01         16.30        3.72          NA            NA        90.33         83.62         090
32480.......  ........  A          Partial removal       25.71          NA            NA        10.34         11.63        3.50          NA            NA        39.55         40.84         090
                                    of lung.
32482.......  ........  A          Bilobectomy.....      27.28          NA            NA        11.17         12.48        3.67          NA            NA        42.12         43.43         090
32484.......  ........  A          Segmentectomy...      25.30          NA            NA         9.64         10.95        3.04          NA            NA        37.98         39.29         090
32486.......  ........  A          Sleeve lobectomy      42.80          NA            NA        15.21         13.73        3.52          NA            NA        61.53         60.05         090
32488.......  ........  A          Completion            42.83          NA            NA        15.69         14.26        3.81          NA            NA        62.33         60.90         090
                                    pneumonectomy.
32491.......  ........  R          Lung volume           25.09          NA            NA        10.65         12.13        2.99          NA            NA        38.73         40.21         090
                                    reduction.
32500.......  ........  A          Partial removal       24.48          NA            NA        10.39         11.86        3.26          NA            NA        38.13         39.60         090
                                    of lung.
32501.......  ........  A          Repair bronchus        4.68          NA            NA         1.37          1.50        0.65          NA            NA         6.70          6.83         ZZZ
                                    add-on.
32503.......  ........  A          Resect apical         31.61          NA            NA        12.26         14.37        4.38          NA            NA        48.25         50.36         090
                                    lung tumor.
32504.......  ........  A          Resect apical         36.41          NA            NA        13.69         15.93        5.09          NA            NA        55.19         57.43         090
                                    lung tum/chest.
32540.......  ........  A          Removal of lung       30.22          NA            NA        12.20         10.27        2.08          NA            NA        44.50         42.57         090
                                    lesion.
32601.......  ........  A          Thoracoscopy,          5.45          NA            NA         2.10          2.29        0.80          NA            NA         8.35          8.54         000
                                    diagnostic.
32602.......  ........  A          Thoracoscopy,          5.95          NA            NA         2.24          2.45        0.87          NA            NA         9.06          9.27         000
                                    diagnostic.
32603.......  ........  A          Thoracoscopy,          7.80          NA            NA         2.98          3.02        1.14          NA            NA        11.92         11.96         000
                                    diagnostic.
32604.......  ........  A          Thoracoscopy,          8.77          NA            NA         3.06          3.35        1.25          NA            NA        13.08         13.37         000
                                    diagnostic.
32605.......  ........  A          Thoracoscopy,          6.92          NA            NA         2.55          2.81        1.00          NA            NA        10.47         10.73         000
                                    diagnostic.
32606.......  ........  A          Thoracoscopy,          8.39          NA            NA         3.01          3.25        1.22          NA            NA        12.62         12.86         000
                                    diagnostic.
32650.......  ........  A          Thoracoscopy,         10.77          NA            NA         5.29          6.39        1.58          NA            NA        17.64         18.74         090
                                    surgical.
32651.......  ........  A          Thoracoscopy,         18.70          NA            NA         7.75          7.36        1.87          NA            NA        28.32         27.93         090
                                    surgical.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69845]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
32652.......  ........  A          Thoracoscopy,         29.00          NA            NA        11.23         10.41        2.73          NA            NA        42.96         42.14         090
                                    surgical.
32653.......  ........  A          Thoracoscopy,         18.09          NA            NA         7.47          7.10        1.89          NA            NA        27.45         27.08         090
                                    surgical.
32654.......  ........  A          Thoracoscopy,         20.44          NA            NA         7.98          7.64        1.63          NA            NA        30.05         29.71         090
                                    surgical.
32655.......  ........  A          Thoracoscopy,         16.09          NA            NA         7.03          7.19        1.90          NA            NA        25.02         25.18         090
                                    surgical.
32656.......  ........  A          Thoracoscopy,         13.18          NA            NA         6.01          7.46        1.90          NA            NA        21.09         22.54         090
                                    surgical.
32657.......  ........  A          Thoracoscopy,         12.85          NA            NA         6.07          7.28        2.00          NA            NA        20.92         22.13         090
                                    surgical.
32658.......  ........  A          Thoracoscopy,         11.65          NA            NA         5.61          6.92        1.70          NA            NA        18.96         20.27         090
                                    surgical.
32659.......  ........  A          Thoracoscopy,         11.86          NA            NA         5.93          7.07        1.62          NA            NA        19.41         20.55         090
                                    surgical.
32660.......  ........  A          Thoracoscopy,         17.69          NA            NA         7.47          8.98        2.09          NA            NA        27.25         28.76         090
                                    surgical.
32661.......  ........  A          Thoracoscopy,         13.27          NA            NA         6.20          7.39        1.93          NA            NA        21.40         22.59         090
                                    surgical.
32662.......  ........  A          Thoracoscopy,         14.91          NA            NA         6.71          8.29        2.18          NA            NA        23.80         25.38         090
                                    surgical.
32663.......  ........  A          Thoracoscopy,         24.56          NA            NA         9.47         10.44        2.73          NA            NA        36.76         37.73         090
                                    surgical.
32664.......  ........  A          Thoracoscopy,         14.22          NA            NA         6.40          7.32        2.33          NA            NA        22.95         23.87         090
                                    surgical.
32665.......  ........  A          Thoracoscopy,         21.45          NA            NA         8.65          8.26        2.16          NA            NA        32.26         31.87         090
                                    surgical.
32800.......  ........  A          Repair lung           15.59          NA            NA         7.10          7.33        1.99          NA            NA        24.68         24.91         090
                                    hernia.
32810.......  ........  A          Close chest           14.83          NA            NA         7.10          7.42        1.94          NA            NA        23.87         24.19         090
                                    after drainage.
32815.......  ........  A          Close bronchial       49.79          NA            NA        18.95         12.97        3.28          NA            NA        72.02         66.04         090
                                    fistula.
32820.......  ........  A          Reconstruct           22.33          NA            NA        11.82         12.08        2.53          NA            NA        36.68         36.94         090
                                    injured chest.
32850.......  ........  X          Donor                  0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pneumonectomy.
32851.......  ........  A          Lung transplant,      40.94          NA            NA        20.90         25.97        5.58          NA            NA        67.42         72.49         090
                                    single.
32852.......  ........  A          Lung transplant       44.65          NA            NA        23.73         30.80        6.02          NA            NA        74.40         81.47         090
                                    with bypass.
32853.......  ........  A          Lung transplant,      50.11          NA            NA        23.29         29.64        7.07          NA            NA        80.47         86.82         090
                                    double.
32854.......  ........  A          Lung transplant       53.88          NA            NA        26.52         32.68        7.22          NA            NA        87.62         93.78         090
                                    with bypass.
32855.......  ........  C          Prepare donor          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    lung, single.
32856.......  ........  C          Prepare donor          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    lung, double.
32900.......  ........  A          Removal of            23.69          NA            NA         9.79          9.86        2.94          NA            NA        36.42         36.49         090
                                    rib(s).
32905.......  ........  A          Revise & repair       23.17          NA            NA         9.62         10.00        3.16          NA            NA        35.95         36.33         090
                                    chest wall.
32906.......  ........  A          Revise & repair       29.18          NA            NA        11.32         11.88        3.98          NA            NA        44.48         45.04         090
                                    chest wall.
32940.......  ........  A          Revision of lung      21.22          NA            NA         8.62          9.26        2.89          NA            NA        32.73         33.37         090
32960.......  ........  A          Therapeutic            1.84        1.53          1.68         0.63          0.58        0.16        3.53          3.68         2.63          2.58         000
                                    pneumothorax.
32997.......  ........  A          Total lung             7.31          NA            NA         1.87          1.90        0.55          NA            NA         9.73          9.76         000
                                    lavage.
32998.......  ........  A          Perq rf ablate         5.68       68.64         68.64         1.77          1.77        0.36       74.68         74.68         7.81          7.81         000
                                    tx, pul tumor.
32999.......  ........  C          Chest surgery          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
33010.......  ........  A          Drainage of            2.24          NA            NA         1.04          0.85        0.14          NA            NA         3.42          3.23         000
                                    heart sac.
33011.......  ........  A          Repeat drainage        2.24          NA            NA         1.11          0.89        0.15          NA            NA         3.50          3.28         000
                                    of heart sac.
33015.......  ........  A          Incision of            8.44          NA            NA         5.05          4.98        0.65          NA            NA        14.14         14.07         090
                                    heart sac.
33020.......  ........  A          Incision of           14.87          NA            NA         6.51          6.71        1.80          NA            NA        23.18         23.38         090
                                    heart sac.
33025.......  ........  A          Incision of           13.65          NA            NA         5.96          6.25        1.81          NA            NA        21.42         21.71         090
                                    heart sac.
33030.......  ........  A          Partial removal       22.27          NA            NA         9.22          9.45        2.84          NA            NA        34.33         34.56         090
                                    of heart sac.
33031.......  ........  A          Partial removal       25.30          NA            NA         9.93         10.01        3.14          NA            NA        38.37         38.45         090
                                    of heart sac.
33050.......  ........  A          Removal of heart      16.85          NA            NA         7.58          7.78        2.15          NA            NA        26.58         26.78         090
                                    sac lesion.
33120.......  ........  A          Removal of heart      27.33          NA            NA        10.75         11.37        3.70          NA            NA        41.78         42.40         090
                                    lesion.
33130.......  ........  A          Removal of heart      24.05          NA            NA         9.45          9.95        3.01          NA            NA        36.51         37.01         090
                                    lesion.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69846]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
33140.......  ........  A          Heart                 28.26          NA            NA        10.65         10.82        2.86          NA            NA        41.77         41.94         090
                                    revascularize
                                    (tmr).
33141.......  ........  A          Heart tmr w/           2.54          NA            NA         0.80          1.39        0.69          NA            NA         4.03          4.62         ZZZ
                                    other procedure.
33202.......  ........  A          Insert epicard        13.15          NA            NA         6.22          6.22        1.71          NA            NA        21.08         21.08         090
                                    eltrd, open.
33203.......  ........  A          Insert epicard        13.92          NA            NA         6.29          6.29        1.39          NA            NA        21.60         21.60         090
                                    eltrd, endo.
33206.......  ........  A          Insertion of           7.31          NA            NA         5.19          4.64        0.52          NA            NA        13.02         12.47         090
                                    heart pacemaker.
33207.......  ........  A          Insertion of           9.05          NA            NA         5.83          4.95        0.59          NA            NA        15.47         14.59         090
                                    heart pacemaker.
33208.......  ........  A          Insertion of           8.12          NA            NA         5.47          4.95        0.56          NA            NA        14.15         13.63         090
                                    heart pacemaker.
33210.......  ........  A          Insertion of           3.30          NA            NA         1.73          1.37        0.18          NA            NA         5.21          4.85         000
                                    heart electrode.
33211.......  ........  A          Insertion of           3.39          NA            NA         1.69          1.41        0.21          NA            NA         5.29          5.01         000
                                    heart electrode.
33212.......  ........  A          Insertion of           5.51          NA            NA         3.77          3.46        0.43          NA            NA         9.71          9.40         090
                                    pulse generator.
33213.......  ........  A          Insertion of           6.36          NA            NA         4.30          3.87        0.45          NA            NA        11.11         10.68         090
                                    pulse generator.
33214.......  ........  A          Upgrade of             7.78          NA            NA         5.44          5.03        0.58          NA            NA        13.80         13.39         090
                                    pacemaker
                                    system.
33215.......  ........  A          Reposition             4.89          NA            NA         3.55          3.27        0.37          NA            NA         8.81          8.53         090
                                    pacing-defib
                                    lead.
33216.......  ........  A          Insert lead pace-      5.81          NA            NA         4.63          4.31        0.36          NA            NA        10.80         10.48         090
                                    defib, one.
33217.......  ........  A          Insert lead pace-      5.78          NA            NA         4.54          4.31        0.39          NA            NA        10.71         10.48         090
                                    defib, dual.
33218.......  ........  A          Repair lead pace-      5.97          NA            NA         4.87          4.44        0.37          NA            NA        11.21         10.78         090
                                    defib, one.
33220.......  ........  A          Repair lead pace-      6.05          NA            NA         4.94          4.44        0.37          NA            NA        11.36         10.86         090
                                    defib, dual.
33222.......  ........  A          Revise pocket,         5.01          NA            NA         4.37          4.31        0.42          NA            NA         9.80          9.74         090
                                    pacemaker.
33223.......  ........  A          Revise pocket,         6.49          NA            NA         5.02          4.70        0.45          NA            NA        11.96         11.64         090
                                    pacing-defib.
33224.......  ........  A          Insert pacing          9.04          NA            NA         5.10          4.28        0.54          NA            NA        14.68         13.86         000
                                    lead & connect.
33225.......  ........  A          L ventric pacing       8.33          NA            NA         4.53          3.57        0.45          NA            NA        13.31         12.35         ZZZ
                                    lead add-on.
33226.......  ........  A          Reposition l           8.68          NA            NA         4.94          4.10        0.59          NA            NA        14.21         13.37         000
                                    ventric lead.
33233.......  ........  A          Removal of             3.33          NA            NA         3.33          3.29        0.22          NA            NA         6.88          6.84         090
                                    pacemaker
                                    system.
33234.......  ........  A          Removal of             7.85          NA            NA         5.58          5.08        0.56          NA            NA        13.99         13.49         090
                                    pacemaker
                                    system.
33235.......  ........  A          Removal                9.93          NA            NA         7.41          6.96        0.73          NA            NA        18.07         17.62         090
                                    pacemaker
                                    electrode.
33236.......  ........  A          Remove electrode/     12.64          NA            NA         6.67          7.24        1.69          NA            NA        21.00         21.57         090
                                    thoracotomy.
33237.......  ........  A          Remove electrode/     13.75          NA            NA         7.70          7.76        1.59          NA            NA        23.04         23.10         090
                                    thoracotomy.
33238.......  ........  A          Remove electrode/     15.28          NA            NA         8.33          8.23        2.03          NA            NA        25.64         25.54         090
                                    thoracotomy.
33240.......  ........  A          Insert pulse           7.61          NA            NA         5.41          4.79        0.41          NA            NA        13.43         12.81         090
                                    generator.
33241.......  ........  A          Remove pulse           3.26          NA            NA         3.07          2.99        0.18          NA            NA         6.51          6.43         090
                                    generator.
33243.......  ........  A          Remove eltrd/         23.42          NA            NA        11.02         11.35        2.10          NA            NA        36.54         36.87         090
                                    thoracotomy.
33244.......  ........  A          Remove eltrd,         13.84          NA            NA         9.66          9.08        0.99          NA            NA        24.49         23.91         090
                                    transven.
33249.......  ........  A          Eltrd/insert          15.02          NA            NA        10.47          8.89        0.77          NA            NA        26.26         24.68         090
                                    pace-defib.
33250.......  ........  A          Ablate heart          25.78          NA            NA        10.12         10.80        3.19          NA            NA        39.09         39.77         090
                                    dysrhythm focus.
33251.......  ........  A          Ablate heart          28.80          NA            NA        11.09         11.52        3.60          NA            NA        43.49         43.92         090
                                    dysrhythm focus.
33254.......  ........  A          Ablate atria,         23.58          NA            NA         9.94          9.94        3.35          NA            NA        36.87         36.87         090
                                    lmtd.
33255.......  ........  A          Ablate atria w/o      28.91          NA            NA        11.57         11.57        3.94          NA            NA        44.42         44.42         090
                                    bypass, ext.
33256.......  ........  A          Ablate atria w/       34.77          NA            NA        13.37         13.37        4.95          NA            NA        53.09         53.09         090
                                    bypass, exten.
33261.......  ........  A          Ablate heart          28.80          NA            NA        11.30         11.65        3.46          NA            NA        43.56         43.91         090
                                    dysrhythm focus.
33265.......  ........  A          Ablate atria w/       23.58          NA            NA         9.94          9.94        3.35          NA            NA        36.87         36.87         090
                                    bypass, endo.
33266.......  ........  A          Ablate atria w/o      32.91          NA            NA        12.80         12.80        4.80          NA            NA        50.51         50.51         090
                                    bypass endo.
33282.......  ........  A          Implant pat-           4.70          NA            NA         4.33          4.10        0.23          NA            NA         9.26          9.03         090
                                    active ht
                                    record.
33284.......  ........  A          Remove pat-            3.04          NA            NA         3.42          3.50        0.14          NA            NA         6.60          6.68         090
                                    active ht
                                    record.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69847]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
33300.......  ........  A          Repair of heart       44.89          NA            NA        15.61         10.83        2.66          NA            NA        63.16         58.38         090
                                    wound.
33305.......  ........  A          Repair of heart       76.85          NA            NA        25.20         14.26        3.13          NA            NA       105.18         94.24         090
                                    wound.
33310.......  ........  A          Exploratory           20.22          NA            NA         8.80          9.39        2.59          NA            NA        31.61         32.20         090
                                    heart surgery.
33315.......  ........  A          Exploratory           26.05          NA            NA        10.42         10.77        3.28          NA            NA        39.75         40.10         090
                                    heart surgery.
33320.......  ........  A          Repair major          18.46          NA            NA         8.71          8.34        2.08          NA            NA        29.25         28.88         090
                                    blood vessel(s).
33321.......  ........  A          Repair major          20.71          NA            NA        10.31          9.91        2.91          NA            NA        33.93         33.53         090
                                    vessel.
33322.......  ........  A          Repair major          24.30          NA            NA         9.79         10.22        2.86          NA            NA        36.95         37.38         090
                                    blood vessel(s).
33330.......  ........  A          Insert major          25.17          NA            NA         9.75         10.13        2.82          NA            NA        37.74         38.12         090
                                    vessel graft.
33332.......  ........  A          Insert major          24.46          NA            NA         9.59         10.28        3.03          NA            NA        37.08         37.77         090
                                    vessel graft.
33335.......  ........  A          Insert major          33.79          NA            NA        12.95         13.24        4.28          NA            NA        51.02         51.31         090
                                    vessel graft.
33400.......  ........  A          Repair of aortic      41.37          NA            NA        15.16         15.54        4.11          NA            NA        60.64         61.02         090
                                    valve.
33401.......  ........  A          Valvuloplasty,        24.41          NA            NA         9.76         12.57        3.57          NA            NA        37.74         40.55         090
                                    open.
33403.......  ........  A          Valvuloplasty, w/     25.39          NA            NA        10.48         13.35        3.55          NA            NA        39.42         42.29         090
                                    cp bypass.
33404.......  ........  A          Prepare heart-        31.25          NA            NA        12.22         13.96        4.33          NA            NA        47.80         49.54         090
                                    aorta conduit.
33405.......  ........  A          Replacement of        41.19          NA            NA        15.43         17.58        5.33          NA            NA        61.95         64.10         090
                                    aortic valve.
33406.......  ........  A          Replacement of        52.55          NA            NA        18.77         19.03        5.45          NA            NA        76.77         77.03         090
                                    aortic valve.
33410.......  ........  A          Replacement of        46.28          NA            NA        16.89         16.66        4.69          NA            NA        67.86         67.63         090
                                    aortic valve.
33411.......  ........  A          Replacement of        61.94          NA            NA        21.53         19.44        5.48          NA            NA        88.95         86.86         090
                                    aortic valve.
33412.......  ........  A          Replacement of        43.77          NA            NA        16.49         19.42        6.39          NA            NA        66.65         69.58         090
                                    aortic valve.
33413.......  ........  A          Replacement of        59.74          NA            NA        20.57         20.75        6.53          NA            NA        86.84         87.02         090
                                    aortic valve.
33414.......  ........  A          Repair of aortic      39.29          NA            NA        15.21         14.40        4.57          NA            NA        59.07         58.26         090
                                    valve.
33415.......  ........  A          Revision,             37.19          NA            NA        12.96         12.26        4.14          NA            NA        54.29         53.59         090
                                    subvalvular
                                    tissue.
33416.......  ........  A          Revise ventricle      36.43          NA            NA        13.59         13.52        4.57          NA            NA        54.59         54.52         090
                                    muscle.
33417.......  ........  A          Repair of aortic      29.17          NA            NA        12.10         13.23        4.10          NA            NA        45.37         46.50         090
                                    valve.
33420.......  ........  A          Revision of           25.67          NA            NA         8.98          9.42        1.82          NA            NA        36.47         36.91         090
                                    mitral valve.
33422.......  ........  A          Revision of           29.61          NA            NA        12.45         13.35        3.94          NA            NA        46.00         46.90         090
                                    mitral valve.
33425.......  ........  A          Repair of mitral      49.83          NA            NA        17.90         14.26        4.07          NA            NA        71.80         68.16         090
                                    valve.
33426.......  ........  A          Repair of mitral      43.15          NA            NA        16.03         16.86        5.03          NA            NA        64.21         65.04         090
                                    valve.
33427.......  ........  A          Repair of mitral      44.70          NA            NA        16.02         18.53        6.09          NA            NA        66.81         69.32         090
                                    valve.
33430.......  ........  A          Replacement of        50.75          NA            NA        18.97         17.71        5.10          NA            NA        74.82         73.56         090
                                    mitral valve.
33460.......  ........  A          Revision of           44.62          NA            NA        15.50         12.35        3.45          NA            NA        63.57         60.42         090
                                    tricuspid valve.
33463.......  ........  A          Valvuloplasty,        56.95          NA            NA        19.76         14.62        3.87          NA            NA        80.58         75.44         090
                                    tricuspid.
33464.......  ........  A          Valvuloplasty,        44.49          NA            NA        16.23         14.20        4.15          NA            NA        64.87         62.84         090
                                    tricuspid.
33465.......  ........  A          Replace               50.59          NA            NA        17.77         14.16        4.39          NA            NA        72.75         69.14         090
                                    tricuspid valve.
33468.......  ........  A          Revision of           32.82          NA            NA        15.37         14.08        4.07          NA            NA        52.26         50.97         090
                                    tricuspid valve.
33470.......  ........  A          Revision of           21.32          NA            NA         8.70         10.19        1.03          NA            NA        31.05         32.54         090
                                    pulmonary valve.
33471.......  ........  A          Valvotomy,            22.83          NA            NA         7.69          9.24        3.39          NA            NA        33.91         35.46         090
                                    pulmonary valve.
33472.......  ........  A          Revision of           22.90          NA            NA         7.21         10.70        3.55          NA            NA        33.66         37.15         090
                                    pulmonary valve.
33474.......  ........  A          Revision of           39.27          NA            NA        17.24         12.47        3.22          NA            NA        59.73         54.96         090
                                    pulmonary valve.
33475.......  ........  A          Replacement,          42.27          NA            NA        15.72         15.46        4.93          NA            NA        62.92         62.66         090
                                    pulmonary valve.
33476.......  ........  A          Revision of           26.41          NA            NA        11.43         11.83        2.42          NA            NA        40.26         40.66         090
                                    heart chamber.
33478.......  ........  A          Revision of           27.38          NA            NA        10.98         12.53        3.89          NA            NA        42.25         43.80         090
                                    heart chamber.
33496.......  ........  A          Repair, prosth        29.71          NA            NA        11.47         12.42        4.13          NA            NA        45.31         46.26         090
                                    valve clot.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69848]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
33500.......  ........  A          Repair heart          27.82          NA            NA        11.05         11.36        3.87          NA            NA        42.74         43.05         090
                                    vessel fistula.
33501.......  ........  A          Repair heart          19.43          NA            NA         8.27          8.28        1.91          NA            NA        29.61         29.62         090
                                    vessel fistula.
33502.......  ........  A          Coronary artery       21.69          NA            NA         9.27         10.62        3.00          NA            NA        33.96         35.31         090
                                    correction.
33503.......  ........  A          Coronary artery       22.29          NA            NA        10.66          9.96        1.78          NA            NA        34.73         34.03         090
                                    graft.
33504.......  ........  A          Coronary artery       25.30          NA            NA        10.14         11.39        3.36          NA            NA        38.80         40.05         090
                                    graft.
33505.......  ........  A          Repair artery w/      38.35          NA            NA        12.28         12.75        2.19          NA            NA        52.82         53.29         090
                                    tunnel.
33506.......  ........  A          Repair artery,        37.80          NA            NA        15.56         14.81        4.66          NA            NA        58.02         57.27         090
                                    translocation.
33507.......  ........  A          Repair art,           31.35          NA            NA        11.76         13.17        4.06          NA            NA        47.17         48.58         090
                                    intramural.
33508.......  ........  A          Endoscopic vein        0.31          NA            NA         0.10          0.10        0.04          NA            NA         0.45          0.45         ZZZ
                                    harvest.
33510.......  ........  A          CABG, vein,           34.87          NA            NA        13.19         15.55        4.41          NA            NA        52.47         54.83         090
                                    single.
33511.......  ........  A          CABG, vein, two.      38.34          NA            NA        14.46         16.42        4.56          NA            NA        57.36         59.32         090
33512.......  ........  A          CABG, vein,           43.87          NA            NA        16.24         17.26        4.67          NA            NA        64.78         65.80         090
                                    three.
33513.......  ........  A          CABG, vein, four      45.26          NA            NA        16.82         17.54        4.88          NA            NA        66.96         67.68         090
33514.......  ........  A          CABG, vein, five      47.97          NA            NA        17.64         17.95        4.77          NA            NA        70.38         70.69         090
33516.......  ........  A          Cabg, vein, six       49.65          NA            NA        18.57         18.74        5.13          NA            NA        73.35         73.52         090
                                    or more.
33517.......  ........  A          CABG, artery-          3.61          NA            NA         1.11          0.91        0.39          NA            NA         5.11          4.91         ZZZ
                                    vein, single.
33518.......  ........  A          CABG, artery-          7.93          NA            NA         2.43          1.79        0.73          NA            NA        11.09         10.45         ZZZ
                                    vein, two.
33519.......  ........  A          CABG, artery-         10.49          NA            NA         3.21          2.54        1.04          NA            NA        14.74         14.07         ZZZ
                                    vein, three.
33521.......  ........  A          CABG, artery-         12.59          NA            NA         3.88          3.27        1.37          NA            NA        17.84         17.23         ZZZ
                                    vein, four.
33522.......  ........  A          CABG, artery-         14.14          NA            NA         4.32          3.94        1.78          NA            NA        20.24         19.86         ZZZ
                                    vein, five.
33523.......  ........  A          Cabg, art-vein,       16.08          NA            NA         4.96          4.64        2.13          NA            NA        23.17         22.85         ZZZ
                                    six or more.
33530.......  ........  A          Coronary artery,      10.13          NA            NA         3.10          2.21        0.88          NA            NA        14.11         13.22         ZZZ
                                    bypass/reop.
33533.......  ........  A          CABG, arterial,       33.64          NA            NA        12.81         15.55        4.56          NA            NA        51.01         53.75         090
                                    single.
33534.......  ........  A          CABG, arterial,       39.77          NA            NA        14.98         17.03        4.70          NA            NA        59.45         61.50         090
                                    two.
33535.......  ........  A          CABG, arterial,       44.64          NA            NA        16.61         17.75        5.03          NA            NA        66.28         67.42         090
                                    three.
33536.......  ........  A          Cabg, arterial,       48.32          NA            NA        17.55         18.11        5.44          NA            NA        71.31         71.87         090
                                    four or more.
33542.......  ........  A          Removal of heart      48.08          NA            NA        17.51         14.12        4.38          NA            NA        69.97         66.58         090
                                    lesion.
33545.......  ........  A          Repair of heart       56.93          NA            NA        20.52         16.85        5.21          NA            NA        82.66         78.99         090
                                    damage.
33548.......  ........  A          Restore/remodel,      53.96          NA            NA        20.04         19.48        5.53          NA            NA        79.53         78.97         090
                                    ventricle.
33572.......  ........  A          Open coronary          4.44          NA            NA         1.34          1.42        0.65          NA            NA         6.43          6.51         ZZZ
                                    endarterectomy.
33600.......  ........  A          Closure of valve      30.15          NA            NA        12.45         12.50        4.42          NA            NA        47.02         47.07         090
33602.......  ........  A          Closure of valve      29.18          NA            NA        13.60         12.73        3.82          NA            NA        46.60         45.73         090
33606.......  ........  A          Anastomosis/          31.37          NA            NA        12.10         13.28        4.41          NA            NA        47.88         49.06         090
                                    artery-aorta.
33608.......  ........  A          Repair anomaly w/     31.72          NA            NA        13.40         13.93        4.74          NA            NA        49.86         50.39         090
                                    conduit.
33610.......  ........  A          Repair by             31.24          NA            NA        11.28         13.02        4.56          NA            NA        47.08         48.82         090
                                    enlargement.
33611.......  ........  A          Repair double         35.49          NA            NA        12.57         13.74        4.37          NA            NA        52.43         53.60         090
                                    ventricle.
33612.......  ........  A          Repair double         36.49          NA            NA        12.91         14.59        5.30          NA            NA        54.70         56.38         090
                                    ventricle.
33615.......  ........  A          Repair, modified      35.76          NA            NA        12.53         12.99        4.32          NA            NA        52.61         53.07         090
                                    fontan.
33617.......  ........  A          Repair single         38.96          NA            NA        16.41         16.10        5.66          NA            NA        61.03         60.72         090
                                    ventricle.
33619.......  ........  A          Repair single         48.60          NA            NA        18.25         20.16        6.46          NA            NA        73.31         75.22         090
                                    ventricle.
33641.......  ........  A          Repair heart          29.50          NA            NA        11.02          9.93        3.23          NA            NA        43.75         42.66         090
                                    septum defect.
33645.......  ........  A          Revision of           27.98          NA            NA        10.98         11.57        3.79          NA            NA        42.75         43.34         090
                                    heart veins.
33647.......  ........  A          Repair heart          29.37          NA            NA        12.30         13.40        3.32          NA            NA        44.99         46.09         090
                                    septum defects.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69849]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
33660.......  ........  A          Repair of heart       31.75          NA            NA        11.45         12.97        4.49          NA            NA        47.69         49.21         090
                                    defects.
33665.......  ........  A          Repair of heart       34.77          NA            NA        12.42         13.48        4.00          NA            NA        51.19         52.25         090
                                    defects.
33670.......  ........  A          Repair of heart       36.58          NA            NA        12.25         12.94        4.65          NA            NA        53.48         54.17         090
                                    chambers.
33675.......  ........  A          Close mult vsd..      35.87          NA            NA        17.82         17.82        4.95          NA            NA        58.64         58.64         090
33676.......  ........  A          Close mult vsd w/     36.87          NA            NA        18.17         18.17        5.44          NA            NA        60.48         60.48         090
                                    resection.
33677.......  ........  A          Cl mult vsd w/        38.37          NA            NA        18.82         18.82        5.68          NA            NA        62.87         62.87         090
                                    rem pul band.
33681.......  ........  A          Repair heart          32.16          NA            NA        13.24         14.32        4.45          NA            NA        49.85         50.93         090
                                    septum defect.
33684.......  ........  A          Repair heart          34.29          NA            NA        19.66         15.13        3.39          NA            NA        57.34         52.81         090
                                    septum defect.
33688.......  ........  A          Repair heart          34.67          NA            NA         9.41         10.21        4.73          NA            NA        48.81         49.61         090
                                    septum defect.
33690.......  ........  A          Reinforce             20.20          NA            NA         8.60          9.77        1.97          NA            NA        30.77         31.94         090
                                    pulmonary
                                    artery.
33692.......  ........  A          Repair of heart       31.38          NA            NA         9.20         12.74        4.58          NA            NA        45.16         48.70         090
                                    defects.
33694.......  ........  A          Repair of heart       35.49          NA            NA        10.06         13.18        5.28          NA            NA        50.83         53.95         090
                                    defects.
33697.......  ........  A          Repair of heart       37.49          NA            NA        21.95         16.64        4.09          NA            NA        63.53         58.22         090
                                    defects.
33702.......  ........  A          Repair of heart       27.11          NA            NA        11.46         12.29        3.68          NA            NA        42.25         43.08         090
                                    defects.
33710.......  ........  A          Repair of heart       30.28          NA            NA        11.65         13.38        4.43          NA            NA        46.36         48.09         090
                                    defects.
33720.......  ........  A          Repair of heart       27.13          NA            NA        11.13         11.99        3.84          NA            NA        42.10         42.96         090
                                    defect.
33722.......  ........  A          Repair of heart       29.05          NA            NA         8.66         12.55        1.30          NA            NA        39.01         42.90         090
                                    defect.
33724.......  ........  A          Repair venous         27.55          NA            NA        10.56         10.56        4.00          NA            NA        42.11         42.11         090
                                    anomaly.
33726.......  ........  A          Repair pul            37.04          NA            NA        13.46         13.46        5.03          NA            NA        55.53         55.53         090
                                    venous stenosis.
33730.......  ........  A          Repair heart-         36.01          NA            NA        13.29         13.91        5.03          NA            NA        54.33         54.95         090
                                    vein defect(s).
33732.......  ........  A          Repair heart-         28.80          NA            NA        14.82         13.74        3.68          NA            NA        47.30         46.22         090
                                    vein defect.
33735.......  ........  A          Revision of           22.04          NA            NA         9.45          9.08        1.92          NA            NA        33.41         33.04         090
                                    heart chamber.
33736.......  ........  A          Revision of           24.16          NA            NA        10.74         11.57        3.09          NA            NA        37.99         38.82         090
                                    heart chamber.
33737.......  ........  A          Revision of           22.34          NA            NA         7.53         10.08        3.25          NA            NA        33.12         35.67         090
                                    heart chamber.
33750.......  ........  A          Major vessel          22.06          NA            NA        11.40         10.51        1.16          NA            NA        34.62         33.73         090
                                    shunt.
33755.......  ........  A          Major vessel          22.44          NA            NA         7.78          8.55        3.26          NA            NA        33.48         34.25         090
                                    shunt.
33762.......  ........  A          Major vessel          22.44          NA            NA         7.13          9.40        3.14          NA            NA        32.71         34.98         090
                                    shunt.
33764.......  ........  A          Major vessel          22.44          NA            NA         9.22          9.97        3.01          NA            NA        34.67         35.42         090
                                    shunt & graft.
33766.......  ........  A          Major vessel          23.41          NA            NA         8.53         10.89        3.70          NA            NA        35.64         38.00         090
                                    shunt.
33767.......  ........  A          Major vessel          25.14          NA            NA         9.42         11.15        3.82          NA            NA        38.38         40.11         090
                                    shunt.
33768.......  ........  A          Cavopulmonary          8.00          NA            NA         2.21          2.55        1.19          NA            NA        11.40         11.74         ZZZ
                                    shunting.
33770.......  ........  A          Repair great          39.02          NA            NA        10.56         13.65        5.74          NA            NA        55.32         58.41         090
                                    vessels defect.
33771.......  ........  A          Repair great          40.58          NA            NA        10.55         11.92        5.68          NA            NA        56.81         58.18         090
                                    vessels defect.
33774.......  ........  A          Repair great          31.54          NA            NA        12.38         14.09        4.81          NA            NA        48.73         50.44         090
                                    vessels defect.
33775.......  ........  A          Repair great          32.83          NA            NA        10.10         13.77        4.99          NA            NA        47.92         51.59         090
                                    vessels defect.
33776.......  ........  A          Repair great          34.53          NA            NA        13.32         15.18        5.09          NA            NA        52.94         54.80         090
                                    vessels defect.
33777.......  ........  A          Repair great          33.95          NA            NA         9.93         14.19        5.49          NA            NA        49.37         53.63         090
                                    vessels defect.
33778.......  ........  A          Repair great          42.62          NA            NA        15.19         16.47        6.20          NA            NA        64.01         65.29         090
                                    vessels defect.
33779.......  ........  A          Repair great          43.15          NA            NA        11.37         14.37        2.92          NA            NA        57.44         60.44         090
                                    vessels defect.
33780.......  ........  A          Repair great          43.85          NA            NA        11.68         17.23        3.68          NA            NA        59.21         64.76         090
                                    vessels defect.
33781.......  ........  A          Repair great          43.16          NA            NA        14.16         13.54        5.97          NA            NA        63.29         62.67         090
                                    vessels defect.
33786.......  ........  A          Repair arterial       41.74          NA            NA        11.42         15.39        5.71          NA            NA        58.87         62.84         090
                                    trunk.
33788.......  ........  A          Revision of           27.26          NA            NA         9.70         11.39        4.03          NA            NA        40.99         42.68         090
                                    pulmonary
                                    artery.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69850]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
33800.......  ........  A          Aortic                17.23          NA            NA         7.30          7.91        2.46          NA            NA        26.99         27.60         090
                                    suspension.
33802.......  ........  A          Repair vessel         18.24          NA            NA         7.53          8.80        2.27          NA            NA        28.04         29.31         090
                                    defect.
33803.......  ........  A          Repair vessel         20.18          NA            NA         7.93          9.30        3.20          NA            NA        31.31         32.68         090
                                    defect.
33813.......  ........  A          Repair septal         21.23          NA            NA         8.96         10.42        3.13          NA            NA        33.32         34.78         090
                                    defect.
33814.......  ........  A          Repair septal         26.41          NA            NA        10.44         12.09        3.85          NA            NA        40.70         42.35         090
                                    defect.
33820.......  ........  A          Revise major          16.61          NA            NA         8.41          8.37        2.35          NA            NA        27.37         27.33         090
                                    vessel.
33822.......  ........  A          Revise major          17.63          NA            NA         5.93          8.20        2.68          NA            NA        26.24         28.51         090
                                    vessel.
33824.......  ........  A          Revise major          20.10          NA            NA         8.57          9.63        2.89          NA            NA        31.56         32.62         090
                                    vessel.
33840.......  ........  A          Remove aorta          21.21          NA            NA         8.95          9.96        2.16          NA            NA        32.32         33.33         090
                                    constriction.
33845.......  ........  A          Remove aorta          22.77          NA            NA         9.57         10.91        3.22          NA            NA        35.56         36.90         090
                                    constriction.
33851.......  ........  A          Remove aorta          21.85          NA            NA         9.12         10.29        3.18          NA            NA        34.15         35.32         090
                                    constriction.
33852.......  ........  A          Repair septal         24.28          NA            NA         9.85         10.98        2.16          NA            NA        36.29         37.42         090
                                    defect.
33853.......  ........  A          Repair septal         32.35          NA            NA        13.00         14.37        4.48          NA            NA        49.83         51.20         090
                                    defect.
33860.......  ........  A          Ascending aortic      59.33          NA            NA        20.58         17.48        5.76          NA            NA        85.67         82.57         090
                                    graft.
33861.......  ........  A          Ascending aortic      43.94          NA            NA        16.07         17.30        6.37          NA            NA        66.38         67.61         090
                                    graft.
33863.......  ........  A          Ascending aortic      58.71          NA            NA        19.98         19.01        6.59          NA            NA        85.28         84.31         090
                                    graft.
33870.......  ........  A          Transverse            45.93          NA            NA        16.64         17.95        6.62          NA            NA        69.19         70.50         090
                                    aortic arch
                                    graft.
33875.......  ........  A          Thoracic aortic       35.68          NA            NA        13.12         13.85        4.89          NA            NA        53.69         54.42         090
                                    graft.
33877.......  ........  A          Thoracoabdominal      68.85          NA            NA        21.75         17.67        5.94          NA            NA        96.54         92.46         090
                                    graft.
33880.......  ........  A          Endovasc taa          34.48          NA            NA        10.50         12.73        2.75          NA            NA        47.73         49.96         090
                                    repr incl subcl.
33881.......  ........  A          Endovasc taa          29.48          NA            NA         9.27         11.29        2.33          NA            NA        41.08         43.10         090
                                    repr w/o subcl.
33883.......  ........  A          Insert endovasc       20.99          NA            NA         6.95          8.62        2.11          NA            NA        30.05         31.72         090
                                    prosth, taa.
33884.......  ........  A          Endovasc prosth,       8.20          NA            NA         2.00          2.43        0.86          NA            NA        11.06         11.49         ZZZ
                                    taa, add-on.
33886.......  ........  A          Endovasc prosth,      17.99          NA            NA         6.20          7.72        1.80          NA            NA        25.99         27.51         090
                                    delayed.
33889.......  ........  A          Artery transpose/     15.92          NA            NA         4.15          4.92        2.18          NA            NA        22.25         23.02         000
                                    endovas taa.
33891.......  ........  A          Car-car bp grft/      20.00          NA            NA         6.30          6.80        2.73          NA            NA        29.03         29.53         000
                                    endovas taa.
33910.......  ........  A          Remove lung           29.59          NA            NA        11.28         11.39        3.70          NA            NA        44.57         44.68         090
                                    artery emboli.
33915.......  ........  A          Remove lung           24.83          NA            NA         9.41          9.58        1.44          NA            NA        35.68         35.85         090
                                    artery emboli.
33916.......  ........  A          Surgery of great      28.30          NA            NA        10.87         11.22        3.67          NA            NA        42.84         43.19         090
                                    vessel.
33917.......  ........  A          Repair pulmonary      25.14          NA            NA        10.38         11.73        3.70          NA            NA        39.22         40.57         090
                                    artery.
33920.......  ........  A          Repair pulmonary      32.58          NA            NA        11.32         13.20        4.38          NA            NA        48.28         50.16         090
                                    atresia.
33922.......  ........  A          Transect              24.09          NA            NA        11.47         11.04        3.10          NA            NA        38.66         38.23         090
                                    pulmonary
                                    artery.
33924.......  ........  A          Remove pulmonary       5.49          NA            NA         2.14          1.92        0.82          NA            NA         8.45          8.23         ZZZ
                                    shunt.
33925.......  ........  A          Rpr pul art           31.25          NA            NA        10.16         13.54        4.61          NA            NA        46.02         49.40         090
                                    unifocal w/o
                                    cpb.
33926.......  ........  A          Repr pul art,         44.68          NA            NA        14.32         16.84        6.22          NA            NA        65.22         67.74         090
                                    unifocal w/cpb.
33930.......  ........  X          Removal of donor       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    heart/lung.
33933.......  ........  C          Prepare donor          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    heart/lung.
33935.......  ........  R          Transplantation,      61.68          NA            NA        23.24         27.39        9.06          NA            NA        93.98         98.13         090
                                    heart/lung.
33940.......  ........  X          Removal of donor       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    heart.
33944.......  ........  C          Prepare donor          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    heart.
33945.......  ........  R          Transplantation       89.08          NA            NA        30.80         23.74        6.26          NA            NA       126.14        119.08         090
                                    of heart.
33960.......  ........  A          External              19.33          NA            NA         5.63          5.09        2.67          NA            NA        27.63         27.09         000
                                    circulation
                                    assist.
33961.......  ........  A          External              10.91          NA            NA         2.95          3.45        0.88          NA            NA        14.74         15.24         ZZZ
                                    circulation
                                    assist.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69851]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
33967.......  ........  A          Insert ia percut       4.84          NA            NA         2.48          2.00        0.35          NA            NA         7.67          7.19         000
                                    device.
33968.......  ........  A          Remove aortic          0.64          NA            NA         0.27          0.24        0.07          NA            NA         0.98          0.95         000
                                    assist device.
33970.......  ........  A          Aortic                 6.74          NA            NA         2.56          2.35        0.82          NA            NA        10.12          9.91         000
                                    circulation
                                    assist.
33971.......  ........  A          Aortic                11.91          NA            NA         6.08          6.02        1.25          NA            NA        19.24         19.18         090
                                    circulation
                                    assist.
33973.......  ........  A          Insert balloon         9.75          NA            NA         3.92          3.46        1.26          NA            NA        14.93         14.47         000
                                    device.
33974.......  ........  A          Remove intra-         14.93          NA            NA         7.81          7.86        1.74          NA            NA        24.48         24.53         090
                                    aortic balloon.
33975.......  ........  A          Implant               20.97          NA            NA         6.64          6.37        3.07          NA            NA        30.68         30.41         XXX
                                    ventricular
                                    device.
33976.......  ........  A          Implant               22.97          NA            NA         7.92          7.64        3.26          NA            NA        34.15         33.87         XXX
                                    ventricular
                                    device.
33977.......  ........  A          Remove                20.07          NA            NA         9.36         10.64        2.81          NA            NA        32.24         33.52         090
                                    ventricular
                                    device.
33978.......  ........  A          Remove                22.51          NA            NA        10.47         11.43        3.31          NA            NA        36.29         37.25         090
                                    ventricular
                                    device.
33979.......  ........  A          Insert                45.93          NA            NA        14.39         14.79        6.97          NA            NA        67.29         67.69         XXX
                                    intracorporeal
                                    device.
33980.......  ........  A          Remove                64.86          NA            NA        24.94         25.17        8.59          NA            NA        98.39         98.62         090
                                    intracorporeal
                                    device.
33999.......  ........  C          Cardiac surgery        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
34001.......  ........  A          Removal of            17.78          NA            NA         6.62          6.69        1.85          NA            NA        26.25         26.32         090
                                    artery clot.
34051.......  ........  A          Removal of            16.91          NA            NA         6.89          7.56        2.21          NA            NA        26.01         26.68         090
                                    artery clot.
34101.......  ........  A          Removal of            10.85          NA            NA         4.40          5.11        1.41          NA            NA        16.66         17.37         090
                                    artery clot.
34111.......  ........  A          Removal of arm        10.85          NA            NA         4.47          5.13        1.40          NA            NA        16.72         17.38         090
                                    artery clot.
34151.......  ........  A          Removal of            26.41          NA            NA         8.81         10.00        3.56          NA            NA        38.78         39.97         090
                                    artery clot.
34201.......  ........  A          Removal of            19.38          NA            NA         6.77          5.75        1.45          NA            NA        27.60         26.58         090
                                    artery clot.
34203.......  ........  A          Removal of leg        17.73          NA            NA         6.52          7.68        2.36          NA            NA        26.61         27.77         090
                                    artery clot.
34401.......  ........  A          Removal of vein       26.41          NA            NA         9.58         10.39        3.10          NA            NA        39.09         39.90         090
                                    clot.
34421.......  ........  A          Removal of vein       13.29          NA            NA         5.22          6.02        1.55          NA            NA        20.06         20.86         090
                                    clot.
34451.......  ........  A          Removal of vein       28.41          NA            NA         9.66         11.00        3.84          NA            NA        41.91         43.25         090
                                    clot.
34471.......  ........  A          Removal of vein       21.00          NA            NA         7.66          5.89        1.18          NA            NA        29.84         28.07         090
                                    clot.
34490.......  ........  A          Removal of vein       10.83          NA            NA         4.45          5.18        1.41          NA            NA        16.69         17.42         090
                                    clot.
34501.......  ........  A          Repair valve,         16.74          NA            NA         6.91          8.10        2.35          NA            NA        26.00         27.19         090
                                    femoral vein.
34502.......  ........  A          Reconstruct vena      27.86          NA            NA        10.76         11.91        3.63          NA            NA        42.25         43.40         090
                                    cava.
34510.......  ........  A          Transposition of      19.80          NA            NA         7.24          8.87        2.33          NA            NA        29.37         31.00         090
                                    vein valve.
34520.......  ........  A          Cross-over vein       19.05          NA            NA         9.25          8.65        2.29          NA            NA        30.59         29.99         090
                                    graft.
34530.......  ........  A          Leg vein fusion.      17.77          NA            NA         7.87          8.43        1.74          NA            NA        27.38         27.94         090
34800.......  ........  A          Endovas aaa repr      21.46          NA            NA         7.39          8.72        2.46          NA            NA        31.31         32.64         090
                                    w/sm tube.
34802.......  ........  A          Endovas aaa repr      23.71          NA            NA         8.18          9.38        2.33          NA            NA        34.22         35.42         090
                                    w/2-p part.
34803.......  ........  A          Endovas aaa repr      24.74          NA            NA         8.09          9.68        2.01          NA            NA        34.84         36.43         090
                                    w/3-p part.
34804.......  ........  A          Endovas aaa repr      23.71          NA            NA         8.06          9.37        2.30          NA            NA        34.07         35.38         090
                                    w/1-p part.
34805.......  ........  A          Endovas aaa repr      22.59          NA            NA         7.23          9.04        2.01          NA            NA        31.83         33.64         090
                                    w/long tube.
34808.......  ........  A          Endovas iliac a        4.12          NA            NA         1.10          1.30        0.59          NA            NA         5.81          6.01         ZZZ
                                    device addon.
34812.......  ........  A          Xpose for              6.74          NA            NA         1.72          2.10        1.18          NA            NA         9.64         10.02         000
                                    endoprosth,
                                    femorl.
34813.......  ........  A          Femoral endovas        4.79          NA            NA         1.20          1.48        0.67          NA            NA         6.66          6.94         ZZZ
                                    graft add-on.
34820.......  ........  A          Xpose for              9.74          NA            NA         2.46          3.04        1.50          NA            NA        13.70         14.28         000
                                    endoprosth,
                                    iliac.
34825.......  ........  A          Endovasc extend       12.72          NA            NA         5.12          5.89        1.28          NA            NA        19.12         19.89         090
                                    prosth, init.
34826.......  ........  A          Endovasc exten         4.12          NA            NA         1.14          1.31        0.44          NA            NA         5.70          5.87         ZZZ
                                    prosth,
                                    add[AElig]l.
34830.......  ........  A          Open aortic tube      35.10          NA            NA        10.77         12.96        4.55          NA            NA        50.42         52.61         090
                                    prosth repr.
34831.......  ........  A          Open aortoiliac       37.85          NA            NA        12.09         11.82        4.89          NA            NA        54.83         54.56         090
                                    prosth repr.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69852]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
34832.......  ........  A          Open aortofemor       37.85          NA            NA        11.60         13.87        4.85          NA            NA        54.30         56.57         090
                                    prosth repr.
34833.......  ........  A          Xpose for             11.98          NA            NA         3.29          4.15        1.70          NA            NA        16.97         17.83         000
                                    endoprosth,
                                    iliac.
34834.......  ........  A          Xpose,                 5.34          NA            NA         1.60          2.04        0.76          NA            NA         7.70          8.14         000
                                    endoprosth,
                                    brachial.
34900.......  ........  A          Endovasc iliac        16.77          NA            NA         6.22          7.24        2.00          NA            NA        24.99         26.01         090
                                    repr w/graft.
35001.......  ........  A          Repair defect of      20.70          NA            NA         7.62          9.07        2.81          NA            NA        31.13         32.58         090
                                    artery.
35002.......  ........  A          Repair artery         22.12          NA            NA         7.80          9.22        3.00          NA            NA        32.92         34.34         090
                                    rupture, neck.
35005.......  ........  A          Repair defect of      19.18          NA            NA         7.55          8.52        1.77          NA            NA        28.50         29.47         090
                                    artery.
35011.......  ........  A          Repair defect of      18.50          NA            NA         6.40          7.59        2.55          NA            NA        27.45         28.64         090
                                    artery.
35013.......  ........  A          Repair artery         23.10          NA            NA         7.93          9.24        3.10          NA            NA        34.13         35.44         090
                                    rupture, arm.
35021.......  ........  A          Repair defect of      22.09          NA            NA         8.67          9.23        2.87          NA            NA        33.63         34.19         090
                                    artery.
35022.......  ........  A          Repair artery         25.62          NA            NA         9.46          9.75        3.17          NA            NA        38.25         38.54         090
                                    rupture, chest.
35045.......  ........  A          Repair defect of      17.94          NA            NA         6.53          7.26        2.45          NA            NA        26.92         27.65         090
                                    arm artery.
35081.......  ........  A          Repair defect of      33.37          NA            NA        11.05         11.36        4.01          NA            NA        48.43         48.74         090
                                    artery.
35082.......  ........  A          Repair artery         41.93          NA            NA        13.12         14.75        5.44          NA            NA        60.49         62.12         090
                                    rupture, aorta.
35091.......  ........  A          Repair defect of      35.35          NA            NA        10.39         12.77        5.14          NA            NA        50.88         53.26         090
                                    artery.
35092.......  ........  A          Repair artery         50.81          NA            NA        15.02         16.98        6.40          NA            NA        72.23         74.19         090
                                    rupture, aorta.
35102.......  ........  A          Repair defect of      36.37          NA            NA        11.62         12.17        4.48          NA            NA        52.47         53.02         090
                                    artery.
35103.......  ........  A          Repair artery         43.49          NA            NA        13.25         15.19        5.76          NA            NA        62.50         64.44         090
                                    rupture, groin.
35111.......  ........  A          Repair defect of      26.17          NA            NA         8.58          9.99        3.47          NA            NA        38.22         39.63         090
                                    artery.
35112.......  ........  A          Repair artery         32.44          NA            NA        10.48         11.59        4.08          NA            NA        47.00         48.11         090
                                    rupture,spleen.
35121.......  ........  A          Repair defect of      31.41          NA            NA        10.47         11.89        4.30          NA            NA        46.18         47.60         090
                                    artery.
35122.......  ........  A          Repair artery         37.76          NA            NA        12.07         13.37        4.75          NA            NA        54.58         55.88         090
                                    rupture, belly.
35131.......  ........  A          Repair defect of      26.29          NA            NA         8.89         10.28        3.80          NA            NA        38.98         40.37         090
                                    artery.
35132.......  ........  A          Repair artery         32.44          NA            NA        10.27         11.85        4.30          NA            NA        47.01         48.59         090
                                    rupture, groin.
35141.......  ........  A          Repair defect of      20.83          NA            NA         7.11          8.46        2.90          NA            NA        30.84         32.19         090
                                    artery.
35142.......  ........  A          Repair artery         25.03          NA            NA         8.41          9.87        3.36          NA            NA        36.80         38.26         090
                                    rupture, thigh.
35151.......  ........  A          Repair defect of      23.61          NA            NA         7.91          9.46        3.24          NA            NA        34.76         36.31         090
                                    artery.
35152.......  ........  A          Repair artery         27.53          NA            NA         9.06         10.79        3.61          NA            NA        40.20         41.93         090
                                    rupture, knee.
35180.......  ........  A          Repair blood          15.01          NA            NA         5.75          6.64        1.00          NA            NA        21.76         22.65         090
                                    vessel lesion.
35182.......  ........  A          Repair blood          31.58          NA            NA        11.75         12.53        4.36          NA            NA        47.69         48.47         090
                                    vessel lesion.
35184.......  ........  A          Repair blood          18.72          NA            NA         6.91          7.95        2.53          NA            NA        28.16         29.20         090
                                    vessel lesion.
35188.......  ........  A          Repair blood          15.05          NA            NA         6.23          7.28        2.16          NA            NA        23.44         24.49         090
                                    vessel lesion.
35189.......  ........  A          Repair blood          29.85          NA            NA        10.10         11.49        4.01          NA            NA        43.96         45.35         090
                                    vessel lesion.
35190.......  ........  A          Repair blood          13.33          NA            NA         5.31          6.18        1.80          NA            NA        20.44         21.31         090
                                    vessel lesion.
35201.......  ........  A          Repair blood          16.84          NA            NA         6.44          7.60        2.34          NA            NA        25.62         26.78         090
                                    vessel lesion.
35206.......  ........  A          Repair blood          13.76          NA            NA         5.40          6.26        1.87          NA            NA        21.03         21.89         090
                                    vessel lesion.
35207.......  ........  A          Repair blood          10.85          NA            NA         6.72          7.19        1.48          NA            NA        19.05         19.52         090
                                    vessel lesion.
35211.......  ........  A          Repair blood          24.50          NA            NA        10.09         10.48        3.20          NA            NA        37.79         38.18         090
                                    vessel lesion.
35216.......  ........  A          Repair blood          36.47          NA            NA        13.87         10.20        2.65          NA            NA        52.99         49.32         090
                                    vessel lesion.
35221.......  ........  A          Repair blood          26.54          NA            NA         8.54          9.58        3.37          NA            NA        38.45         39.49         090
                                    vessel lesion.
35226.......  ........  A          Repair blood          15.22          NA            NA         5.89          7.05        2.02          NA            NA        23.13         24.29         090
                                    vessel lesion.
35231.......  ........  A          Repair blood          21.08          NA            NA         7.73          9.25        2.89          NA            NA        31.70         33.22         090
                                    vessel lesion.
35236.......  ........  A          Repair blood          17.94          NA            NA         6.50          7.54        2.43          NA            NA        26.87         27.91         090
                                    vessel lesion.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69853]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
35241.......  ........  A          Repair blood          25.50          NA            NA         9.93         10.82        3.53          NA            NA        38.96         39.85         090
                                    vessel lesion.
35246.......  ........  A          Repair blood          28.15          NA            NA        12.02         11.57        3.86          NA            NA        44.03         43.58         090
                                    vessel lesion.
35251.......  ........  A          Repair blood          31.83          NA            NA         9.78         11.29        4.13          NA            NA        45.74         47.25         090
                                    vessel lesion.
35256.......  ........  A          Repair blood          18.98          NA            NA         6.61          7.92        2.63          NA            NA        28.22         29.53         090
                                    vessel lesion.
35261.......  ........  A          Repair blood          18.88          NA            NA         7.22          7.81        2.61          NA            NA        28.71         29.30         090
                                    vessel lesion.
35266.......  ........  A          Repair blood          15.75          NA            NA         5.70          6.68        2.10          NA            NA        23.55         24.53         090
                                    vessel lesion.
35271.......  ........  A          Repair blood          24.50          NA            NA         9.65         10.30        3.16          NA            NA        37.31         37.96         090
                                    vessel lesion.
35276.......  ........  A          Repair blood          25.72          NA            NA         9.61         10.80        3.49          NA            NA        38.82         40.01         090
                                    vessel lesion.
35281.......  ........  A          Repair blood          29.93          NA            NA         9.76         11.22        3.97          NA            NA        43.66         45.12         090
                                    vessel lesion.
35286.......  ........  A          Repair blood          17.06          NA            NA         6.43          7.65        2.35          NA            NA        25.84         27.06         090
                                    vessel lesion.
35301.......  ........  A          Rechanneling of       19.53          NA            NA         6.87          8.04        2.68          NA            NA        29.08         30.25         090
                                    artery.
35302.......  ........  A          Rechanneling of       21.27          NA            NA         7.14          7.14        2.98          NA            NA        31.39         31.39         090
                                    artery.
35303.......  ........  A          Rechanneling of       23.52          NA            NA         7.72          7.72        3.26          NA            NA        34.50         34.50         090
                                    artery.
35304.......  ........  A          Rechanneling of       24.52          NA            NA         7.97          7.97        3.41          NA            NA        35.90         35.90         090
                                    artery.
35305.......  ........  A          Rechanneling of       23.52          NA            NA         7.72          7.72        3.26          NA            NA        34.50         34.50         090
                                    artery.
35306.......  ........  A          Rechanneling of        9.25          NA            NA         2.38          2.38        1.34          NA            NA        12.97         12.97         ZZZ
                                    artery.
35311.......  ........  A          Rechanneling of       28.52          NA            NA         9.66         11.22        3.42          NA            NA        41.60         43.16         090
                                    artery.
35321.......  ........  A          Rechanneling of       16.51          NA            NA         5.97          7.03        2.25          NA            NA        24.73         25.79         090
                                    artery.
35331.......  ........  A          Rechanneling of       27.61          NA            NA         9.00         10.67        3.83          NA            NA        40.44         42.11         090
                                    artery.
35341.......  ........  A          Rechanneling of       26.10          NA            NA         8.53         10.28        3.78          NA            NA        38.41         40.16         090
                                    artery.
35351.......  ........  A          Rechanneling of       24.53          NA            NA         7.93          9.18        3.35          NA            NA        35.81         37.06         090
                                    artery.
35355.......  ........  A          Rechanneling of       19.78          NA            NA         6.53          7.69        2.67          NA            NA        28.98         30.14         090
                                    artery.
35361.......  ........  A          Rechanneling of       30.11          NA            NA         9.69         11.20        4.15          NA            NA        43.95         45.46         090
                                    artery.
35363.......  ........  A          Rechanneling of       32.22          NA            NA        10.55         12.07        4.33          NA            NA        47.10         48.62         090
                                    artery.
35371.......  ........  A          Rechanneling of       15.23          NA            NA         5.48          6.58        2.14          NA            NA        22.85         23.95         090
                                    artery.
35372.......  ........  A          Rechanneling of       18.50          NA            NA         6.30          7.61        2.63          NA            NA        27.43         28.74         090
                                    artery.
35390.......  ........  A          Reoperation,           3.19          NA            NA         0.85          1.01        0.46          NA            NA         4.50          4.66         ZZZ
                                    carotid add-on.
35400.......  ........  A          Angioscopy......       3.00          NA            NA         0.75          1.02        0.43          NA            NA         4.18          4.45         ZZZ
35450.......  ........  A          Repair arterial       10.05          NA            NA         3.18          3.47        1.25          NA            NA        14.48         14.77         000
                                    blockage.
35452.......  ........  A          Repair arterial        6.90          NA            NA         2.11          2.48        0.94          NA            NA         9.95         10.32         000
                                    blockage.
35454.......  ........  A          Repair arterial        6.03          NA            NA         1.82          2.19        0.87          NA            NA         8.72          9.09         000
                                    blockage.
35456.......  ........  A          Repair arterial        7.34          NA            NA         2.29          2.64        1.04          NA            NA        10.67         11.02         000
                                    blockage.
35458.......  ........  A          Repair arterial        9.48          NA            NA         2.90          3.33        1.26          NA            NA        13.64         14.07         000
                                    blockage.
35459.......  ........  A          Repair arterial        8.62          NA            NA         2.52          3.01        1.21          NA            NA        12.35         12.84         000
                                    blockage.
35460.......  ........  A          Repair venous          6.03          NA            NA         1.78          2.15        0.83          NA            NA         8.64          9.01         000
                                    blockage.
35470.......  ........  A          Repair arterial        8.62       60.53         81.78         3.41          3.37        0.69       69.84         91.09        12.72         12.68         000
                                    blockage.
35471.......  ........  A          Repair arterial       10.05       65.60         91.60         4.66          4.13        0.67       76.32        102.32        15.38         14.85         000
                                    blockage.
35472.......  ........  A          Repair arterial        6.90       47.16         60.05         2.76          2.75        0.58       54.64         67.53        10.24         10.23         000
                                    blockage.
35473.......  ........  A          Repair arterial        6.03       46.08         56.40         2.47          2.43        0.51       52.62         62.94         9.01          8.97         000
                                    blockage.
35474.......  ........  A          Repair arterial        7.35       59.59         80.70         2.93          2.90        0.57       67.51         88.62        10.85         10.82         000
                                    blockage.
35475.......  ........  R          Repair arterial        9.48       47.48         53.95         3.25          3.48        0.62       57.58         64.05        13.35         13.58         000
                                    blockage.
35476.......  ........  A          Repair venous          6.03       35.61         42.45         1.97          2.26        0.34       41.98         48.82         8.34          8.63         000
                                    blockage.
35480.......  ........  A          Atherectomy,          11.06          NA            NA         3.98          4.03        1.28          NA            NA        16.32         16.37         000
                                    open.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69854]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
35481.......  ........  A          Atherectomy,           7.60          NA            NA         2.49          2.78        1.13          NA            NA        11.22         11.51         000
                                    open.
35482.......  ........  A          Atherectomy,           6.64          NA            NA         2.12          2.45        0.89          NA            NA         9.65          9.98         000
                                    open.
35483.......  ........  A          Atherectomy,           8.09          NA            NA         2.78          2.96        1.15          NA            NA        12.02         12.20         000
                                    open.
35484.......  ........  A          Atherectomy,          10.42          NA            NA         3.05          3.59        1.27          NA            NA        14.74         15.28         000
                                    open.
35485.......  ........  A          Atherectomy,           9.48          NA            NA         2.99          3.40        1.35          NA            NA        13.82         14.23         000
                                    open.
35490.......  ........  A          Atherectomy,          11.06          NA            NA         6.33          5.11        0.71          NA            NA        18.10         16.88         000
                                    percutaneous.
35491.......  ........  A          Atherectomy,           7.60          NA            NA         3.96          3.46        0.74          NA            NA        12.30         11.80         000
                                    percutaneous.
35492.......  ........  A          Atherectomy,           6.64          NA            NA         3.64          3.30        0.43          NA            NA        10.71         10.37         000
                                    percutaneous.
35493.......  ........  A          Atherectomy,           8.09          NA            NA         4.15          3.89        0.56          NA            NA        12.80         12.54         000
                                    percutaneous.
35494.......  ........  A          Atherectomy,          10.42          NA            NA         5.16          4.64        0.59          NA            NA        16.17         15.65         000
                                    percutaneous.
35495.......  ........  A          Atherectomy,           9.48          NA            NA         4.64          4.45        0.69          NA            NA        14.81         14.62         000
                                    percutaneous.
35500.......  ........  A          Harvest vein for       6.44          NA            NA         1.68          1.94        0.93          NA            NA         9.05          9.31         ZZZ
                                    bypass.
35501.......  ........  A          Artery bypass         28.99          NA            NA        11.51          9.22        4.10          NA            NA        44.60         42.31         090
                                    graft.
35506.......  ........  A          Artery bypass         25.23          NA            NA         8.44          9.21        2.87          NA            NA        36.54         37.31         090
                                    graft.
35508.......  ........  A          Artery bypass         25.99          NA            NA         9.09          9.35        2.78          NA            NA        37.86         38.12         090
                                    graft.
35509.......  ........  A          Artery bypass         27.99          NA            NA        10.68          9.24        3.92          NA            NA        42.59         41.15         090
                                    graft.
35510.......  ........  A          Artery bypass         24.29          NA            NA         7.76          9.57        2.12          NA            NA        34.17         35.98         090
                                    graft.
35511.......  ........  A          Artery bypass         22.12          NA            NA         7.28          8.83        2.91          NA            NA        32.31         33.86         090
                                    graft.
35512.......  ........  A          Artery bypass         23.79          NA            NA         7.48          9.37        2.12          NA            NA        33.39         35.28         090
                                    graft.
35515.......  ........  A          Artery bypass         25.99          NA            NA         8.38          9.06        2.78          NA            NA        37.15         37.83         090
                                    graft.
35516.......  ........  A          Artery bypass         24.11          NA            NA         7.76          7.04        2.34          NA            NA        34.21         33.49         090
                                    graft.
35518.......  ........  A          Artery bypass         22.57          NA            NA         7.50          8.60        3.03          NA            NA        33.10         34.20         090
                                    graft.
35521.......  ........  A          Artery bypass         24.00          NA            NA         8.11          9.40        3.13          NA            NA        35.24         36.53         090
                                    graft.
35522.......  ........  A          Artery bypass         23.05          NA            NA         7.46          9.18        2.12          NA            NA        32.63         34.35         090
                                    graft.
35525.......  ........  A          Artery bypass         21.59          NA            NA         7.14          8.81        2.12          NA            NA        30.85         32.52         090
                                    graft.
35526.......  ........  A          Artery bypass         31.47          NA            NA        18.38         13.97        3.63          NA            NA        53.48         49.07         090
                                    graft.
35531.......  ........  A          Artery bypass         38.98          NA            NA        11.89         13.83        5.18          NA            NA        56.05         57.99         090
                                    graft.
35533.......  ........  A          Artery bypass         29.79          NA            NA         9.94         11.28        3.85          NA            NA        43.58         44.92         090
                                    graft.
35536.......  ........  A          Artery bypass         33.60          NA            NA        10.53         12.34        4.62          NA            NA        48.75         50.56         090
                                    graft.
35537.......  ........  A          Artery bypass         41.75          NA            NA        13.22         13.22        5.72          NA            NA        60.69         60.69         090
                                    graft.
35538.......  ........  A          Artery bypass         46.82          NA            NA        14.60         14.60        6.39          NA            NA        67.81         67.81         090
                                    graft.
35539.......  ........  A          Artery bypass         43.98          NA            NA        13.73         13.73        6.02          NA            NA        63.73         63.73         090
                                    graft.
35540.......  ........  A          Artery bypass         49.20          NA            NA        15.10         15.10        6.76          NA            NA        71.06         71.06         090
                                    graft.
35548.......  ........  A          Artery bypass         22.57          NA            NA         7.86          9.03        2.98          NA            NA        33.41         34.58         090
                                    graft.
35549.......  ........  A          Artery bypass         24.34          NA            NA         9.15         10.07        3.30          NA            NA        36.79         37.71         090
                                    graft.
35551.......  ........  A          Artery bypass         27.72          NA            NA         9.86         11.08        3.75          NA            NA        41.33         42.55         090
                                    graft.
35556.......  ........  A          Artery bypass         26.62          NA            NA         8.88          9.51        3.10          NA            NA        38.60         39.23         090
                                    graft.
35558.......  ........  A          Artery bypass         23.00          NA            NA         8.05          9.17        3.00          NA            NA        34.05         35.17         090
                                    graft.
35560.......  ........  A          Artery bypass         33.90          NA            NA        10.74         12.67        4.75          NA            NA        49.39         51.32         090
                                    graft.
35563.......  ........  A          Artery bypass         25.99          NA            NA         8.57         10.03        3.52          NA            NA        38.08         39.54         090
                                    graft.
35565.......  ........  A          Artery bypass         25.00          NA            NA         8.46          9.71        3.30          NA            NA        36.76         38.01         090
                                    graft.
35566.......  ........  A          Artery bypass         32.22          NA            NA        10.14         11.07        3.83          NA            NA        46.19         47.12         090
                                    graft.
35571.......  ........  A          Artery bypass         25.39          NA            NA         8.40         10.23        3.43          NA            NA        37.22         39.05         090
                                    graft.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69855]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
35572.......  ........  A          Harvest                6.81          NA            NA         1.88          2.15        0.99          NA            NA         9.68          9.95         ZZZ
                                    femoropopliteal
                                    vein.
35583.......  ........  A          Vein bypass           27.62          NA            NA         8.96          9.85        3.17          NA            NA        39.75         40.64         090
                                    graft.
35585.......  ........  A          Vein bypass           32.22          NA            NA        10.32         11.74        4.02          NA            NA        46.56         47.98         090
                                    graft.
35587.......  ........  A          Vein bypass           26.08          NA            NA         8.64         10.75        3.52          NA            NA        38.24         40.35         090
                                    graft.
35600.......  ........  A          Harvest artery         4.94          NA            NA         1.54          1.60        0.73          NA            NA         7.21          7.27         ZZZ
                                    for cabg.
35601.......  ........  A          Artery bypass         26.99          NA            NA        10.48          9.09        3.72          NA            NA        41.19         39.80         090
                                    graft.
35606.......  ........  A          Artery bypass         22.36          NA            NA         7.64          8.67        2.70          NA            NA        32.70         33.73         090
                                    graft.
35612.......  ........  A          Artery bypass         16.71          NA            NA         6.36          7.50        2.09          NA            NA        25.16         26.30         090
                                    graft.
35616.......  ........  A          Artery bypass         21.74          NA            NA         7.10          7.85        2.20          NA            NA        31.04         31.79         090
                                    graft.
35621.......  ........  A          Artery bypass         20.95          NA            NA         6.99          8.25        2.92          NA            NA        30.86         32.12         090
                                    graft.
35623.......  ........  A          Bypass graft,         25.79          NA            NA         8.60         10.02        3.46          NA            NA        37.85         39.27         090
                                    not vein.
35626.......  ........  A          Artery bypass         29.06          NA            NA        10.20         11.53        4.08          NA            NA        43.34         44.67         090
                                    graft.
35631.......  ........  A          Artery bypass         35.90          NA            NA        10.98         13.12        4.96          NA            NA        51.84         53.98         090
                                    graft.
35636.......  ........  A          Artery bypass         31.62          NA            NA         9.88         11.69        4.10          NA            NA        45.60         47.41         090
                                    graft.
35637.......  ........  A          Artery bypass         32.92          NA            NA        10.92         10.92        4.44          NA            NA        48.28         48.28         090
                                    graft.
35638.......  ........  A          Artery bypass         33.47          NA            NA        11.06         11.06        4.52          NA            NA        49.05         49.05         090
                                    graft.
35642.......  ........  A          Artery bypass         18.85          NA            NA         7.67          8.43        2.28          NA            NA        28.80         29.56         090
                                    graft.
35645.......  ........  A          Artery bypass         18.34          NA            NA         7.31          8.03        2.50          NA            NA        28.15         28.87         090
                                    graft.
35646.......  ........  A          Artery bypass         32.84          NA            NA        10.73         12.51        4.44          NA            NA        48.01         49.79         090
                                    graft.
35647.......  ........  A          Artery bypass         29.62          NA            NA         9.75         11.27        3.99          NA            NA        43.36         44.88         090
                                    graft.
35650.......  ........  A          Artery bypass         20.08          NA            NA         6.75          7.96        2.72          NA            NA        29.55         30.76         090
                                    graft.
35651.......  ........  A          Artery bypass         25.97          NA            NA         8.81         10.24        3.36          NA            NA        38.14         39.57         090
                                    graft.
35654.......  ........  A          Artery bypass         26.17          NA            NA         8.54         10.12        3.53          NA            NA        38.24         39.82         090
                                    graft.
35656.......  ........  A          Artery bypass         20.39          NA            NA         7.02          8.21        2.80          NA            NA        30.21         31.40         090
                                    graft.
35661.......  ........  A          Artery bypass         20.22          NA            NA         7.26          8.51        2.72          NA            NA        30.20         31.45         090
                                    graft.
35663.......  ........  A          Artery bypass         23.80          NA            NA         8.09          9.50        3.11          NA            NA        35.00         36.41         090
                                    graft.
35665.......  ........  A          Artery bypass         22.22          NA            NA         7.60          8.98        3.01          NA            NA        32.83         34.21         090
                                    graft.
35666.......  ........  A          Artery bypass         23.53          NA            NA         8.71         10.16        3.16          NA            NA        35.40         36.85         090
                                    graft.
35671.......  ........  A          Artery bypass         20.64          NA            NA         7.94          9.01        2.78          NA            NA        31.36         32.43         090
                                    graft.
35681.......  ........  A          Composite bypass       1.60          NA            NA         0.42          0.50        0.23          NA            NA         2.25          2.33         ZZZ
                                    graft.
35682.......  ........  A          Composite bypass       7.19          NA            NA         1.77          2.23        1.03          NA            NA         9.99         10.45         ZZZ
                                    graft.
35683.......  ........  A          Composite bypass       8.49          NA            NA         2.11          2.64        1.20          NA            NA        11.80         12.33         ZZZ
                                    graft.
35685.......  ........  A          Bypass graft           4.04          NA            NA         1.00          1.26        0.58          NA            NA         5.62          5.88         ZZZ
                                    patency/patch.
35686.......  ........  A          Bypass graft/av        3.34          NA            NA         0.84          1.06        0.47          NA            NA         4.65          4.87         ZZZ
                                    fist patency.
35691.......  ........  A          Arterial              18.32          NA            NA         6.29          7.87        2.59          NA            NA        27.20         28.78         090
                                    transposition.
35693.......  ........  A          Arterial              15.64          NA            NA         6.04          7.30        2.22          NA            NA        23.90         25.16         090
                                    transposition.
35694.......  ........  A          Arterial              19.19          NA            NA         6.54          8.09        2.70          NA            NA        28.43         29.98         090
                                    transposition.
35695.......  ........  A          Arterial              19.97          NA            NA         6.60          8.06        2.74          NA            NA        29.31         30.77         090
                                    transposition.
35697.......  ........  A          Reimplant artery       3.00          NA            NA         0.77          0.96        0.41          NA            NA         4.18          4.37         ZZZ
                                    each.
35700.......  ........  A          Reoperation,           3.08          NA            NA         0.80          0.97        0.44          NA            NA         4.32          4.49         ZZZ
                                    bypass graft.
35701.......  ........  A          Exploration,           9.11          NA            NA         4.27          4.93        1.12          NA            NA        14.50         15.16         090
                                    carotid artery.
35721.......  ........  A          Exploration,           7.66          NA            NA         3.74          4.26        1.03          NA            NA        12.43         12.95         090
                                    femoral artery.
35741.......  ........  A          Exploration            8.61          NA            NA         3.96          4.49        1.12          NA            NA        13.69         14.22         090
                                    popliteal
                                    artery.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69856]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
35761.......  ........  A          Exploration of         5.84          NA            NA         3.47          3.88        0.75          NA            NA        10.06         10.47         090
                                    artery/vein.
35800.......  ........  A          Explore neck           7.99          NA            NA         3.95          4.48        0.95          NA            NA        12.89         13.42         090
                                    vessels.
35820.......  ........  A          Explore chest         36.81          NA            NA        13.20          8.70        1.95          NA            NA        51.96         47.46         090
                                    vessels.
35840.......  ........  A          Explore               10.87          NA            NA         4.86          5.18        1.34          NA            NA        17.07         17.39         090
                                    abdominal
                                    vessels.
35860.......  ........  A          Explore limb           6.72          NA            NA         3.47          3.89        0.78          NA            NA        10.97         11.39         090
                                    vessels.
35870.......  ........  A          Repair vessel         24.39          NA            NA         8.19          9.37        3.01          NA            NA        35.59         36.77         090
                                    graft defect.
35875.......  ........  A          Removal of clot       10.64          NA            NA         4.39          4.98        1.41          NA            NA        16.44         17.03         090
                                    in graft.
35876.......  ........  A          Removal of clot       17.74          NA            NA         6.12          7.16        2.40          NA            NA        26.26         27.30         090
                                    in graft.
35879.......  ........  A          Revise graft w/       17.28          NA            NA         6.12          7.30        2.28          NA            NA        25.68         26.86         090
                                    vein.
35881.......  ........  A          Revise graft w/       19.22          NA            NA         6.68          8.17        2.56          NA            NA        28.46         29.95         090
                                    vein.
35883.......  ........  A          Revise graft w/       23.07          NA            NA         8.96          8.96        3.19          NA            NA        35.22         35.22         090
                                    nonauto graft.
35884.......  ........  A          Revise graft w/       24.57          NA            NA         9.43          9.43        3.41          NA            NA        37.41         37.41         090
                                    vein.
35901.......  ........  A          Excision, graft,       8.26          NA            NA         4.29          5.05        1.15          NA            NA        13.70         14.46         090
                                    neck.
35903.......  ........  A          Excision, graft,       9.44          NA            NA         4.69          5.79        1.30          NA            NA        15.43         16.53         090
                                    extremity.
35905.......  ........  A          Excision, graft,      33.39          NA            NA        10.72         12.57        4.44          NA            NA        48.55         50.40         090
                                    thorax.
35907.......  ........  A          Excision, graft,      37.14          NA            NA        11.28         13.44        4.92          NA            NA        53.34         55.50         090
                                    abdomen.
36000.......  ........  A          Place needle in        0.18        0.46          0.54         0.06          0.05        0.01        0.65          0.73         0.25          0.24         XXX
                                    vein.
36002.......  ........  A          Pseudoaneurysm         1.96        2.12          2.68         0.77          0.92        0.17        4.25          4.81         2.90          3.05         000
                                    injection trt.
36005.......  ........  A          Injection ext          0.95        8.25          7.80         0.35          0.32        0.05        9.25          8.80         1.35          1.32         000
                                    venography.
36010.......  ........  A          Place catheter         2.43       10.77         17.17         0.71          0.77        0.20       13.40         19.80         3.34          3.40         XXX
                                    in vein.
36011.......  ........  A          Place catheter         3.14       19.01         25.62         0.92          1.03        0.27       22.42         29.03         4.33          4.44         XXX
                                    in vein.
36012.......  ........  A          Place catheter         3.51       19.49         19.09         1.11          1.17        0.23       23.23         22.83         4.85          4.91         XXX
                                    in vein.
36013.......  ........  A          Place catheter         2.52       19.05         20.78         0.97          0.76        0.25       21.82         23.55         3.74          3.53         XXX
                                    in artery.
36014.......  ........  A          Place catheter         3.02       18.12         19.62         0.93          1.01        0.19       21.33         22.83         4.14          4.22         XXX
                                    in artery.
36015.......  ........  A          Place catheter         3.51       17.56         22.14         0.89          1.12        0.21       21.28         25.86         4.61          4.84         XXX
                                    in artery.
36100.......  ........  A          Establish access       3.02       11.13         11.84         1.21          1.14        0.26       14.41         15.12         4.49          4.42         XXX
                                    to artery.
36120.......  ........  A          Establish access       2.01        9.04         10.29         0.56          0.63        0.14       11.19         12.44         2.71          2.78         XXX
                                    to artery.
36140.......  ........  A          Establish access       2.01       10.28         12.15         0.69          0.65        0.16       12.45         14.32         2.86          2.82         XXX
                                    to artery.
36145.......  ........  A          Artery to vein         2.01        9.84         11.87         0.57          0.64        0.11       11.96         13.99         2.69          2.76         XXX
                                    shunt.
36160.......  ........  A          Establish access       2.52       11.52         12.99         0.74          0.82        0.26       14.30         15.77         3.52          3.60         XXX
                                    to aorta.
36200.......  ........  A          Place catheter         3.02       13.27         15.70         0.96          1.00        0.24       16.53         18.96         4.22          4.26         XXX
                                    in aorta.
36215.......  ........  A          Place catheter         4.67       25.27         26.59         1.77          1.65        0.27       30.21         31.53         6.71          6.59         XXX
                                    in artery.
36216.......  ........  A          Place catheter         5.27       27.05         28.57         1.90          1.82        0.31       32.63         34.15         7.48          7.40         XXX
                                    in artery.
36217.......  ........  A          Place catheter         6.29       44.27         52.65         2.16          2.17        0.44       51.00         59.38         8.89          8.90         XXX
                                    in artery.
36218.......  ........  A          Place catheter         1.01        3.61          4.72         0.34          0.34        0.07        4.69          5.80         1.42          1.42         ZZZ
                                    in artery.
36245.......  ........  A          Place catheter         4.67       28.42         31.17         2.06          1.78        0.31       33.40         36.15         7.04          6.76         XXX
                                    in artery.
36246.......  ........  A          Place catheter         5.27       26.82         29.18         1.88          1.84        0.38       32.47         34.83         7.53          7.49         XXX
                                    in artery.
36247.......  ........  A          Place catheter         6.29       44.34         48.22         2.26          2.17        0.47       51.10         54.98         9.02          8.93         XXX
                                    in artery.
36248.......  ........  A          Place catheter         1.01        3.10          3.81         0.36          0.35        0.07        4.18          4.89         1.44          1.43         ZZZ
                                    in artery.
36260.......  ........  A          Insertion of           9.82          NA            NA         4.82          4.87        1.29          NA            NA        15.93         15.98         090
                                    infusion pump.
36261.......  ........  A          Revision of            5.55          NA            NA         3.19          3.54        0.70          NA            NA         9.44          9.79         090
                                    infusion pump.
36262.......  ........  A          Removal of             4.05          NA            NA         2.66          2.73        0.54          NA            NA         7.25          7.32         090
                                    infusion pump.
36299.......  ........  C          Vessel injection       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69857]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
36400.......  ........  A          Bl draw < 3 yrs        0.38        0.33          0.29         0.11          0.10        0.03        0.74          0.70         0.52          0.51         XXX
                                    fem/jugular.
36405.......  ........  A          Bl draw < 3 yrs        0.31        0.29          0.27         0.08          0.08        0.03        0.63          0.61         0.42          0.42         XXX
                                    scalp vein.
36406.......  ........  A          Bl draw < 3 yrs        0.18        0.30          0.29         0.08          0.06        0.01        0.49          0.48         0.27          0.25         XXX
                                    other vein.
36410.......  ........  A          Non-routine bl         0.18        0.31          0.30         0.05          0.05        0.01        0.50          0.49         0.24          0.24         XXX
                                    draw > 3 yrs.
36415.......  ........  X          Routine                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    venipuncture.
36416.......  ........  B          Capillary blood        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    draw.
36420.......  ........  A          Vein access            1.01          NA            NA         0.21          0.26        0.07          NA            NA         1.29          1.34         XXX
                                    cutdown < 1 yr.
36425.......  ........  A          Vein access            0.76          NA            NA         0.22          0.22        0.06          NA            NA         1.04          1.04         XXX
                                    cutdown > 1 yr.
36430.......  ........  A          Blood                  0.00        0.93          0.99         0.00          0.76        0.06        0.99          1.05         0.06          0.82         XXX
                                    transfusion
                                    service.
36440.......  ........  A          Bl push                1.03          NA            NA         0.44          0.33        0.10          NA            NA         1.57          1.46         XXX
                                    transfuse, 2 yr
                                    or.
36450.......  ........  A          Bl exchange/           2.23          NA            NA         0.80          0.73        0.21          NA            NA         3.24          3.17         XXX
                                    transfuse, nb.
36455.......  ........  A          Bl exchange/           2.43          NA            NA         0.75          0.95        0.15          NA            NA         3.33          3.53         XXX
                                    transfuse non-
                                    nb.
36460.......  ........  A          Transfusion            6.58          NA            NA         1.69          2.10        0.79          NA            NA         9.06          9.47         XXX
                                    service, fetal.
36468.......  ........  R          Injection(s),          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    spider veins.
36469.......  ........  R          Injection(s),          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    spider veins.
36470.......  ........  A          Injection              1.09        2.42          2.62         0.65          0.71        0.12        3.63          3.83         1.86          1.92         010
                                    therapy of vein.
36471.......  ........  A          Injection              1.60        2.56          2.94         0.80          0.92        0.19        4.35          4.73         2.59          2.71         010
                                    therapy of
                                    veins.
36475.......  ........  A          Endovenous rf,         6.72       36.10         47.57         1.95          2.39        0.37       43.19         54.66         9.04          9.48         000
                                    1st vein.
36476.......  ........  A          Endovenous rf,         3.38        5.92          7.39         0.88          1.08        0.18        9.48         10.95         4.44          4.64         ZZZ
                                    vein add-on.
36478.......  ........  A          Endovenous             6.72       31.10         42.85         2.03          2.41        0.37       38.19         49.94         9.12          9.50         000
                                    laser, 1st vein.
36479.......  ........  A          Endovenous laser       3.38        6.38          7.59         0.99          1.10        0.18        9.94         11.15         4.55          4.66         ZZZ
                                    vein addon.
36481.......  ........  A          Insertion of           6.98          NA            NA         2.08          2.46        0.55          NA            NA         9.61          9.99         000
                                    catheter, vein.
36500.......  ........  A          Insertion of           3.51          NA            NA         1.17          1.32        0.20          NA            NA         4.88          5.03         000
                                    catheter, vein.
36510.......  ........  A          Insertion of           1.09        1.09          3.19         0.31          0.54        0.10        2.28          4.38         1.50          1.73         000
                                    catheter, vein.
36511.......  ........  A          Apheresis wbc...       1.74          NA            NA         0.58          0.69        0.08          NA            NA         2.40          2.51         000
36512.......  ........  A          Apheresis rbc...       1.74          NA            NA         0.61          0.71        0.08          NA            NA         2.43          2.53         000
36513.......  ........  A          Apheresis              1.74          NA            NA         0.52          0.68        0.17          NA            NA         2.43          2.59         000
                                    platelets.
36514.......  ........  A          Apheresis plasma       1.74       10.42         15.33         0.54          0.67        0.08       12.24         17.15         2.36          2.49         000
36515.......  ........  A          Apheresis,             1.74       44.78         60.92         0.52          0.63        0.08       46.60         62.74         2.34          2.45         000
                                    adsorp/reinfuse.
36516.......  ........  A          Apheresis,             1.22       49.33         75.37         0.39          0.46        0.08       50.63         76.67         1.69          1.76         000
                                    selective.
36522.......  ........  A          Photopheresis...       1.67       34.98         33.02         0.87          0.94        0.13       36.78         34.82         2.67          2.74         000
36540.......  ........  B          Collect blood          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    venous device.
36550.......  ........  A          Declot vascular        0.00        0.32          0.37         0.06          0.31        0.37        0.69          0.74         0.43          0.68         XXX
                                    device.
36555.......  ........  A          Insert non-            2.68        4.09          5.34         0.62          0.76        0.11        6.88          8.13         3.41          3.55         000
                                    tunnel cv cath.
36556.......  ........  A          Insert non-            2.50        2.85          4.93         0.57          0.70        0.19        5.54          7.62         3.26          3.39         000
                                    tunnel cv cath.
36557.......  ........  A          Insert tunneled        5.11       14.29         19.43         2.24          2.55        0.57       19.97         25.11         7.92          8.23         010
                                    cv cath.
36558.......  ........  A          Insert tunneled        4.81       14.36         19.37         2.18          2.46        0.57       19.74         24.75         7.56          7.84         010
                                    cv cath.
36560.......  ........  A          Insert tunneled        6.26       20.75         27.44         2.52          2.90        0.57       27.58         34.27         9.35          9.73         010
                                    cv cath.
36561.......  ........  A          Insert tunneled        6.01       21.79         27.63         2.54          2.85        0.57       28.37         34.21         9.12          9.43         010
                                    cv cath.
36563.......  ........  A          Insert tunneled        6.21       22.81         25.76         2.60          2.89        0.84       29.86         32.81         9.65          9.94         010
                                    cv cath.
36565.......  ........  A          Insert tunneled        6.01       17.44         22.89         2.48          2.83        0.57       24.02         29.47         9.06          9.41         010
                                    cv cath.
36566.......  ........  A          Insert tunneled        6.51      112.19         47.17         2.64          2.99        0.57      119.27         54.25         9.72         10.07         010
                                    cv cath.
36568.......  ........  A          Insert picc cath       1.92        5.53          7.03         0.55          0.57        0.11        7.56          9.06         2.58          2.60         000
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69858]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
36569.......  ........  A          Insert picc cath       1.82        4.19          6.55         0.55          0.57        0.19        6.20          8.56         2.56          2.58         000
36570.......  ........  A          Insert picvad          5.33       22.38         30.47         2.26          2.61        0.57       28.28         36.37         8.16          8.51         010
                                    cath.
36571.......  ........  A          Insert picvad          5.31       24.27         31.00         2.36          2.62        0.57       30.15         36.88         8.24          8.50         010
                                    cath.
36575.......  ........  A          Repair tunneled        0.67        3.19          3.84         0.21          0.25        0.20        4.06          4.71         1.08          1.12         000
                                    cv cath.
36576.......  ........  A          Repair tunneled        3.21        5.69          6.63         1.50          1.76        0.19        9.09         10.03         4.90          5.16         010
                                    cv cath.
36578.......  ........  A          Replace tunneled       3.51        8.70         10.52         1.82          2.18        0.19       12.40         14.22         5.52          5.88         010
                                    cv cath.
36580.......  ........  A          Replace cvad           1.31        3.82          6.16         0.39          0.41        0.19        5.32          7.66         1.89          1.91         000
                                    cath.
36581.......  ........  A          Replace tunneled       3.45       14.84         18.33         1.55          1.83        0.19       18.48         21.97         5.19          5.47         010
                                    cv cath.
36582.......  ........  A          Replace tunneled       5.21       20.00         24.51         2.20          2.70        0.19       25.40         29.91         7.60          8.10         010
                                    cv cath.
36583.......  ........  A          Replace tunneled       5.26       20.04         24.53         2.27          2.73        0.19       25.49         29.98         7.72          8.18         010
                                    cv cath.
36584.......  ........  A          Replace picc           1.20        3.73          6.16         0.52          0.54        0.19        5.12          7.55         1.91          1.93         000
                                    cath.
36585.......  ........  A          Replace picvad         4.81       21.71         26.29         2.17          2.59        0.19       26.71         31.29         7.17          7.59         010
                                    cath.
36589.......  ........  A          Removal tunneled       2.27        1.79          2.13         1.17          1.34        0.24        4.30          4.64         3.68          3.85         010
                                    cv cath.
36590.......  ........  A          Removal tunneled       3.32        3.55          3.42         1.56          1.68        0.44        7.31          7.18         5.32          5.44         010
                                    cv cath.
36595.......  ........  A          Mech remov             3.59       10.24         15.50         1.20          1.39        0.21       14.04         19.30         5.00          5.19         000
                                    tunneled cv
                                    cath.
36596.......  ........  A          Mech remov             0.75        2.44          3.38         0.39          0.47        0.05        3.24          4.18         1.19          1.27         000
                                    tunneled cv
                                    cath.
36597.......  ........  A          Reposition             1.21        1.90          2.28         0.38          0.43        0.07        3.18          3.56         1.66          1.71         000
                                    venous catheter.
36598.......  ........  T          Inj w/fluor,           0.74        2.15          2.52         0.24          2.04        0.05        2.94          3.31         1.03          2.83         000
                                    eval cv device.
36600.......  ........  A          Withdrawal of          0.32        0.50          0.49         0.08          0.09        0.02        0.84          0.83         0.42          0.43         XXX
                                    arterial blood.
36620.......  ........  A          Insertion              1.15          NA            NA         0.17          0.22        0.07          NA            NA         1.39          1.44         000
                                    catheter,
                                    artery.
36625.......  ........  A          Insertion              2.11          NA            NA         0.49          0.52        0.26          NA            NA         2.86          2.89         000
                                    catheter,
                                    artery.
36640.......  ........  A          Insertion              2.10          NA            NA         0.91          1.01        0.21          NA            NA         3.22          3.32         000
                                    catheter,
                                    artery.
36660.......  ........  A          Insertion              1.40          NA            NA         0.20          0.38        0.14          NA            NA         1.74          1.92         000
                                    catheter,
                                    artery.
36680.......  ........  A          Insert needle,         1.20          NA            NA         0.33          0.45        0.11          NA            NA         1.64          1.76         000
                                    bone cavity.
36800.......  ........  A          Insertion of           2.43          NA            NA         1.55          1.74        0.25          NA            NA         4.23          4.42         000
                                    cannula.
36810.......  ........  A          Insertion of           3.96          NA            NA         1.34          1.60        0.45          NA            NA         5.75          6.01         000
                                    cannula.
36815.......  ........  A          Insertion of           2.62          NA            NA         1.03          1.14        0.35          NA            NA         4.00          4.11         000
                                    cannula.
36818.......  ........  A          Av fuse, uppr         11.81          NA            NA         4.81          5.73        1.90          NA            NA        18.52         19.44         090
                                    arm, cephalic.
36819.......  ........  A          Av fuse, uppr         14.39          NA            NA         5.22          6.08        1.96          NA            NA        21.57         22.43         090
                                    arm, basilic.
36820.......  ........  A          Av fusion/            14.39          NA            NA         5.31          6.11        1.95          NA            NA        21.65         22.45         090
                                    forearm vein.
36821.......  ........  A          Av fusion direct       9.15          NA            NA         4.01          4.49        1.23          NA            NA        14.39         14.87         090
                                    any site.
36822.......  ........  A          Insertion of           5.51          NA            NA         3.79          4.23        0.79          NA            NA        10.09         10.53         090
                                    cannula(s).
36823.......  ........  A          Insertion of          22.82          NA            NA         8.80          9.23        2.89          NA            NA        34.51         34.94         090
                                    cannula(s).
36825.......  ........  A          Artery-vein           10.00          NA            NA         4.31          4.87        1.35          NA            NA        15.66         16.22         090
                                    autograft.
36830.......  ........  A          Artery-vein           12.00          NA            NA         4.23          4.98        1.66          NA            NA        17.89         18.64         090
                                    nonautograft.
36831.......  ........  A          Open thrombect         8.01          NA            NA         3.25          3.77        1.09          NA            NA        12.35         12.87         090
                                    av fistula.
36832.......  ........  A          Av fistula            10.50          NA            NA         3.84          4.50        1.44          NA            NA        15.78         16.44         090
                                    revision, open.
36833.......  ........  A          Av fistula            11.95          NA            NA         4.23          4.96        1.65          NA            NA        17.83         18.56         090
                                    revision.
36834.......  ........  A          Repair A-V            11.11          NA            NA         4.33          4.68        1.37          NA            NA        16.81         17.16         090
                                    aneurysm.
36835.......  ........  A          Artery to vein         7.43          NA            NA         3.88          4.21        0.98          NA            NA        12.29         12.62         090
                                    shunt.
36838.......  ........  A          Dist revas            21.59          NA            NA         7.09          8.81        3.02          NA            NA        31.70         33.42         090
                                    ligation, hemo.
36860.......  ........  A          External cannula       2.01        3.32          2.16         0.62          0.67        0.11        5.44          4.28         2.74          2.79         000
                                    declotting.
36861.......  ........  A          Cannula                2.52          NA            NA         1.22          1.42        0.27          NA            NA         4.01          4.21         000
                                    declotting.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69859]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
36870.......  ........  A          Percut thrombect       5.17       39.08         49.54         2.50          2.99        0.29       44.54         55.00         7.96          8.45         090
                                    av fistula.
37140.......  ........  A          Revision of           25.12          NA            NA         8.82         10.07        2.02          NA            NA        35.96         37.21         090
                                    circulation.
37145.......  ........  A          Revision of           26.13          NA            NA         9.06         10.41        3.26          NA            NA        38.45         39.80         090
                                    circulation.
37160.......  ........  A          Revision of           23.13          NA            NA         8.11          8.97        2.82          NA            NA        34.06         34.92         090
                                    circulation.
37180.......  ........  A          Revision of           26.13          NA            NA         8.95          9.96        3.35          NA            NA        38.43         39.44         090
                                    circulation.
37181.......  ........  A          Splice spleen/        28.26          NA            NA         9.32         10.58        3.41          NA            NA        40.99         42.25         090
                                    kidney veins.
37182.......  ........  A          Insert hepatic        16.97          NA            NA         5.11          5.82        1.00          NA            NA        23.08         23.79         000
                                    shunt (tips).
37183.......  ........  A          Remove hepatic         7.99          NA            NA         2.51          2.89        0.47          NA            NA        10.97         11.35         000
                                    shunt (tips).
37184.......  ........  A          Prim art mech          8.66       47.39         65.62         2.78          3.21        0.55       56.60         74.83        11.99         12.42         000
                                    thrombectomy.
37185.......  ........  A          Prim art m-            3.28       15.41         21.01         0.94          1.07        0.21       18.90         24.50         4.43          4.56         ZZZ
                                    thrombect add-
                                    on.
37186.......  ........  A          Sec art m-             4.92       32.55         45.18         1.41          1.60        0.32       37.79         50.42         6.65          6.84         ZZZ
                                    thrombect add-
                                    on.
37187.......  ........  A          Venous mech            8.03       46.31         64.21         2.59          3.00        0.51       54.85         72.75        11.13         11.54         000
                                    thrombectomy.
37188.......  ........  A          Venous m-              5.71       40.43         56.59         1.93          2.25        0.37       46.51         62.67         8.01          8.33         000
                                    thrombectomy
                                    add-on.
37195.......  ........  C          Thrombolytic           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    therapy, stroke.
37200.......  ........  A          Transcatheter          4.55          NA            NA         1.32          1.46        0.27          NA            NA         6.14          6.28         000
                                    biopsy.
37201.......  ........  A          Transcatheter          4.99          NA            NA         2.11          2.43        0.33          NA            NA         7.43          7.75         000
                                    therapy infuse.
37202.......  ........  A          Transcatheter          5.67          NA            NA         3.42          3.13        0.43          NA            NA         9.52          9.23         000
                                    therapy infuse.
37203.......  ........  A          Transcatheter          5.02       28.86         31.87         1.81          1.98        0.29       34.17         37.18         7.12          7.29         000
                                    retrieval.
37204.......  ........  A          Transcatheter         18.11          NA            NA         5.30          5.75        1.48          NA            NA        24.89         25.34         000
                                    occlusion.
37205.......  ........  A          Transcath iv           8.27          NA            NA         3.81          3.77        0.60          NA            NA        12.68         12.64         000
                                    stent, percut.
37206.......  ........  A          Transcath iv           4.12          NA            NA         1.56          1.46        0.31          NA            NA         5.99          5.89         ZZZ
                                    stent/perc addl.
37207.......  ........  A          Transcath iv           8.27          NA            NA         2.43          2.98        1.17          NA            NA        11.87         12.42         000
                                    stent, open.
37208.......  ........  A          Transcath iv           4.12          NA            NA         1.05          1.30        0.59          NA            NA         5.76          6.01         ZZZ
                                    stent/open addl.
37209.......  ........  A          Change iv cath         2.27          NA            NA         0.67          0.72        0.15          NA            NA         3.09          3.14         000
                                    at thromb tx.
37210.......  ........  A          Embolization          10.60       46.03         46.03         3.13          3.13        0.60       57.23         57.23        14.33         14.33         000
                                    uterine fibroid.
37215.......  ........  R          Transcath stent,      19.58          NA            NA        10.08          9.34        1.09          NA            NA        30.75         30.01         090
                                    cca w/eps.
37216.......  ........  N          Transcath stent,      18.85          NA            NA         5.75          8.05        1.04          NA            NA        25.64         27.94         090
                                    cca w/o eps.
37250.......  ........  A          Iv us first            2.10          NA            NA         0.81          0.77        0.21          NA            NA         3.12          3.08         ZZZ
                                    vessel add-on.
37251.......  ........  A          Iv us each add         1.60          NA            NA         0.52          0.54        0.19          NA            NA         2.31          2.33         ZZZ
                                    vessel add-on.
37500.......  ........  A          Endoscopy ligate      11.54          NA            NA         5.42          6.49        1.54          NA            NA        18.50         19.57         090
                                    perf veins.
37501.......  ........  C          Vascular               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    endoscopy
                                    procedure.
37565.......  ........  A          Ligation of neck      11.97          NA            NA         5.11          5.49        1.33          NA            NA        18.41         18.79         090
                                    vein.
37600.......  ........  A          Ligation of neck      12.34          NA            NA         4.81          6.18        1.41          NA            NA        18.56         19.93         090
                                    artery.
37605.......  ........  A          Ligation of neck      14.20          NA            NA         5.57          6.57        1.99          NA            NA        21.76         22.76         090
                                    artery.
37606.......  ........  A          Ligation of neck       8.72          NA            NA         4.89          4.64        1.23          NA            NA        14.84         14.59         090
                                    artery.
37607.......  ........  A          Ligation of a-v        6.19          NA            NA         3.08          3.44        0.85          NA            NA        10.12         10.48         090
                                    fistula.
37609.......  ........  A          Temporal artery        3.02        4.20          4.43         1.84          1.93        0.36        7.58          7.81         5.22          5.31         010
                                    procedure.
37615.......  ........  A          Ligation of neck       7.72          NA            NA         4.01          4.09        0.68          NA            NA        12.41         12.49         090
                                    artery.
37616.......  ........  A          Ligation of           18.89          NA            NA         7.92          8.04        2.33          NA            NA        29.14         29.26         090
                                    chest artery.
37617.......  ........  A          Ligation of           23.71          NA            NA         7.89          8.85        2.98          NA            NA        34.58         35.54         090
                                    abdomen artery.
37618.......  ........  A          Ligation of            5.95          NA            NA         3.37          3.55        0.67          NA            NA         9.99         10.17         090
                                    extremity
                                    artery.
37620.......  ........  A          Revision of           11.49          NA            NA         4.94          5.52        0.91          NA            NA        17.34         17.92         090
                                    major vein.
37650.......  ........  A          Revision of            8.41          NA            NA         4.19          4.56        1.01          NA            NA        13.61         13.98         090
                                    major vein.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69860]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
37660.......  ........  A          Revision of           22.20          NA            NA         8.02          8.79        2.49          NA            NA        32.71         33.48         090
                                    major vein.
37700.......  ........  A          Revise leg vein.       3.76          NA            NA         2.43          2.70        0.53          NA            NA         6.72          6.99         090
37718.......  ........  A          Ligate/strip           7.05          NA            NA         3.51          3.92        0.14          NA            NA        10.70         11.11         090
                                    short leg vein.
37722.......  ........  A          Ligate/strip           8.08          NA            NA         3.77          4.25        0.86          NA            NA        12.71         13.19         090
                                    long leg vein.
37735.......  ........  A          Removal of leg        10.81          NA            NA         4.65          5.29        1.48          NA            NA        16.94         17.58         090
                                    veins/lesion.
37760.......  ........  A          Ligation, leg         10.69          NA            NA         4.53          5.14        1.44          NA            NA        16.66         17.27         090
                                    veins, open.
37765.......  ........  A          Phleb veins--          7.63          NA            NA         3.56          4.36        0.48          NA            NA        11.67         12.47         090
                                    extrem--to 20.
37766.......  ........  A          Phleb veins--          9.58          NA            NA         4.09          5.01        0.48          NA            NA        14.15         15.07         090
                                    extrem 20+.
37780.......  ........  A          Revision of leg        3.87          NA            NA         2.48          2.76        0.53          NA            NA         6.88          7.16         090
                                    vein.
37785.......  ........  A          Ligate/divide/         3.87        4.90          5.12         2.58          2.69        0.54        9.31          9.53         6.99          7.10         090
                                    excise vein.
37788.......  ........  A          Revascularizatio      23.21          NA            NA        12.15          9.85        2.26          NA            NA        37.62         35.32         090
                                    n, penis.
37790.......  ........  A          Penile venous          8.37          NA            NA         5.13          4.56        0.59          NA            NA        14.09         13.52         090
                                    occlusion.
37799.......  ........  C          Vascular surgery       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
38100.......  ........  A          Removal of            19.47          NA            NA         6.90          6.35        1.92          NA            NA        28.29         27.74         090
                                    spleen, total.
38101.......  ........  A          Removal of            19.47          NA            NA         7.31          6.72        2.05          NA            NA        28.83         28.24         090
                                    spleen, partial.
38102.......  ........  A          Removal of             4.79          NA            NA         1.26          1.55        0.63          NA            NA         6.68          6.97         ZZZ
                                    spleen, total.
38115.......  ........  A          Repair of             21.80          NA            NA         7.56          6.87        2.09          NA            NA        31.45         30.76         090
                                    ruptured spleen.
38120.......  ........  A          Laparoscopy,          16.97          NA            NA         6.94          7.27        2.25          NA            NA        26.16         26.49         090
                                    splenectomy.
38129.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    proc, spleen.
38200.......  ........  A          Injection for          2.64          NA            NA         0.96          0.91        0.14          NA            NA         3.74          3.69         000
                                    spleen x-ray.
38204.......  ........  B          Bl donor search        2.00        0.00          0.00         0.00          0.00        0.06        2.06          2.06         2.06          2.06         XXX
                                    management.
38205.......  ........  R          Harvest                1.50          NA            NA         0.55          0.64        0.07          NA            NA         2.12          2.21         000
                                    allogenic stem
                                    cells.
38206.......  ........  R          Harvest auto           1.50          NA            NA         0.55          0.64        0.07          NA            NA         2.12          2.21         000
                                    stem cells.
38207.......  ........  I          Cryopreserve           0.47        0.00          0.00         0.00          0.00        0.01        0.48          0.48         0.48          0.48         XXX
                                    stem cells.
38208.......  ........  I          Thaw preserved         0.56        0.00          0.00         0.00          0.00        0.02        0.58          0.58         0.58          0.58         XXX
                                    stem cells.
38209.......  ........  I          Wash harvest           0.24        0.00          0.00         0.00          0.00        0.01        0.25          0.25         0.25          0.25         XXX
                                    stem cells.
38210.......  ........  I          T-cell depletion       0.94        0.00          0.00         0.00          0.00        0.03        0.97          0.97         0.97          0.97         XXX
                                    of harvest.
38211.......  ........  I          Tumor cell             0.71        0.00          0.00         0.00          0.00        0.02        0.73          0.73         0.73          0.73         XXX
                                    deplete of
                                    harvst.
38212.......  ........  I          Rbc depletion of       0.47        0.00          0.00         0.00          0.00        0.02        0.49          0.49         0.49          0.49         XXX
                                    harvest.
38213.......  ........  I          Platelet deplete       0.24        0.00          0.00         0.00          0.00        0.01        0.25          0.25         0.25          0.25         XXX
                                    of harvest.
38214.......  ........  I          Volume deplete         0.24        0.00          0.00         0.00          0.00        0.01        0.25          0.25         0.25          0.25         XXX
                                    of harvest.
38215.......  ........  I          Harvest stem           0.55        0.00          0.00         0.00          0.00        0.02        0.57          0.57         0.57          0.57         XXX
                                    cell concentrte.
38220.......  ........  A          Bone marrow            1.08        2.66          3.46         0.45          0.50        0.05        3.79          4.59         1.58          1.63         XXX
                                    aspiration.
38221.......  ........  A          Bone marrow            1.37        2.78          3.64         0.58          0.63        0.07        4.22          5.08         2.02          2.07         XXX
                                    biopsy.
38230.......  ........  R          Bone marrow            4.80          NA            NA         2.80          3.12        0.48          NA            NA         8.08          8.40         010
                                    collection.
38240.......  ........  R          Bone marrow/stem       2.24          NA            NA         0.96          1.01        0.11          NA            NA         3.31          3.36         XXX
                                    transplant.
38241.......  ........  R          Bone marrow/stem       2.24          NA            NA         0.95          1.02        0.11          NA            NA         3.30          3.37         XXX
                                    transplant.
38242.......  ........  A          Lymphocyte             1.71          NA            NA         0.71          0.76        0.08          NA            NA         2.50          2.55         000
                                    infuse
                                    transplant.
38300.......  ........  A          Drainage, lymph        2.28        3.58          4.12         1.74          1.97        0.25        6.11          6.65         4.27          4.50         010
                                    node lesion.
38305.......  ........  A          Drainage, lymph        6.55          NA            NA         3.38          4.18        0.88          NA            NA        10.81         11.61         090
                                    node lesion.
38308.......  ........  A          Incision of            6.73          NA            NA         3.54          3.69        0.85          NA            NA        11.12         11.27         090
                                    lymph channels.
38380.......  ........  A          Thoracic duct          8.34          NA            NA         4.70          5.44        0.74          NA            NA        13.78         14.52         090
                                    procedure.
38381.......  ........  A          Thoracic duct         13.32          NA            NA         6.08          6.68        1.85          NA            NA        21.25         21.85         090
                                    procedure.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69861]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
38382.......  ........  A          Thoracic duct         10.51          NA            NA         5.45          5.68        1.37          NA            NA        17.33         17.56         090
                                    procedure.
38500.......  ........  A          Biopsy/removal,        3.76        3.73          3.70         2.02          2.07        0.49        7.98          7.95         6.27          6.32         010
                                    lymph nodes.
38505.......  ........  A          Needle biopsy,         1.14        2.00          2.04         0.67          0.75        0.09        3.23          3.27         1.90          1.98         000
                                    lymph nodes.
38510.......  ........  A          Biopsy/removal,        6.69        5.20          5.46         2.98          3.36        0.72       12.61         12.87        10.39         10.77         010
                                    lymph nodes.
38520.......  ........  A          Biopsy/removal,        6.95          NA            NA         3.70          3.96        0.84          NA            NA        11.49         11.75         090
                                    lymph nodes.
38525.......  ........  A          Biopsy/removal,        6.35          NA            NA         3.46          3.33        0.80          NA            NA        10.61         10.48         090
                                    lymph nodes.
38530.......  ........  A          Biopsy/removal,        8.26          NA            NA         4.09          4.32        1.12          NA            NA        13.47         13.70         090
                                    lymph nodes.
38542.......  ........  A          Explore deep           6.08          NA            NA         3.77          4.30        0.60          NA            NA        10.45         10.98         090
                                    node(s), neck.
38550.......  ........  A          Removal, neck/         6.99          NA            NA         4.22          3.99        0.88          NA            NA        12.09         11.86         090
                                    armpit lesion.
38555.......  ........  A          Removal, neck/        15.42          NA            NA         7.27          8.22        1.76          NA            NA        24.45         25.40         090
                                    armpit lesion.
38562.......  ........  A          Removal, pelvic       10.92          NA            NA         5.77          5.77        1.20          NA            NA        17.89         17.89         090
                                    lymph nodes.
38564.......  ........  A          Removal, abdomen      11.29          NA            NA         5.23          5.24        1.32          NA            NA        17.84         17.85         090
                                    lymph nodes.
38570.......  ........  A          Laparoscopy,           9.28          NA            NA         3.99          3.98        1.13          NA            NA        14.40         14.39         010
                                    lymph node biop.
38571.......  ........  A          Laparoscopy,          14.70          NA            NA         6.95          5.97        1.15          NA            NA        22.80         21.82         010
                                    lymphadenectomy.
38572.......  ........  A          Laparoscopy,          16.86          NA            NA         6.21          6.86        1.91          NA            NA        24.98         25.63         010
                                    lymphadenectomy.
38589.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    proc, lymphatic.
38700.......  ........  A          Removal of lymph      12.68          NA            NA         6.01          6.18        0.72          NA            NA        19.41         19.58         090
                                    nodes, neck.
38720.......  ........  A          Removal of lymph      21.72          NA            NA         9.38          9.36        1.20          NA            NA        32.30         32.28         090
                                    nodes, neck.
38724.......  ........  A          Removal of lymph      23.72          NA            NA        10.00          9.87        1.28          NA            NA        35.00         34.87         090
                                    nodes, neck.
38740.......  ........  A          Remove armpit         10.57          NA            NA         5.02          4.96        1.32          NA            NA        16.91         16.85         090
                                    lymph nodes.
38745.......  ........  A          Remove armpit         13.71          NA            NA         6.06          6.07        1.74          NA            NA        21.51         21.52         090
                                    lymph nodes.
38746.......  ........  A          Remove thoracic        4.88          NA            NA         1.45          1.57        0.72          NA            NA         7.05          7.17         ZZZ
                                    lymph nodes.
38747.......  ........  A          Remove abdominal       4.88          NA            NA         1.27          1.57        0.64          NA            NA         6.79          7.09         ZZZ
                                    lymph nodes.
38760.......  ........  A          Remove groin          13.49          NA            NA         5.98          6.09        1.72          NA            NA        21.19         21.30         090
                                    lymph nodes.
38765.......  ........  A          Remove groin          21.78          NA            NA         8.66          8.77        2.48          NA            NA        32.92         33.03         090
                                    lymph nodes.
38770.......  ........  A          Remove pelvis         13.98          NA            NA         6.97          6.05        1.40          NA            NA        22.35         21.43         090
                                    lymph nodes.
38780.......  ........  A          Remove abdomen        17.56          NA            NA         8.02          8.16        1.89          NA            NA        27.47         27.61         090
                                    lymph nodes.
38790.......  ........  A          Inject for             1.29          NA            NA         0.70          0.75        0.13          NA            NA         2.12          2.17         000
                                    lymphatic x-ray.
38792.......  ........  A          Identify               0.52          NA            NA         0.46          0.45        0.06          NA            NA         1.04          1.03         000
                                    sentinel node.
38794.......  ........  A          Access thoracic        4.51          NA            NA         2.84          3.30        0.32          NA            NA         7.67          8.13         090
                                    lymph duct.
38999.......  ........  C          Blood/lymph            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    system
                                    procedure.
39000.......  ........  A          Exploration of         7.49          NA            NA         4.34          4.57        0.89          NA            NA        12.72         12.95         090
                                    chest.
39010.......  ........  A          Exploration of        13.11          NA            NA         6.14          7.19        1.76          NA            NA        21.01         22.06         090
                                    chest.
39200.......  ........  A          Removal chest         15.04          NA            NA         6.26          7.21        2.03          NA            NA        23.33         24.28         090
                                    lesion.
39220.......  ........  A          Removal chest         19.47          NA            NA         8.06          9.04        2.46          NA            NA        29.99         30.97         090
                                    lesion.
39400.......  ........  A          Visualization of       8.00          NA            NA         4.18          4.68        0.82          NA            NA        13.00         13.50         010
                                    chest.
39499.......  ........  C          Chest procedure.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
39501.......  ........  A          Repair diaphragm      13.89          NA            NA         5.92          6.32        1.78          NA            NA        21.59         21.99         090
                                    laceration.
39502.......  ........  A          Repair                17.09          NA            NA         6.63          7.01        2.17          NA            NA        25.89         26.27         090
                                    paraesophageal
                                    hernia.
39503.......  ........  A          Repair of            108.67          NA            NA        30.82         32.73       10.98          NA            NA       150.47        152.38         090
                                    diaphragm
                                    hernia.
39520.......  ........  A          Repair of             16.63          NA            NA         6.90          7.76        2.24          NA            NA        25.77         26.63         090
                                    diaphragm
                                    hernia.
39530.......  ........  A          Repair of             16.22          NA            NA         6.39          6.95        2.11          NA            NA        24.72         25.28         090
                                    diaphragm
                                    hernia.
39531.......  ........  A          Repair of             17.23          NA            NA         6.59          7.18        2.22          NA            NA        26.04         26.63         090
                                    diaphragm
                                    hernia.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69862]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
39540.......  ........  A          Repair of             14.51          NA            NA         5.62          6.07        1.80          NA            NA        21.93         22.38         090
                                    diaphragm
                                    hernia.
39541.......  ........  A          Repair of             15.67          NA            NA         6.18          6.48        1.93          NA            NA        23.78         24.08         090
                                    diaphragm
                                    hernia.
39545.......  ........  A          Revision of           14.58          NA            NA         7.21          7.46        1.84          NA            NA        23.63         23.88         090
                                    diaphragm.
39560.......  ........  A          Resect                12.97          NA            NA         5.54          6.10        1.59          NA            NA        20.10         20.66         090
                                    diaphragm,
                                    simple.
39561.......  ........  A          Resect                19.75          NA            NA         9.35          9.34        2.45          NA            NA        31.55         31.54         090
                                    diaphragm,
                                    complex.
39599.......  ........  C          Diaphragm              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery
                                    procedure.
40490.......  ........  A          Biopsy of lip...       1.22        2.09          1.75         0.59          0.61        0.05        3.36          3.02         1.86          1.88         000
40500.......  ........  A          Partial excision       4.35        7.79          7.12         4.30          4.32        0.38       12.52         11.85         9.03          9.05         090
                                    of lip.
40510.......  ........  A          Partial excision       4.74        6.58          6.60         3.54          3.89        0.49       11.81         11.83         8.77          9.12         090
                                    of lip.
40520.......  ........  A          Partial excision       4.71        6.88          7.38         3.77          4.03        0.52       12.11         12.61         9.00          9.26         090
                                    of lip.
40525.......  ........  A          Reconstruct lip        7.61          NA            NA         5.34          6.06        0.85          NA            NA        13.80         14.52         090
                                    with flap.
40527.......  ........  A          Reconstruct lip        9.20          NA            NA         5.97          7.01        0.97          NA            NA        16.14         17.18         090
                                    with flap.
40530.......  ........  A          Partial removal        5.45        7.35          7.70         4.15          4.47        0.55       13.35         13.70        10.15         10.47         090
                                    of lip.
40650.......  ........  A          Repair lip......       3.69        5.94          6.58         3.16          3.26        0.38       10.01         10.65         7.23          7.33         090
40652.......  ........  A          Repair lip......       4.32        7.07          7.57         4.04          4.21        0.52       11.91         12.41         8.88          9.05         090
40654.......  ........  A          Repair lip......       5.37        8.13          8.48         4.73          4.88        0.60       14.10         14.45        10.70         10.85         090
40700.......  ........  A          Repair cleft lip/     13.97          NA            NA         9.32          9.13        0.95          NA            NA        24.24         24.05         090
                                    nasal.
40701.......  ........  A          Repair cleft lip/     17.03          NA            NA        11.44         11.36        1.65          NA            NA        30.12         30.04         090
                                    nasal.
40702.......  ........  A          Repair cleft lip/     14.09          NA            NA         7.32          8.02        1.23          NA            NA        22.64         23.34         090
                                    nasal.
40720.......  ........  A          Repair cleft lip/     14.54          NA            NA         9.22          9.72        1.80          NA            NA        25.56         26.06         090
                                    nasal.
40761.......  ........  A          Repair cleft lip/     15.69          NA            NA         9.05          9.97        1.94          NA            NA        26.68         27.60         090
                                    nasal.
40799.......  ........  C          Lip surgery            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
40800.......  ........  A          Drainage of            1.19        3.83          3.18         1.88          1.80        0.13        5.15          4.50         3.20          3.12         010
                                    mouth lesion.
40801.......  ........  A          Drainage of            2.57        4.86          4.23         2.58          2.70        0.31        7.74          7.11         5.46          5.58         010
                                    mouth lesion.
40804.......  ........  A          Removal, foreign       1.26        3.63          3.45         1.76          1.83        0.11        5.00          4.82         3.13          3.20         010
                                    body, mouth.
40805.......  ........  A          Removal, foreign       2.73        5.06          4.63         2.59          2.76        0.32        8.11          7.68         5.64          5.81         010
                                    body, mouth.
40806.......  ........  A          Incision of lip        0.31        2.37          1.97         0.50          0.50        0.04        2.72          2.32         0.85          0.85         000
                                    fold.
40808.......  ........  A          Biopsy of mouth        0.98        3.52          2.87         1.58          1.51        0.10        4.60          3.95         2.66          2.59         010
                                    lesion.
40810.......  ........  A          Excision of            1.33        3.57          3.05         1.67          1.66        0.13        5.03          4.51         3.13          3.12         010
                                    mouth lesion.
40812.......  ........  A          Excise/repair          2.33        4.51          3.92         2.28          2.37        0.28        7.12          6.53         4.89          4.98         010
                                    mouth lesion.
40814.......  ........  A          Excise/repair          3.45        5.63          5.11         3.66          3.83        0.41        9.49          8.97         7.52          7.69         090
                                    mouth lesion.
40816.......  ........  A          Excision of            3.70        5.80          5.33         3.71          3.93        0.40        9.90          9.43         7.81          8.03         090
                                    mouth lesion.
40818.......  ........  A          Excise oral            2.72        5.78          5.32         3.73          3.91        0.21        8.71          8.25         6.66          6.84         090
                                    mucosa for
                                    graft.
40819.......  ........  A          Excise lip or          2.45        4.87          4.28         3.07          3.09        0.29        7.61          7.02         5.81          5.83         090
                                    cheek fold.
40820.......  ........  A          Treatment of           1.30        5.14          4.23         2.85          2.54        0.11        6.55          5.64         4.26          3.95         010
                                    mouth lesion.
40830.......  ........  A          Repair mouth           1.78        4.09          3.81         2.02          2.07        0.19        6.06          5.78         3.99          4.04         010
                                    laceration.
40831.......  ........  A          Repair mouth           2.50        5.35          4.83         2.76          2.98        0.30        8.15          7.63         5.56          5.78         010
                                    laceration.
40840.......  ........  R          Reconstruction         9.03       10.06          9.85         5.63          6.64        1.08       20.17         19.96        15.74         16.75         090
                                    of mouth.
40842.......  ........  R          Reconstruction         9.03        9.76          9.99         5.40          6.44        1.08       19.87         20.10        15.51         16.55         090
                                    of mouth.
40843.......  ........  R          Reconstruction        12.62       11.82         11.92         6.12          7.39        1.39       25.83         25.93        20.13         21.40         090
                                    of mouth.
40844.......  ........  R          Reconstruction        16.57       14.88         15.54         8.89         10.89        2.00       33.45         34.11        27.46         29.46         090
                                    of mouth.
40845.......  ........  R          Reconstruction        19.13       15.37         16.64         9.78         12.35        2.01       36.51         37.78        30.92         33.49         090
                                    of mouth.
40899.......  ........  C          Mouth surgery          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69863]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
41000.......  ........  A          Drainage of            1.32        2.50          2.36         1.31          1.39        0.12        3.94          3.80         2.75          2.83         010
                                    mouth lesion.
41005.......  ........  A          Drainage of            1.28        4.22          3.55         1.72          1.72        0.12        5.62          4.95         3.12          3.12         010
                                    mouth lesion.
41006.......  ........  A          Drainage of            3.28        5.30          4.92         2.76          3.07        0.35        8.93          8.55         6.39          6.70         090
                                    mouth lesion.
41007.......  ........  A          Drainage of            3.14        5.34          5.19         2.74          2.95        0.31        8.79          8.64         6.19          6.40         090
                                    mouth lesion.
41008.......  ........  A          Drainage of            3.40        5.42          4.87         2.82          3.11        0.42        9.24          8.69         6.64          6.93         090
                                    mouth lesion.
41009.......  ........  A          Drainage of            3.63        5.81          5.18         3.15          3.47        0.47        9.91          9.28         7.25          7.57         090
                                    mouth lesion.
41010.......  ........  A          Incision of            1.08        3.36          3.41         1.35          1.54        0.07        4.51          4.56         2.50          2.69         010
                                    tongue fold.
41015.......  ........  A          Drainage of            4.00        6.22          5.61         3.95          4.09        0.46       10.68         10.07         8.41          8.55         090
                                    mouth lesion.
41016.......  ........  A          Drainage of            4.11        6.18          5.75         4.05          4.18        0.53       10.82         10.39         8.69          8.82         090
                                    mouth lesion.
41017.......  ........  A          Drainage of            4.11        6.33          5.81         4.11          4.25        0.53       10.97         10.45         8.75          8.89         090
                                    mouth lesion.
41018.......  ........  A          Drainage of            5.14        6.57          6.24         4.36          4.52        0.68       12.39         12.06        10.18         10.34         090
                                    mouth lesion.
41100.......  ........  A          Biopsy of tongue       1.39        2.58          2.46         1.13          1.35        0.15        4.12          4.00         2.67          2.89         010
41105.......  ........  A          Biopsy of tongue       1.44        2.57          2.37         1.15          1.28        0.13        4.14          3.94         2.72          2.85         010
41108.......  ........  A          Biopsy of floor        1.07        2.40          2.15         1.03          1.11        0.10        3.57          3.32         2.20          2.28         010
                                    of mouth.
41110.......  ........  A          Excision of            1.53        3.47          3.10         1.55          1.62        0.13        5.13          4.76         3.21          3.28         010
                                    tongue lesion.
41112.......  ........  A          Excision of            2.77        5.12          4.63         3.16          3.21        0.28        8.17          7.68         6.21          6.26         090
                                    tongue lesion.
41113.......  ........  A          Excision of            3.23        5.40          4.91         3.33          3.44        0.34        8.97          8.48         6.90          7.01         090
                                    tongue lesion.
41114.......  ........  A          Excision of            8.71          NA            NA         6.02          6.90        0.83          NA            NA        15.56         16.44         090
                                    tongue lesion.
41115.......  ........  A          Excision of            1.76        4.26          3.53         1.76          1.83        0.18        6.20          5.47         3.70          3.77         010
                                    tongue fold.
41116.......  ........  A          Excision of            2.47        5.32          4.59         2.67          2.77        0.23        8.02          7.29         5.37          5.47         090
                                    mouth lesion.
41120.......  ........  A          Partial removal       10.91          NA            NA        13.31         14.81        0.79          NA            NA        25.01         26.51         090
                                    of tongue.
41130.......  ........  A          Partial removal       15.51          NA            NA        14.68         15.81        0.93          NA            NA        31.12         32.25         090
                                    of tongue.
41135.......  ........  A          Tongue and neck       29.83          NA            NA        20.15         22.45        1.89          NA            NA        51.87         54.17         090
                                    surgery.
41140.......  ........  A          Removal of            28.81          NA            NA        21.56         25.39        2.27          NA            NA        52.64         56.47         090
                                    tongue.
41145.......  ........  A          Tongue removal,       37.59          NA            NA        26.62         29.56        2.55          NA            NA        66.76         69.70         090
                                    neck surgery.
41150.......  ........  A          Tongue, mouth,        29.52          NA            NA        21.36         23.87        1.95          NA            NA        52.83         55.34         090
                                    jaw surgery.
41153.......  ........  A          Tongue, mouth,        33.28          NA            NA        22.13         24.30        2.01          NA            NA        57.42         59.59         090
                                    neck surgery.
41155.......  ........  A          Tongue, jaw, &        43.96          NA            NA        25.50         26.48        2.34          NA            NA        71.80         72.78         090
                                    neck surgery.
41250.......  ........  A          Repair tongue          1.93        3.79          3.00         1.59          1.28        0.18        5.90          5.11         3.70          3.39         010
                                    laceration.
41251.......  ........  A          Repair tongue          2.29        3.15          3.24         1.65          1.58        0.22        5.66          5.75         4.16          4.09         010
                                    laceration.
41252.......  ........  A          Repair tongue          2.99        4.35          4.01         1.98          2.18        0.29        7.63          7.29         5.26          5.46         010
                                    laceration.
41500.......  ........  A          Fixation of            3.74          NA            NA         6.54          7.22        0.30          NA            NA        10.58         11.26         090
                                    tongue.
41510.......  ........  A          Tongue to lip          3.45          NA            NA         7.05          7.71        0.20          NA            NA        10.70         11.36         090
                                    surgery.
41520.......  ........  A          Reconstruction,        2.77        5.72          4.90         3.22          3.52        0.27        8.76          7.94         6.26          6.56         090
                                    tongue fold.
41599.......  ........  C          Tongue and mouth       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery.
41800.......  ........  A          Drainage of gum        1.21        4.74          3.13         2.10          1.49        0.12        6.07          4.46         3.43          2.82         010
                                    lesion.
41805.......  ........  A          Removal foreign        1.28        4.72          3.18         2.75          2.35        0.13        6.13          4.59         4.16          3.76         010
                                    body, gum.
41806.......  ........  A          Removal foreign        2.73        5.91          4.16         3.41          3.13        0.37        9.01          7.26         6.51          6.23         010
                                    body,jawbone.
41820.......  ........  R          Excision, gum,         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    each quadrant.
41821.......  ........  R          Excision of gum        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    flap.
41822.......  ........  R          Excision of gum        2.35        4.66          4.08         1.80          1.85        0.31        7.32          6.74         4.46          4.51         010
                                    lesion.
41823.......  ........  R          Excision of gum        3.63        6.50          5.80         3.77          3.95        0.47       10.60          9.90         7.87          8.05         090
                                    lesion.
41825.......  ........  A          Excision of gum        1.35        3.62          3.20         1.44          2.04        0.15        5.12          4.70         2.94          3.54         010
                                    lesion.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69864]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
41826.......  ........  A          Excision of gum        2.35        5.12          3.10         2.60          2.23        0.30        7.77          5.75         5.25          4.88         010
                                    lesion.
41827.......  ........  A          Excision of gum        3.72        6.61          5.79         3.38          3.59        0.35       10.68          9.86         7.45          7.66         090
                                    lesion.
41828.......  ........  R          Excision of gum        3.11        4.13          3.88         1.68          2.64        0.44        7.68          7.43         5.23          6.19         010
                                    lesion.
41830.......  ........  R          Removal of gum         3.38        6.04          5.23         3.16          3.51        0.44        9.86          9.05         6.98          7.33         010
                                    tissue.
41850.......  ........  R          Treatment of gum       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    lesion.
41870.......  ........  R          Gum graft.......       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
41872.......  ........  R          Repair gum......       2.90        5.89          5.24         3.28          3.42        0.30        9.09          8.44         6.48          6.62         090
41874.......  ........  R          Repair tooth           3.13        5.76          5.07         2.79          3.08        0.45        9.34          8.65         6.37          6.66         090
                                    socket.
41899.......  ........  C          Dental surgery         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
42000.......  ........  A          Drainage mouth         1.25        2.34          2.51         1.15          1.23        0.12        3.71          3.88         2.52          2.60         010
                                    roof lesion.
42100.......  ........  A          Biopsy roof of         1.33        2.19          2.11         1.22          1.33        0.13        3.65          3.57         2.68          2.79         010
                                    mouth.
42104.......  ........  A          Excision lesion,       1.66        3.43          2.76         1.60          1.56        0.16        5.25          4.58         3.42          3.38         010
                                    mouth roof.
42106.......  ........  A          Excision lesion,       2.12        4.41          3.52         2.06          2.35        0.25        6.78          5.89         4.43          4.72         010
                                    mouth roof.
42107.......  ........  A          Excision lesion,       4.48        6.34          5.87         3.58          3.86        0.44       11.26         10.79         8.50          8.78         090
                                    mouth roof.
42120.......  ........  A          Remove palate/        11.70          NA            NA        11.51         11.71        0.52          NA            NA        23.73         23.93         090
                                    lesion.
42140.......  ........  A          Excision of            1.65        4.24          3.85         1.95          2.06        0.13        6.02          5.63         3.73          3.84         090
                                    uvula.
42145.......  ........  A          Repair palate,         9.63          NA            NA         6.85          7.33        0.65          NA            NA        17.13         17.61         090
                                    pharynx/uvula.
42160.......  ........  A          Treatment mouth        1.82        3.63          4.10         1.62          2.12        0.17        5.62          6.09         3.61          4.11         010
                                    roof lesion.
42180.......  ........  A          Repair palate...       2.52        3.22          3.11         1.79          2.02        0.21        5.95          5.84         4.52          4.75         010
42182.......  ........  A          Repair palate...       3.84        4.05          3.92         2.41          2.88        0.40        8.29          8.16         6.65          7.12         010
42200.......  ........  A          Reconstruct           12.41          NA            NA         8.26          9.72        1.27          NA            NA        21.94         23.40         090
                                    cleft palate.
42205.......  ........  A          Reconstruct           13.57          NA            NA         7.60          9.45        1.58          NA            NA        22.75         24.60         090
                                    cleft palate.
42210.......  ........  A          Reconstruct           14.91          NA            NA         9.87         11.06        2.17          NA            NA        26.95         28.14         090
                                    cleft palate.
42215.......  ........  A          Reconstruct            8.88          NA            NA         7.34          8.64        1.31          NA            NA        17.53         18.83         090
                                    cleft palate.
42220.......  ........  A          Reconstruct            7.07          NA            NA         6.80          6.79        0.73          NA            NA        14.60         14.59         090
                                    cleft palate.
42225.......  ........  A          Reconstruct            9.66          NA            NA        12.12         15.83        0.86          NA            NA        22.64         26.35         090
                                    cleft palate.
42226.......  ........  A          Lengthening of        10.24          NA            NA        11.44         13.89        1.01          NA            NA        22.69         25.14         090
                                    palate.
42227.......  ........  A          Lengthening of         9.81          NA            NA         9.78         14.10        0.98          NA            NA        20.57         24.89         090
                                    palate.
42235.......  ........  A          Repair palate...       7.92          NA            NA        10.34         11.48        0.72          NA            NA        18.98         20.12         090
42260.......  ........  A          Repair nose to        10.10        9.65         10.06         5.93          6.78        1.26       21.01         21.42        17.29         18.14         090
                                    lip fistula.
42280.......  ........  A          Preparation,           1.56        2.25          2.03         0.85          1.07        0.19        4.00          3.78         2.60          2.82         010
                                    palate mold.
42281.......  ........  A          Insertion,             1.95        2.83          2.68         1.57          1.80        0.17        4.95          4.80         3.69          3.92         010
                                    palate
                                    prosthesis.
42299.......  ........  C          Palate/uvula           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery.
42300.......  ........  A          Drainage of            1.95        2.93          2.85         1.61          1.76        0.16        5.04          4.96         3.72          3.87         010
                                    salivary gland.
42305.......  ........  A          Drainage of            6.23          NA            NA         3.71          4.47        0.51          NA            NA        10.45         11.21         090
                                    salivary gland.
42310.......  ........  A          Drainage of            1.58        2.19          2.24         1.32          1.49        0.13        3.90          3.95         3.03          3.20         010
                                    salivary gland.
42320.......  ........  A          Drainage of            2.37        3.56          3.34         1.78          2.01        0.21        6.14          5.92         4.36          4.59         010
                                    salivary gland.
42330.......  ........  A          Removal of             2.23        3.20          3.16         1.62          1.79        0.19        5.62          5.58         4.04          4.21         010
                                    salivary stone.
42335.......  ........  A          Removal of             3.35        5.46          5.04         2.69          3.03        0.29        9.10          8.68         6.33          6.67         090
                                    salivary stone.
42340.......  ........  A          Removal of             4.64        6.31          6.11         3.26          3.76        0.42       11.37         11.17         8.32          8.82         090
                                    salivary stone.
42400.......  ........  A          Biopsy of              0.78        1.88          1.71         0.59          0.69        0.06        2.72          2.55         1.43          1.53         000
                                    salivary gland.
42405.......  ........  A          Biopsy of              3.31        3.74          3.94         2.02          2.34        0.28        7.33          7.53         5.61          5.93         010
                                    salivary gland.
42408.......  ........  A          Excision of            4.58        6.10          5.96         3.10          3.48        0.45       11.13         10.99         8.13          8.51         090
                                    salivary cyst.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69865]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
42409.......  ........  A          Drainage of            2.85        5.07          4.66         2.40          2.67        0.27        8.19          7.78         5.52          5.79         090
                                    salivary cyst.
42410.......  ........  A          Excise parotid         9.46          NA            NA         4.99          5.91        0.91          NA            NA        15.36         16.28         090
                                    gland/lesion.
42415.......  ........  A          Excise parotid        17.99          NA            NA         7.87         10.11        1.43          NA            NA        27.29         29.53         090
                                    gland/lesion.
42420.......  ........  A          Excise parotid        20.87          NA            NA         8.72         11.46        1.65          NA            NA        31.24         33.98         090
                                    gland/lesion.
42425.......  ........  A          Excise parotid        13.31          NA            NA         6.17          8.00        1.05          NA            NA        20.53         22.36         090
                                    gland/lesion.
42426.......  ........  A          Excise parotid        22.54          NA            NA         8.98         12.00        1.81          NA            NA        33.33         36.35         090
                                    gland/lesion.
42440.......  ........  A          Excise                 7.05          NA            NA         3.53          4.48        0.59          NA            NA        11.17         12.12         090
                                    submaxillary
                                    gland.
42450.......  ........  A          Excise                 4.66        5.90          5.90         3.70          4.11        0.42       10.98         10.98         8.78          9.19         090
                                    sublingual
                                    gland.
42500.......  ........  A          Repair salivary        4.34        5.82          5.72         3.66          4.05        0.41       10.57         10.47         8.41          8.80         090
                                    duct.
42505.......  ........  A          Repair salivary        6.23        6.80          7.04         4.39          5.12        0.55       13.58         13.82        11.17         11.90         090
                                    duct.
42507.......  ........  A          Parotid duct           6.16          NA            NA         5.95          6.39        0.49          NA            NA        12.60         13.04         090
                                    diversion.
42508.......  ........  A          Parotid duct           9.22          NA            NA         7.56          8.15        1.04          NA            NA        17.82         18.41         090
                                    diversion.
42509.......  ........  A          Parotid duct          11.65          NA            NA         8.76          9.83        0.93          NA            NA        21.34         22.41         090
                                    diversion.
42510.......  ........  A          Parotid duct           8.26          NA            NA         6.43          7.45        0.66          NA            NA        15.35         16.37         090
                                    diversion.
42550.......  ........  A          Injection for          1.25        2.10          2.93         0.35          0.40        0.07        3.42          4.25         1.67          1.72         000
                                    salivary x-ray.
42600.......  ........  A          Closure of             4.86        6.51          6.56         3.38          3.94        0.43       11.80         11.85         8.67          9.23         090
                                    salivary
                                    fistula.
42650.......  ........  A          Dilation of            0.77        1.20          1.13         0.61          0.69        0.07        2.04          1.97         1.45          1.53         000
                                    salivary duct.
42660.......  ........  A          Dilation of            1.13        1.42          1.37         0.73          0.82        0.09        2.64          2.59         1.95          2.04         000
                                    salivary duct.
42665.......  ........  A          Ligation of            2.57        4.74          4.31         2.24          2.50        0.23        7.54          7.11         5.04          5.30         090
                                    salivary duct.
42699.......  ........  C          Salivary surgery       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
42700.......  ........  A          Drainage of            1.64        2.76          2.68         1.53          1.66        0.13        4.53          4.45         3.30          3.43         010
                                    tonsil abscess.
42720.......  ........  A          Drainage of            6.31        4.34          4.71         2.91          3.57        0.44       11.09         11.46         9.66         10.32         010
                                    throat abscess.
42725.......  ........  A          Drainage of           12.28          NA            NA         6.69          7.84        0.91          NA            NA        19.88         21.03         090
                                    throat abscess.
42800.......  ........  A          Biopsy of throat       1.41        2.28          2.21         1.19          1.35        0.11        3.80          3.73         2.71          2.87         010
42802.......  ........  A          Biopsy of throat       1.56        3.84          4.53         1.54          1.93        0.12        5.52          6.21         3.22          3.61         010
42804.......  ........  A          Biopsy of upper        1.26        3.34          3.64         1.38          1.64        0.10        4.70          5.00         2.74          3.00         010
                                    nose/throat.
42806.......  ........  A          Biopsy of upper        1.60        3.56          3.94         1.49          1.82        0.13        5.29          5.67         3.22          3.55         010
                                    nose/throat.
42808.......  ........  A          Excise pharynx         2.32        2.99          3.07         1.47          1.82        0.19        5.50          5.58         3.98          4.33         010
                                    lesion.
42809.......  ........  A          Remove pharynx         1.83        2.14          2.28         1.26          1.31        0.16        4.13          4.27         3.25          3.30         010
                                    foreign body.
42810.......  ........  A          Excision of neck       3.30        5.75          5.72         3.43          3.51        0.29        9.34          9.31         7.02          7.10         090
                                    cyst.
42815.......  ........  A          Excision of neck       7.23          NA            NA         5.77          6.25        0.61          NA            NA        13.61         14.09         090
                                    cyst.
42820.......  ........  A          Remove tonsils         4.17          NA            NA         2.57          3.11        0.31          NA            NA         7.05          7.59         090
                                    and adenoids.
42821.......  ........  A          Remove tonsils         4.31          NA            NA         2.73          3.31        0.35          NA            NA         7.39          7.97         090
                                    and adenoids.
42825.......  ........  A          Removal of             3.45          NA            NA         2.45          2.99        0.25          NA            NA         6.15          6.69         090
                                    tonsils.
42826.......  ........  A          Removal of             3.40          NA            NA         2.46          2.89        0.27          NA            NA         6.13          6.56         090
                                    tonsils.
42830.......  ........  A          Removal of             2.60          NA            NA         2.23          2.48        0.20          NA            NA         5.03          5.28         090
                                    adenoids.
42831.......  ........  A          Removal of             2.75          NA            NA         2.44          2.74        0.22          NA            NA         5.41          5.71         090
                                    adenoids.
42835.......  ........  A          Removal of             2.33          NA            NA         1.77          2.29        0.21          NA            NA         4.31          4.83         090
                                    adenoids.
42836.......  ........  A          Removal of             3.21          NA            NA         2.45          2.83        0.26          NA            NA         5.92          6.30         090
                                    adenoids.
42842.......  ........  A          Extensive             12.02          NA            NA        11.08         11.01        0.71          NA            NA        23.81         23.74         090
                                    surgery of
                                    throat.
42844.......  ........  A          Extensive             17.57          NA            NA        14.17         15.72        1.16          NA            NA        32.90         34.45         090
                                    surgery of
                                    throat.
42845.......  ........  A          Extensive             32.35          NA            NA        19.29         22.21        1.99          NA            NA        53.63         56.55         090
                                    surgery of
                                    throat.
42860.......  ........  A          Excision of            2.25          NA            NA         2.13          2.33        0.18          NA            NA         4.56          4.76         090
                                    tonsil tags.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69866]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
42870.......  ........  A          Excision of            5.44          NA            NA         8.02          8.43        0.44          NA            NA        13.90         14.31         090
                                    lingual tonsil.
42890.......  ........  A          Partial removal       18.92          NA            NA        13.98         14.11        1.05          NA            NA        33.95         34.08         090
                                    of pharynx.
42892.......  ........  A          Revision of           25.77          NA            NA        17.59         17.28        1.28          NA            NA        44.64         44.33         090
                                    pharyngeal
                                    walls.
42894.......  ........  A          Revision of           33.61          NA            NA        21.36         21.86        1.87          NA            NA        56.84         57.34         090
                                    pharyngeal
                                    walls.
42900.......  ........  A          Repair throat          5.26          NA            NA         2.75          3.43        0.50          NA            NA         8.51          9.19         010
                                    wound.
42950.......  ........  A          Reconstruction         8.16          NA            NA        10.30         11.48        0.72          NA            NA        19.18         20.36         090
                                    of throat.
42953.......  ........  A          Repair throat,         9.33          NA            NA        12.97         16.24        0.88          NA            NA        23.18         26.45         090
                                    esophagus.
42955.......  ........  A          Surgical opening       7.92          NA            NA         9.34         10.34        0.80          NA            NA        18.06         19.06         090
                                    of throat.
42960.......  ........  A          Control throat         2.35          NA            NA         1.61          1.87        0.19          NA            NA         4.15          4.41         010
                                    bleeding.
42961.......  ........  A          Control throat         5.69          NA            NA         4.15          4.76        0.45          NA            NA        10.29         10.90         090
                                    bleeding.
42962.......  ........  A          Control throat         7.31          NA            NA         4.77          5.63        0.58          NA            NA        12.66         13.52         090
                                    bleeding.
42970.......  ........  A          Control nose/          5.76          NA            NA         3.52          4.02        0.39          NA            NA         9.67         10.17         090
                                    throat bleeding.
42971.......  ........  A          Control nose/          6.54          NA            NA         4.15          4.88        0.51          NA            NA        11.20         11.93         090
                                    throat bleeding.
42972.......  ........  A          Control nose/          7.53          NA            NA         4.50          5.40        0.62          NA            NA        12.65         13.55         090
                                    throat bleeding.
42999.......  ........  C          Throat surgery         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
43020.......  ........  A          Incision of            8.14          NA            NA         4.35          5.15        0.87          NA            NA        13.36         14.16         090
                                    esophagus.
43030.......  ........  A          Throat muscle          7.91          NA            NA         4.20          5.17        0.70          NA            NA        12.81         13.78         090
                                    surgery.
43045.......  ........  A          Incision of           21.70          NA            NA        10.06         10.54        2.59          NA            NA        34.35         34.83         090
                                    esophagus.
43100.......  ........  A          Excision of            9.55          NA            NA         5.10          5.94        0.93          NA            NA        15.58         16.42         090
                                    esophagus
                                    lesion.
43101.......  ........  A          Excision of           16.99          NA            NA         7.22          7.72        2.32          NA            NA        26.53         27.03         090
                                    esophagus
                                    lesion.
43107.......  ........  A          Removal of            43.97          NA            NA        16.57         17.84        5.24          NA            NA        65.78         67.05         090
                                    esophagus.
43108.......  ........  A          Removal of            82.66          NA            NA        25.71         17.09        4.08          NA            NA       112.45        103.83         090
                                    esophagus.
43112.......  ........  A          Removal of            47.27          NA            NA        17.08         18.79        5.81          NA            NA        70.16         71.87         090
                                    esophagus.
43113.......  ........  A          Removal of            79.85          NA            NA        27.82         18.29        4.43          NA            NA       112.10        102.57         090
                                    esophagus.
43116.......  ........  A          Partial removal       92.78          NA            NA        28.93         19.75        3.06          NA            NA       124.77        115.59         090
                                    of esophagus.
43117.......  ........  A          Partial removal       43.52          NA            NA        15.32         16.78        5.19          NA            NA        64.03         65.49         090
                                    of esophagus.
43118.......  ........  A          Partial removal       66.86          NA            NA        21.36         15.68        4.11          NA            NA        92.33         86.65         090
                                    of esophagus.
43121.......  ........  A          Partial removal       51.22          NA            NA        18.28         14.82        3.91          NA            NA        73.41         69.95         090
                                    of esophagus.
43122.......  ........  A          Partial removal       43.97          NA            NA        15.73         16.98        5.42          NA            NA        65.12         66.37         090
                                    of esophagus.
43123.......  ........  A          Partial removal       82.91          NA            NA        25.89         17.05        4.16          NA            NA       112.96        104.12         090
                                    of esophagus.
43124.......  ........  A          Removal of            68.83          NA            NA        23.97         15.80        3.74          NA            NA        96.54         88.37         090
                                    esophagus.
43130.......  ........  A          Removal of            12.41          NA            NA         6.01          7.17        1.16          NA            NA        19.58         20.74         090
                                    esophagus pouch.
43135.......  ........  A          Removal of            26.09          NA            NA         9.99          8.57        2.34          NA            NA        38.42         37.00         090
                                    esophagus pouch.
43200.......  ........  A          Esophagus              1.59        3.54          3.98         0.93          1.04        0.13        5.26          5.70         2.65          2.76         000
                                    endoscopy.
43201.......  ........  A          Esoph scope w/         2.09        5.55          4.86         1.19          1.12        0.15        7.79          7.10         3.43          3.36         000
                                    submucous inj.
43202.......  ........  A          Esophagus              1.89        5.12          5.44         0.99          0.95        0.15        7.16          7.48         3.03          2.99         000
                                    endoscopy,
                                    biopsy.
43204.......  ........  A          Esoph scope w/         3.76          NA            NA         1.97          1.63        0.30          NA            NA         6.03          5.69         000
                                    sclerosis inj.
43205.......  ........  A          Esophagus              3.78          NA            NA         2.07          1.66        0.28          NA            NA         6.13          5.72         000
                                    endoscopy/
                                    ligation.
43215.......  ........  A          Esophagus              2.60          NA            NA         1.28          1.22        0.22          NA            NA         4.10          4.04         000
                                    endoscopy.
43216.......  ........  A          Esophagus              2.40        3.00          1.55         1.23          1.10        0.20        5.60          4.15         3.83          3.70         000
                                    endoscopy/
                                    lesion.
43217.......  ........  A          Esophagus              2.90        6.55          6.85         1.42          1.25        0.26        9.71         10.01         4.58          4.41         000
                                    endoscopy.
43219.......  ........  A          Esophagus              2.80          NA            NA         1.55          1.40        0.24          NA            NA         4.59          4.44         000
                                    endoscopy.
43220.......  ........  A          Esoph endoscopy,       2.10          NA            NA         1.13          1.01        0.17          NA            NA         3.40          3.28         000
                                    dilation.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69867]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
43226.......  ........  A          Esoph endoscopy,       2.34          NA            NA         1.29          1.10        0.19          NA            NA         3.82          3.63         000
                                    dilation.
43227.......  ........  A          Esoph endoscopy,       3.59          NA            NA         1.84          1.55        0.28          NA            NA         5.71          5.42         000
                                    repair.
43228.......  ........  A          Esoph endoscopy,       3.76          NA            NA         1.87          1.63        0.34          NA            NA         5.97          5.73         000
                                    ablation.
43231.......  ........  A          Esoph endoscopy        3.19          NA            NA         1.75          1.42        0.23          NA            NA         5.17          4.84         000
                                    w/us exam.
43232.......  ........  A          Esoph endoscopy        4.47          NA            NA         2.39          1.96        0.34          NA            NA         7.20          6.77         000
                                    w/us fn bx.
43234.......  ........  A          Upper GI               2.01        4.96          5.23         1.02          0.91        0.17        7.14          7.41         3.20          3.09         000
                                    endoscopy, exam.
43235.......  ........  A          Uppr gi                2.39        5.26          5.19         1.37          1.11        0.19        7.84          7.77         3.95          3.69         000
                                    endoscopy,
                                    diagnosis.
43236.......  ........  A          Uppr gi scope w/       2.92        6.69          6.47         1.67          1.33        0.21        9.82          9.60         4.80          4.46         000
                                    submuc inj.
43237.......  ........  A          Endoscopic us          3.98          NA            NA         2.17          1.74        0.43          NA            NA         6.58          6.15         000
                                    exam, esoph.
43238.......  ........  A          Uppr gi                5.02          NA            NA         2.57          2.11        0.43          NA            NA         8.02          7.56         000
                                    endoscopy w/us
                                    fn bx.
43239.......  ........  A          Upper GI               2.87        6.02          5.79         1.57          1.29        0.22        9.11          8.88         4.66          4.38         000
                                    endoscopy,
                                    biopsy.
43240.......  ........  A          Esoph endoscope        6.85          NA            NA         3.49          2.82        0.56          NA            NA        10.90         10.23         000
                                    w/drain cyst.
43241.......  ........  A          Upper GI               2.59          NA            NA         1.43          1.18        0.21          NA            NA         4.23          3.98         000
                                    endoscopy with
                                    tube.
43242.......  ........  A          Uppr gi                7.30          NA            NA         3.73          2.98        0.53          NA            NA        11.56         10.81         000
                                    endoscopy w/us
                                    fn bx.
43243.......  ........  A          Upper gi               4.56          NA            NA         2.40          1.94        0.33          NA            NA         7.29          6.83         000
                                    endoscopy &
                                    inject.
43244.......  ........  A          Upper GI               5.04          NA            NA         2.68          2.14        0.37          NA            NA         8.09          7.55         000
                                    endoscopy/
                                    ligation.
43245.......  ........  A          Uppr gi scope          3.18          NA            NA         1.65          1.39        0.26          NA            NA         5.09          4.83         000
                                    dilate strictr.
43246.......  ........  A          Place                  4.32          NA            NA         2.14          1.80        0.34          NA            NA         6.80          6.46         000
                                    gastrostomy
                                    tube.
43247.......  ........  A          Operative upper        3.38          NA            NA         1.80          1.48        0.27          NA            NA         5.45          5.13         000
                                    GI endoscopy.
43248.......  ........  A          Uppr gi                3.15          NA            NA         1.80          1.43        0.23          NA            NA         5.18          4.81         000
                                    endoscopy/guide
                                    wire.
43249.......  ........  A          Esoph endoscopy,       2.90          NA            NA         1.64          1.32        0.22          NA            NA         4.76          4.44         000
                                    dilation.
43250.......  ........  A          Upper GI               3.20          NA            NA         1.65          1.40        0.26          NA            NA         5.11          4.86         000
                                    endoscopy/tumor.
43251.......  ........  A          Operative upper        3.69          NA            NA         1.95          1.60        0.29          NA            NA         5.93          5.58         000
                                    GI endoscopy.
43255.......  ........  A          Operative upper        4.81          NA            NA         2.56          2.05        0.35          NA            NA         7.72          7.21         000
                                    GI endoscopy.
43256.......  ........  A          Uppr gi                4.34          NA            NA         2.28          1.85        0.32          NA            NA         6.94          6.51         000
                                    endoscopy w/
                                    stent.
43257.......  ........  A          Uppr gi scope w/       5.50          NA            NA         2.04          2.16        0.36          NA            NA         7.90          8.02         000
                                    thrml txmnt.
43258.......  ........  A          Operative upper        4.54          NA            NA         2.41          1.94        0.33          NA            NA         7.28          6.81         000
                                    GI endoscopy.
43259.......  ........  A          Endoscopic             5.19          NA            NA         2.72          2.17        0.35          NA            NA         8.26          7.71         000
                                    ultrasound exam.
43260.......  ........  A          Endo                   5.95          NA            NA         3.11          2.49        0.43          NA            NA         9.49          8.87         000
                                    cholangiopancre
                                    atograph.
43261.......  ........  A          Endo                   6.26          NA            NA         3.27          2.61        0.46          NA            NA         9.99          9.33         000
                                    cholangiopancre
                                    atograph.
43262.......  ........  A          Endo                   7.38          NA            NA         3.78          3.03        0.54          NA            NA        11.70         10.95         000
                                    cholangiopancre
                                    atograph.
43263.......  ........  A          Endo                   7.28          NA            NA         3.79          3.02        0.54          NA            NA        11.61         10.84         000
                                    cholangiopancre
                                    atograph.
43264.......  ........  A          Endo                   8.89          NA            NA         4.52          3.61        0.65          NA            NA        14.06         13.15         000
                                    cholangiopancre
                                    atograph.
43265.......  ........  A          Endo                  10.00          NA            NA         5.03          4.03        0.73          NA            NA        15.76         14.76         000
                                    cholangiopancre
                                    atograph.
43267.......  ........  A          Endo                   7.38          NA            NA         3.69          3.01        0.54          NA            NA        11.61         10.93         000
                                    cholangiopancre
                                    atograph.
43268.......  ........  A          Endo                   7.38          NA            NA         3.94          3.15        0.54          NA            NA        11.86         11.07         000
                                    cholangiopancre
                                    atograph.
43269.......  ........  A          Endo                   8.20          NA            NA         4.18          3.35        0.60          NA            NA        12.98         12.15         000
                                    cholangiopancre
                                    atograph.
43271.......  ........  A          Endo                   7.38          NA            NA         3.79          3.03        0.54          NA            NA        11.71         10.95         000
                                    cholangiopancre
                                    atograph.
43272.......  ........  A          Endo                   7.38          NA            NA         3.86          3.05        0.54          NA            NA        11.78         10.97         000
                                    cholangiopancre
                                    atograph.
43280.......  ........  A          Laparoscopy,          18.00          NA            NA         6.70          7.13        2.28          NA            NA        26.98         27.41         090
                                    fundoplasty.
43289.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    proc, esoph.
43300.......  ........  A          Repair of              9.21          NA            NA         5.20          6.08        1.12          NA            NA        15.53         16.41         090
                                    esophagus.
43305.......  ........  A          Repair esophagus      17.98          NA            NA         7.65          9.93        1.54          NA            NA        27.17         29.45         090
                                    and fistula.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69868]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
43310.......  ........  A          Repair of             26.18          NA            NA        10.10         10.82        3.61          NA            NA        39.89         40.61         090
                                    esophagus.
43312.......  ........  A          Repair esophagus      29.23          NA            NA         9.97         11.41        4.01          NA            NA        43.21         44.65         090
                                    and fistula.
43313.......  ........  A          Esophagoplasty        48.17          NA            NA        17.28         18.43        5.47          NA            NA        70.92         72.07         090
                                    congenital.
43314.......  ........  A          Tracheo-              53.15          NA            NA        18.37         18.98        6.65          NA            NA        78.17         78.78         090
                                    esophagoplasty
                                    cong.
43320.......  ........  A          Fuse esophagus &      23.18          NA            NA         8.83          9.11        2.74          NA            NA        34.75         35.03         090
                                    stomach.
43324.......  ........  A          Revise esophagus      22.86          NA            NA         8.39          8.67        2.76          NA            NA        34.01         34.29         090
                                    & stomach.
43325.......  ........  A          Revise esophagus      22.47          NA            NA         8.37          8.68        2.60          NA            NA        33.44         33.75         090
                                    & stomach.
43326.......  ........  A          Revise esophagus      22.15          NA            NA         9.33          9.30        2.85          NA            NA        34.33         34.30         090
                                    & stomach.
43330.......  ........  A          Repair of             22.06          NA            NA         8.23          8.46        2.63          NA            NA        32.92         33.15         090
                                    esophagus.
43331.......  ........  A          Repair of             22.93          NA            NA         9.54          9.72        2.94          NA            NA        35.41         35.59         090
                                    esophagus.
43340.......  ........  A          Fuse esophagus &      22.86          NA            NA         9.09          8.99        2.46          NA            NA        34.41         34.31         090
                                    intestine.
43341.......  ........  A          Fuse esophagus &      24.10          NA            NA        10.08         10.03        2.92          NA            NA        37.10         37.05         090
                                    intestine.
43350.......  ........  A          Surgical              19.31          NA            NA         8.02          8.34        1.42          NA            NA        28.75         29.07         090
                                    opening,
                                    esophagus.
43351.......  ........  A          Surgical              21.87          NA            NA         9.59          9.74        2.47          NA            NA        33.93         34.08         090
                                    opening,
                                    esophagus.
43352.......  ........  A          Surgical              17.68          NA            NA         8.17          8.33        2.06          NA            NA        27.91         28.07         090
                                    opening,
                                    esophagus.
43360.......  ........  A          Gastrointestinal      39.90          NA            NA        15.81         15.26        4.97          NA            NA        60.68         60.13         090
                                    repair.
43361.......  ........  A          Gastrointestinal      45.50          NA            NA        16.89         16.88        4.50          NA            NA        66.89         66.88         090
                                    repair.
43400.......  ........  A          Ligate esophagus      25.47          NA            NA        13.73         10.51        1.96          NA            NA        41.16         37.94         090
                                    veins.
43401.......  ........  A          Esophagus             26.36          NA            NA         9.44          9.47        3.05          NA            NA        38.85         38.88         090
                                    surgery for
                                    veins.
43405.......  ........  A          Ligate/staple         24.55          NA            NA        10.37          9.78        2.84          NA            NA        37.76         37.17         090
                                    esophagus.
43410.......  ........  A          Repair esophagus      16.28          NA            NA         7.55          7.61        1.72          NA            NA        25.55         25.61         090
                                    wound.
43415.......  ........  A          Repair esophagus      28.70          NA            NA        11.93         11.79        3.53          NA            NA        44.16         44.02         090
                                    wound.
43420.......  ........  A          Repair esophagus      16.65          NA            NA         6.96          7.29        1.43          NA            NA        25.04         25.37         090
                                    opening.
43425.......  ........  A          Repair esophagus      24.91          NA            NA        10.37         10.07        3.03          NA            NA        38.31         38.01         090
                                    opening.
43450.......  ........  A          Dilate esophagus       1.38        2.66          2.64         0.93          0.75        0.11        4.15          4.13         2.42          2.24         000
43453.......  ........  A          Dilate esophagus       1.51        6.28          6.12         1.02          0.80        0.11        7.90          7.74         2.64          2.42         000
43456.......  ........  A          Dilate esophagus       2.57       12.96         13.55         1.48          1.20        0.20       15.73         16.32         4.25          3.97         000
43458.......  ........  A          Dilate esophagus       3.06        6.93          6.72         1.64          1.37        0.24       10.23         10.02         4.94          4.67         000
43460.......  ........  A          Pressure               3.79          NA            NA         1.74          1.55        0.31          NA            NA         5.84          5.65         000
                                    treatment
                                    esophagus.
43496.......  ........  C          Free jejunum           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         090
                                    flap, microvasc.
43499.......  ........  C          Esophagus              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery
                                    procedure.
43500.......  ........  A          Surgical opening      12.71          NA            NA         5.24          5.04        1.45          NA            NA        19.40         19.20         090
                                    of stomach.
43501.......  ........  A          Surgical repair       22.47          NA            NA         8.13          8.26        2.65          NA            NA        33.25         33.38         090
                                    of stomach.
43502.......  ........  A          Surgical repair       25.56          NA            NA         9.02          9.34        3.10          NA            NA        37.68         38.00         090
                                    of stomach.
43510.......  ........  A          Surgical opening      15.01          NA            NA         6.86          6.65        1.48          NA            NA        23.35         23.14         090
                                    of stomach.
43520.......  ........  A          Incision of           11.21          NA            NA         4.85          5.15        1.36          NA            NA        17.42         17.72         090
                                    pyloric muscle.
43600.......  ........  A          Biopsy of              1.91          NA            NA         0.82          0.70        0.14          NA            NA         2.87          2.75         000
                                    stomach.
43605.......  ........  A          Biopsy of             13.64          NA            NA         5.43          5.32        1.58          NA            NA        20.65         20.54         090
                                    stomach.
43610.......  ........  A          Excision of           16.26          NA            NA         6.08          6.13        1.94          NA            NA        24.28         24.33         090
                                    stomach lesion.
43611.......  ........  A          Excision of           20.25          NA            NA         7.55          7.56        2.36          NA            NA        30.16         30.17         090
                                    stomach lesion.
43620.......  ........  A          Removal of            33.91          NA            NA        11.09         11.62        3.96          NA            NA        48.96         49.49         090
                                    stomach.
43621.......  ........  A          Removal of            39.40          NA            NA        12.47         12.10        4.04          NA            NA        55.91         55.54         090
                                    stomach.
43622.......  ........  A          Removal of            39.90          NA            NA        12.62         12.59        4.30          NA            NA        56.82         56.79         090
                                    stomach.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69869]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
43631.......  ........  A          Removal of            24.38          NA            NA         8.63          9.02        2.99          NA            NA        36.00         36.39         090
                                    stomach,
                                    partial.
43632.......  ........  A          Removal of            35.01          NA            NA        11.36          9.70        2.99          NA            NA        49.36         47.70         090
                                    stomach,
                                    partial.
43633.......  ........  A          Removal of            33.01          NA            NA        10.86          9.71        3.06          NA            NA        46.93         45.78         090
                                    stomach,
                                    partial.
43634.......  ........  A          Removal of            36.51          NA            NA        11.88         10.53        3.33          NA            NA        51.72         50.37         090
                                    stomach,
                                    partial.
43635.......  ........  A          Removal of             2.06          NA            NA         0.53          0.66        0.27          NA            NA         2.86          2.99         ZZZ
                                    stomach,
                                    partial.
43640.......  ........  A          Vagotomy &            19.43          NA            NA         7.37          7.28        2.26          NA            NA        29.06         28.97         090
                                    pylorus repair.
43641.......  ........  A          Vagotomy &            19.68          NA            NA         7.72          7.45        2.25          NA            NA        29.65         29.38         090
                                    pylorus repair.
43644.......  ........  A          Lap gastric           29.24          NA            NA        10.23         10.97        3.16          NA            NA        42.63         43.37         090
                                    bypass/roux-en-
                                    y.
43645.......  ........  A          Lap gastr bypass      31.37          NA            NA        11.14         11.79        3.54          NA            NA        46.05         46.70         090
                                    incl smll i.
43647.......  ........  C          Lap impl               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    electrode,
                                    antrum.
43648.......  ........  C          Lap revise/remv        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    eltrd antrum.
43651.......  ........  A          Laparoscopy,          10.13          NA            NA         4.63          4.73        1.33          NA            NA        16.09         16.19         090
                                    vagus nerve.
43652.......  ........  A          Laparoscopy,          12.13          NA            NA         5.18          5.61        1.55          NA            NA        18.86         19.29         090
                                    vagus nerve.
43653.......  ........  A          Laparoscopy,           8.38          NA            NA         4.39          4.23        1.01          NA            NA        13.78         13.62         090
                                    gastrostomy.
43659.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    proc, stom.
43750.......  ........  A          Place                  4.62          NA            NA         1.90          2.12        0.43          NA            NA         6.95          7.17         010
                                    gastrostomy
                                    tube.
43752.......  ........  A          Nasal/orogastric       0.81          NA            NA         0.23          0.25        0.02          NA            NA         1.06          1.08         000
                                    w/stent.
43760.......  ........  A          Change                 1.10       12.83          4.77         0.39          0.44        0.09       14.02          5.96         1.58          1.63         000
                                    gastrostomy
                                    tube.
43761.......  ........  A          Reposition             2.01        0.91          1.11         0.59          0.64        0.13        3.05          3.25         2.73          2.78         000
                                    gastrostomy
                                    tube.
43770.......  ........  A          Lap, place gastr      17.85          NA            NA         7.47          7.65        2.19          NA            NA        27.51         27.69         090
                                    adjust band.
43771.......  ........  A          Lap, revise           20.64          NA            NA         8.16          8.48        2.55          NA            NA        31.35         31.67         090
                                    adjust gast
                                    band.
43772.......  ........  A          Lap, remove           15.62          NA            NA         5.99          6.31        1.93          NA            NA        23.54         23.86         090
                                    adjust gast
                                    band.
43773.......  ........  A          Lap, change           20.64          NA            NA         8.16          8.48        2.56          NA            NA        31.36         31.68         090
                                    adjust gast
                                    band.
43774.......  ........  A          Lap remov adj         15.66          NA            NA         6.14          6.46        1.85          NA            NA        23.65         23.97         090
                                    gast band/port.
43800.......  ........  A          Reconstruction        15.35          NA            NA         5.88          5.89        1.82          NA            NA        23.05         23.06         090
                                    of pylorus.
43810.......  ........  A          Fusion of             16.80          NA            NA         6.28          6.20        1.94          NA            NA        25.02         24.94         090
                                    stomach and
                                    bowel.
43820.......  ........  A          Fusion of             22.40          NA            NA         8.14          6.84        2.04          NA            NA        32.58         31.28         090
                                    stomach and
                                    bowel.
43825.......  ........  A          Fusion of             21.63          NA            NA         7.92          7.99        2.54          NA            NA        32.09         32.16         090
                                    stomach and
                                    bowel.
43830.......  ........  A          Place                 10.75          NA            NA         5.19          4.93        1.25          NA            NA        17.19         16.93         090
                                    gastrostomy
                                    tube.
43831.......  ........  A          Place                  8.38          NA            NA         5.15          4.67        1.03          NA            NA        14.56         14.08         090
                                    gastrostomy
                                    tube.
43832.......  ........  A          Place                 17.26          NA            NA         7.14          6.92        1.98          NA            NA        26.38         26.16         090
                                    gastrostomy
                                    tube.
43840.......  ........  A          Repair of             22.70          NA            NA         8.22          7.13        2.06          NA            NA        32.98         31.89         090
                                    stomach lesion.
43842.......  ........  N          V-band                20.90          NA            NA         6.75          7.53        2.45          NA            NA        30.10         30.88         090
                                    gastroplasty.
43843.......  ........  A          Gastroplasty w/o      21.08          NA            NA         7.81          7.77        2.46          NA            NA        31.35         31.31         090
                                    v-band.
43845.......  ........  A          Gastroplasty          33.12          NA            NA        12.43         11.19        4.06          NA            NA        49.61         48.37         090
                                    duodenal switch.
43846.......  ........  A          Gastric bypass        27.23          NA            NA        10.05         10.03        3.19          NA            NA        40.47         40.45         090
                                    for obesity.
43847.......  ........  A          Gastric bypass        30.10          NA            NA        10.67         10.84        3.56          NA            NA        44.33         44.50         090
                                    incl small i.
43848.......  ........  A          Revision              32.57          NA            NA        11.35         11.70        3.88          NA            NA        47.80         48.15         090
                                    gastroplasty.
43850.......  ........  A          Revise stomach-       27.45          NA            NA         9.44          9.72        3.28          NA            NA        40.17         40.45         090
                                    bowel fusion.
43855.......  ........  A          Revise stomach-       28.56          NA            NA         9.78         10.19        3.47          NA            NA        41.81         42.22         090
                                    bowel fusion.
43860.......  ........  A          Revise stomach-       27.76          NA            NA         9.53          9.85        3.31          NA            NA        40.60         40.92         090
                                    bowel fusion.
43865.......  ........  A          Revise stomach-       28.92          NA            NA        10.12         10.41        3.51          NA            NA        42.55         42.84         090
                                    bowel fusion.
43870.......  ........  A          Repair stomach        11.36          NA            NA         5.04          4.64        1.27          NA            NA        17.67         17.27         090
                                    opening.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69870]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
43880.......  ........  A          Repair stomach-       27.05          NA            NA         9.37          9.76        3.27          NA            NA        39.69         40.08         090
                                    bowel fistula.
43881.......  ........  C          Impl/redo              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    electrd, antrum.
43882.......  ........  C          Revise/remove          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    electrd antrum.
43886.......  ........  A          Revise gastric         4.54          NA            NA         3.38          3.19        0.25          NA            NA         8.17          7.98         090
                                    port, open.
43887.......  ........  A          Remove gastric         4.24          NA            NA         2.94          2.81        0.51          NA            NA         7.69          7.56         090
                                    port, open.
43888.......  ........  A          Change gastric         6.34          NA            NA         3.86          3.79        0.70          NA            NA        10.90         10.83         090
                                    port, open.
43999.......  ........  C          Stomach surgery        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
44005.......  ........  A          Freeing of bowel      18.38          NA            NA         6.64          6.69        2.15          NA            NA        27.17         27.22         090
                                    adhesion.
44010.......  ........  A          Incision of           14.18          NA            NA         5.55          5.47        1.64          NA            NA        21.37         21.29         090
                                    small bowel.
44015.......  ........  A          Insert needle          2.62          NA            NA         0.69          0.83        0.35          NA            NA         3.66          3.80         ZZZ
                                    cath bowel.
44020.......  ........  A          Explore small         16.14          NA            NA         6.03          5.96        1.86          NA            NA        24.03         23.96         090
                                    intestine.
44021.......  ........  A          Decompress small      16.23          NA            NA         6.31          6.05        1.87          NA            NA        24.41         24.15         090
                                    bowel.
44025.......  ........  A          Incision of           16.43          NA            NA         6.16          6.06        1.90          NA            NA        24.49         24.39         090
                                    large bowel.
44050.......  ........  A          Reduce bowel          15.44          NA            NA         5.86          5.93        1.86          NA            NA        23.16         23.23         090
                                    obstruction.
44055.......  ........  A          Correct               25.53          NA            NA         8.56          8.68        2.91          NA            NA        37.00         37.12         090
                                    malrotation of
                                    bowel.
44100.......  ........  A          Biopsy of bowel.       2.01          NA            NA         0.90          0.76        0.17          NA            NA         3.08          2.94         000
44110.......  ........  A          Excise intestine      13.96          NA            NA         5.56          5.31        1.55          NA            NA        21.07         20.82         090
                                    lesion(s).
44111.......  ........  A          Excision of           16.44          NA            NA         6.18          6.12        1.87          NA            NA        24.49         24.43         090
                                    bowel lesion(s).
44120.......  ........  A          Removal of small      20.74          NA            NA         7.21          7.11        2.25          NA            NA        30.20         30.10         090
                                    intestine.
44121.......  ........  A          Removal of small       4.44          NA            NA         1.14          1.43        0.58          NA            NA         6.16          6.45         ZZZ
                                    intestine.
44125.......  ........  A          Removal of small      19.93          NA            NA         7.08          7.21        2.27          NA            NA        29.28         29.41         090
                                    intestine.
44126.......  ........  A          Enterectomy w/o       42.02          NA            NA        13.91         14.06        4.69          NA            NA        60.62         60.77         090
                                    taper, cong.
44127.......  ........  A          Enterectomy w/        49.09          NA            NA        14.80         15.48        5.77          NA            NA        69.66         70.34         090
                                    taper, cong.
44128.......  ........  A          Enterectomy            4.44          NA            NA         1.05          1.41        0.61          NA            NA         6.10          6.46         ZZZ
                                    cong, add-on.
44130.......  ........  A          Bowel to bowel        21.98          NA            NA         8.02          6.66        1.88          NA            NA        31.88         30.52         090
                                    fusion.
44132.......  ........  R          Enterectomy,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cadaver donor.
44133.......  ........  R          Enterectomy,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    live donor.
44135.......  ........  R          Intestine              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transplnt,
                                    cadaver.
44136.......  ........  R          Intestine              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transplant,
                                    live.
44137.......  ........  C          Remove                 0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    intestinal
                                    allograft.
44139.......  ........  A          Mobilization of        2.23          NA            NA         0.57          0.71        0.28          NA            NA         3.08          3.22         ZZZ
                                    colon.
44140.......  ........  A          Partial removal       22.46          NA            NA         8.14          8.52        2.71          NA            NA        33.31         33.69         090
                                    of colon.
44141.......  ........  A          Partial removal       29.75          NA            NA        11.90         10.51        2.53          NA            NA        44.18         42.79         090
                                    of colon.
44143.......  ........  A          Partial removal       27.63          NA            NA        10.35         10.60        3.05          NA            NA        41.03         41.28         090
                                    of colon.
44144.......  ........  A          Partial removal       29.75          NA            NA        10.70          9.88        2.86          NA            NA        43.31         42.49         090
                                    of colon.
44145.......  ........  A          Partial removal       28.45          NA            NA         9.58         10.50        3.29          NA            NA        41.32         42.24         090
                                    of colon.
44146.......  ........  A          Partial removal       35.14          NA            NA        13.42         12.99        3.41          NA            NA        51.97         51.54         090
                                    of colon.
44147.......  ........  A          Partial removal       33.56          NA            NA        11.05          9.27        2.56          NA            NA        47.17         45.39         090
                                    of colon.
44150.......  ........  A          Removal of colon      29.99          NA            NA        12.68         12.19        3.04          NA            NA        45.71         45.22         090
44151.......  ........  A          Removal of colon/     34.73          NA            NA        14.10         13.57        3.49          NA            NA        52.32         51.79         090
                                    ileostomy.
44155.......  ........  A          Removal of colon/     34.23          NA            NA        13.56         13.37        3.28          NA            NA        51.07         50.88         090
                                    ileostomy.
44156.......  ........  A          Removal of colon/     37.23          NA            NA        14.79         14.97        3.95          NA            NA        55.97         56.15         090
                                    ileostomy.
44157.......  ........  A          Colectomy w/          35.49          NA            NA        15.67         15.67        3.93          NA            NA        55.09         55.09         090
                                    ileoanal anast.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69871]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
44158.......  ........  A          Colectomy w/neo-      36.49          NA            NA        15.97         15.97        4.06          NA            NA        56.52         56.52         090
                                    rectum pouch.
44160.......  ........  A          Removal of colon      20.78          NA            NA         7.57          7.70        2.37          NA            NA        30.72         30.85         090
44180.......  ........  A          Lap, enterolysis       0.77          NA            NA         2.15          5.21        1.86          NA            NA         4.78          7.84         090
44186.......  ........  A          Lap, jejunostomy       0.53          NA            NA         2.15          4.13        1.27          NA            NA         3.95          5.93         090
44187.......  ........  A          Lap, ileo/jejuno-     17.27          NA            NA         8.19          8.25        1.96          NA            NA        27.42         27.48         090
                                    stomy.
44188.......  ........  A          Lap, colostomy..      19.20          NA            NA         8.77          8.82        2.24          NA            NA        30.21         30.26         090
44202.......  ........  A          Lap, enterectomy      23.26          NA            NA         8.37          8.78        2.85          NA            NA        34.48         34.89         090
44203.......  ........  A          Lap resect s/          4.44          NA            NA         1.14          1.41        0.57          NA            NA         6.15          6.42         ZZZ
                                    intestine, addl.
44204.......  ........  A          Laparo partial        26.29          NA            NA         9.00          9.71        3.11          NA            NA        38.40         39.11         090
                                    colectomy.
44205.......  ........  A          Lap colectomy         22.86          NA            NA         7.88          8.60        2.75          NA            NA        33.49         34.21         090
                                    part w/ileum.
44206.......  ........  A          Lap part              29.63          NA            NA        10.58         11.08        3.46          NA            NA        43.67         44.17         090
                                    colectomy w/
                                    stoma.
44207.......  ........  A          L colectomy/          31.79          NA            NA        10.24         11.17        3.67          NA            NA        45.70         46.63         090
                                    coloproctostomy.
44208.......  ........  A          L colectomy/          33.86          NA            NA        12.17         12.89        3.88          NA            NA        49.91         50.63         090
                                    coloproctostomy.
44210.......  ........  A          Laparo total          29.88          NA            NA        11.27         11.72        3.42          NA            NA        44.57         45.02         090
                                    proctocolectomy.
44211.......  ........  A          Lap colectomy w/      36.87          NA            NA        13.85         14.47        4.17          NA            NA        54.89         55.51         090
                                    proctectomy.
44212.......  ........  A          Laparo total          34.37          NA            NA        13.26         13.58        3.78          NA            NA        51.41         51.73         090
                                    proctocolectomy.
44213.......  ........  A          Lap, mobil             3.50          NA            NA         0.89          1.14        0.44          NA            NA         4.83          5.08         ZZZ
                                    splenic fl add-
                                    on.
44227.......  ........  A          Lap, close            28.49          NA            NA         9.59         10.36        3.38          NA            NA        41.46         42.23         090
                                    enterostomy.
44238.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    proc, intestine.
44300.......  ........  A          Open bowel to         13.65          NA            NA         5.58          5.51        1.60          NA            NA        20.83         20.76         090
                                    skin.
44310.......  ........  A          Ileostomy/            17.49          NA            NA         6.45          6.63        1.99          NA            NA        25.93         26.11         090
                                    jejunostomy.
44312.......  ........  A          Revision of            9.33          NA            NA         4.65          4.16        0.92          NA            NA        14.90         14.41         090
                                    ileostomy.
44314.......  ........  A          Revision of           16.61          NA            NA         6.88          6.63        1.75          NA            NA        25.24         24.99         090
                                    ileostomy.
44316.......  ........  A          Devise bowel          23.46          NA            NA         9.35          8.74        2.38          NA            NA        35.19         34.58         090
                                    pouch.
44320.......  ........  A          Colostomy.......      19.75          NA            NA         7.66          7.65        2.26          NA            NA        29.67         29.66         090
44322.......  ........  A          Colostomy with        13.15          NA            NA         9.41          8.78        1.54          NA            NA        24.10         23.47         090
                                    biopsies.
44340.......  ........  A          Revision of            9.12          NA            NA         4.96          4.44        0.99          NA            NA        15.07         14.55         090
                                    colostomy.
44345.......  ........  A          Revision of           17.06          NA            NA         6.96          6.90        1.97          NA            NA        25.99         25.93         090
                                    colostomy.
44346.......  ........  A          Revision of           19.47          NA            NA         7.58          7.43        2.13          NA            NA        29.18         29.03         090
                                    colostomy.
44360.......  ........  A          Small bowel            2.59          NA            NA         1.53          1.21        0.19          NA            NA         4.31          3.99         000
                                    endoscopy.
44361.......  ........  A          Small bowel            2.87          NA            NA         1.67          1.32        0.21          NA            NA         4.75          4.40         000
                                    endoscopy/
                                    biopsy.
44363.......  ........  A          Small bowel            3.49          NA            NA         1.96          1.53        0.27          NA            NA         5.72          5.29         000
                                    endoscopy.
44364.......  ........  A          Small bowel            3.73          NA            NA         2.04          1.63        0.27          NA            NA         6.04          5.63         000
                                    endoscopy.
44365.......  ........  A          Small bowel            3.31          NA            NA         1.81          1.47        0.24          NA            NA         5.36          5.02         000
                                    endoscopy.
44366.......  ........  A          Small bowel            4.40          NA            NA         2.42          1.90        0.32          NA            NA         7.14          6.62         000
                                    endoscopy.
44369.......  ........  A          Small bowel            4.51          NA            NA         2.46          1.91        0.33          NA            NA         7.30          6.75         000
                                    endoscopy.
44370.......  ........  A          Small bowel            4.79          NA            NA         2.58          2.12        0.37          NA            NA         7.74          7.28         000
                                    endoscopy/stent.
44372.......  ........  A          Small bowel            4.40          NA            NA         2.16          1.84        0.35          NA            NA         6.91          6.59         000
                                    endoscopy.
44373.......  ........  A          Small bowel            3.49          NA            NA         1.74          1.50        0.27          NA            NA         5.50          5.26         000
                                    endoscopy.
44376.......  ........  A          Small bowel            5.25          NA            NA         2.48          2.14        0.42          NA            NA         8.15          7.81         000
                                    endoscopy.
44377.......  ........  A          Small bowel            5.52          NA            NA         2.84          2.31        0.40          NA            NA         8.76          8.23         000
                                    endoscopy/
                                    biopsy.
44378.......  ........  A          Small bowel            7.12          NA            NA         3.61          2.92        0.52          NA            NA        11.25         10.56         000
                                    endoscopy.
44379.......  ........  A          S bowel                7.46          NA            NA         3.34          3.02        0.62          NA            NA        11.42         11.10         000
                                    endoscope w/
                                    stent.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69872]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
44380.......  ........  A          Small bowel            1.05          NA            NA         0.75          0.60        0.08          NA            NA         1.88          1.73         000
                                    endoscopy.
44382.......  ........  A          Small bowel            1.27          NA            NA         0.79          0.67        0.12          NA            NA         2.18          2.06         000
                                    endoscopy.
44383.......  ........  A          Ileoscopy w/           2.94          NA            NA         1.64          1.36        0.21          NA            NA         4.79          4.51         000
                                    stent.
44385.......  ........  A          Endoscopy of           1.82        4.88          3.73         0.90          0.79        0.15        6.85          5.70         2.87          2.76         000
                                    bowel pouch.
44386.......  ........  A          Endoscopy, bowel       2.12        6.73          6.66         1.06          0.93        0.20        9.05          8.98         3.38          3.25         000
                                    pouch/biop.
44388.......  ........  A          Colonoscopy.....       2.82        6.10          5.34         1.37          1.21        0.26        9.18          8.42         4.45          4.29         000
44389.......  ........  A          Colonoscopy with       3.13        7.07          6.73         1.60          1.35        0.27       10.47         10.13         5.00          4.75         000
                                    biopsy.
44390.......  ........  A          Colonoscopy for        3.82        7.96          7.32         1.81          1.57        0.32       12.10         11.46         5.95          5.71         000
                                    foreign body.
44391.......  ........  A          Colonoscopy for        4.31        8.95          8.78         2.24          1.83        0.34       13.60         13.43         6.89          6.48         000
                                    bleeding.
44392.......  ........  A          Colonoscopy &          3.81        7.37          6.78         1.74          1.55        0.34       11.52         10.93         5.89          5.70         000
                                    polypectomy.
44393.......  ........  A          Colonoscopy,           4.83        7.87          7.14         2.07          1.91        0.42       13.12         12.39         7.32          7.16         000
                                    lesion removal.
44394.......  ........  A          Colonoscopy w/         4.42        8.46          7.97         2.09          1.81        0.38       13.26         12.77         6.89          6.61         000
                                    snare.
44397.......  ........  A          Colonoscopy w/         4.70          NA            NA         2.33          1.93        0.39          NA            NA         7.42          7.02         000
                                    stent.
44500.......  ........  A          Intro,                 0.49          NA            NA         0.14          0.16        0.03          NA            NA         0.66          0.68         000
                                    gastrointestina
                                    l tube.
44602.......  ........  A          Suture, small         24.64          NA            NA         7.71          6.72        2.12          NA            NA        34.47         33.48         090
                                    intestine.
44603.......  ........  A          Suture, small         28.03          NA            NA         9.08          7.72        2.42          NA            NA        39.53         38.17         090
                                    intestine.
44604.......  ........  A          Suture, large         18.06          NA            NA         6.12          6.37        2.12          NA            NA        26.30         26.55         090
                                    intestine.
44605.......  ........  A          Repair of bowel       22.00          NA            NA         7.95          8.28        2.52          NA            NA        32.47         32.80         090
                                    lesion.
44615.......  ........  A          Intestinal            18.08          NA            NA         6.61          6.66        2.07          NA            NA        26.76         26.81         090
                                    stricturoplasty.
44620.......  ........  A          Repair bowel          14.35          NA            NA         5.54          5.38        1.51          NA            NA        21.40         21.24         090
                                    opening.
44625.......  ........  A          Repair bowel          17.20          NA            NA         6.22          6.28        1.86          NA            NA        25.28         25.34         090
                                    opening.
44626.......  ........  A          Repair bowel          27.82          NA            NA         9.00          9.61        3.27          NA            NA        40.09         40.70         090
                                    opening.
44640.......  ........  A          Repair bowel-         24.12          NA            NA         8.13          8.46        2.78          NA            NA        35.03         35.36         090
                                    skin fistula.
44650.......  ........  A          Repair bowel          25.04          NA            NA         8.38          8.76        2.93          NA            NA        36.35         36.73         090
                                    fistula.
44660.......  ........  A          Repair bowel-         23.83          NA            NA         9.79          8.70        2.14          NA            NA        35.76         34.67         090
                                    bladder fistula.
44661.......  ........  A          Repair bowel-         27.27          NA            NA         9.48          9.53        2.81          NA            NA        39.56         39.61         090
                                    bladder fistula.
44680.......  ........  A          Surgical              17.88          NA            NA         6.59          6.48        2.00          NA            NA        26.47         26.36         090
                                    revision,
                                    intestine.
44700.......  ........  A          Suspend bowel w/      17.40          NA            NA         6.29          6.57        1.84          NA            NA        25.53         25.81         090
                                    prosthesis.
44701.......  ........  A          Intraop colon          3.10          NA            NA         0.78          0.99        0.37          NA            NA         4.25          4.46         ZZZ
                                    lavage add-on.
44715.......  ........  C          Prepare donor          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    intestine.
44720.......  ........  A          Prep donor             5.00          NA            NA         1.26          1.60        0.37          NA            NA         6.63          6.97         XXX
                                    intestine/
                                    venous.
44721.......  ........  A          Prep donor             7.00          NA            NA         1.83          2.25        0.97          NA            NA         9.80         10.22         XXX
                                    intestine/
                                    artery.
44799.......  ........  C          Unlisted               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure
                                    intestine.
44800.......  ........  A          Excision of           11.94          NA            NA         5.54          5.42        1.47          NA            NA        18.95         18.83         090
                                    bowel pouch.
44820.......  ........  A          Excision of           13.63          NA            NA         5.63          5.52        1.59          NA            NA        20.85         20.74         090
                                    mesentery
                                    lesion.
44850.......  ........  A          Repair of             12.03          NA            NA         5.03          5.01        1.39          NA            NA        18.45         18.43         090
                                    mesentery.
44899.......  ........  C          Bowel surgery          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
44900.......  ........  A          Drain app             12.44          NA            NA         5.04          4.78        1.33          NA            NA        18.81         18.55         090
                                    abscess, open.
44901.......  ........  A          Drain app              3.37       18.75         25.61         0.95          1.07        0.22       22.34         29.20         4.54          4.66         000
                                    abscess, percut.
44950.......  ........  A          Appendectomy....      10.52          NA            NA         4.07          4.25        1.31          NA            NA        15.90         16.08         090
44955.......  ........  A          Appendectomy add-      1.53          NA            NA         0.41          0.51        0.20          NA            NA         2.14          2.24         ZZZ
                                    on.
44960.......  ........  A          Appendectomy....      14.39          NA            NA         5.44          5.36        1.63          NA            NA        21.46         21.38         090
44970.......  ........  A          Laparoscopy,           9.35          NA            NA         4.21          4.11        1.14          NA            NA        14.70         14.60         090
                                    appendectomy.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69873]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
44979.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    proc, app.
45000.......  ........  A          Drainage of            6.20          NA            NA         3.50          3.10        0.52          NA            NA        10.22          9.82         090
                                    pelvic abscess.
45005.......  ........  A          Drainage of            2.00        3.94          4.02         1.58          1.58        0.25        6.19          6.27         3.83          3.83         010
                                    rectal abscess.
45020.......  ........  A          Drainage of            8.43          NA            NA         4.52          3.58        0.55          NA            NA        13.50         12.56         090
                                    rectal abscess.
45100.......  ........  A          Biopsy of rectum       3.96          NA            NA         2.83          2.48        0.44          NA            NA         7.23          6.88         090
45108.......  ........  A          Removal of             5.04          NA            NA         3.06          2.84        0.59          NA            NA         8.69          8.47         090
                                    anorectal
                                    lesion.
45110.......  ........  A          Removal of            30.57          NA            NA        11.97         12.29        3.36          NA            NA        45.90         46.22         090
                                    rectum.
45111.......  ........  A          Partial removal       17.89          NA            NA         7.05          7.13        2.07          NA            NA        27.01         27.09         090
                                    of rectum.
45112.......  ........  A          Removal of            33.05          NA            NA        10.43         11.43        3.43          NA            NA        46.91         47.91         090
                                    rectum.
45113.......  ........  A          Partial               33.09          NA            NA        11.67         12.36        3.49          NA            NA        48.25         48.94         090
                                    proctectomy.
45114.......  ........  A          Partial removal       30.63          NA            NA        10.43         10.76        3.36          NA            NA        44.42         44.75         090
                                    of rectum.
45116.......  ........  A          Partial removal       27.56          NA            NA         9.45          9.88        2.88          NA            NA        39.89         40.32         090
                                    of rectum.
45119.......  ........  A          Remove rectum w/      33.35          NA            NA        11.79         12.29        3.36          NA            NA        48.50         49.00         090
                                    reservoir.
45120.......  ........  A          Removal of            26.25          NA            NA         9.47          9.96        2.90          NA            NA        38.62         39.11         090
                                    rectum.
45121.......  ........  A          Removal of            28.93          NA            NA        10.33         10.91        3.25          NA            NA        42.51         43.09         090
                                    rectum and
                                    colon.
45123.......  ........  A          Partial               18.70          NA            NA         7.12          6.92        1.86          NA            NA        27.68         27.48         090
                                    proctectomy.
45126.......  ........  A          Pelvic                48.89          NA            NA        17.38         18.75        4.33          NA            NA        70.60         71.97         090
                                    exenteration.
45130.......  ........  A          Excision of           18.37          NA            NA         6.79          6.77        1.80          NA            NA        26.96         26.94         090
                                    rectal prolapse.
45135.......  ........  A          Excision of           22.15          NA            NA         9.35          8.65        2.36          NA            NA        33.86         33.16         090
                                    rectal prolapse.
45136.......  ........  A          Excise ileoanal       30.63          NA            NA        11.94         12.37        2.82          NA            NA        45.39         45.82         090
                                    reservior.
45150.......  ........  A          Excision of            5.77          NA            NA         3.42          3.08        0.61          NA            NA         9.80          9.46         090
                                    rectal
                                    stricture.
45160.......  ........  A          Excision of           16.17          NA            NA         6.61          6.63        1.68          NA            NA        24.46         24.48         090
                                    rectal lesion.
45170.......  ........  A          Excision of           12.48          NA            NA         5.41          5.28        1.35          NA            NA        19.24         19.11         090
                                    rectal lesion.
45190.......  ........  A          Destruction,          10.29          NA            NA         5.60          4.87        1.13          NA            NA        17.02         16.29         090
                                    rectal tumor.
45300.......  ........  A          Proctosigmoidosc       0.38        1.93          1.63         0.35          0.30        0.04        2.35          2.05         0.77          0.72         000
                                    opy dx.
45303.......  ........  A          Proctosigmoidosc       0.44       19.40         18.86         0.38          0.34        0.05       19.89         19.35         0.87          0.83         000
                                    opy dilate.
45305.......  ........  A          Proctosigmoidosc       1.01        3.24          2.78         0.53          0.51        0.11        4.36          3.90         1.65          1.63         000
                                    opy w/bx.
45307.......  ........  A          Proctosigmoidosc       0.94        3.30          3.10         0.51          0.49        0.11        4.35          4.15         1.56          1.54         000
                                    opy fb.
45308.......  ........  A          Proctosigmoidosc       0.83        3.27          2.31         0.49          0.45        0.09        4.19          3.23         1.41          1.37         000
                                    opy removal.
45309.......  ........  A          Proctosigmoidosc       2.01        3.75          3.05         0.83          0.84        0.22        5.98          5.28         3.06          3.07         000
                                    opy removal.
45315.......  ........  A          Proctosigmoidosc       1.40        3.58          3.04         0.65          0.64        0.15        5.13          4.59         2.20          2.19         000
                                    opy removal.
45317.......  ........  A          Proctosigmoidosc       1.50        3.48          2.69         0.66          0.66        0.15        5.13          4.34         2.31          2.31         000
                                    opy bleed.
45320.......  ........  A          Proctosigmoidosc       1.58        3.95          3.17         0.75          0.72        0.16        5.69          4.91         2.49          2.46         000
                                    opy ablate.
45321.......  ........  A          Proctosigmoidosc       1.17          NA            NA         0.65          0.58        0.13          NA            NA         1.95          1.88         000
                                    opy volvul.
45327.......  ........  A          Proctosigmoidosc       1.65          NA            NA         0.82          0.72        0.16          NA            NA         2.63          2.53         000
                                    opy w/stent.
45330.......  ........  A          Diagnostic             0.96        2.49          2.33         0.62          0.53        0.08        3.53          3.37         1.66          1.57         000
                                    sigmoidoscopy.
45331.......  ........  A          Sigmoidoscopy          1.15        3.24          3.11         0.79          0.64        0.09        4.48          4.35         2.03          1.88         000
                                    and biopsy.
45332.......  ........  A          Sigmoidoscopy w/       1.79        5.60          5.15         1.04          0.86        0.16        7.55          7.10         2.99          2.81         000
                                    fb removal.
45333.......  ........  A          Sigmoidoscopy &        1.79        5.61          5.06         0.99          0.85        0.15        7.55          7.00         2.93          2.79         000
                                    polypectomy.
45334.......  ........  A          Sigmoidoscopy          2.73          NA            NA         1.55          1.24        0.20          NA            NA         4.48          4.17         000
                                    for bleeding.
45335.......  ........  A          Sigmoidoscopy w/       1.46        5.31          3.74         0.91          0.75        0.11        6.88          5.31         2.48          2.32         000
                                    submuc inj.
45337.......  ........  A          Sigmoidoscopy &        2.36          NA            NA         1.25          1.06        0.21          NA            NA         3.82          3.63         000
                                    decompress.
45338.......  ........  A          Sigmoidoscopy w/       2.34        5.84          5.37         1.28          1.07        0.19        8.37          7.90         3.81          3.60         000
                                    tumr remove.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69874]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
45339.......  ........  A          Sigmoidoscopy w/       3.14        5.74          4.03         1.69          1.38        0.26        9.14          7.43         5.09          4.78         000
                                    ablate tumr.
45340.......  ........  A          Sig w/balloon          1.89       10.20          7.18         1.05          0.89        0.15       12.24          9.22         3.09          2.93         000
                                    dilation.
45341.......  ........  A          Sigmoidoscopy w/       2.60          NA            NA         1.48          1.17        0.19          NA            NA         4.27          3.96         000
                                    ultrasound.
45342.......  ........  A          Sigmoidoscopy w/       4.05          NA            NA         2.20          1.71        0.30          NA            NA         6.55          6.06         000
                                    us guide bx.
45345.......  ........  A          Sigmoidoscopy w/       2.92          NA            NA         1.56          1.26        0.23          NA            NA         4.71          4.41         000
                                    stent.
45355.......  ........  A          Surgical               3.51          NA            NA         1.57          1.43        0.36          NA            NA         5.44          5.30         000
                                    colonoscopy.
45378.......  ........  A          Diagnostic             3.69        6.37          6.20         1.85          1.57        0.30       10.36         10.19         5.84          5.56         000
                                    colonoscopy.
45378.......  53......  A          Diagnostic             0.96        2.49          2.33         0.62          0.53        0.08        3.53          3.37         1.66          1.57         000
                                    colonoscopy.
45379.......  ........  A          Colonoscopy w/fb       4.68        8.15          7.78         2.25          1.92        0.39       13.22         12.85         7.32          6.99         000
                                    removal.
45380.......  ........  A          Colonoscopy and        4.43        7.73          7.33         2.27          1.87        0.35       12.51         12.11         7.05          6.65         000
                                    biopsy.
45381.......  ........  A          Colonoscopy,           4.19        7.71          7.26         2.19          1.79        0.30       12.20         11.75         6.68          6.28         000
                                    submucous inj.
45382.......  ........  A          Colonoscopy/           5.68       10.34         10.04         2.93          2.37        0.41       16.43         16.13         9.02          8.46         000
                                    control
                                    bleeding.
45383.......  ........  A          Lesion removal         5.86        8.56          8.08         2.69          2.34        0.48       14.90         14.42         9.03          8.68         000
                                    colonoscopy.
45384.......  ........  A          Lesion remove          4.69        7.21          6.90         2.24          1.93        0.38       12.28         11.97         7.31          7.00         000
                                    colonoscopy.
45385.......  ........  A          Lesion removal         5.30        8.35          7.94         2.63          2.18        0.42       14.07         13.66         8.35          7.90         000
                                    colonoscopy.
45386.......  ........  A          Colonoscopy            4.57       12.29         12.37         2.21          1.89        0.39       17.25         17.33         7.17          6.85         000
                                    dilate
                                    stricture.
45387.......  ........  A          Colonoscopy w/         5.90          NA            NA         2.95          2.49        0.48          NA            NA         9.33          8.87         000
                                    stent.
45391.......  ........  A          Colonoscopy w/         5.09          NA            NA         2.60          2.13        0.42          NA            NA         8.11          7.64         000
                                    endoscope us.
45392.......  ........  A          Colonoscopy w/         6.54          NA            NA         3.17          2.65        0.42          NA            NA        10.13          9.61         000
                                    endoscopic fnb.
45395.......  ........  A          Lap, removal of       32.79          NA            NA        13.03         13.51        3.63          NA            NA        49.45         49.93         090
                                    rectum.
45397.......  ........  A          Lap, remove           36.29          NA            NA        13.67         14.11        3.67          NA            NA        53.63         54.07         090
                                    rectum w/pouch.
45400.......  ........  A          Laparoscopic          19.31          NA            NA         7.21          7.68        2.03          NA            NA        28.55         29.02         090
                                    proc.
45402.......  ........  A          Lap proctopexy w/     26.38          NA            NA         8.91          9.71        2.82          NA            NA        38.11         38.91         090
                                    sig resect.
45499.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    proc, rectum.
45500.......  ........  A          Repair of rectum       7.64          NA            NA         4.39          3.75        0.75          NA            NA        12.78         12.14         090
45505.......  ........  A          Repair of rectum       8.20          NA            NA         5.14          4.17        0.86          NA            NA        14.20         13.23         090
45520.......  ........  A          Treatment of           0.55        3.04          1.99         0.41          0.38        0.05        3.64          2.59         1.01          0.98         000
                                    rectal prolapse.
45540.......  ........  A          Correct rectal        18.02          NA            NA         5.83          6.55        1.85          NA            NA        25.70         26.42         090
                                    prolapse.
45541.......  ........  A          Correct rectal        14.72          NA            NA         6.63          6.11        1.55          NA            NA        22.90         22.38         090
                                    prolapse.
45550.......  ........  A          Repair rectum/        24.67          NA            NA         9.06          9.17        2.62          NA            NA        36.35         36.46         090
                                    remove sigmoid.
45560.......  ........  A          Repair of             11.42          NA            NA         5.55          5.18        1.13          NA            NA        18.10         17.73         090
                                    rectocele.
45562.......  ........  A          Exploration/          17.82          NA            NA         8.18          7.28        1.84          NA            NA        27.84         26.94         090
                                    repair of
                                    rectum.
45563.......  ........  A          Exploration/          26.22          NA            NA        10.95         10.62        3.11          NA            NA        40.28         39.95         090
                                    repair of
                                    rectum.
45800.......  ........  A          Repair rect/          20.18          NA            NA         9.30          7.89        1.86          NA            NA        31.34         29.93         090
                                    bladder fistula.
45805.......  ........  A          Repair fistula w/     23.19          NA            NA         9.27          9.44        2.03          NA            NA        34.49         34.66         090
                                    colostomy.
45820.......  ........  A          Repair                20.24          NA            NA         9.39          8.06        1.58          NA            NA        31.21         29.88         090
                                    rectourethral
                                    fistula.
45825.......  ........  A          Repair fistula w/     24.01          NA            NA        11.05         10.12        2.32          NA            NA        37.38         36.45         090
                                    colostomy.
45900.......  ........  A          Reduction of           2.96          NA            NA         1.69          1.55        0.30          NA            NA         4.95          4.81         010
                                    rectal prolapse.
45905.......  ........  A          Dilation of anal       2.32          NA            NA         1.65          1.49        0.27          NA            NA         4.24          4.08         010
                                    sphincter.
45910.......  ........  A          Dilation of            2.82          NA            NA         1.81          1.70        0.30          NA            NA         4.93          4.82         010
                                    rectal
                                    narrowing.
45915.......  ........  A          Remove rectal          3.16        4.25          4.30         2.05          2.08        0.30        7.71          7.76         5.51          5.54         010
                                    obstruction.
45990.......  ........  A          Surg dx exam,          1.80          NA            NA         0.80          0.79        0.17          NA            NA         2.77          2.76         000
                                    anorectal.
45999.......  ........  C          Rectum surgery         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69875]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
46020.......  ........  A          Placement of           2.94        3.26          2.56         2.36          1.98        0.31        6.51          5.81         5.61          5.23         010
                                    seton.
46030.......  ........  A          Removal of             1.24        1.88          1.48         0.82          0.74        0.14        3.26          2.86         2.20          2.12         010
                                    rectal marker.
46040.......  ........  A          Incision of            5.26        6.51          5.75         3.98          3.68        0.62       12.39         11.63         9.86          9.56         090
                                    rectal abscess.
46045.......  ........  A          Incision of            5.79          NA            NA         3.94          3.15        0.54          NA            NA        10.27          9.48         090
                                    rectal abscess.
46050.......  ........  A          Incision of anal       1.21        3.17          2.70         0.98          0.88        0.14        4.52          4.05         2.33          2.23         010
                                    abscess.
46060.......  ........  A          Incision of            6.24          NA            NA         4.42          3.54        0.67          NA            NA        11.33         10.45         090
                                    rectal abscess.
46070.......  ........  A          Incision of anal       2.74          NA            NA         2.33          1.96        0.36          NA            NA         5.43          5.06         090
                                    septum.
46080.......  ........  A          Incision of anal       2.50        3.05          2.53         1.13          1.13        0.30        5.85          5.33         3.93          3.93         010
                                    sphincter.
46083.......  ........  A          Incise external        1.42        2.34          2.48         0.96          0.93        0.15        3.91          4.05         2.53          2.50         010
                                    hemorrhoid.
46200.......  ........  A          Removal of anal        3.48        6.28          4.46         3.73          3.08        0.39       10.15          8.33         7.60          6.95         090
                                    fissure.
46210.......  ........  A          Removal of anal        2.73        5.93          5.32         3.36          2.81        0.31        8.97          8.36         6.40          5.85         090
                                    crypt.
46211.......  ........  A          Removal of anal        4.31        7.12          5.83         4.11          3.65        0.48       11.91         10.62         8.90          8.44         090
                                    crypts.
46220.......  ........  A          Removal of anal        1.58        2.98          2.46         1.09          0.99        0.17        4.73          4.21         2.84          2.74         010
                                    tag.
46221.......  ........  A          Ligation of            2.31        3.72          2.91         2.00          1.81        0.23        6.26          5.45         4.54          4.35         010
                                    hemorrhoid(s).
46230.......  ........  A          Removal of anal        2.59        3.49          3.18         1.34          1.30        0.30        6.38          6.07         4.23          4.19         010
                                    tags.
46250.......  ........  A          Hemorrhoidectomy       4.17        5.95          5.46         2.85          2.67        0.48       10.60         10.11         7.50          7.32         090
46255.......  ........  A          Hemorrhoidectomy       4.88        6.37          5.97         3.10          2.90        0.58       11.83         11.43         8.56          8.36         090
46257.......  ........  A          Remove                 5.68          NA            NA         3.82          3.11        0.64          NA            NA        10.14          9.43         090
                                    hemorrhoids &
                                    fissure.
46258.......  ........  A          Remove                 6.28          NA            NA         4.02          3.46        0.68          NA            NA        10.98         10.42         090
                                    hemorrhoids &
                                    fistula.
46260.......  ........  A          Hemorrhoidectomy       6.65          NA            NA         4.07          3.40        0.76          NA            NA        11.48         10.81         090
46261.......  ........  A          Remove                 7.63          NA            NA         4.35          3.79        0.79          NA            NA        12.77         12.21         090
                                    hemorrhoids &
                                    fissure.
46262.......  ........  A          Remove                 7.80          NA            NA         4.70          3.97        0.83          NA            NA        13.33         12.60         090
                                    hemorrhoids &
                                    fistula.
46270.......  ........  A          Removal of anal        4.81        6.26          5.31         3.85          3.09        0.46       11.53         10.58         9.12          8.36         090
                                    fistula.
46275.......  ........  A          Removal of anal        5.31        6.60          5.12         3.97          3.22        0.52       12.43         10.95         9.80          9.05         090
                                    fistula.
46280.......  ........  A          Removal of anal        6.28          NA            NA         4.29          3.51        0.66          NA            NA        11.23         10.45         090
                                    fistula.
46285.......  ........  A          Removal of anal        5.31        6.51          4.45         3.96          3.05        0.44       12.26         10.20         9.71          8.80         090
                                    fistula.
46288.......  ........  A          Repair anal            7.68          NA            NA         4.70          3.93        0.79          NA            NA        13.17         12.40         090
                                    fistula.
46320.......  ........  A          Removal of             1.62        2.40          2.19         0.89          0.86        0.18        4.20          3.99         2.69          2.66         010
                                    hemorrhoid clot.
46500.......  ........  A          Injection into         1.64        3.60          2.48         1.26          1.18        0.16        5.40          4.28         3.06          2.98         010
                                    hemorrhoid(s).
46505.......  ........  A          Chemodenervation       3.13        3.29          3.10         2.31          2.05        0.14        6.56          6.37         5.58          5.32         010
                                    anal musc.
46600.......  ........  A          Diagnostic             0.50        1.43          1.53         0.37          0.35        0.05        1.98          2.08         0.92          0.90         000
                                    anoscopy.
46604.......  ........  A          Anoscopy and           1.31       12.51          9.97         0.58          0.61        0.12       13.94         11.40         2.01          2.04         000
                                    dilation.
46606.......  ........  A          Anoscopy and           0.81        3.88          3.81         0.48          0.44        0.09        4.78          4.71         1.38          1.34         000
                                    biopsy.
46608.......  ........  A          Anoscopy, remove       1.51        3.90          4.28         0.62          0.64        0.16        5.57          5.95         2.29          2.31         000
                                    for body.
46610.......  ........  A          Anoscopy, remove       1.32        4.12          4.05         0.67          0.63        0.15        5.59          5.52         2.14          2.10         000
                                    lesion.
46611.......  ........  A          Anoscopy........       1.81        2.80          3.20         0.72          0.77        0.19        4.80          5.20         2.72          2.77         000
46612.......  ........  A          Anoscopy, remove       2.34        5.24          5.20         0.96          0.98        0.28        7.86          7.82         3.58          3.60         000
                                    lesions.
46614.......  ........  A          Anoscopy,              2.01        2.56          2.38         0.83          0.84        0.20        4.77          4.59         3.04          3.05         000
                                    control
                                    bleeding.
46615.......  ........  A          Anoscopy........       2.68        2.26          2.43         0.97          1.05        0.33        5.27          5.44         3.98          4.06         000
46700.......  ........  A          Repair of anal         9.68          NA            NA         5.19          4.45        0.94          NA            NA        15.81         15.07         090
                                    stricture.
46705.......  ........  A          Repair of anal         7.32          NA            NA         4.04          3.77        0.91          NA            NA        12.27         12.00         090
                                    stricture.
46706.......  ........  A          Repr of anal           2.41          NA            NA         1.45          1.30        0.28          NA            NA         4.14          3.99         010
                                    fistula w/glue.
46710.......  ........  A          Repr per/vag          17.01          NA            NA         7.83          7.77        1.38          NA            NA        26.22         26.16         090
                                    pouch sngl proc.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69876]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
46712.......  ........  A          Repr per/vag          36.32          NA            NA        14.26         14.85        3.67          NA            NA        54.25         54.84         090
                                    pouch dbl proc.
46715.......  ........  A          Rep perf anoper        7.54          NA            NA         3.74          3.61        0.92          NA            NA        12.20         12.07         090
                                    fistu.
46716.......  ........  A          Rep perf anoper/      17.14          NA            NA         9.59          8.38        1.58          NA            NA        28.31         27.10         090
                                    vestib fistu.
46730.......  ........  A          Construction of       30.17          NA            NA        11.55         11.90        2.47          NA            NA        44.19         44.54         090
                                    absent anus.
46735.......  ........  A          Construction of       35.66          NA            NA        13.63         13.56        3.21          NA            NA        52.50         52.43         090
                                    absent anus.
46740.......  ........  A          Construction of       33.42          NA            NA        14.57         13.56        2.42          NA            NA        50.41         49.40         090
                                    absent anus.
46742.......  ........  A          Repair of             39.66          NA            NA        16.09         17.06        3.20          NA            NA        58.95         59.92         090
                                    imperforated
                                    anus.
46744.......  ........  A          Repair of             58.46          NA            NA        21.37         21.18        6.40          NA            NA        86.23         86.04         090
                                    cloacal anomaly.
46746.......  ........  A          Repair of             64.93          NA            NA        19.68         23.78        7.70          NA            NA        92.31         96.41         090
                                    cloacal anomaly.
46748.......  ........  A          Repair of             70.91          NA            NA        21.07         22.99        3.37          NA            NA        95.35         97.27         090
                                    cloacal anomaly.
46750.......  ........  A          Repair of anal        12.02          NA            NA         5.83          5.25        1.10          NA            NA        18.95         18.37         090
                                    sphincter.
46751.......  ........  A          Repair of anal         9.19          NA            NA         4.42          5.16        0.94          NA            NA        14.55         15.29         090
                                    sphincter.
46753.......  ........  A          Reconstruction         8.81          NA            NA         4.63          4.04        0.94          NA            NA        14.38         13.79         090
                                    of anus.
46754.......  ........  A          Removal of             2.88        3.72          3.62         2.28          1.82        0.19        6.79          6.69         5.35          4.89         010
                                    suture from
                                    anus.
46760.......  ........  A          Repair of anal        17.21          NA            NA         8.24          7.37        1.59          NA            NA        27.04         26.17         090
                                    sphincter.
46761.......  ........  A          Repair of anal        15.16          NA            NA         6.51          6.13        1.43          NA            NA        23.10         22.72         090
                                    sphincter.
46762.......  ........  A          Implant               14.66          NA            NA         6.87          5.85        1.24          NA            NA        22.77         21.75         090
                                    artificial
                                    sphincter.
46900.......  ........  A          Destruction,           1.91        3.63          2.84         1.31          1.28        0.17        5.71          4.92         3.39          3.36         010
                                    anal lesion(s).
46910.......  ........  A          Destruction,           1.88        3.88          3.15         1.21          1.10        0.19        5.95          5.22         3.28          3.17         010
                                    anal lesion(s).
46916.......  ........  A          Cryosurgery,           1.88        3.80          3.31         1.61          1.45        0.11        5.79          5.30         3.60          3.44         010
                                    anal lesion(s).
46917.......  ........  A          Laser surgery,         1.88        8.62          9.00         1.21          1.14        0.21       10.71         11.09         3.30          3.23         010
                                    anal lesions.
46922.......  ........  A          Excision of anal       1.88        4.10          3.48         1.20          1.10        0.22        6.20          5.58         3.30          3.20         010
                                    lesion(s).
46924.......  ........  A          Destruction,           2.78        9.60          8.91         1.55          1.40        0.26       12.64         11.95         4.59          4.44         010
                                    anal lesion(s).
46934.......  ........  A          Destruction of         3.79        5.40          5.15         2.81          2.92        0.32        9.51          9.26         6.92          7.03         090
                                    hemorrhoids.
46935.......  ........  A          Destruction of         2.44        3.68          3.52         1.09          1.18        0.23        6.35          6.19         3.76          3.85         010
                                    hemorrhoids.
46936.......  ........  A          Destruction of         3.70        6.15          5.19         2.62          2.52        0.34       10.19          9.23         6.66          6.56         090
                                    hemorrhoids.
46937.......  ........  A          Cryotherapy of         2.70        4.16          3.12         1.90          1.39        0.14        7.00          5.96         4.74          4.23         010
                                    rectal lesion.
46938.......  ........  A          Cryotherapy of         4.70        5.78          4.44         3.64          3.20        0.58       11.06          9.72         8.92          8.48         090
                                    rectal lesion.
46940.......  ........  A          Treatment of           2.33        2.84          2.20         1.05          1.08        0.23        5.40          4.76         3.61          3.64         010
                                    anal fissure.
46942.......  ........  A          Treatment of           2.05        2.79          2.07         0.96          1.01        0.19        5.03          4.31         3.20          3.25         010
                                    anal fissure.
46945.......  ........  A          Ligation of            2.13        4.81          3.65         2.99          2.60        0.19        7.13          5.97         5.31          4.92         090
                                    hemorrhoids.
46946.......  ........  A          Ligation of            2.60        4.64          3.95         2.66          2.46        0.27        7.51          6.82         5.53          5.33         090
                                    hemorrhoids.
46947.......  ........  A          Hemorrhoidopexy        5.49          NA            NA         3.11          2.81        0.75          NA            NA         9.35          9.05         090
                                    by stapling.
46999.......  ........  C          Anus surgery           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
47000.......  ........  A          Needle biopsy of       1.90        7.28          4.12         0.58          0.62        0.12        9.30          6.14         2.60          2.64         000
                                    liver.
47001.......  ........  A          Needle biopsy,         1.90          NA            NA         0.49          0.61        0.25          NA            NA         2.64          2.76         ZZZ
                                    liver add-on.
47010.......  ........  A          Open drainage,        19.27          NA            NA         8.15          8.33        1.81          NA            NA        29.23         29.41         090
                                    liver lesion.
47011.......  ........  A          Percut drain,          3.69          NA            NA         1.05          1.17        0.22          NA            NA         4.96          5.08         000
                                    liver lesion.
47015.......  ........  A          Inject/aspirate       18.37          NA            NA         7.80          7.56        1.84          NA            NA        28.01         27.77         090
                                    liver cyst.
47100.......  ........  A          Wedge biopsy of       12.78          NA            NA         6.33          6.11        1.53          NA            NA        20.64         20.42         090
                                    liver.
47120.......  ........  A          Partial removal       38.82          NA            NA        14.08         14.88        4.66          NA            NA        57.56         58.36         090
                                    of liver.
47122.......  ........  A          Extensive             59.35          NA            NA        18.83         20.79        7.21          NA            NA        85.39         87.35         090
                                    removal of
                                    liver.
47125.......  ........  A          Partial removal       52.91          NA            NA        17.09         18.90        6.47          NA            NA        76.47         78.28         090
                                    of liver.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69877]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
47130.......  ........  A          Partial removal       57.06          NA            NA        18.09         20.24        6.96          NA            NA        82.11         84.26         090
                                    of liver.
47133.......  ........  X          Removal of donor       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    liver.
47135.......  ........  R          Transplantation       83.29          NA            NA        27.87         30.59        9.96          NA            NA       121.12        123.84         090
                                    of liver.
47136.......  ........  R          Transplantation       70.39          NA            NA        23.77         26.20        8.44          NA            NA       102.60        105.03         090
                                    of liver.
47140.......  ........  A          Partial removal,      59.22          NA            NA        21.75         22.14        5.19          NA            NA        86.16         86.55         090
                                    donor liver.
47141.......  ........  A          Partial removal,      71.27          NA            NA        25.51         26.55        5.19          NA            NA       101.97        103.01         090
                                    donor liver.
47142.......  ........  A          Partial removal,      79.21          NA            NA        27.55         28.98        5.19          NA            NA       111.95        113.38         090
                                    donor liver.
47143.......  ........  C          Prep donor             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    liver, whole.
47144.......  ........  C          Prep donor             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         090
                                    liver, 3-
                                    segment.
47145.......  ........  C          Prep donor             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    liver, lobe
                                    split.
47146.......  ........  A          Prep donor liver/      6.00          NA            NA         1.54          1.92        0.83          NA            NA         8.37          8.75         XXX
                                    venous.
47147.......  ........  A          Prep donor liver/      7.00          NA            NA         1.79          2.24        0.97          NA            NA         9.76         10.21         XXX
                                    arterial.
47300.......  ........  A          Surgery for           18.01          NA            NA         7.67          7.33        1.99          NA            NA        27.67         27.33         090
                                    liver lesion.
47350.......  ........  A          Repair liver          22.36          NA            NA         8.89          8.87        2.59          NA            NA        33.84         33.82         090
                                    wound.
47360.......  ........  A          Repair liver          31.18          NA            NA        11.38         11.52        3.38          NA            NA        45.94         46.08         090
                                    wound.
47361.......  ........  A          Repair liver          52.47          NA            NA        16.82         18.09        5.87          NA            NA        75.16         76.43         090
                                    wound.
47362.......  ........  A          Repair liver          23.41          NA            NA         9.31          8.86        2.51          NA            NA        35.23         34.78         090
                                    wound.
47370.......  ........  A          Laparo ablate         20.67          NA            NA         7.67          8.02        2.56          NA            NA        30.90         31.25         090
                                    liver tumor rf.
47371.......  ........  A          Laparo ablate         20.67          NA            NA         8.14          8.14        2.61          NA            NA        31.42         31.42         090
                                    liver cryosurg.
47379.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure,
                                    liver.
47380.......  ........  A          Open ablate           24.43          NA            NA         8.52          9.14        2.87          NA            NA        35.82         36.44         090
                                    liver tumor rf.
47381.......  ........  A          Open ablate           24.72          NA            NA         9.01          9.44        2.85          NA            NA        36.58         37.01         090
                                    liver tumor
                                    cryo.
47382.......  ........  A          Percut ablate         15.19          NA            NA         5.12          5.83        0.96          NA            NA        21.27         21.98         010
                                    liver rf.
47399.......  ........  C          Liver surgery          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
47400.......  ........  A          Incision of           36.23          NA            NA        13.12         13.35        3.08          NA            NA        52.43         52.66         090
                                    liver duct.
47420.......  ........  A          Incision of bile      21.92          NA            NA         8.63          8.72        2.63          NA            NA        33.18         33.27         090
                                    duct.
47425.......  ........  A          Incision of bile      22.20          NA            NA         8.59          8.75        2.62          NA            NA        33.41         33.57         090
                                    duct.
47460.......  ........  A          Incise bile duct      20.41          NA            NA         9.01          8.52        2.21          NA            NA        31.63         31.14         090
                                    sphincter.
47480.......  ........  A          Incision of           13.12          NA            NA         6.65          6.09        1.42          NA            NA        21.19         20.63         090
                                    gallbladder.
47490.......  ........  A          Incision of            8.05          NA            NA         4.61          5.32        0.43          NA            NA        13.09         13.80         090
                                    gallbladder.
47500.......  ........  A          Injection for          1.96          NA            NA         0.57          0.62        0.12          NA            NA         2.65          2.70         000
                                    liver x-rays.
47505.......  ........  A          Injection for          0.76          NA            NA         0.22          0.24        0.04          NA            NA         1.02          1.04         000
                                    liver x-rays.
47510.......  ........  A          Insert catheter,       7.94          NA            NA         3.99          4.76        0.46          NA            NA        12.39         13.16         090
                                    bile duct.
47511.......  ........  A          Insert bile duct      10.74          NA            NA         4.22          4.87        0.62          NA            NA        15.58         16.23         090
                                    drain.
47525.......  ........  A          Change bile duct       5.55       13.94         14.80         2.27          2.67        0.33       19.82         20.68         8.15          8.55         010
                                    catheter.
47530.......  ........  A          Revise/reinsert        5.96       28.88         32.56         2.98          3.53        0.37       35.21         38.89         9.31          9.86         090
                                    bile tube.
47550.......  ........  A          Bile duct              3.02          NA            NA         0.78          0.96        0.40          NA            NA         4.20          4.38         ZZZ
                                    endoscopy add-
                                    on.
47552.......  ........  A          Biliary                6.03          NA            NA         2.10          2.30        0.42          NA            NA         8.55          8.75         000
                                    endoscopy thru
                                    skin.
47553.......  ........  A          Biliary                6.34          NA            NA         1.84          2.01        0.37          NA            NA         8.55          8.72         000
                                    endoscopy thru
                                    skin.
47554.......  ........  A          Biliary                9.05          NA            NA         2.92          3.24        0.96          NA            NA        12.93         13.25         000
                                    endoscopy thru
                                    skin.
47555.......  ........  A          Biliary                7.55          NA            NA         2.22          2.40        0.45          NA            NA        10.22         10.40         000
                                    endoscopy thru
                                    skin.
47556.......  ........  A          Biliary                8.55          NA            NA         2.47          2.70        0.50          NA            NA        11.52         11.75         000
                                    endoscopy thru
                                    skin.
47560.......  ........  A          Laparoscopy w/         4.88          NA            NA         1.25          1.57        0.65          NA            NA         6.78          7.10         000
                                    cholangio.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69878]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
47561.......  ........  A          Laparo w/              5.17          NA            NA         1.56          1.82        0.66          NA            NA         7.39          7.65         000
                                    cholangio/
                                    biopsy.
47562.......  ........  A          Laparoscopic          11.63          NA            NA         5.29          5.06        1.46          NA            NA        18.38         18.15         090
                                    cholecystectomy.
47563.......  ........  A          Laparo                12.03          NA            NA         5.09          5.24        1.58          NA            NA        18.70         18.85         090
                                    cholecystectomy/
                                    graph.
47564.......  ........  A          Laparo                14.21          NA            NA         5.46          5.82        1.89          NA            NA        21.56         21.92         090
                                    cholecystectomy/
                                    explr.
47570.......  ........  A          Laparo                12.56          NA            NA         5.04          5.28        1.65          NA            NA        19.25         19.49         090
                                    cholecystoenter
                                    ostomy.
47579.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    proc, biliary.
47600.......  ........  A          Removal of            17.35          NA            NA         7.25          6.40        1.80          NA            NA        26.40         25.55         090
                                    gallbladder.
47605.......  ........  A          Removal of            15.90          NA            NA         6.41          6.47        1.95          NA            NA        24.26         24.32         090
                                    gallbladder.
47610.......  ........  A          Removal of            20.84          NA            NA         7.73          7.87        2.49          NA            NA        31.06         31.20         090
                                    gallbladder.
47612.......  ........  A          Removal of            21.13          NA            NA         7.73          7.84        2.48          NA            NA        31.34         31.45         090
                                    gallbladder.
47620.......  ........  A          Removal of            22.99          NA            NA         8.23          8.44        2.74          NA            NA        33.96         34.17         090
                                    gallbladder.
47630.......  ........  A          Remove bile duct       9.57          NA            NA         4.18          4.71        0.65          NA            NA        14.40         14.93         090
                                    stone.
47700.......  ........  A          Exploration of        16.39          NA            NA         7.27          7.37        2.07          NA            NA        25.73         25.83         090
                                    bile ducts.
47701.......  ........  A          Bile duct             28.62          NA            NA        10.11         11.13        3.68          NA            NA        42.41         43.43         090
                                    revision.
47711.......  ........  A          Excision of bile      25.77          NA            NA         9.59          9.83        3.05          NA            NA        38.41         38.65         090
                                    duct tumor.
47712.......  ........  A          Excision of bile      33.59          NA            NA        11.59         12.20        3.93          NA            NA        49.11         49.72         090
                                    duct tumor.
47715.......  ........  A          Excision of bile      21.42          NA            NA         8.59          8.46        2.49          NA            NA        32.50         32.37         090
                                    duct cyst.
47719.......  ........  A          Fusion of bile        19.07          NA            NA         7.97          7.85        2.15          NA            NA        29.19         29.07         090
                                    duct cyst.
47720.......  ........  A          Fuse gallbladder      18.21          NA            NA         7.74          7.53        2.11          NA            NA        28.06         27.85         090
                                    & bowel.
47721.......  ........  A          Fuse upper gi         21.86          NA            NA         8.62          8.57        2.53          NA            NA        33.01         32.96         090
                                    structures.
47740.......  ........  A          Fuse gallbladder      21.10          NA            NA         8.52          8.40        2.42          NA            NA        32.04         31.92         090
                                    & bowel.
47741.......  ........  A          Fuse gallbladder      24.08          NA            NA         9.27          9.27        2.83          NA            NA        36.18         36.18         090
                                    & bowel.
47760.......  ........  A          Fuse bile ducts       38.14          NA            NA        13.14         11.41        3.42          NA            NA        54.70         52.97         090
                                    and bowel.
47765.......  ........  A          Fuse liver ducts      52.01          NA            NA        16.99         12.33        3.30          NA            NA        72.30         67.64         090
                                    & bowel.
47780.......  ........  A          Fuse bile ducts       42.14          NA            NA        14.16         11.93        3.50          NA            NA        59.80         57.57         090
                                    and bowel.
47785.......  ........  A          Fuse bile ducts       56.01          NA            NA        17.95         14.16        4.10          NA            NA        78.06         74.27         090
                                    and bowel.
47800.......  ........  A          Reconstruction        26.04          NA            NA         9.78          9.98        3.08          NA            NA        38.90         39.10         090
                                    of bile ducts.
47801.......  ........  A          Placement, bile       17.47          NA            NA         7.60          8.01        1.16          NA            NA        26.23         26.64         090
                                    duct support.
47802.......  ........  A          Fuse liver duct       24.80          NA            NA         9.54          9.62        2.86          NA            NA        37.20         37.28         090
                                    & intestine.
47900.......  ........  A          Suture bile duct      22.31          NA            NA         8.77          8.83        2.65          NA            NA        33.73         33.79         090
                                    injury.
47999.......  ........  C          Bile tract             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery
                                    procedure.
48000.......  ........  A          Drainage of           31.82          NA            NA        10.87         11.34        3.48          NA            NA        46.17         46.64         090
                                    abdomen.
48001.......  ........  A          Placement of          39.56          NA            NA        12.74         13.58        4.69          NA            NA        56.99         57.83         090
                                    drain, pancreas.
48020.......  ........  A          Removal of            18.96          NA            NA         7.63          7.38        2.13          NA            NA        28.72         28.47         090
                                    pancreatic
                                    stone.
48100.......  ........  A          Biopsy of             14.38          NA            NA         5.88          5.66        1.62          NA            NA        21.88         21.66         090
                                    pancreas, open.
48102.......  ........  A          Needle biopsy,         4.68        8.98          8.21         1.58          1.85        0.28       13.94         13.17         6.54          6.81         010
                                    pancreas.
48105.......  ........  A          Resect/debride        49.05          NA            NA        16.00         16.41        5.56          NA            NA        70.61         71.02         090
                                    pancreas.
48120.......  ........  A          Removal of            18.33          NA            NA         6.93          6.86        2.10          NA            NA        27.36         27.29         090
                                    pancreas lesion.
48140.......  ........  A          Partial removal       26.19          NA            NA         9.40          9.49        3.03          NA            NA        38.62         38.71         090
                                    of pancreas.
48145.......  ........  A          Partial removal       27.26          NA            NA         9.76          9.80        3.18          NA            NA        40.20         40.24         090
                                    of pancreas.
48146.......  ........  A          Pancreatectomy..      30.42          NA            NA        11.87         11.95        3.50          NA            NA        45.79         45.87         090
48148.......  ........  A          Removal of            20.26          NA            NA         8.09          7.72        2.30          NA            NA        30.65         30.28         090
                                    pancreatic duct.
48150.......  ........  A          Partial removal       52.63          NA            NA        18.11         19.14        6.32          NA            NA        77.06         78.09         090
                                    of pancreas.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69879]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
48152.......  ........  A          Pancreatectomy..      48.47          NA            NA        16.65         17.80        5.80          NA            NA        70.92         72.07         090
48153.......  ........  A          Pancreatectomy..      52.61          NA            NA        17.98         19.14        6.31          NA            NA        76.90         78.06         090
48154.......  ........  A          Pancreatectomy..      48.70          NA            NA        17.01         17.91        5.84          NA            NA        71.55         72.45         090
48155.......  ........  A          Removal of            29.27          NA            NA        11.98         11.73        3.27          NA            NA        44.52         44.27         090
                                    pancreas.
48160.......  ........  N          Pancreas removal/      0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transplant.
48400.......  ........  A          Injection,             1.95          NA            NA         0.85          0.69        0.15          NA            NA         2.95          2.79         ZZZ
                                    intraop add-on.
48500.......  ........  A          Surgery of            18.03          NA            NA         8.04          7.50        2.03          NA            NA        28.10         27.56         090
                                    pancreatic cyst.
48510.......  ........  A          Drain pancreatic      17.06          NA            NA         7.53          7.46        1.83          NA            NA        26.42         26.35         090
                                    pseudocyst.
48511.......  ........  A          Drain pancreatic       3.99       19.06         20.43         1.14          1.27        0.24       23.29         24.66         5.37          5.50         000
                                    pseudocyst.
48520.......  ........  A          Fuse pancreas         18.07          NA            NA         6.80          6.72        2.06          NA            NA        26.93         26.85         090
                                    cyst and bowel.
48540.......  ........  A          Fuse pancreas         21.86          NA            NA         7.76          8.02        2.61          NA            NA        32.23         32.49         090
                                    cyst and bowel.
48545.......  ........  A          Pancreatorrhaphy      22.10          NA            NA         8.11          8.01        2.38          NA            NA        32.59         32.49         090
48547.......  ........  A          Duodenal              30.25          NA            NA        10.32         10.43        3.42          NA            NA        43.99         44.10         090
                                    exclusion.
48548.......  ........  A          Fuse pancreas         27.96          NA            NA         9.93         10.09        3.28          NA            NA        41.17         41.33         090
                                    and bowel.
48550.......  ........  X          Donor                  0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pancreatectomy.
48551.......  ........  C          Prep donor             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pancreas.
48552.......  ........  A          Prep donor             4.30          NA            NA         1.14          1.38        0.31          NA            NA         5.75          5.99         XXX
                                    pancreas/venous.
48554.......  ........  R          Transpl               37.03          NA            NA        20.54         18.82        4.19          NA            NA        61.76         60.04         090
                                    allograft
                                    pancreas.
48556.......  ........  A          Removal,              19.24          NA            NA         9.42          8.40        2.08          NA            NA        30.74         29.72         090
                                    allograft
                                    pancreas.
48999.......  ........  C          Pancreas surgery       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
49000.......  ........  A          Exploration of        12.44          NA            NA         5.22          5.33        1.52          NA            NA        19.18         19.29         090
                                    abdomen.
49002.......  ........  A          Reopening of          17.55          NA            NA         6.44          5.37        1.37          NA            NA        25.36         24.29         090
                                    abdomen.
49010.......  ........  A          Exploration           15.98          NA            NA         6.34          6.00        1.51          NA            NA        23.83         23.49         090
                                    behind abdomen.
49020.......  ........  A          Drain abdominal       26.46          NA            NA         9.84         10.10        2.85          NA            NA        39.15         39.41         090
                                    abscess.
49021.......  ........  A          Drain abdominal        3.37       18.57         20.43         0.96          1.07        0.20       22.14         24.00         4.53          4.64         000
                                    abscess.
49040.......  ........  A          Drain, open,          16.41          NA            NA         6.51          6.44        1.70          NA            NA        24.62         24.55         090
                                    abdom abscess.
49041.......  ........  A          Drain, percut,         3.99       18.77         19.33         1.14          1.27        0.24       23.00         23.56         5.37          5.50         000
                                    abdom abscess.
49060.......  ........  A          Drain, open,          18.42          NA            NA         7.17          7.36        1.75          NA            NA        27.34         27.53         090
                                    retrop abscess.
49061.......  ........  A          Drain, percut,         3.69       18.66         19.38         1.06          1.17        0.22       22.57         23.29         4.97          5.08         000
                                    retroper absc.
49062.......  ........  A          Drain to              12.12          NA            NA         5.23          5.37        1.39          NA            NA        18.74         18.88         090
                                    peritoneal
                                    cavity.
49080.......  ........  A          Puncture,              1.35        2.58          3.63         0.40          0.45        0.08        4.01          5.06         1.83          1.88         000
                                    peritoneal
                                    cavity.
49081.......  ........  A          Removal of             1.26        2.85          2.65         0.43          0.43        0.09        4.20          4.00         1.78          1.78         000
                                    abdominal fluid.
49180.......  ........  A          Biopsy,                1.73        2.27          2.89         0.50          0.55        0.10        4.10          4.72         2.33          2.38         000
                                    abdominal mass.
49200.......  ........  A          Removal of            10.94          NA            NA         4.86          4.98        1.24          NA            NA        17.04         17.16         090
                                    abdominal
                                    lesion.
49201.......  ........  A          Remove abdom          15.67          NA            NA         6.46          6.88        1.88          NA            NA        24.01         24.43         090
                                    lesion, complex.
49215.......  ........  A          Excise sacral         37.66          NA            NA        12.77         13.72        4.38          NA            NA        54.81         55.76         090
                                    spine tumor.
49220.......  ........  A          Multiple              15.70          NA            NA         6.26          6.53        1.89          NA            NA        23.85         24.12         090
                                    surgery,
                                    abdomen.
49250.......  ........  A          Excision of            8.93          NA            NA         4.30          4.27        1.08          NA            NA        14.31         14.28         090
                                    umbilicus.
49255.......  ........  A          Removal of            12.41          NA            NA         5.65          5.61        1.43          NA            NA        19.49         19.45         090
                                    omentum.
49320.......  ........  A          Diag laparo            5.09          NA            NA         2.45          2.59        0.65          NA            NA         8.19          8.33         010
                                    separate proc.
49321.......  ........  A          Laparoscopy,           5.39          NA            NA         2.56          2.62        0.70          NA            NA         8.65          8.71         010
                                    biopsy.
49322.......  ........  A          Laparoscopy,           5.96          NA            NA         2.64          2.90        0.71          NA            NA         9.31          9.57         010
                                    aspiration.
49323.......  ........  A          Laparo drain          10.13          NA            NA         4.69          4.54        1.20          NA            NA        16.02         15.87         090
                                    lymphocele.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69880]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
49324.......  ........  A          Lap insertion          6.27          NA            NA         2.80          2.80        0.73          NA            NA         9.80          9.80         010
                                    perm ip cath.
49325.......  ........  A          Lap revision           6.77          NA            NA         2.93          2.93        0.86          NA            NA        10.56         10.56         010
                                    perm ip cath.
49326.......  ........  A          Lap w/omentopexy       3.50          NA            NA         0.92          0.92        0.44          NA            NA         4.86          4.86         ZZZ
                                    add-on.
49329.......  ........  C          Laparo proc,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    abdm/per/oment.
49400.......  ........  A          Air injection          1.88        2.30          2.88         0.53          0.60        0.15        4.33          4.91         2.56          2.63         000
                                    into abdomen.
49402.......  ........  A          Remove foreign        14.01          NA            NA         5.58          5.51        1.62          NA            NA        21.21         21.14         090
                                    body, adbomen.
49419.......  ........  A          Insrt abdom cath       7.03          NA            NA         3.39          3.52        0.81          NA            NA        11.23         11.36         090
                                    for chemotx.
49420.......  ........  A          Insert abdom           2.22          NA            NA         1.15          1.11        0.21          NA            NA         3.58          3.54         000
                                    drain, temp.
49421.......  ........  A          Insert abdom           5.87          NA            NA         3.13          3.15        0.74          NA            NA         9.74          9.76         090
                                    drain, perm.
49422.......  ........  A          Remove perm            6.26          NA            NA         2.62          2.82        0.83          NA            NA         9.71          9.91         010
                                    cannula/
                                    catheter.
49423.......  ........  A          Exchange               1.46       12.46         13.67         0.46          0.51        0.09       14.01         15.22         2.01          2.06         000
                                    drainage
                                    catheter.
49424.......  ........  A          Assess cyst,           0.76        2.90          3.51         0.25          0.28        0.04        3.70          4.31         1.05          1.08         000
                                    contrast inject.
49425.......  ........  A          Insert abdomen-       12.13          NA            NA         5.27          5.51        1.54          NA            NA        18.94         19.18         090
                                    venous drain.
49426.......  ........  A          Revise abdomen-       10.33          NA            NA         4.50          4.70        1.28          NA            NA        16.11         16.31         090
                                    venous shunt.
49427.......  ........  A          Injection,             0.89          NA            NA         0.26          0.29        0.07          NA            NA         1.22          1.25         000
                                    abdominal shunt.
49428.......  ........  A          Ligation of            6.79          NA            NA         3.08          3.71        0.80          NA            NA        10.67         11.30         010
                                    shunt.
49429.......  ........  A          Removal of shunt       7.41          NA            NA         2.99          3.31        1.02          NA            NA        11.42         11.74         010
49435.......  ........  A          Insert subq            2.25          NA            NA         0.60          0.60        0.28          NA            NA         3.13          3.13         ZZZ
                                    exten to ip
                                    cath.
49436.......  ........  A          Embedded ip cath       2.69          NA            NA         1.63          1.63        0.28          NA            NA         4.60          4.60         010
                                    exit-site.
49491.......  ........  A          Rpr hern preemie      12.42          NA            NA         5.43          5.15        1.40          NA            NA        19.25         18.97         090
                                    reduc.
49492.......  ........  A          Rpr ing hern          15.32          NA            NA         5.85          6.04        1.81          NA            NA        22.98         23.17         090
                                    premie, blocked.
49495.......  ........  A          Rpr ing hernia         6.15          NA            NA         2.99          2.96        0.74          NA            NA         9.88          9.85         090
                                    baby, reduc.
49496.......  ........  A          Rpr ing hernia         9.32          NA            NA         4.36          4.29        1.07          NA            NA        14.75         14.68         090
                                    baby, blocked.
49500.......  ........  A          Rpr ing hernia,        5.76          NA            NA         3.62          3.24        0.71          NA            NA        10.09          9.71         090
                                    init, reduce.
49501.......  ........  A          Rpr ing hernia,        9.28          NA            NA         4.25          4.21        1.12          NA            NA        14.65         14.61         090
                                    init blocked.
49505.......  ........  A          Prp i/hern init        7.88          NA            NA         3.89          3.78        1.03          NA            NA        12.80         12.69         090
                                    reduc >5 yr.
49507.......  ........  A          Prp i/hern init        9.97          NA            NA         4.47          4.46        1.27          NA            NA        15.71         15.70         090
                                    block >5 yr.
49520.......  ........  A          Rerepair ing           9.91          NA            NA         4.39          4.42        1.28          NA            NA        15.58         15.61         090
                                    hernia, reduce.
49521.......  ........  A          Rerepair ing          12.36          NA            NA         5.01          5.18        1.59          NA            NA        18.96         19.13         090
                                    hernia, blocked.
49525.......  ........  A          Repair ing             8.85          NA            NA         4.14          4.09        1.13          NA            NA        14.12         14.07         090
                                    hernia, sliding.
49540.......  ........  A          Repair lumbar         10.66          NA            NA         4.65          4.72        1.37          NA            NA        16.68         16.75         090
                                    hernia.
49550.......  ........  A          Rpr rem hernia,        8.91          NA            NA         4.12          4.12        1.14          NA            NA        14.17         14.17         090
                                    init, reduce.
49553.......  ........  A          Rpr fem hernia,        9.84          NA            NA         4.42          4.41        1.24          NA            NA        15.50         15.49         090
                                    init blocked.
49555.......  ........  A          Rerepair fem           9.31          NA            NA         4.23          4.25        1.20          NA            NA        14.74         14.76         090
                                    hernia, reduce.
49557.......  ........  A          Rerepair fem          11.54          NA            NA         4.87          4.95        1.47          NA            NA        17.88         17.96         090
                                    hernia, blocked.
49560.......  ........  A          Rpr ventral hern      11.84          NA            NA         4.90          5.08        1.52          NA            NA        18.26         18.44         090
                                    init, reduc.
49561.......  ........  A          Rpr ventral hern      15.30          NA            NA         5.83          6.00        1.89          NA            NA        23.02         23.19         090
                                    init, block.
49565.......  ........  A          Rerepair ventrl       12.29          NA            NA         5.14          5.19        1.52          NA            NA        18.95         19.00         090
                                    hern, reduce.
49566.......  ........  A          Rerepair ventrl       15.45          NA            NA         5.89          6.06        1.91          NA            NA        23.25         23.42         090
                                    hern, block.
49568.......  ........  A          Hernia repair w/       4.88          NA            NA         1.26          1.57        0.64          NA            NA         6.78          7.09         ZZZ
                                    mesh.
49570.......  ........  A          Rpr epigastric         5.97          NA            NA         3.34          3.21        0.75          NA            NA        10.06          9.93         090
                                    hern, reduce.
49572.......  ........  A          Rpr epigastric         7.79          NA            NA         3.84          3.56        0.88          NA            NA        12.51         12.23         090
                                    hern, blocked.
49580.......  ........  A          Rpr umbil hern,        4.39          NA            NA         3.00          2.69        0.54          NA            NA         7.93          7.62         090
                                    reduc < 5 yr.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69881]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
49582.......  ........  A          Rpr umbil hern,        7.05          NA            NA         3.62          3.50        0.88          NA            NA        11.55         11.43         090
                                    block < 5 yr.
49585.......  ........  A          Rpr umbil hern,        6.51          NA            NA         3.52          3.35        0.82          NA            NA        10.85         10.68         090
                                    reduc > 5 yr.
49587.......  ........  A          Rpr umbil hern,        7.96          NA            NA         3.88          3.77        0.99          NA            NA        12.83         12.72         090
                                    block > 5 yr.
49590.......  ........  A          Repair spigelian       8.82          NA            NA         4.11          4.09        1.13          NA            NA        14.06         14.04         090
                                    hernia.
49600.......  ........  A          Repair umbilical      11.47          NA            NA         5.19          5.29        1.32          NA            NA        17.98         18.08         090
                                    lesion.
49605.......  ........  A          Repair umbilical      86.85          NA            NA        26.45         27.99        9.39          NA            NA       122.69        124.23         090
                                    lesion.
49606.......  ........  A          Repair umbilical      18.92          NA            NA         6.64          7.42        2.46          NA            NA        28.02         28.80         090
                                    lesion.
49610.......  ........  A          Repair umbilical      10.83          NA            NA         4.70          5.07        1.07          NA            NA        16.60         16.97         090
                                    lesion.
49611.......  ........  A          Repair umbilical       9.26          NA            NA         3.63          6.14        0.78          NA            NA        13.67         16.18         090
                                    lesion.
49650.......  ........  A          Laparo hernia          6.30          NA            NA         3.35          3.23        0.93          NA            NA        10.58         10.46         090
                                    repair initial.
49651.......  ........  A          Laparo hernia          8.29          NA            NA         4.23          4.09        1.14          NA            NA        13.66         13.52         090
                                    repair recur.
49659.......  ........  C          Laparo proc,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    hernia repair.
49900.......  ........  A          Repair of             12.26          NA            NA         6.30          6.24        1.62          NA            NA        20.18         20.12         090
                                    abdominal wall.
49904.......  ........  A          Omental flap,         22.16          NA            NA        12.34         14.49        2.70          NA            NA        37.20         39.35         090
                                    extra-abdom.
49905.......  ........  A          Omental flap,          6.54          NA            NA         1.75          2.16        0.75          NA            NA         9.04          9.45         ZZZ
                                    intra-abdom.
49906.......  ........  C          Free omental           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         090
                                    flap, microvasc.
49999.......  ........  C          Abdomen surgery        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
50010.......  ........  A          Exploration of        12.13          NA            NA         6.94          5.64        0.93          NA            NA        20.00         18.70         090
                                    kidney.
50020.......  ........  A          Renal abscess,        17.88          NA            NA         8.51          7.93        1.34          NA            NA        27.73         27.15         090
                                    open drain.
50021.......  ........  A          Renal abscess,         3.37       19.98         21.23         0.97          1.07        0.20       23.55         24.80         4.54          4.64         000
                                    percut drain.
50040.......  ........  A          Drainage of           16.48          NA            NA         8.91          7.33        1.03          NA            NA        26.42         24.84         090
                                    kidney.
50045.......  ........  A          Exploration of        16.67          NA            NA         8.55          7.08        1.24          NA            NA        26.46         24.99         090
                                    kidney.
50060.......  ........  A          Removal of            20.80          NA            NA        11.24          8.68        1.36          NA            NA        33.40         30.84         090
                                    kidney stone.
50065.......  ........  A          Incision of           22.17          NA            NA        11.84          7.51        1.59          NA            NA        35.60         31.27         090
                                    kidney.
50070.......  ........  A          Incision of           21.70          NA            NA        11.65          9.07        1.44          NA            NA        34.79         32.21         090
                                    kidney.
50075.......  ........  A          Removal of            26.91          NA            NA        13.98         10.91        1.81          NA            NA        42.70         39.63         090
                                    kidney stone.
50080.......  ........  A          Removal of            15.61          NA            NA         8.72          6.88        1.04          NA            NA        25.37         23.53         090
                                    kidney stone.
50081.......  ........  A          Removal of            23.32          NA            NA        12.47          9.68        1.54          NA            NA        37.33         34.54         090
                                    kidney stone.
50100.......  ........  A          Revise kidney         17.30          NA            NA         7.20          7.64        2.07          NA            NA        26.57         27.01         090
                                    blood vessels.
50120.......  ........  A          Exploration of        17.06          NA            NA         8.91          7.30        1.21          NA            NA        27.18         25.57         090
                                    kidney.
50125.......  ........  A          Explore and           17.67          NA            NA         9.97          7.71        1.43          NA            NA        29.07         26.81         090
                                    drain kidney.
50130.......  ........  A          Removal of            18.67          NA            NA        10.24          7.93        1.22          NA            NA        30.13         27.82         090
                                    kidney stone.
50135.......  ........  A          Exploration of        20.44          NA            NA        10.96          8.57        1.33          NA            NA        32.73         30.34         090
                                    kidney.
50200.......  ........  A          Biopsy of kidney       2.63          NA            NA         1.08          1.24        0.16          NA            NA         3.87          4.03         000
50205.......  ........  A          Biopsy of kidney      12.19          NA            NA         5.60          5.16        1.30          NA            NA        19.09         18.65         090
50220.......  ........  A          Remove kidney,        18.53          NA            NA         9.74          7.86        1.35          NA            NA        29.62         27.74         090
                                    open.
50225.......  ........  A          Removal kidney        21.73          NA            NA        11.27          8.92        1.50          NA            NA        34.50         32.15         090
                                    open, complex.
50230.......  ........  A          Removal kidney        23.68          NA            NA        11.96          9.42        1.55          NA            NA        37.19         34.65         090
                                    open, radical.
50234.......  ........  A          Removal of            23.90          NA            NA        12.36          9.71        1.59          NA            NA        37.85         35.20         090
                                    kidney & ureter.
50236.......  ........  A          Removal of            26.74          NA            NA        14.28         11.25        1.77          NA            NA        42.79         39.76         090
                                    kidney & ureter.
50240.......  ........  A          Partial removal       24.01          NA            NA        12.93          9.98        1.55          NA            NA        38.49         35.54         090
                                    of kidney.
50250.......  ........  A          Cryoablate renal      22.06          NA            NA        10.79          9.56        1.39          NA            NA        34.24         33.01         090
                                    mass open.
50280.......  ........  A          Removal of            16.94          NA            NA         9.45          7.37        1.19          NA            NA        27.58         25.50         090
                                    kidney lesion.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69882]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
50290.......  ........  A          Removal of            16.00          NA            NA         8.27          6.91        1.41          NA            NA        25.68         24.32         090
                                    kidney lesion.
50300.......  ........  X          Remove cadaver         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    donor kidney.
50320.......  ........  A          Remove kidney,        22.28          NA            NA        12.46         11.10        2.36          NA            NA        37.10         35.74         090
                                    living donor.
50323.......  ........  C          Prep cadaver           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    renal allograft.
50325.......  ........  C          Prep donor renal       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    graft.
50327.......  ........  A          Prep renal graft/      4.00          NA            NA         1.11          1.29        0.29          NA            NA         5.40          5.58         XXX
                                    venous.
50328.......  ........  A          Prep renal graft/      3.50          NA            NA         0.98          1.13        0.26          NA            NA         4.74          4.89         XXX
                                    arterial.
50329.......  ........  A          Prep renal graft/      3.34          NA            NA         0.97          1.09        0.25          NA            NA         4.56          4.68         XXX
                                    ureteral.
50340.......  ........  A          Removal of            13.86          NA            NA         7.64          6.78        1.65          NA            NA        23.15         22.29         090
                                    kidney.
50360.......  ........  A          Transplantation       40.45          NA            NA        18.86         16.32        3.82          NA            NA        63.13         60.59         090
                                    of kidney.
50365.......  ........  A          Transplantation       45.68          NA            NA        19.55         18.53        4.43          NA            NA        69.66         68.64         090
                                    of kidney.
50370.......  ........  A          Remove                18.68          NA            NA         9.31          7.68        1.68          NA            NA        29.67         28.04         090
                                    transplanted
                                    kidney.
50380.......  ........  A          Reimplantation        29.66          NA            NA        16.42         13.12        2.51          NA            NA        48.59         45.29         090
                                    of kidney.
50382.......  ........  A          Change ureter          5.50       24.85         33.30         1.67          1.81        0.34       30.69         39.14         7.51          7.65         000
                                    stent, percut.
50384.......  ........  A          Remove ureter          5.00       19.53         31.30         1.52          1.66        0.31       24.84         36.61         6.83          6.97         000
                                    stent, percut.
50387.......  ........  A          Change ext/int         2.00       12.00         16.66         0.60          0.65        0.12       14.12         18.78         2.72          2.77         000
                                    ureter stent.
50389.......  ........  A          Remove renal           1.10        6.36         11.15         0.33          0.36        0.07        7.53         12.32         1.50          1.53         000
                                    tube w/fluoro.
50390.......  ........  A          Drainage of            1.96          NA            NA         0.57          0.62        0.12          NA            NA         2.65          2.70         000
                                    kidney lesion.
50391.......  ........  A          Instll rx agnt         1.96        1.51          1.56         0.80          0.67        0.14        3.61          3.66         2.90          2.77         000
                                    into rnal tub.
50392.......  ........  A          Insert kidney          3.37          NA            NA         1.26          1.46        0.20          NA            NA         4.83          5.03         000
                                    drain.
50393.......  ........  A          Insert ureteral        4.15          NA            NA         1.50          1.71        0.25          NA            NA         5.90          6.11         000
                                    tube.
50394.......  ........  A          Injection for          0.76        1.76          2.45         0.52          0.63        0.05        2.57          3.26         1.33          1.44         000
                                    kidney x-ray.
50395.......  ........  A          Create passage         3.37          NA            NA         1.37          1.47        0.21          NA            NA         4.95          5.05         000
                                    to kidney.
50396.......  ........  A          Measure kidney         2.09          NA            NA         0.93          1.04        0.13          NA            NA         3.15          3.26         000
                                    pressure.
50398.......  ........  A          Change kidney          1.46       11.29         15.06         0.46          0.51        0.09       12.84         16.61         2.01          2.06         000
                                    tube.
50400.......  ........  A          Revision of           21.12          NA            NA        11.26          8.72        1.38          NA            NA        33.76         31.22         090
                                    kidney/ureter.
50405.......  ........  A          Revision of           25.68          NA            NA        13.34         10.10        1.79          NA            NA        40.81         37.57         090
                                    kidney/ureter.
50500.......  ........  A          Repair of kidney      21.07          NA            NA         9.32          8.62        2.02          NA            NA        32.41         31.71         090
                                    wound.
50520.......  ........  A          Close kidney-         18.73          NA            NA         9.52          7.95        1.49          NA            NA        29.74         28.17         090
                                    skin fistula.
50525.......  ........  A          Repair renal-         24.21          NA            NA        11.06          9.51        1.84          NA            NA        37.11         35.56         090
                                    abdomen fistula.
50526.......  ........  A          Repair renal-         26.13          NA            NA         8.15          9.43        1.97          NA            NA        36.25         37.53         090
                                    abdomen fistula.
50540.......  ........  A          Revision of           20.95          NA            NA        10.92          8.97        1.36          NA            NA        33.23         31.28         090
                                    horseshoe
                                    kidney.
50541.......  ........  A          Laparo ablate         16.76          NA            NA         8.89          7.08        1.13          NA            NA        26.78         24.97         090
                                    renal cyst.
50542.......  ........  A          Laparo ablate         21.18          NA            NA        11.33          8.93        1.39          NA            NA        33.90         31.50         090
                                    renal mass.
50543.......  ........  A          Laparo partial        27.18          NA            NA        14.39         11.24        1.81          NA            NA        43.38         40.23         090
                                    nephrectomy.
50544.......  ........  A          Laparoscopy,          23.27          NA            NA        11.66          9.31        1.58          NA            NA        36.51         34.16         090
                                    pyeloplasty.
50545.......  ........  A          Laparo radical        24.93          NA            NA        12.51         10.01        1.71          NA            NA        39.15         36.65         090
                                    nephrectomy.
50546.......  ........  A          Laparoscopic          21.69          NA            NA        11.52          9.15        1.57          NA            NA        34.78         32.41         090
                                    nephrectomy.
50547.......  ........  A          Laparo removal        26.24          NA            NA        12.68         11.50        2.77          NA            NA        41.69         40.51         090
                                    donor kidney.
50548.......  ........  A          Laparo remove w/      25.26          NA            NA        12.44          9.99        1.73          NA            NA        39.43         36.98         090
                                    ureter.
50549.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    proc, renal.
50551.......  ........  A          Kidney endoscopy       5.59        4.62          4.26         2.69          2.15        0.40       10.61         10.25         8.68          8.14         000
50553.......  ........  A          Kidney endoscopy       5.98        4.32          4.35         2.48          2.25        0.39       10.69         10.72         8.85          8.62         000
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69883]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
50555.......  ........  A          Kidney endoscopy       6.52        5.13          4.89         3.06          2.51        0.45       12.10         11.86        10.03          9.48         000
                                    & biopsy.
50557.......  ........  A          Kidney endoscopy       6.61        5.30          4.76         3.11          2.50        0.47       12.38         11.84        10.19          9.58         000
                                    & treatment.
50561.......  ........  A          Kidney endoscopy       7.58        5.76          5.25         3.43          2.84        0.54       13.88         13.37        11.55         10.96         000
                                    & treatment.
50562.......  ........  A          Renal scope w/        10.90          NA            NA         5.48          4.60        0.73          NA            NA        17.11         16.23         090
                                    tumor resect.
50570.......  ........  A          Kidney endoscopy       9.53          NA            NA         4.33          3.49        0.68          NA            NA        14.54         13.70         000
50572.......  ........  A          Kidney endoscopy      10.33          NA            NA         4.67          3.79        0.85          NA            NA        15.85         14.97         000
50574.......  ........  A          Kidney endoscopy      11.00          NA            NA         4.82          4.01        0.77          NA            NA        16.59         15.78         000
                                    & biopsy.
50575.......  ........  A          Kidney endoscopy      13.96          NA            NA         6.15          5.01        0.99          NA            NA        21.10         19.96         000
50576.......  ........  A          Kidney endoscopy      10.97          NA            NA         4.94          3.98        0.78          NA            NA        16.69         15.73         000
                                    & treatment.
50580.......  ........  A          Kidney endoscopy      11.84          NA            NA         5.24          4.28        0.83          NA            NA        17.91         16.95         000
                                    & treatment.
50590.......  ........  A          Fragmenting of         9.64       17.21         13.60         6.26          4.65        0.65       27.50         23.89        16.55         14.94         090
                                    kidney stone.
50592.......  ........  A          Perc rf ablate         6.77       73.56        130.16         2.65          2.90        0.43       80.76        137.36         9.85         10.10         010
                                    renal tumor.
50600.......  ........  A          Exploration of        17.04          NA            NA         8.70          7.17        1.13          NA            NA        26.87         25.34         090
                                    ureter.
50605.......  ........  A          Insert ureteral       16.66          NA            NA         8.04          7.06        1.45          NA            NA        26.15         25.17         090
                                    support.
50610.......  ........  A          Removal of            17.12          NA            NA         9.22          7.53        1.43          NA            NA        27.77         26.08         090
                                    ureter stone.
50620.......  ........  A          Removal of            16.30          NA            NA         9.07          7.02        1.07          NA            NA        26.44         24.39         090
                                    ureter stone.
50630.......  ........  A          Removal of            16.08          NA            NA         8.40          6.80        1.09          NA            NA        25.57         23.97         090
                                    ureter stone.
50650.......  ........  A          Removal of            18.67          NA            NA        10.27          7.98        1.23          NA            NA        30.17         27.88         090
                                    ureter.
50660.......  ........  A          Removal of            20.87          NA            NA        11.00          8.71        1.38          NA            NA        33.25         30.96         090
                                    ureter.
50684.......  ........  A          Injection for          0.76        4.00          4.73         0.62          0.51        0.05        4.81          5.54         1.43          1.32         000
                                    ureter x-ray.
50686.......  ........  A          Measure ureter         1.51        2.03          3.09         0.70          0.79        0.11        3.65          4.71         2.32          2.41         000
                                    pressure.
50688.......  ........  A          Change of ureter       1.18          NA            NA         0.85          1.01        0.07          NA            NA         2.10          2.26         010
                                    tube/stent.
50690.......  ........  A          Injection for          1.16        1.36          1.71         0.68          0.71        0.07        2.59          2.94         1.91          1.94         000
                                    ureter x-ray.
50700.......  ........  A          Revision of           16.54          NA            NA         8.41          7.44        1.27          NA            NA        26.22         25.25         090
                                    ureter.
50715.......  ........  A          Release of            20.49          NA            NA         8.71          8.73        2.14          NA            NA        31.34         31.36         090
                                    ureter.
50722.......  ........  A          Release of            17.80          NA            NA         8.04          7.86        1.91          NA            NA        27.75         27.57         090
                                    ureter.
50725.......  ........  A          Release/revise        20.05          NA            NA         9.77          8.47        1.52          NA            NA        31.34         30.04         090
                                    ureter.
50727.......  ........  A          Revise ureter...       8.17          NA            NA         5.79          4.65        0.61          NA            NA        14.57         13.43         090
50728.......  ........  A          Revise ureter...      12.00          NA            NA         7.25          5.98        1.00          NA            NA        20.25         18.98         090
50740.......  ........  A          Fusion of ureter      19.92          NA            NA         9.07          8.07        1.97          NA            NA        30.96         29.96         090
                                    & kidney.
50750.......  ........  A          Fusion of ureter      21.07          NA            NA         9.90          8.46        1.38          NA            NA        32.35         30.91         090
                                    & kidney.
50760.......  ........  A          Fusion of             19.92          NA            NA         9.91          8.23        1.55          NA            NA        31.38         29.70         090
                                    ureters.
50770.......  ........  A          Splicing of           21.07          NA            NA        10.83          8.69        1.45          NA            NA        33.35         31.21         090
                                    ureters.
50780.......  ........  A          Reimplant ureter      19.80          NA            NA        10.25          8.25        1.51          NA            NA        31.56         29.56         090
                                    in bladder.
50782.......  ........  A          Reimplant ureter      19.51          NA            NA         8.54          8.71        1.61          NA            NA        29.66         29.83         090
                                    in bladder.
50783.......  ........  A          Reimplant ureter      20.52          NA            NA        10.14          8.69        1.99          NA            NA        32.65         31.20         090
                                    in bladder.
50785.......  ........  A          Reimplant ureter      22.08          NA            NA        11.33          9.05        1.45          NA            NA        34.86         32.58         090
                                    in bladder.
50800.......  ........  A          Implant ureter        16.23          NA            NA         9.43          7.20        1.19          NA            NA        26.85         24.62         090
                                    in bowel.
50810.......  ........  A          Fusion of ureter      22.38          NA            NA         9.65          9.22        2.32          NA            NA        34.35         33.92         090
                                    & bowel.
50815.......  ........  A          Urine shunt to        22.06          NA            NA        11.76          9.27        1.54          NA            NA        35.36         32.87         090
                                    intestine.
50820.......  ........  A          Construct bowel       23.89          NA            NA        12.14          9.51        1.90          NA            NA        37.93         35.30         090
                                    bladder.
50825.......  ........  A          Construct bowel       30.48          NA            NA        15.28         12.16        2.08          NA            NA        47.84         44.72         090
                                    bladder.
50830.......  ........  A          Revise urine          33.57          NA            NA        16.11         13.15        2.38          NA            NA        52.06         49.10         090
                                    flow.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69884]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
50840.......  ........  A          Replace ureter        22.19          NA            NA        12.08          9.34        1.47          NA            NA        35.74         33.00         090
                                    by bowel.
50845.......  ........  A          Appendico-            22.21          NA            NA        12.57          9.81        1.57          NA            NA        36.35         33.59         090
                                    vesicostomy.
50860.......  ........  A          Transplant            16.93          NA            NA         9.17          7.25        1.29          NA            NA        27.39         25.47         090
                                    ureter to skin.
50900.......  ........  A          Repair of ureter      14.89          NA            NA         8.18          6.64        1.14          NA            NA        24.21         22.67         090
50920.......  ........  A          Closure ureter/       15.66          NA            NA         8.50          7.05        1.01          NA            NA        25.17         23.72         090
                                    skin fistula.
50930.......  ........  A          Closure ureter/       20.04          NA            NA        10.38          8.57        1.28          NA            NA        31.70         29.89         090
                                    bowel fistula.
50940.......  ........  A          Release of            15.78          NA            NA         8.32          6.87        1.26          NA            NA        25.36         23.91         090
                                    ureter.
50945.......  ........  A          Laparoscopy           17.87          NA            NA         8.89          7.50        1.36          NA            NA        28.12         26.73         090
                                    ureterolithotom
                                    y.
50947.......  ........  A          Laparo new            25.63          NA            NA        12.65         10.42        2.17          NA            NA        40.45         38.22         090
                                    ureter/bladder.
50948.......  ........  A          Laparo new            23.69          NA            NA        12.18          9.56        1.71          NA            NA        37.58         34.96         090
                                    ureter/bladder.
50949.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    proc, ureter.
50951.......  ........  A          Endoscopy of           5.83        4.88          4.44         2.82          2.24        0.41       11.12         10.68         9.06          8.48         000
                                    ureter.
50953.......  ........  A          Endoscopy of           6.23        5.04          4.56         3.32          2.60        0.43       11.70         11.22         9.98          9.26         000
                                    ureter.
50955.......  ........  A          Ureter endoscopy       6.74        5.23          6.12         3.51          2.89        0.48       12.45         13.34        10.73         10.11         000
                                    & biopsy.
50957.......  ........  A          Ureter endoscopy       6.78        5.37          4.76         3.18          2.57        0.48       12.63         12.02        10.44          9.83         000
                                    & treatment.
50961.......  ........  A          Ureter endoscopy       6.04        4.78          4.47         2.79          2.33        0.41       11.23         10.92         9.24          8.78         000
                                    & treatment.
50970.......  ........  A          Ureter endoscopy       7.13          NA            NA         3.34          2.68        0.52          NA            NA        10.99         10.33         000
50972.......  ........  A          Ureter endoscopy       6.88          NA            NA         3.05          2.61        0.49          NA            NA        10.42          9.98         000
                                    & catheter.
50974.......  ........  A          Ureter endoscopy       9.16          NA            NA         3.98          3.32        0.64          NA            NA        13.78         13.12         000
                                    & biopsy.
50976.......  ........  A          Ureter endoscopy       9.03          NA            NA         3.70          3.22        0.66          NA            NA        13.39         12.91         000
                                    & treatment.
50980.......  ........  A          Ureter endoscopy       6.84          NA            NA         3.13          2.56        0.48          NA            NA        10.45          9.88         000
                                    & treatment.
51000.......  ........  A          Drainage of            0.78        0.94          1.69         0.28          0.25        0.05        1.77          2.52         1.11          1.08         000
                                    bladder.
51005.......  ........  A          Drainage of            1.02        2.40          4.13         0.30          0.33        0.10        3.52          5.25         1.42          1.45         000
                                    bladder.
51010.......  ........  A          Drainage of            4.27        4.76          5.39         2.39          2.00        0.28        9.31          9.94         6.94          6.55         010
                                    bladder.
51020.......  ........  A          Incise & treat         7.56          NA            NA         5.37          4.23        0.47          NA            NA        13.40         12.26         090
                                    bladder.
51030.......  ........  A          Incise & treat         7.68          NA            NA         4.83          4.19        0.58          NA            NA        13.09         12.45         090
                                    bladder.
51040.......  ........  A          Incise & drain         4.43          NA            NA         3.74          3.01        0.31          NA            NA         8.48          7.75         090
                                    bladder.
51045.......  ........  A          Incise bladder/        7.68          NA            NA         5.27          4.26        0.52          NA            NA        13.47         12.46         090
                                    drain ureter.
51050.......  ........  A          Removal of             7.87          NA            NA         5.43          4.09        0.49          NA            NA        13.79         12.45         090
                                    bladder stone.
51060.......  ........  A          Removal of             9.82          NA            NA         6.49          5.00        0.62          NA            NA        16.93         15.44         090
                                    ureter stone.
51065.......  ........  A          Remove ureter          9.82          NA            NA         6.42          4.87        0.63          NA            NA        16.87         15.32         090
                                    calculus.
51080.......  ........  A          Drainage of            6.61          NA            NA         4.28          3.73        0.43          NA            NA        11.32         10.77         090
                                    bladder abscess.
51500.......  ........  A          Removal of            10.92          NA            NA         5.86          5.22        1.03          NA            NA        17.81         17.17         090
                                    bladder cyst.
51520.......  ........  A          Removal of            10.08          NA            NA         6.58          5.15        0.69          NA            NA        17.35         15.92         090
                                    bladder lesion.
51525.......  ........  A          Removal of            15.29          NA            NA         8.76          6.78        0.99          NA            NA        25.04         23.06         090
                                    bladder lesion.
51530.......  ........  A          Removal of            13.58          NA            NA         7.39          6.15        1.05          NA            NA        22.02         20.78         090
                                    bladder lesion.
51535.......  ........  A          Repair of ureter      13.77          NA            NA         7.60          6.48        1.23          NA            NA        22.60         21.48         090
                                    lesion.
51550.......  ........  A          Partial removal       17.10          NA            NA         9.00          7.29        1.31          NA            NA        27.41         25.70         090
                                    of bladder.
51555.......  ........  A          Partial removal       23.03          NA            NA        11.64          9.40        1.70          NA            NA        36.37         34.13         090
                                    of bladder.
51565.......  ........  A          Revise bladder &      23.50          NA            NA        12.22          9.77        1.63          NA            NA        37.35         34.90         090
                                    ureter(s).
51570.......  ........  A          Removal of            27.31          NA            NA        13.55         10.69        1.72          NA            NA        42.58         39.72         090
                                    bladder.
51575.......  ........  A          Removal of            34.00          NA            NA        17.03         13.27        2.17          NA            NA        53.20         49.44         090
                                    bladder & nodes.
51580.......  ........  A          Remove bladder/       35.14          NA            NA        17.87         13.83        2.25          NA            NA        55.26         51.22         090
                                    revise tract.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69885]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
51585.......  ........  A          Removal of            39.41          NA            NA        19.91         15.25        2.49          NA            NA        61.81         57.15         090
                                    bladder & nodes.
51590.......  ........  A          Remove bladder/       36.15          NA            NA        17.70         13.88        2.28          NA            NA        56.13         52.31         090
                                    revise tract.
51595.......  ........  A          Remove bladder/       41.12          NA            NA        20.06         15.61        2.60          NA            NA        63.78         59.33         090
                                    revise tract.
51596.......  ........  A          Remove bladder/       44.01          NA            NA        21.67         16.83        2.78          NA            NA        68.46         63.62         090
                                    create pouch.
51597.......  ........  A          Removal of            42.61          NA            NA        20.37         16.21        2.82          NA            NA        65.80         61.64         090
                                    pelvic
                                    structures.
51600.......  ........  A          Injection for          0.88        4.09          4.81         0.29          0.29        0.06        5.03          5.75         1.23          1.23         000
                                    bladder x-ray.
51605.......  ........  A          Preparation for        0.64          NA            NA         0.41          0.37        0.04          NA            NA         1.09          1.05         000
                                    bladder xray.
51610.......  ........  A          Injection for          1.05        1.87          2.18         0.68          0.62        0.07        2.99          3.30         1.80          1.74         000
                                    bladder x-ray.
51700.......  ........  A          Irrigation of          0.88        1.51          1.58         0.35          0.30        0.06        2.45          2.52         1.29          1.24         000
                                    bladder.
51701.......  ........  A          Insert bladder         0.50        1.04          1.45         0.25          0.21        0.04        1.58          1.99         0.79          0.75         000
                                    catheter.
51702.......  ........  A          Insert temp            0.50        1.53          1.94         0.34          0.27        0.04        2.07          2.48         0.88          0.81         000
                                    bladder cath.
51703.......  ........  A          Insert bladder         1.47        2.28          2.62         0.82          0.63        0.10        3.85          4.19         2.39          2.20         000
                                    cath, complex.
51705.......  ........  A          Change of              1.03        2.03          2.21         0.86          0.67        0.07        3.13          3.31         1.96          1.77         010
                                    bladder tube.
51710.......  ........  A          Change of              1.50        2.74          3.18         1.20          0.88        0.11        4.35          4.79         2.81          2.49         010
                                    bladder tube.
51715.......  ........  A          Endoscopic             3.73        4.46          4.04         1.78          1.46        0.29        8.48          8.06         5.80          5.48         000
                                    injection/
                                    implant.
51720.......  ........  A          Treatment of           1.50        1.64          1.72         0.76          0.71        0.14        3.28          3.36         2.40          2.35         000
                                    bladder lesion.
51725.......  ........  A          Simple                 1.51        4.28          5.26         4.28          5.26        0.16        5.95          6.93         5.95          6.93         000
                                    cystometrogram.
51725.......  TC......  A          Simple                 0.00        3.70          4.75         3.70          4.75        0.04        3.74          4.79         3.74          4.79         000
                                    cystometrogram.
51725.......  26......  A          Simple                 1.51        0.58          0.51         0.58          0.51        0.12        2.21          2.14         2.21          2.14         000
                                    cystometrogram.
51726.......  ........  A          Complex                1.71        7.11          7.41         7.11          7.41        0.18        9.00          9.30         9.00          9.30         000
                                    cystometrogram.
51726.......  TC......  A          Complex                0.00        6.45          6.82         6.45          6.82        0.05        6.50          6.87         6.50          6.87         000
                                    cystometrogram.
51726.......  26......  A          Complex                1.71        0.66          0.59         0.66          0.59        0.13        2.50          2.43         2.50          2.43         000
                                    cystometrogram.
51736.......  ........  A          Urine flow             0.61        0.91          0.67         0.91          0.67        0.06        1.58          1.34         1.58          1.34         000
                                    measurement.
51736.......  TC......  A          Urine flow             0.00        0.68          0.46         0.68          0.46        0.01        0.69          0.47         0.69          0.47         000
                                    measurement.
51736.......  26......  A          Urine flow             0.61        0.23          0.21         0.23          0.21        0.05        0.89          0.87         0.89          0.87         000
                                    measurement.
51741.......  ........  A          Electro-               1.14        1.27          0.91         1.27          0.91        0.11        2.52          2.16         2.52          2.16         000
                                    uroflowmetry,
                                    first.
51741.......  TC......  A          Electro-               0.00        0.82          0.52         0.82          0.52        0.02        0.84          0.54         0.84          0.54         000
                                    uroflowmetry,
                                    first.
51741.......  26......  A          Electro-               1.14        0.45          0.39         0.45          0.39        0.09        1.68          1.62         1.68          1.62         000
                                    uroflowmetry,
                                    first.
51772.......  ........  A          Urethra pressure       1.61        5.03          5.44         5.03          5.44        0.20        6.84          7.25         6.84          7.25         000
                                    profile.
51772.......  TC......  A          Urethra pressure       0.00        4.47          4.89         4.47          4.89        0.05        4.52          4.94         4.52          4.94         000
                                    profile.
51772.......  26......  A          Urethra pressure       1.61        0.56          0.55         0.56          0.55        0.15        2.32          2.31         2.32          2.31         000
                                    profile.
51784.......  ........  A          Anal/urinary           1.53        3.83          3.95         3.83          3.95        0.16        5.52          5.64         5.52          5.64         000
                                    muscle study.
51784.......  TC......  A          Anal/urinary           0.00        3.30          3.44         3.30          3.44        0.04        3.34          3.48         3.34          3.48         000
                                    muscle study.
51784.......  26......  A          Anal/urinary           1.53        0.53          0.51         0.53          0.51        0.12        2.18          2.16         2.18          2.16         000
                                    muscle study.
51785.......  ........  A          Anal/urinary           1.53        4.50          4.46         4.50          4.46        0.15        6.18          6.14         6.18          6.14         000
                                    muscle study.
51785.......  TC......  A          Anal/urinary           0.00        3.93          3.94         3.93          3.94        0.04        3.97          3.98         3.97          3.98         000
                                    muscle study.
51785.......  26......  A          Anal/urinary           1.53        0.57          0.52         0.57          0.52        0.11        2.21          2.16         2.21          2.16         000
                                    muscle study.
51792.......  ........  A          Urinary reflex         1.10        4.96          5.74         4.96          5.74        0.20        6.26          7.04         6.26          7.04         000
                                    study.
51792.......  TC......  A          Urinary reflex         0.00        4.56          5.33         4.56          5.33        0.13        4.69          5.46         4.69          5.46         000
                                    study.
51792.......  26......  A          Urinary reflex         1.10        0.40          0.41         0.40          0.41        0.07        1.57          1.58         1.57          1.58         000
                                    study.
51795.......  ........  A          Urine voiding          1.53        6.72          7.15         6.72          7.15        0.22        8.47          8.90         8.47          8.90         000
                                    pressure study.
51795.......  TC......  A          Urine voiding          0.00        6.13          6.63         6.13          6.63        0.10        6.23          6.73         6.23          6.73         000
                                    pressure study.
51795.......  26......  A          Urine voiding          1.53        0.59          0.52         0.59          0.52        0.12        2.24          2.17         2.24          2.17         000
                                    pressure study.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69886]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
51797.......  ........  A          Intraabdominal         1.60        4.84          5.55         4.84          5.55        0.17        6.61          7.32         6.61          7.32         000
                                    pressure test.
51797.......  TC......  A          Intraabdominal         0.00        4.23          5.00         4.23          5.00        0.05        4.28          5.05         4.28          5.05         000
                                    pressure test.
51797.......  26......  A          Intraabdominal         1.60        0.61          0.55         0.61          0.55        0.12        2.33          2.27         2.33          2.27         000
                                    pressure test.
51798.......  ........  A          Us urine               0.00        0.59          0.40           NA            NA        0.08        0.67          0.48           NA            NA         XXX
                                    capacity
                                    measure.
51800.......  ........  A          Revision of           18.74          NA            NA        10.21          8.22        1.32          NA            NA        30.27         28.28         090
                                    bladder/urethra.
51820.......  ........  A          Revision of           19.41          NA            NA        10.65          8.87        1.75          NA            NA        31.81         30.03         090
                                    urinary tract.
51840.......  ........  A          Attach bladder/       11.28          NA            NA         5.81          5.62        1.06          NA            NA        18.15         17.96         090
                                    urethra.
51841.......  ........  A          Attach bladder/       13.60          NA            NA         6.87          6.50        1.24          NA            NA        21.71         21.34         090
                                    urethra.
51845.......  ........  A          Repair bladder        10.07          NA            NA         5.92          5.04        0.79          NA            NA        16.78         15.90         090
                                    neck.
51860.......  ........  A          Repair of             12.49          NA            NA         6.87          6.03        1.16          NA            NA        20.52         19.68         090
                                    bladder wound.
51865.......  ........  A          Repair of             15.69          NA            NA         8.56          7.14        1.23          NA            NA        25.48         24.06         090
                                    bladder wound.
51880.......  ........  A          Repair of              7.81          NA            NA         4.76          4.15        0.72          NA            NA        13.29         12.68         090
                                    bladder opening.
51900.......  ........  A          Repair bladder/       14.48          NA            NA         8.11          6.57        1.21          NA            NA        23.80         22.26         090
                                    vagina lesion.
51920.......  ........  A          Close bladder-        13.26          NA            NA         7.86          6.19        1.18          NA            NA        22.30         20.63         090
                                    uterus fistula.
51925.......  ........  A          Hysterectomy/         17.35          NA            NA        10.38          9.05        2.04          NA            NA        29.77         28.44         090
                                    bladder repair.
51940.......  ........  A          Correction of         30.48          NA            NA        11.52         11.93        2.15          NA            NA        44.15         44.56         090
                                    bladder defect.
51960.......  ........  A          Revision of           25.20          NA            NA        13.31         10.55        1.63          NA            NA        40.14         37.38         090
                                    bladder & bowel.
51980.......  ........  A          Construct             12.44          NA            NA         7.36          5.87        0.86          NA            NA        20.66         19.17         090
                                    bladder opening.
51990.......  ........  A          Laparo urethral       13.26          NA            NA         5.98          6.10        1.39          NA            NA        20.63         20.75         090
                                    suspension.
51992.......  ........  A          Laparo sling          14.77          NA            NA         6.66          6.32        1.41          NA            NA        22.84         22.50         090
                                    operation.
51999.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    proc, bla.
52000.......  ........  A          Cystoscopy......       2.23        3.69          3.40         1.34          0.91        0.14        6.06          5.77         3.71          3.28         000
52001.......  ........  A          Cystoscopy,            5.44        5.14          5.09         2.65          2.06        0.39       10.97         10.92         8.48          7.89         000
                                    removal of
                                    clots.
52005.......  ........  A          Cystoscopy &           2.37        5.76          5.61         1.40          1.02        0.17        8.30          8.15         3.94          3.56         000
                                    ureter catheter.
52007.......  ........  A          Cystoscopy and         3.02       10.73         15.01         1.65          1.28        0.22       13.97         18.25         4.89          4.52         000
                                    biopsy.
52010.......  ........  A          Cystoscopy &           3.02        8.15         10.10         1.66          1.28        0.21       11.38         13.33         4.89          4.51         000
                                    duct catheter.
52204.......  ........  A          Cystoscopy w/          2.59        8.34         12.97         1.41          1.03        0.17       11.10         15.73         4.17          3.79         000
                                    biopsy(s).
52214.......  ........  A          Cystoscopy and         3.70       19.90         33.55         1.88          1.47        0.26       23.86         37.51         5.84          5.43         000
                                    treatment.
52224.......  ........  A          Cystoscopy and         3.14       19.08         32.11         1.65          1.28        0.22       22.44         35.47         5.01          4.64         000
                                    treatment.
52234.......  ........  A          Cystoscopy and         4.62          NA            NA         2.34          1.83        0.33          NA            NA         7.29          6.78         000
                                    treatment.
52235.......  ........  A          Cystoscopy and         5.44          NA            NA         2.71          2.13        0.39          NA            NA         8.54          7.96         000
                                    treatment.
52240.......  ........  A          Cystoscopy and         9.71          NA            NA         4.48          3.60        0.69          NA            NA        14.88         14.00         000
                                    treatment.
52250.......  ........  A          Cystoscopy and         4.49          NA            NA         2.38          1.83        0.32          NA            NA         7.19          6.64         000
                                    radiotracer.
52260.......  ........  A          Cystoscopy and         3.91          NA            NA         2.00          1.57        0.28          NA            NA         6.19          5.76         000
                                    treatment.
52265.......  ........  A          Cystoscopy and         2.94        7.68         11.93         1.55          1.22        0.22       10.84         15.09         4.71          4.38         000
                                    treatment.
52270.......  ........  A          Cystoscopy &           3.36        7.05         10.04         1.78          1.38        0.24       10.65         13.64         5.38          4.98         000
                                    revise urethra.
52275.......  ........  A          Cystoscopy &           4.69        9.34         14.00         2.34          1.83        0.33       14.36         19.02         7.36          6.85         000
                                    revise urethra.
52276.......  ........  A          Cystoscopy and         4.99          NA            NA         2.51          1.96        0.35          NA            NA         7.85          7.30         000
                                    treatment.
52277.......  ........  A          Cystoscopy and         6.16          NA            NA         2.95          2.40        0.44          NA            NA         9.55          9.00         000
                                    treatment.
52281.......  ........  A          Cystoscopy and         2.80        5.32          6.65         1.58          1.21        0.20        8.32          9.65         4.58          4.21         000
                                    treatment.
52282.......  ........  A          Cystoscopy,            6.39          NA            NA         3.05          2.44        0.45          NA            NA         9.89          9.28         000
                                    implant stent.
52283.......  ........  A          Cystoscopy and         3.73        4.13          3.99         1.92          1.52        0.26        8.12          7.98         5.91          5.51         000
                                    treatment.
52285.......  ........  A          Cystoscopy and         3.60        4.39          4.11         1.89          1.47        0.26        8.25          7.97         5.75          5.33         000
                                    treatment.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69887]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
52290.......  ........  A          Cystoscopy and         4.58          NA            NA         2.33          1.82        0.32          NA            NA         7.23          6.72         000
                                    treatment.
52300.......  ........  A          Cystoscopy and         5.30          NA            NA         2.68          2.10        0.38          NA            NA         8.36          7.78         000
                                    treatment.
52301.......  ........  A          Cystoscopy and         5.50          NA            NA         2.16          2.03        0.46          NA            NA         8.12          7.99         000
                                    treatment.
52305.......  ........  A          Cystoscopy and         5.30          NA            NA         2.57          2.03        0.38          NA            NA         8.25          7.71         000
                                    treatment.
52310.......  ........  A          Cystoscopy and         2.81        4.04          4.53         1.47          1.14        0.20        7.05          7.54         4.48          4.15         000
                                    treatment.
52315.......  ........  A          Cystoscopy and         5.20        6.69          8.17         2.55          2.01        0.37       12.26         13.74         8.12          7.58         000
                                    treatment.
52317.......  ........  A          Remove bladder         6.71       17.14         25.99         3.09          2.48        0.48       24.33         33.18        10.28          9.67         000
                                    stone.
52318.......  ........  A          Remove bladder         9.18          NA            NA         4.17          3.36        0.65          NA            NA        14.00         13.19         000
                                    stone.
52320.......  ........  A          Cystoscopy and         4.69          NA            NA         2.27          1.79        0.33          NA            NA         7.29          6.81         000
                                    treatment.
52325.......  ........  A          Cystoscopy,            6.15          NA            NA         2.89          2.31        0.44          NA            NA         9.48          8.90         000
                                    stone removal.
52327.......  ........  A          Cystoscopy,            5.18       17.83         28.32         2.39          1.96        0.37       23.38         33.87         7.94          7.51         000
                                    inject material.
52330.......  ........  A          Cystoscopy and         5.03       20.45         34.23         2.41          1.92        0.36       25.84         39.62         7.80          7.31         000
                                    treatment.
52332.......  ........  A          Cystoscopy and         2.83       12.45          7.42         1.60          1.19        0.21       15.49         10.46         4.64          4.23         000
                                    treatment.
52334.......  ........  A          Create passage         4.82          NA            NA         2.35          1.89        0.35          NA            NA         7.52          7.06         000
                                    to kidney.
52341.......  ........  A          Cysto w/ureter         6.11          NA            NA         3.11          2.44        0.43          NA            NA         9.65          8.98         000
                                    stricture tx.
52342.......  ........  A          Cysto w/up             6.61          NA            NA         3.35          2.59        0.46          NA            NA        10.42          9.66         000
                                    stricture tx.
52343.......  ........  A          Cysto w/renal          7.31          NA            NA         3.62          2.84        0.51          NA            NA        11.44         10.66         000
                                    stricture tx.
52344.......  ........  A          Cysto/uretero,         7.81          NA            NA         4.00          3.09        0.55          NA            NA        12.36         11.45         000
                                    stricture tx.
52345.......  ........  A          Cysto/uretero w/       8.31          NA            NA         4.22          3.27        0.58          NA            NA        13.11         12.16         000
                                    up stricture.
52346.......  ........  A          Cystouretero w/        9.34          NA            NA         4.62          3.62        0.65          NA            NA        14.61         13.61         000
                                    renal strict.
52351.......  ........  A          Cystouretero &         5.85          NA            NA         3.03          2.36        0.41          NA            NA         9.29          8.62         000
                                    or pyeloscope.
52352.......  ........  A          Cystouretero w/        6.87          NA            NA         3.56          2.77        0.49          NA            NA        10.92         10.13         000
                                    stone remove.
52353.......  ........  A          Cystouretero w/        7.96          NA            NA         4.01          3.14        0.57          NA            NA        12.54         11.67         000
                                    lithotripsy.
52354.......  ........  A          Cystouretero w/        7.33          NA            NA         3.75          2.94        0.52          NA            NA        11.60         10.79         000
                                    biopsy.
52355.......  ........  A          Cystouretero w/        8.81          NA            NA         4.35          3.44        0.63          NA            NA        13.79         12.88         000
                                    excise tumor.
52400.......  ........  A          Cystouretero w/       10.06          NA            NA         5.54          4.18        0.68          NA            NA        16.28         14.92         090
                                    congen repr.
52402.......  ........  A          Cystourethro cut       5.27          NA            NA         2.24          1.84        0.40          NA            NA         7.91          7.51         000
                                    ejacul duct.
52450.......  ........  A          Incision of            7.63          NA            NA         5.59          4.15        0.54          NA            NA        13.76         12.32         090
                                    prostate.
52500.......  ........  A          Revision of            9.39          NA            NA         6.31          4.52        0.60          NA            NA        16.30         14.51         090
                                    bladder neck.
52510.......  ........  A          Dilation               7.49          NA            NA         5.00          3.58        0.48          NA            NA        12.97         11.55         090
                                    prostatic
                                    urethra.
52601.......  ........  A          Prostatectomy         15.13          NA            NA         8.64          5.99        0.87          NA            NA        24.64         21.99         090
                                    (TURP).
52606.......  ........  A          Control postop         8.84          NA            NA         5.63          4.07        0.57          NA            NA        15.04         13.48         090
                                    bleeding.
52612.......  ........  A          Prostatectomy,         9.07          NA            NA         6.00          4.30        0.56          NA            NA        15.63         13.93         090
                                    first stage.
52614.......  ........  A          Prostatectomy,         7.81          NA            NA         5.49          3.88        0.48          NA            NA        13.78         12.17         090
                                    second stage.
52620.......  ........  A          Remove residual        7.19          NA            NA         4.68          3.41        0.47          NA            NA        12.34         11.07         090
                                    prostate.
52630.......  ........  A          Remove prostate        7.65          NA            NA         4.90          3.62        0.51          NA            NA        13.06         11.78         090
                                    regrowth.
52640.......  ........  A          Relieve bladder        6.89          NA            NA         4.50          3.35        0.47          NA            NA        11.86         10.71         090
                                    contracture.
52647.......  ........  A          Laser surgery of      11.15       42.04         65.97         7.05          5.16        0.73       53.92         77.85        18.93         17.04         090
                                    prostate.
52648.......  ........  A          Laser surgery of      12.00       42.58         66.10         7.38          5.44        0.79       55.37         78.89        20.17         18.23         090
                                    prostate.
52700.......  ........  A          Drainage of            7.39          NA            NA         5.05          3.65        0.48          NA            NA        12.92         11.52         090
                                    prostate
                                    abscess.
53000.......  ........  A          Incision of            2.30          NA            NA         1.83          1.61        0.16          NA            NA         4.29          4.07         010
                                    urethra.
53010.......  ........  A          Incision of            4.35          NA            NA         3.84          3.14        0.24          NA            NA         8.43          7.73         090
                                    urethra.
53020.......  ........  A          Incision of            1.77          NA            NA         0.97          0.75        0.13          NA            NA         2.87          2.65         000
                                    urethra.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69888]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
53025.......  ........  A          Incision of            1.13          NA            NA         0.83          0.59        0.08          NA            NA         2.04          1.80         000
                                    urethra.
53040.......  ........  A          Drainage of            6.49          NA            NA         4.48          3.69        0.45          NA            NA        11.42         10.63         090
                                    urethra abscess.
53060.......  ........  A          Drainage of            2.65        1.99          2.06         1.46          1.39        0.28        4.92          4.99         4.39          4.32         010
                                    urethra abscess.
53080.......  ........  A          Drainage of            6.82          NA            NA         4.98          5.71        0.52          NA            NA        12.32         13.05         090
                                    urinary leakage.
53085.......  ........  A          Drainage of           11.05          NA            NA         4.60          6.70        0.92          NA            NA        16.57         18.67         090
                                    urinary leakage.
53200.......  ........  A          Biopsy of              2.59        1.72          1.42         1.32          1.07        0.20        4.51          4.21         4.11          3.86         000
                                    urethra.
53210.......  ........  A          Removal of            13.59          NA            NA         7.88          6.34        0.89          NA            NA        22.36         20.82         090
                                    urethra.
53215.......  ........  A          Removal of            16.72          NA            NA         9.34          7.30        1.10          NA            NA        27.16         25.12         090
                                    urethra.
53220.......  ........  A          Treatment of           7.53          NA            NA         5.08          4.05        0.49          NA            NA        13.10         12.07         090
                                    urethra lesion.
53230.......  ........  A          Removal of            10.31          NA            NA         6.55          5.17        0.73          NA            NA        17.59         16.21         090
                                    urethra lesion.
53235.......  ........  A          Removal of            10.86          NA            NA         7.04          5.44        0.72          NA            NA        18.62         17.02         090
                                    urethra lesion.
53240.......  ........  A          Surgery for            6.98          NA            NA         4.84          3.85        0.52          NA            NA        12.34         11.35         090
                                    urethra pouch.
53250.......  ........  A          Removal of             6.42          NA            NA         4.76          3.66        0.49          NA            NA        11.67         10.57         090
                                    urethra gland.
53260.......  ........  A          Treatment of           3.00        2.48          2.30         1.87          1.53        0.25        5.73          5.55         5.12          4.78         010
                                    urethra lesion.
53265.......  ........  A          Treatment of           3.14        2.99          2.78         2.03          1.57        0.24        6.37          6.16         5.41          4.95         010
                                    urethra lesion.
53270.......  ........  A          Removal of             3.11        2.30          2.23         1.73          1.59        0.30        5.71          5.64         5.14          5.00         010
                                    urethra gland.
53275.......  ........  A          Repair of              4.54          NA            NA         2.82          2.39        0.32          NA            NA         7.68          7.25         010
                                    urethra defect.
53400.......  ........  A          Revise urethra,       13.98          NA            NA         8.31          6.59        0.98          NA            NA        23.27         21.55         090
                                    stage 1.
53405.......  ........  A          Revise urethra,       15.51          NA            NA         9.07          7.00        1.10          NA            NA        25.68         23.61         090
                                    stage 2.
53410.......  ........  A          Reconstruction        17.53          NA            NA         9.97          7.78        1.16          NA            NA        28.66         26.47         090
                                    of urethra.
53415.......  ........  A          Reconstruction        20.55          NA            NA        11.14          8.28        1.37          NA            NA        33.06         30.20         090
                                    of urethra.
53420.......  ........  A          Reconstruct           15.04          NA            NA         6.61          6.36        0.96          NA            NA        22.61         22.36         090
                                    urethra, stage
                                    1.
53425.......  ........  A          Reconstruct           16.94          NA            NA         9.42          7.52        1.13          NA            NA        27.49         25.59         090
                                    urethra, stage
                                    2.
53430.......  ........  A          Reconstruction        17.30          NA            NA         8.81          7.45        1.15          NA            NA        27.26         25.90         090
                                    of urethra.
53431.......  ........  A          Reconstruct           21.03          NA            NA        11.21          8.84        1.41          NA            NA        33.65         31.28         090
                                    urethra/bladder.
53440.......  ........  A          Male sling            15.34          NA            NA         9.39          6.83        0.96          NA            NA        25.69         23.13         090
                                    procedure.
53442.......  ........  A          Remove/revise         13.29          NA            NA         8.56          6.21        0.82          NA            NA        22.67         20.32         090
                                    male sling.
53444.......  ........  A          Insert tandem         14.06          NA            NA         8.18          6.45        0.94          NA            NA        23.18         21.45         090
                                    cuff.
53445.......  ........  A          Insert uro/ves        15.21          NA            NA         8.96          7.55        0.99          NA            NA        25.16         23.75         090
                                    nck sphincter.
53446.......  ........  A          Remove uro            10.89          NA            NA         7.17          5.70        0.72          NA            NA        18.78         17.31         090
                                    sphincter.
53447.......  ........  A          Remove/replace        14.15          NA            NA         8.58          6.96        0.95          NA            NA        23.68         22.06         090
                                    ur sphincter.
53448.......  ........  A          Remov/replc ur        23.26          NA            NA        12.68          9.95        1.50          NA            NA        37.44         34.71         090
                                    sphinctr comp.
53449.......  ........  A          Repair uro            10.43          NA            NA         6.76          5.23        0.68          NA            NA        17.87         16.34         090
                                    sphincter.
53450.......  ........  A          Revision of            6.67          NA            NA         4.85          3.68        0.43          NA            NA        11.95         10.78         090
                                    urethra.
53460.......  ........  A          Revision of            7.65          NA            NA         5.21          4.07        0.50          NA            NA        13.36         12.22         090
                                    urethra.
53500.......  ........  A          Urethrlys,            12.87          NA            NA         7.53          6.53        0.90          NA            NA        21.30         20.30         090
                                    transvag w/
                                    scope.
53502.......  ........  A          Repair of              8.16          NA            NA         5.09          4.26        0.62          NA            NA        13.87         13.04         090
                                    urethra injury.
53505.......  ........  A          Repair of              8.16          NA            NA         5.50          4.27        0.54          NA            NA        14.20         12.97         090
                                    urethra injury.
53510.......  ........  A          Repair of             10.83          NA            NA         6.85          5.58        0.74          NA            NA        18.42         17.15         090
                                    urethra injury.
53515.......  ........  A          Repair of             14.09          NA            NA         7.96          6.43        1.05          NA            NA        23.10         21.57         090
                                    urethra injury.
53520.......  ........  A          Repair of              9.35          NA            NA         6.23          4.91        0.61          NA            NA        16.19         14.87         090
                                    urethra defect.
53600.......  ........  A          Dilate urethra         1.21        1.16          1.15         0.58          0.47        0.09        2.46          2.45         1.88          1.77         000
                                    stricture.
53601.......  ........  A          Dilate urethra         0.98        1.38          1.30         0.53          0.41        0.07        2.43          2.35         1.58          1.46         000
                                    stricture.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69889]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
53605.......  ........  A          Dilate urethra         1.28          NA            NA         0.53          0.44        0.09          NA            NA         1.90          1.81         000
                                    stricture.
53620.......  ........  A          Dilate urethra         1.62        1.72          1.92         0.85          0.66        0.11        3.45          3.65         2.58          2.39         000
                                    stricture.
53621.......  ........  A          Dilate urethra         1.35        1.82          2.01         0.69          0.54        0.10        3.27          3.46         2.14          1.99         000
                                    stricture.
53660.......  ........  A          Dilation of            0.71        1.32          1.31         0.46          0.35        0.05        2.08          2.07         1.22          1.11         000
                                    urethra.
53661.......  ........  A          Dilation of            0.72        1.30          1.30         0.43          0.33        0.05        2.07          2.07         1.20          1.10         000
                                    urethra.
53665.......  ........  A          Dilation of            0.76          NA            NA         0.27          0.26        0.06          NA            NA         1.09          1.08         000
                                    urethra.
53850.......  ........  A          Prostatic              9.98       49.30         82.87         6.01          4.46        0.67       59.95         93.52        16.66         15.11         090
                                    microwave
                                    thermotx.
53852.......  ........  A          Prostatic rf          10.68       46.49         78.20         6.82          4.98        0.70       57.87         89.58        18.20         16.36         090
                                    thermotx.
53853.......  ........  A          Prostatic water        5.54       29.12         48.79         4.43          3.25        0.37       35.03         54.70        10.34          9.16         090
                                    thermother.
53899.......  ........  C          Urology surgery        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
54000.......  ........  A          Slitting of            1.56        2.72          2.86         1.50          1.07        0.11        4.39          4.53         3.17          2.74         010
                                    prepuce.
54001.......  ........  A          Slitting of            2.21        3.07          3.15         1.69          1.26        0.15        5.43          5.51         4.05          3.62         010
                                    prepuce.
54015.......  ........  A          Drain penis            5.33          NA            NA         3.24          2.72        0.38          NA            NA         8.95          8.43         010
                                    lesion.
54050.......  ........  A          Destruction,           1.26        2.08          1.77         1.39          1.12        0.08        3.42          3.11         2.73          2.46         010
                                    penis lesion(s).
54055.......  ........  A          Destruction,           1.23        2.00          1.68         1.26          0.92        0.08        3.31          2.99         2.57          2.23         010
                                    penis lesion(s).
54056.......  ........  A          Cryosurgery,           1.26        2.37          1.86         1.54          1.23        0.06        3.69          3.18         2.86          2.55         010
                                    penis lesion(s).
54057.......  ........  A          Laser surg,            1.26        2.61          2.31         1.36          0.96        0.09        3.96          3.66         2.71          2.31         010
                                    penis lesion(s).
54060.......  ........  A          Excision of            1.95        3.11          3.10         1.66          1.21        0.13        5.19          5.18         3.74          3.29         010
                                    penis lesion(s).
54065.......  ........  A          Destruction,           2.44        3.30          2.80         2.01          1.43        0.13        5.87          5.37         4.58          4.00         010
                                    penis lesion(s).
54100.......  ........  A          Biopsy of penis.       1.90        3.37          2.94         1.39          0.96        0.10        5.37          4.94         3.39          2.96         000
54105.......  ........  A          Biopsy of penis.       3.51        4.04          4.22         2.49          2.07        0.25        7.80          7.98         6.25          5.83         010
54110.......  ........  A          Treatment of          10.79          NA            NA         6.65          5.23        0.72          NA            NA        18.16         16.74         090
                                    penis lesion.
54111.......  ........  A          Treat penis           14.29          NA            NA         8.22          6.38        0.96          NA            NA        23.47         21.63         090
                                    lesion, graft.
54112.......  ........  A          Treat penis           16.83          NA            NA         9.54          7.48        1.11          NA            NA        27.48         25.42         090
                                    lesion, graft.
54115.......  ........  A          Treatment of           6.82        5.90          4.75         5.07          3.86        0.43       13.15         12.00        12.32         11.11         090
                                    penis lesion.
54120.......  ........  A          Partial removal       10.88          NA            NA         6.89          5.23        0.68          NA            NA        18.45         16.79         090
                                    of penis.
54125.......  ........  A          Removal of penis      14.43          NA            NA         8.35          6.45        0.95          NA            NA        23.73         21.83         090
54130.......  ........  A          Remove penis &        21.66          NA            NA        11.56          9.02        1.52          NA            NA        34.74         32.20         090
                                    nodes.
54135.......  ........  A          Remove penis &        27.99          NA            NA        14.51         11.25        1.88          NA            NA        44.38         41.12         090
                                    nodes.
54150.......  ........  A          Circumcision w/        1.90        2.40          1.50         0.75          1.09        0.16        4.46          3.56         2.81          3.15         000
                                    regionl block.
54160.......  ........  A          Circumcision,          2.50        3.69          4.03         1.47          1.19        0.19        6.38          6.72         4.16          3.88         010
                                    neonate.
54161.......  ........  A          Circum 28 days         3.29          NA            NA         2.24          1.73        0.23          NA            NA         5.76          5.25         010
                                    or older.
54162.......  ........  A          Lysis penil            3.27        4.02          4.49         2.28          1.65        0.21        7.50          7.97         5.76          5.13         010
                                    circumic lesion.
54163.......  ........  A          Repair of              3.27          NA            NA         2.91          2.23        0.21          NA            NA         6.39          5.71         010
                                    circumcision.
54164.......  ........  A          Frenulotomy of         2.77          NA            NA         2.66          2.04        0.18          NA            NA         5.61          4.99         010
                                    penis.
54200.......  ........  A          Treatment of           1.08        2.03          1.85         1.32          1.06        0.08        3.19          3.01         2.48          2.22         010
                                    penis lesion.
54205.......  ........  A          Treatment of           8.84          NA            NA         6.18          5.06        0.56          NA            NA        15.58         14.46         090
                                    penis lesion.
54220.......  ........  A          Treatment of           2.42        3.34          3.72         1.38          1.06        0.17        5.93          6.31         3.97          3.65         000
                                    penis lesion.
54230.......  ........  A          Prepare penis          1.34        1.41          1.16         0.91          0.70        0.09        2.84          2.59         2.34          2.13         000
                                    study.
54231.......  ........  A          Dynamic                2.04        1.87          1.50         1.19          0.95        0.16        4.07          3.70         3.39          3.15         000
                                    cavernosometry.
54235.......  ........  A          Penile injection       1.19        1.40          1.07         0.90          0.66        0.08        2.67          2.34         2.17          1.93         000
54240.......  ........  A          Penis study.....       1.31        1.52          1.16         1.52          1.16        0.17        3.00          2.64         3.00          2.64         000
54240.......  TC......  A          Penis study.....       0.00        1.02          0.71         1.02          0.71        0.06        1.08          0.77         1.08          0.77         000
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69890]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
54240.......  26......  A          Penis study.....       1.31        0.50          0.45         0.50          0.45        0.11        1.92          1.87         1.92          1.87         000
54250.......  ........  A          Penis study.....       2.22        1.26          1.00         1.26          1.00        0.18        3.66          3.40         3.66          3.40         000
54250.......  TC......  A          Penis study.....       0.00        0.37          0.24         0.37          0.24        0.02        0.39          0.26         0.39          0.26         000
54250.......  26......  A          Penis study.....       2.22        0.89          0.76         0.89          0.76        0.16        3.27          3.14         3.27          3.14         000
54300.......  ........  A          Revision of           11.07          NA            NA         6.88          5.89        0.76          NA            NA        18.71         17.72         090
                                    penis.
54304.......  ........  A          Revision of           13.15          NA            NA         7.98          6.74        0.88          NA            NA        22.01         20.77         090
                                    penis.
54308.......  ........  A          Reconstruction        12.49          NA            NA         7.66          6.38        0.84          NA            NA        20.99         19.71         090
                                    of urethra.
54312.......  ........  A          Reconstruction        14.36          NA            NA         8.68          7.41        1.24          NA            NA        24.28         23.01         090
                                    of urethra.
54316.......  ........  A          Reconstruction        17.90          NA            NA        10.20          8.51        1.21          NA            NA        29.31         27.62         090
                                    of urethra.
54318.......  ........  A          Reconstruction        12.28          NA            NA         6.26          5.90        1.39          NA            NA        19.93         19.57         090
                                    of urethra.
54322.......  ........  A          Reconstruction        13.85          NA            NA         8.02          6.84        0.92          NA            NA        22.79         21.61         090
                                    of urethra.
54324.......  ........  A          Reconstruction        17.40          NA            NA         9.96          8.45        1.14          NA            NA        28.50         26.99         090
                                    of urethra.
54326.......  ........  A          Reconstruction        16.87          NA            NA         9.76          8.27        1.11          NA            NA        27.74         26.25         090
                                    of urethra.
54328.......  ........  A          Revise penis/         16.74          NA            NA         9.87          7.90        0.98          NA            NA        27.59         25.62         090
                                    urethra.
54332.......  ........  A          Revise penis/         18.22          NA            NA        10.33          8.37        1.21          NA            NA        29.76         27.80         090
                                    urethra.
54336.......  ........  A          Revise penis/         21.44          NA            NA        12.03         10.72        2.21          NA            NA        35.68         34.37         090
                                    urethra.
54340.......  ........  A          Secondary              9.58          NA            NA         6.50          5.40        0.63          NA            NA        16.71         15.61         090
                                    urethral
                                    surgery.
54344.......  ........  A          Secondary             16.91          NA            NA         9.93          8.29        1.54          NA            NA        28.38         26.74         090
                                    urethral
                                    surgery.
54348.......  ........  A          Secondary             18.17          NA            NA         6.33          7.84        1.23          NA            NA        25.73         27.24         090
                                    urethral
                                    surgery.
54352.......  ........  A          Reconstruct           25.95          NA            NA        13.90         11.85        2.25          NA            NA        42.10         40.05         090
                                    urethra/penis.
54360.......  ........  A          Penis plastic         12.65          NA            NA         7.63          6.42        0.84          NA            NA        21.12         19.91         090
                                    surgery.
54380.......  ........  A          Repair penis....      14.03          NA            NA         5.67          6.37        0.93          NA            NA        20.63         21.33         090
54385.......  ........  A          Repair penis....      16.38          NA            NA         8.41          8.29        0.86          NA            NA        25.65         25.53         090
54390.......  ........  A          Repair penis and      22.59          NA            NA         7.41          8.90        1.54          NA            NA        31.54         33.03         090
                                    bladder.
54400.......  ........  A          Insert semi-           9.09          NA            NA         5.87          4.72        0.64          NA            NA        15.60         14.45         090
                                    rigid
                                    prosthesis.
54401.......  ........  A          Insert self-          10.26          NA            NA         8.29          6.36        0.73          NA            NA        19.28         17.35         090
                                    contd
                                    prosthesis.
54405.......  ........  A          Insert multi-         14.39          NA            NA         8.32          6.51        0.95          NA            NA        23.66         21.85         090
                                    comp penis pros.
54406.......  ........  A          Remove muti-comp      12.76          NA            NA         7.79          6.01        0.86          NA            NA        21.41         19.63         090
                                    penis pros.
54408.......  ........  A          Repair multi-         13.73          NA            NA         8.40          6.39        0.90          NA            NA        23.03         21.02         090
                                    comp penis pros.
54410.......  ........  A          Remove/replace        16.48          NA            NA         9.56          7.35        1.10          NA            NA        27.14         24.93         090
                                    penis prosth.
54411.......  ........  A          Remov/replc           18.14          NA            NA        10.63          7.93        1.13          NA            NA        29.90         27.20         090
                                    penis pros,
                                    comp.
54415.......  ........  A          Remove self-           8.75          NA            NA         6.12          4.67        0.58          NA            NA        15.45         14.00         090
                                    contd penis
                                    pros.
54416.......  ........  A          Remv/repl penis       11.87          NA            NA         8.04          6.03        0.77          NA            NA        20.68         18.67         090
                                    contain pros.
54417.......  ........  A          Remv/replc penis      15.94          NA            NA         9.33          6.95        1.00          NA            NA        26.27         23.89         090
                                    pros, compl.
54420.......  ........  A          Revision of           12.26          NA            NA         7.69          6.09        0.81          NA            NA        20.76         19.16         090
                                    penis.
54430.......  ........  A          Revision of           10.93          NA            NA         7.06          5.59        0.72          NA            NA        18.71         17.24         090
                                    penis.
54435.......  ........  A          Revision of            6.71          NA            NA         5.01          3.96        0.43          NA            NA        12.15         11.10         090
                                    penis.
54440.......  ........  C          Repair of penis.       0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         090
54450.......  ........  A          Preputial              1.12        0.86          0.93         0.49          0.45        0.08        2.06          2.13         1.69          1.65         000
                                    stretching.
54500.......  ........  A          Biopsy of testis       1.31          NA            NA         0.80          0.62        0.10          NA            NA         2.21          2.03         000
54505.......  ........  A          Biopsy of testis       3.47          NA            NA         2.44          2.04        0.27          NA            NA         6.18          5.78         010
54512.......  ........  A          Excise lesion          9.23          NA            NA         5.77          4.53        0.67          NA            NA        15.67         14.43         090
                                    testis.
54520.......  ........  A          Removal of             5.25          NA            NA         3.78          3.03        0.50          NA            NA         9.53          8.78         090
                                    testis.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69891]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
54522.......  ........  A          Orchiectomy,          10.15          NA            NA         5.82          5.10        0.89          NA            NA        16.86         16.14         090
                                    partial.
54530.......  ........  A          Removal of             9.31          NA            NA         6.19          4.72        0.66          NA            NA        16.16         14.69         090
                                    testis.
54535.......  ........  A          Extensive testis      13.06          NA            NA         7.67          6.07        0.95          NA            NA        21.68         20.08         090
                                    surgery.
54550.......  ........  A          Exploration for        8.31          NA            NA         5.42          4.21        0.59          NA            NA        14.32         13.11         090
                                    testis.
54560.......  ........  A          Exploration for       11.97          NA            NA         6.34          5.45        0.90          NA            NA        19.21         18.32         090
                                    testis.
54600.......  ........  A          Reduce testis          7.54          NA            NA         5.23          3.96        0.51          NA            NA        13.28         12.01         090
                                    torsion.
54620.......  ........  A          Suspension of          5.16          NA            NA         3.31          2.65        0.37          NA            NA         8.84          8.18         010
                                    testis.
54640.......  ........  A          Suspension of          7.57          NA            NA         5.53          4.18        0.62          NA            NA        13.72         12.37         090
                                    testis.
54650.......  ........  A          Orchiopexy            12.24          NA            NA         7.81          6.00        1.16          NA            NA        21.21         19.40         090
                                    (Fowler-
                                    Stephens).
54660.......  ........  A          Revision of            5.64          NA            NA         4.47          3.36        0.44          NA            NA        10.55          9.44         090
                                    testis.
54670.......  ........  A          Repair testis          6.57          NA            NA         4.88          3.87        0.47          NA            NA        11.92         10.91         090
                                    injury.
54680.......  ........  A          Relocation of         13.91          NA            NA         7.86          6.57        1.16          NA            NA        22.93         21.64         090
                                    testis(es).
54690.......  ........  A          Laparoscopy,          11.60          NA            NA         6.24          5.26        1.02          NA            NA        18.86         17.88         090
                                    orchiectomy.
54692.......  ........  A          Laparoscopy,          13.64          NA            NA         7.75          6.00        1.30          NA            NA        22.69         20.94         090
                                    orchiopexy.
54699.......  ........  C          Laparoscope            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    proc, testis.
54700.......  ........  A          Drainage of            3.44          NA            NA         2.42          2.05        0.28          NA            NA         6.14          5.77         010
                                    scrotum.
54800.......  ........  A          Biopsy of              2.33          NA            NA         1.00          0.93        0.23          NA            NA         3.56          3.49         000
                                    epididymis.
54830.......  ........  A          Remove                 5.91          NA            NA         4.51          3.39        0.41          NA            NA        10.83          9.71         090
                                    epididymis
                                    lesion.
54840.......  ........  A          Remove                 5.22          NA            NA         3.87          3.05        0.37          NA            NA         9.46          8.64         090
                                    epididymis
                                    lesion.
54860.......  ........  A          Removal of             6.85          NA            NA         4.96          3.72        0.45          NA            NA        12.26         11.02         090
                                    epididymis.
54861.......  ........  A          Removal of             9.57          NA            NA         6.38          4.82        0.63          NA            NA        16.58         15.02         090
                                    epididymis.
54865.......  ........  A          Explore                5.67          NA            NA         4.35          3.29        0.40          NA            NA        10.42          9.36         090
                                    epididymis.
54900.......  ........  A          Fusion of             14.05          NA            NA         5.23          5.64        0.93          NA            NA        20.21         20.62         090
                                    spermatic ducts.
54901.......  ........  A          Fusion of             18.92          NA            NA         6.57          7.28        1.83          NA            NA        27.32         28.03         090
                                    spermatic ducts.
55000.......  ........  A          Drainage of            1.43        1.86          2.01         0.92          0.72        0.11        3.40          3.55         2.46          2.26         000
                                    hydrocele.
55040.......  ........  A          Removal of             5.39          NA            NA         4.01          3.17        0.43          NA            NA         9.83          8.99         090
                                    hydrocele.
55041.......  ........  A          Removal of             8.41          NA            NA         5.78          4.42        0.60          NA            NA        14.79         13.43         090
                                    hydroceles.
55060.......  ........  A          Repair of              6.05          NA            NA         4.50          3.43        0.46          NA            NA        11.01          9.94         090
                                    hydrocele.
55100.......  ........  A          Drainage of            2.40        3.51          3.63         2.13          1.70        0.17        6.08          6.20         4.70          4.27         010
                                    scrotum abscess.
55110.......  ........  A          Explore scrotum.       6.23          NA            NA         4.55          3.48        0.43          NA            NA        11.21         10.14         090
55120.......  ........  A          Removal of             5.62          NA            NA         4.33          3.29        0.39          NA            NA        10.34          9.30         090
                                    scrotum lesion.
55150.......  ........  A          Removal of             8.01          NA            NA         5.53          4.26        0.56          NA            NA        14.10         12.83         090
                                    scrotum.
55175.......  ........  A          Revision of            5.77          NA            NA         4.41          3.35        0.37          NA            NA        10.55          9.49         090
                                    scrotum.
55180.......  ........  A          Revision of           11.63          NA            NA         7.41          5.87        0.90          NA            NA        19.94         18.40         090
                                    scrotum.
55200.......  ........  A          Incision of            4.50        8.24         11.29         3.40          2.63        0.33       13.07         16.12         8.23          7.46         090
                                    sperm duct.
55250.......  ........  A          Removal of sperm       3.32        7.70         10.53         3.02          2.41        0.25       11.27         14.10         6.59          5.98         090
                                    duct(s).
55300.......  ........  A          Prepare, sperm         3.50          NA            NA         1.61          1.39        0.25          NA            NA         5.36          5.14         000
                                    duct x-ray.
55400.......  ........  A          Repair of sperm        8.53          NA            NA         5.56          4.43        0.64          NA            NA        14.73         13.60         090
                                    duct.
55450.......  ........  A          Ligation of            4.38        6.00          6.74         2.89          2.12        0.29       10.67         11.41         7.56          6.79         010
                                    sperm duct.
55500.......  ........  A          Removal of             6.12          NA            NA         4.27          3.38        0.55          NA            NA        10.94         10.05         090
                                    hydrocele.
55520.......  ........  A          Removal of sperm       6.56          NA            NA         3.83          3.39        0.75          NA            NA        11.14         10.70         090
                                    cord lesion.
55530.......  ........  A          Revise spermatic       5.69          NA            NA         4.19          3.30        0.45          NA            NA        10.33          9.44         090
                                    cord veins.
55535.......  ........  A          Revise spermatic       7.09          NA            NA         4.92          3.77        0.47          NA            NA        12.48         11.33         090
                                    cord veins.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69892]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
55540.......  ........  A          Revise hernia &        8.20          NA            NA         4.30          3.92        0.94          NA            NA        13.44         13.06         090
                                    sperm veins.
55550.......  ........  A          Laparo ligate          7.10          NA            NA         4.60          3.62        0.57          NA            NA        12.27         11.29         090
                                    spermatic vein.
55559.......  ........  C          Laparo proc,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    spermatic cord.
55600.......  ........  A          Incise sperm           6.91          NA            NA         4.99          3.74        0.62          NA            NA        12.52         11.27         090
                                    duct pouch.
55605.......  ........  A          Incise sperm           8.63          NA            NA         4.95          4.45        0.64          NA            NA        14.22         13.72         090
                                    duct pouch.
55650.......  ........  A          Remove sperm          12.52          NA            NA         7.38          5.79        0.92          NA            NA        20.82         19.23         090
                                    duct pouch.
55680.......  ........  A          Remove sperm           5.59          NA            NA         3.91          3.20        0.47          NA            NA         9.97          9.26         090
                                    pouch lesion.
55700.......  ........  A          Biopsy of              2.58        3.74          4.08         1.36          0.82        0.11        6.43          6.77         4.05          3.51         000
                                    prostate.
55705.......  ........  A          Biopsy of              4.58          NA            NA         2.92          2.45        0.32          NA            NA         7.82          7.35         010
                                    prostate.
55720.......  ........  A          Drainage of            7.67          NA            NA         4.87          4.08        0.95          NA            NA        13.49         12.70         090
                                    prostate
                                    abscess.
55725.......  ........  A          Drainage of            9.90          NA            NA         6.37          4.95        0.70          NA            NA        16.97         15.55         090
                                    prostate
                                    abscess.
55801.......  ........  A          Removal of            19.62          NA            NA        10.80          8.40        1.34          NA            NA        31.76         29.36         090
                                    prostate.
55810.......  ........  A          Extensive             24.14          NA            NA        12.66          9.86        1.60          NA            NA        38.40         35.60         090
                                    prostate
                                    surgery.
55812.......  ........  A          Extensive             29.69          NA            NA        15.26         12.04        2.05          NA            NA        47.00         43.78         090
                                    prostate
                                    surgery.
55815.......  ........  A          Extensive             32.75          NA            NA        16.73         13.09        2.17          NA            NA        51.65         48.01         090
                                    prostate
                                    surgery.
55821.......  ........  A          Removal of            15.63          NA            NA         8.89          6.87        1.01          NA            NA        25.53         23.51         090
                                    prostate.
55831.......  ........  A          Removal of            17.06          NA            NA         9.49          7.35        1.10          NA            NA        27.65         25.51         090
                                    prostate.
55840.......  ........  A          Extensive             24.45          NA            NA        12.99         10.19        1.61          NA            NA        39.05         36.25         090
                                    prostate
                                    surgery.
55842.......  ........  A          Extensive             26.31          NA            NA        13.85         10.83        1.73          NA            NA        41.89         38.87         090
                                    prostate
                                    surgery.
55845.......  ........  A          Extensive             30.52          NA            NA        15.29         12.01        2.03          NA            NA        47.84         44.56         090
                                    prostate
                                    surgery.
55860.......  ........  A          Surgical              15.71          NA            NA         8.84          7.00        1.02          NA            NA        25.57         23.73         090
                                    exposure,
                                    prostate.
55862.......  ........  A          Extensive             19.89          NA            NA        10.98          8.62        1.49          NA            NA        32.36         30.00         090
                                    prostate
                                    surgery.
55865.......  ........  A          Extensive             24.39          NA            NA        13.14         10.22        1.63          NA            NA        39.16         36.24         090
                                    prostate
                                    surgery.
55866.......  ........  A          Laparo radical        32.25          NA            NA        16.38         12.87        2.17          NA            NA        50.80         47.29         090
                                    prostatectomy.
55870.......  ........  A          Electroejaculati       2.58        2.47          1.77         1.46          1.18        0.16        5.21          4.51         4.20          3.92         000
                                    on.
55873.......  ........  A          Cryoablate            20.25          NA            NA        11.57          9.59        1.38          NA            NA        33.20         31.22         090
                                    prostate.
55875.......  ........  A          Transperi needle      13.31          NA            NA         8.03          6.38        0.89          NA            NA        22.23         20.58         090
                                    place, pros.
55876.......  ........  A          Place rt device/       1.73        2.04          2.04         1.03          1.03        0.28        4.05          4.05         3.04          3.04         000
                                    marker, pros.
55899.......  ........  C          Genital surgery        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
55970.......  ........  N          Sex                    0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transformation,
                                    M to F.
55980.......  ........  N          Sex                    0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transformation,
                                    F to M.
56405.......  ........  A          I & D of vulva/        1.46        1.17          1.29         1.15          1.14        0.17        2.80          2.92         2.78          2.77         010
                                    perineum.
56420.......  ........  A          Drainage of            1.41        1.50          2.08         0.77          0.97        0.16        3.07          3.65         2.34          2.54         010
                                    gland abscess.
56440.......  ........  A          Surgery for            2.86          NA            NA         1.58          1.68        0.34          NA            NA         4.78          4.88         010
                                    vulva lesion.
56441.......  ........  A          Lysis of labial        1.99        1.71          1.79         1.56          1.45        0.20        3.90          3.98         3.75          3.64         010
                                    lesion(s).
56442.......  ........  A          Hymenotomy......       0.68          NA            NA         0.51          0.51        0.08          NA            NA         1.27          1.27         000
56501.......  ........  A          Destroy, vulva         1.55        1.63          1.74         1.22          1.24        0.18        3.36          3.47         2.95          2.97         010
                                    lesions, sim.
56515.......  ........  A          Destroy vulva          3.03        2.36          2.50         1.72          1.79        0.33        5.72          5.86         5.08          5.15         010
                                    lesion/s compl.
56605.......  ........  A          Biopsy of vulva/       1.10        0.90          1.03         0.35          0.43        0.13        2.13          2.26         1.58          1.66         000
                                    perineum.
56606.......  ........  A          Biopsy of vulva/       0.55        0.36          0.46         0.15          0.20        0.07        0.98          1.08         0.77          0.82         ZZZ
                                    perineum.
56620.......  ........  A          Partial removal        8.44          NA            NA         4.41          4.70        0.90          NA            NA        13.75         14.04         090
                                    of vulva.
56625.......  ........  A          Complete removal       9.55          NA            NA         4.78          5.18        1.02          NA            NA        15.35         15.75         090
                                    of vulva.
56630.......  ........  A          Extensive vulva       14.67          NA            NA         6.31          6.70        1.49          NA            NA        22.47         22.86         090
                                    surgery.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69893]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
56631.......  ........  A          Extensive vulva       18.81          NA            NA         7.77          8.54        1.96          NA            NA        28.54         29.31         090
                                    surgery.
56632.......  ........  A          Extensive vulva       21.61          NA            NA         9.36          9.47        2.39          NA            NA        33.36         33.47         090
                                    surgery.
56633.......  ........  A          Extensive vulva       19.47          NA            NA         7.82          8.40        1.98          NA            NA        29.27         29.85         090
                                    surgery.
56634.......  ........  A          Extensive vulva       20.48          NA            NA         8.22          9.12        2.17          NA            NA        30.87         31.77         090
                                    surgery.
56637.......  ........  A          Extensive vulva       24.57          NA            NA         9.28         10.62        2.61          NA            NA        36.46         37.80         090
                                    surgery.
56640.......  ........  A          Extensive vulva       24.65          NA            NA         9.10         10.23        2.89          NA            NA        36.64         37.77         090
                                    surgery.
56700.......  ........  A          Partial removal        2.79          NA            NA         1.76          1.81        0.30          NA            NA         4.85          4.90         010
                                    of hymen.
56740.......  ........  A          Remove vagina          4.83          NA            NA         2.30          2.50        0.56          NA            NA         7.69          7.89         010
                                    gland lesion.
56800.......  ........  A          Repair of vagina       3.90          NA            NA         1.99          2.14        0.44          NA            NA         6.33          6.48         010
56805.......  ........  A          Repair clitoris.      19.75          NA            NA         9.31          9.39        2.15          NA            NA        31.21         31.29         090
56810.......  ........  A          Repair of              4.26          NA            NA         2.05          2.23        0.49          NA            NA         6.80          6.98         010
                                    perineum.
56820.......  ........  A          Exam of vulva w/       1.50        1.19          1.28         0.53          0.62        0.18        2.87          2.96         2.21          2.30         000
                                    scope.
56821.......  ........  A          Exam/biopsy of         2.05        1.52          1.69         0.69          0.86        0.25        3.82          3.99         2.99          3.16         000
                                    vulva w/scope.
57000.......  ........  A          Exploration of         2.99          NA            NA         1.71          1.72        0.31          NA            NA         5.01          5.02         010
                                    vagina.
57010.......  ........  A          Drainage of            6.74          NA            NA         3.82          3.81        0.71          NA            NA        11.27         11.26         090
                                    pelvic abscess.
57020.......  ........  A          Drainage of            1.50        0.75          0.89         0.44          0.55        0.18        2.43          2.57         2.12          2.23         000
                                    pelvic fluid.
57022.......  ........  A          I & d vaginal          2.70          NA            NA         1.43          1.48        0.26          NA            NA         4.39          4.44         010
                                    hematoma, pp.
57023.......  ........  A          I & d vag              5.13          NA            NA         2.39          2.53        0.58          NA            NA         8.10          8.24         010
                                    hematoma, non-
                                    ob.
57061.......  ........  A          Destroy vag            1.27        1.50          1.61         1.11          1.12        0.15        2.92          3.03         2.53          2.54         010
                                    lesions, simple.
57065.......  ........  A          Destroy vag            2.63        2.01          2.22         1.49          1.63        0.31        4.95          5.16         4.43          4.57         010
                                    lesions,
                                    complex.
57100.......  ........  A          Biopsy of vagina       1.20        0.92          1.04         0.37          0.45        0.14        2.26          2.38         1.71          1.79         000
57105.......  ........  A          Biopsy of vagina       1.71        1.58          1.74         1.33          1.40        0.20        3.49          3.65         3.24          3.31         010
57106.......  ........  A          Remove vagina          7.35          NA            NA         4.25          4.20        0.73          NA            NA        12.33         12.28         090
                                    wall, partial.
57107.......  ........  A          Remove vagina         24.43          NA            NA         9.10         10.12        2.72          NA            NA        36.25         37.27         090
                                    tissue, part.
57109.......  ........  A          Vaginectomy           28.25          NA            NA        10.40         11.03        3.22          NA            NA        41.87         42.50         090
                                    partial w/nodes.
57110.......  ........  A          Remove vagina         15.38          NA            NA         6.22          7.01        1.74          NA            NA        23.34         24.13         090
                                    wall, complete.
57111.......  ........  A          Remove vagina         28.25          NA            NA        10.26         12.02        3.18          NA            NA        41.69         43.45         090
                                    tissue, compl.
57112.......  ........  A          Vaginectomy w/        30.37          NA            NA        11.67         11.99        3.08          NA            NA        45.12         45.44         090
                                    nodes, compl.
57120.......  ........  A          Closure of             8.18          NA            NA         4.17          4.49        0.89          NA            NA        13.24         13.56         090
                                    vagina.
57130.......  ........  A          Remove vagina          2.44        1.97          2.11         1.48          1.53        0.29        4.70          4.84         4.21          4.26         010
                                    lesion.
57135.......  ........  A          Remove vagina          2.68        2.01          2.20         1.52          1.62        0.31        5.00          5.19         4.51          4.61         010
                                    lesion.
57150.......  ........  A          Treat vagina           0.55        0.57          0.97         0.15          0.20        0.07        1.19          1.59         0.77          0.82         000
                                    infection.
57155.......  ........  A          Insert uteri           6.79          NA            NA         3.53          4.30        0.43          NA            NA        10.75         11.52         090
                                    tandems/ovoids.
57160.......  ........  A          Insert pessary/        0.89        1.03          1.02         0.26          0.32        0.10        2.02          2.01         1.25          1.31         000
                                    other device.
57170.......  ........  A          Fitting of             0.91        0.56          1.25         0.25          0.31        0.11        1.58          2.27         1.27          1.33         000
                                    diaphragm/cap.
57180.......  ........  A          Treat vaginal          1.60        1.83          2.08         0.92          1.18        0.19        3.62          3.87         2.71          2.97         010
                                    bleeding.
57200.......  ........  A          Repair of vagina       4.34          NA            NA         2.93          2.90        0.46          NA            NA         7.73          7.70         090
57210.......  ........  A          Repair vagina/         5.63          NA            NA         3.25          3.39        0.62          NA            NA         9.50          9.64         090
                                    perineum.
57220.......  ........  A          Revision of            4.77          NA            NA         3.00          3.08        0.51          NA            NA         8.28          8.36         090
                                    urethra.
57230.......  ........  A          Repair of              6.22          NA            NA         3.77          3.49        0.54          NA            NA        10.53         10.25         090
                                    urethral lesion.
57240.......  ........  A          Repair bladder &      11.42          NA            NA         5.46          4.22        0.62          NA            NA        17.50         16.26         090
                                    vagina.
57250.......  ........  A          Repair rectum &       11.42          NA            NA         5.01          3.93        0.65          NA            NA        17.08         16.00         090
                                    vagina.
57260.......  ........  A          Repair of vagina      14.36          NA            NA         5.82          5.08        0.97          NA            NA        21.15         20.41         090
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69894]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
57265.......  ........  A          Extensive repair      15.86          NA            NA         6.29          6.10        1.32          NA            NA        23.47         23.28         090
                                    of vagina.
57267.......  ........  A          Insert mesh/           4.88          NA            NA         1.53          1.86        0.64          NA            NA         7.05          7.38         ZZZ
                                    pelvic flr
                                    addon.
57268.......  ........  A          Repair of bowel        7.47          NA            NA         4.28          4.21        0.79          NA            NA        12.54         12.47         090
                                    bulge.
57270.......  ........  A          Repair of bowel       13.57          NA            NA         5.68          6.10        1.42          NA            NA        20.67         21.09         090
                                    pouch.
57280.......  ........  A          Suspension of         16.62          NA            NA         7.01          7.27        1.68          NA            NA        25.31         25.57         090
                                    vagina.
57282.......  ........  A          Colpopexy,             7.84          NA            NA         4.40          4.48        1.02          NA            NA        13.26         13.34         090
                                    extraperitoneal.
57283.......  ........  A          Colpopexy,            11.58          NA            NA         5.21          5.74        1.02          NA            NA        17.81         18.34         090
                                    intraperitoneal.
57284.......  ........  A          Repair                13.51          NA            NA         6.75          7.04        1.41          NA            NA        21.67         21.96         090
                                    paravaginal
                                    defect.
57287.......  ........  A          Revise/remove         11.49          NA            NA         6.50          5.73        0.90          NA            NA        18.89         18.12         090
                                    sling repair.
57288.......  ........  A          Repair bladder        14.01          NA            NA         7.13          6.21        1.12          NA            NA        22.26         21.34         090
                                    defect.
57289.......  ........  A          Repair bladder &      12.69          NA            NA         6.21          6.08        1.21          NA            NA        20.11         19.98         090
                                    vagina.
57291.......  ........  A          Construction of        8.54          NA            NA         4.37          4.78        0.93          NA            NA        13.84         14.25         090
                                    vagina.
57292.......  ........  A          Construct vagina      13.91          NA            NA         6.06          6.71        1.58          NA            NA        21.55         22.20         090
                                    with graft.
57295.......  ........  A          Revise vag graft       7.74          NA            NA         4.01          4.33        0.91          NA            NA        12.66         12.98         090
                                    via vagina.
57296.......  ........  A          Revise vag            16.46          NA            NA         6.75          6.75        1.68          NA            NA        24.89         24.89         090
                                    graft, open abd.
57300.......  ........  A          Repair rectum-         8.58          NA            NA         4.47          4.33        0.87          NA            NA        13.92         13.78         090
                                    vagina fistula.
57305.......  ........  A          Repair rectum-        15.24          NA            NA         6.19          6.24        1.73          NA            NA        23.16         23.21         090
                                    vagina fistula.
57307.......  ........  A          Fistula repair &      17.02          NA            NA         7.02          7.00        2.02          NA            NA        26.06         26.04         090
                                    colostomy.
57308.......  ........  A          Fistula repair,       10.48          NA            NA         4.90          5.04        1.14          NA            NA        16.52         16.66         090
                                    transperine.
57310.......  ........  A          Repair                 7.55          NA            NA         5.12          4.15        0.54          NA            NA        13.21         12.24         090
                                    urethrovaginal
                                    lesion.
57311.......  ........  A          Repair                 8.81          NA            NA         5.22          4.39        0.65          NA            NA        14.68         13.85         090
                                    urethrovaginal
                                    lesion.
57320.......  ........  A          Repair bladder-        8.78          NA            NA         5.41          4.62        0.69          NA            NA        14.88         14.09         090
                                    vagina lesion.
57330.......  ........  A          Repair bladder-       13.11          NA            NA         7.25          6.09        1.06          NA            NA        21.42         20.26         090
                                    vagina lesion.
57335.......  ........  A          Repair vagina...      19.87          NA            NA         9.05          9.03        1.92          NA            NA        30.84         30.82         090
57400.......  ........  A          Dilation of            2.27          NA            NA         0.98          1.08        0.26          NA            NA         3.51          3.61         000
                                    vagina.
57410.......  ........  A          Pelvic                 1.75          NA            NA         0.92          0.90        0.18          NA            NA         2.85          2.83         000
                                    examination.
57415.......  ........  A          Remove vaginal         2.44          NA            NA         1.50          1.44        0.24          NA            NA         4.18          4.12         010
                                    foreign body.
57420.......  ........  A          Exam of vagina w/      1.60        1.23          1.32         0.57          0.65        0.19        3.02          3.11         2.36          2.44         000
                                    scope.
57421.......  ........  A          Exam/biopsy of         2.20        1.59          1.78         0.73          0.90        0.27        4.06          4.25         3.20          3.37         000
                                    vag w/scope.
57425.......  ........  A          Laparoscopy,          16.93          NA            NA         6.96          6.71        1.76          NA            NA        25.65         25.40         090
                                    surg, colpopexy.
57452.......  ........  A          Exam of cervix w/      1.50        1.17          1.25         0.74          0.76        0.18        2.85          2.93         2.42          2.44         000
                                    scope.
57454.......  ........  A          Bx/curett of           2.33        1.39          1.58         0.96          1.10        0.28        4.00          4.19         3.57          3.71         000
                                    cervix w/scope.
57455.......  ........  A          Biopsy of cervix       1.99        1.49          1.66         0.66          0.82        0.24        3.72          3.89         2.89          3.05         000
                                    w/scope.
57456.......  ........  A          Endocerv               1.85        1.45          1.60         0.63          0.77        0.22        3.52          3.67         2.70          2.84         000
                                    curettage w/
                                    scope.
57460.......  ........  A          Bx of cervix w/        2.83        4.26          5.45         1.10          1.31        0.34        7.43          8.62         4.27          4.48         000
                                    scope, leep.
57461.......  ........  A          Conz of cervix w/      3.43        4.55          5.71         1.07          1.37        0.41        8.39          9.55         4.91          5.21         000
                                    scope, leep.
57500.......  ........  A          Biopsy of cervix       1.20        1.99          2.40         0.64          0.63        0.12        3.31          3.72         1.96          1.95         000
57505.......  ........  A          Endocervical           1.16        1.30          1.42         1.06          1.09        0.14        2.60          2.72         2.36          2.39         010
                                    curettage.
57510.......  ........  A          Cauterization of       1.90        1.30          1.50         0.90          1.01        0.23        3.43          3.63         3.03          3.14         010
                                    cervix.
57511.......  ........  A          Cryocautery of         1.92        1.59          1.76         1.26          1.34        0.23        3.74          3.91         3.41          3.49         010
                                    cervix.
57513.......  ........  A          Laser surgery of       1.92        1.56          1.68         1.27          1.37        0.23        3.71          3.83         3.42          3.52         010
                                    cervix.
57520.......  ........  A          Conization of          4.06        3.35          3.79         2.50          2.78        0.49        7.90          8.34         7.05          7.33         090
                                    cervix.
57522.......  ........  A          Conization of          3.62        2.75          3.05         2.25          2.40        0.41        6.78          7.08         6.28          6.43         090
                                    cervix.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69895]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
57530.......  ........  A          Removal of             5.19          NA            NA         3.09          3.31        0.58          NA            NA         8.86          9.08         090
                                    cervix.
57531.......  ........  A          Removal of            29.77          NA            NA        10.74         12.56        3.35          NA            NA        43.86         45.68         090
                                    cervix, radical.
57540.......  ........  A          Removal of            13.19          NA            NA         5.61          6.08        1.49          NA            NA        20.29         20.76         090
                                    residual cervix.
57545.......  ........  A          Remove cervix/        14.00          NA            NA         6.21          6.56        1.52          NA            NA        21.73         22.08         090
                                    repair pelvis.
57550.......  ........  A          Removal of             6.24          NA            NA         3.62          3.77        0.67          NA            NA        10.53         10.68         090
                                    residual cervix.
57555.......  ........  A          Remove cervix/         9.84          NA            NA         4.76          5.00        1.09          NA            NA        15.69         15.93         090
                                    repair vagina.
57556.......  ........  A          Remove cervix,         9.26          NA            NA         4.66          4.80        0.92          NA            NA        14.84         14.98         090
                                    repair bowel.
57558.......  ........  A          D&c of cervical        1.69        1.34          1.44         1.05          1.12        0.20        3.23          3.33         2.94          3.01         010
                                    stump.
57700.......  ........  A          Revision of            4.22          NA            NA         3.27          3.14        0.41          NA            NA         7.90          7.77         090
                                    cervix.
57720.......  ........  A          Revision of            4.53          NA            NA         2.89          3.05        0.49          NA            NA         7.91          8.07         090
                                    cervix.
57800.......  ........  A          Dilation of            0.77        0.70          0.75         0.41          0.46        0.09        1.56          1.61         1.27          1.32         000
                                    cervical canal.
58100.......  ........  A          Biopsy of uterus       1.53        1.12          1.27         0.58          0.69        0.18        2.83          2.98         2.29          2.40         000
                                    lining.
58110.......  ........  A          Bx done w/             0.77        0.39          0.51         0.21          0.29        0.09        1.25          1.37         1.07          1.15         ZZZ
                                    colposcopy add-
                                    on.
58120.......  ........  A          Dilation and           3.54        2.68          2.40         1.65          1.82        0.39        6.61          6.33         5.58          5.75         010
                                    curettage.
58140.......  ........  A          Myomectomy abdom      15.69          NA            NA         6.21          6.88        1.82          NA            NA        23.72         24.39         090
                                    method.
58145.......  ........  A          Myomectomy vag         8.81          NA            NA         4.24          4.65        0.97          NA            NA        14.02         14.43         090
                                    method.
58146.......  ........  A          Myomectomy abdom      20.24          NA            NA         7.30          8.58        2.33          NA            NA        29.87         31.15         090
                                    complex.
58150.......  ........  A          Total                 17.21          NA            NA         6.55          7.25        1.85          NA            NA        25.61         26.31         090
                                    hysterectomy.
58152.......  ........  A          Total                 21.73          NA            NA         8.12          9.42        2.48          NA            NA        32.33         33.63         090
                                    hysterectomy.
58180.......  ........  A          Partial               16.50          NA            NA         6.34          7.17        1.64          NA            NA        24.48         25.31         090
                                    hysterectomy.
58200.......  ........  A          Extensive             23.00          NA            NA         8.18          9.54        2.55          NA            NA        33.73         35.09         090
                                    hysterectomy.
58210.......  ........  A          Extensive             30.76          NA            NA        10.77         12.59        3.38          NA            NA        44.91         46.73         090
                                    hysterectomy.
58240.......  ........  A          Removal of            49.02          NA            NA        17.78         17.65        4.23          NA            NA        71.03         70.90         090
                                    pelvis contents.
58260.......  ........  A          Vaginal               14.02          NA            NA         5.78          6.46        1.57          NA            NA        21.37         22.05         090
                                    hysterectomy.
58262.......  ........  A          Vag hyst              15.81          NA            NA         6.25          7.10        1.80          NA            NA        23.86         24.71         090
                                    including t/o.
58263.......  ........  A          Vag hyst w/t/o &      17.10          NA            NA         6.62          7.57        1.95          NA            NA        25.67         26.62         090
                                    vag repair.
58267.......  ........  A          Vag hyst w/           18.23          NA            NA         7.01          8.03        2.07          NA            NA        27.31         28.33         090
                                    urinary repair.
58270.......  ........  A          Vag hyst w/           15.20          NA            NA         5.94          6.78        1.74          NA            NA        22.88         23.72         090
                                    enterocele
                                    repair.
58275.......  ........  A          Hysterectomy/         16.90          NA            NA         6.66          7.49        1.92          NA            NA        25.48         26.31         090
                                    revise vagina.
58280.......  ........  A          Hysterectomy/         18.20          NA            NA         7.03          7.95        2.07          NA            NA        27.30         28.22         090
                                    revise vagina.
58285.......  ........  A          Extensive             23.30          NA            NA         8.05          9.47        2.71          NA            NA        34.06         35.48         090
                                    hysterectomy.
58290.......  ........  A          Vag hyst complex      20.17          NA            NA         7.38          8.69        2.30          NA            NA        29.85         31.16         090
58291.......  ........  A          Vag hyst incl t/      21.96          NA            NA         7.81          9.36        2.53          NA            NA        32.30         33.85         090
                                    o, complex.
58292.......  ........  A          Vag hyst t/o &        23.25          NA            NA         8.29          9.84        2.68          NA            NA        34.22         35.77         090
                                    repair, compl.
58293.......  ........  A          Vag hyst w/uro        24.23          NA            NA         8.48         10.11        2.79          NA            NA        35.50         37.13         090
                                    repair, compl.
58294.......  ........  A          Vag hyst w/           21.45          NA            NA         7.24          8.97        2.40          NA            NA        31.09         32.82         090
                                    enterocele,
                                    compl.
58300.......  ........  N          Insert                 1.01        0.62          1.22         0.23          0.34        0.12        1.75          2.35         1.36          1.47         XXX
                                    intrauterine
                                    device.
58301.......  ........  A          Remove                 1.27        1.04          1.25         0.35          0.45        0.15        2.46          2.67         1.77          1.87         000
                                    intrauterine
                                    device.
58321.......  ........  A          Artificial             0.92        0.96          1.10         0.25          0.34        0.10        1.98          2.12         1.27          1.36         000
                                    insemination.
58322.......  ........  A          Artificial             1.10        1.03          1.16         0.31          0.39        0.13        2.26          2.39         1.54          1.62         000
                                    insemination.
58323.......  ........  A          Sperm washing...       0.23        0.15          0.44         0.07          0.09        0.03        0.41          0.70         0.33          0.35         000
58340.......  ........  A          Catheter for           0.88        2.11          2.90         0.55          0.63        0.09        3.08          3.87         1.52          1.60         000
                                    hysterography.
58345.......  ........  A          Reopen fallopian       4.67          NA            NA         2.04          2.33        0.41          NA            NA         7.12          7.41         010
                                    tube.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69896]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
58346.......  ........  A          Insert heyman          7.48          NA            NA         3.81          3.89        0.56          NA            NA        11.85         11.93         090
                                    uteri capsule.
58350.......  ........  A          Reopen fallopian       1.03        1.32          1.45         0.87          0.91        0.12        2.47          2.60         2.02          2.06         010
                                    tube.
58353.......  ........  A          Endometr ablate,       3.57       22.66         32.41         1.71          1.97        0.43       26.66         36.41         5.71          5.97         010
                                    thermal.
58356.......  ........  A          Endometrial            6.36       42.90         56.80         1.85          2.48        0.82       50.08         63.98         9.03          9.66         010
                                    cryoablation.
58400.......  ........  A          Suspension of          7.06          NA            NA         3.82          3.90        0.75          NA            NA        11.63         11.71         090
                                    uterus.
58410.......  ........  A          Suspension of         13.70          NA            NA         5.88          6.29        1.45          NA            NA        21.03         21.44         090
                                    uterus.
58520.......  ........  A          Repair of             13.38          NA            NA         5.45          5.89        1.47          NA            NA        20.30         20.74         090
                                    ruptured uterus.
58540.......  ........  A          Revision of           15.61          NA            NA         6.20          6.76        1.79          NA            NA        23.60         24.16         090
                                    uterus.
58541.......  ........  A          Lsh, uterus 250       14.57          NA            NA         6.14          6.14        1.68          NA            NA        22.39         22.39         090
                                    g or less.
58542.......  ........  A          Lsh w/t/o ut 250      16.43          NA            NA         6.66          6.66        1.69          NA            NA        24.78         24.78         090
                                    g or less.
58543.......  ........  A          Lsh uterus above      16.74          NA            NA         6.73          6.73        1.73          NA            NA        25.20         25.20         090
                                    250 g.
58544.......  ........  A          Lsh w/t/o uterus      18.24          NA            NA         7.16          7.16        1.89          NA            NA        27.29         27.29         090
                                    above 250 g.
58545.......  ........  A          Laparoscopic          15.45          NA            NA         5.93          6.87        1.78          NA            NA        23.16         24.10         090
                                    myomectomy.
58546.......  ........  A          Laparo-               19.84          NA            NA         7.10          8.46        2.31          NA            NA        29.25         30.61         090
                                    myomectomy,
                                    complex.
58548.......  ........  A          Lap radical hyst      31.45          NA            NA        12.74         12.74        3.52          NA            NA        47.71         47.71         090
58550.......  ........  A          Laparo-asst vag       14.97          NA            NA         6.16          7.01        1.73          NA            NA        22.86         23.71         090
                                    hysterectomy.
58552.......  ........  A          Laparo-vag hyst       16.78          NA            NA         6.59          7.66        1.73          NA            NA        25.10         26.17         090
                                    incl t/o.
58553.......  ........  A          Laparo-vag hyst,      19.96          NA            NA         7.13          8.47        2.31          NA            NA        29.40         30.74         090
                                    complex.
58554.......  ........  A          Laparo-vag hyst       22.98          NA            NA         8.33          9.88        2.28          NA            NA        33.59         35.14         090
                                    w/t/o, compl.
58555.......  ........  A          Hysteroscopy,          3.33        2.72          2.32         1.24          1.47        0.40        6.45          6.05         4.97          5.20         000
                                    dx, sep proc.
58558.......  ........  A          Hysteroscopy,          4.74        3.57          2.52         1.67          2.05        0.57        8.88          7.83         6.98          7.36         000
                                    biopsy.
58559.......  ........  A          Hysteroscopy,          6.16          NA            NA         2.05          2.56        0.74          NA            NA         8.95          9.46         000
                                    lysis.
58560.......  ........  A          Hysteroscopy,          6.99          NA            NA         2.29          2.88        0.84          NA            NA        10.12         10.71         000
                                    resect septum.
58561.......  ........  A          Hysteroscopy,          9.99          NA            NA         3.14          4.00        1.21          NA            NA        14.34         15.20         000
                                    remove myoma.
58562.......  ........  A          Hysteroscopy,          5.20        3.48          2.63         1.77          2.21        0.63        9.31          8.46         7.60          8.04         000
                                    remove fb.
58563.......  ........  A          Hysteroscopy,          6.16       36.94         51.38         2.06          2.58        0.74       43.84         58.28         8.96          9.48         000
                                    ablation.
58565.......  ........  A          Hysteroscopy,          7.06       34.05         45.68         3.36          3.77        1.19       42.30         53.93        11.61         12.02         090
                                    sterilization.
58578.......  ........  C          Laparo proc,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    uterus.
58579.......  ........  C          Hysteroscope           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
58600.......  ........  A          Division of            5.86          NA            NA         2.91          3.23        0.66          NA            NA         9.43          9.75         090
                                    fallopian tube.
58605.......  ........  A          Division of            5.25          NA            NA         2.67          3.00        0.59          NA            NA         8.51          8.84         090
                                    fallopian tube.
58611.......  ........  A          Ligate                 1.45          NA            NA         0.40          0.53        0.18          NA            NA         2.03          2.16         ZZZ
                                    oviduct(s) add-
                                    on.
58615.......  ........  A          Occlude                3.91          NA            NA         1.98          2.52        0.47          NA            NA         6.36          6.90         010
                                    fallopian
                                    tube(s).
58660.......  ........  A          Laparoscopy,          11.54          NA            NA         4.52          5.07        1.40          NA            NA        17.46         18.01         090
                                    lysis.
58661.......  ........  A          Laparoscopy,          11.30          NA            NA         4.01          4.84        1.34          NA            NA        16.65         17.48         010
                                    remove adnexa.
58662.......  ........  A          Laparoscopy,          12.08          NA            NA         4.78          5.53        1.43          NA            NA        18.29         19.04         090
                                    excise lesions.
58670.......  ........  A          Laparoscopy,           5.86          NA            NA         2.95          3.19        0.67          NA            NA         9.48          9.72         090
                                    tubal cautery.
58671.......  ........  A          Laparoscopy,           5.86          NA            NA         2.94          3.19        0.68          NA            NA         9.48          9.73         090
                                    tubal block.
58672.......  ........  A          Laparoscopy,          12.88          NA            NA         4.75          5.82        1.60          NA            NA        19.23         20.30         090
                                    fimbrioplasty.
58673.......  ........  A          Laparoscopy,          13.99          NA            NA         5.19          6.23        1.70          NA            NA        20.88         21.92         090
                                    salpingostomy.
58679.......  ........  C          Laparo proc,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    oviduct-ovary.
58700.......  ........  A          Removal of            12.84          NA            NA         5.53          5.87        1.51          NA            NA        19.88         20.22         090
                                    fallopian tube.
58720.......  ........  A          Removal of ovary/     12.08          NA            NA         5.10          5.60        1.39          NA            NA        18.57         19.07         090
                                    tube(s).
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69897]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
58740.......  ........  A          Revise fallopian      14.79          NA            NA         6.07          6.87        1.72          NA            NA        22.58         23.38         090
                                    tube(s).
58750.......  ........  A          Repair oviduct..      15.56          NA            NA         6.08          7.04        1.85          NA            NA        23.49         24.45         090
58752.......  ........  A          Revise ovarian        15.56          NA            NA         6.00          6.71        1.81          NA            NA        23.37         24.08         090
                                    tube(s).
58760.......  ........  A          Remove tubal          13.85          NA            NA         5.61          6.44        1.80          NA            NA        21.26         22.09         090
                                    obstruction.
58770.......  ........  A          Create new tubal      14.69          NA            NA         5.76          6.62        1.74          NA            NA        22.19         23.05         090
                                    opening.
58800.......  ........  A          Drainage of            4.54        3.10          3.51         2.60          2.83        0.43        8.07          8.48         7.57          7.80         090
                                    ovarian cyst(s).
58805.......  ........  A          Drainage of            6.34          NA            NA         3.40          3.48        0.69          NA            NA        10.43         10.51         090
                                    ovarian cyst(s).
58820.......  ........  A          Drain ovary            4.62          NA            NA         2.88          3.19        0.52          NA            NA         8.02          8.33         090
                                    abscess, open.
58822.......  ........  A          Drain ovary           11.71          NA            NA         5.05          5.17        1.16          NA            NA        17.92         18.04         090
                                    abscess, percut.
58823.......  ........  A          Drain pelvic           3.37       19.03         20.75         0.95          1.08        0.24       22.64         24.36         4.56          4.69         000
                                    abscess, percut.
58825.......  ........  A          Transposition,        11.70          NA            NA         4.98          5.59        1.32          NA            NA        18.00         18.61         090
                                    ovary(s).
58900.......  ........  A          Biopsy of              6.51          NA            NA         3.42          3.53        0.69          NA            NA        10.62         10.73         090
                                    ovary(s).
58920.......  ........  A          Partial removal       11.87          NA            NA         5.23          5.49        1.43          NA            NA        18.53         18.79         090
                                    of ovary(s).
58925.......  ........  A          Removal of            12.33          NA            NA         5.27          5.58        1.41          NA            NA        19.01         19.32         090
                                    ovarian cyst(s).
58940.......  ........  A          Removal of             8.12          NA            NA         4.04          4.09        0.91          NA            NA        13.07         13.12         090
                                    ovary(s).
58943.......  ........  A          Removal of            19.42          NA            NA         7.24          8.29        2.23          NA            NA        28.89         29.94         090
                                    ovary(s).
58950.......  ........  A          Resect ovarian        18.24          NA            NA         7.30          8.13        2.05          NA            NA        27.59         28.42         090
                                    malignancy.
58951.......  ........  A          Resect ovarian        24.15          NA            NA         8.64          9.99        2.64          NA            NA        35.43         36.78         090
                                    malignancy.
58952.......  ........  A          Resect ovarian        27.15          NA            NA         9.85         11.28        3.03          NA            NA        40.03         41.46         090
                                    malignancy.
58953.......  ........  A          Tah, rad dissect      33.97          NA            NA        11.71         13.83        3.84          NA            NA        49.52         51.64         090
                                    for debulk.
58954.......  ........  A          Tah rad debulk/       36.97          NA            NA        12.56         14.92        4.18          NA            NA        53.71         56.07         090
                                    lymph remove.
58956.......  ........  A          Bso, omentectomy      22.65          NA            NA         8.63          9.89        4.01          NA            NA        35.29         36.55         090
                                    w/tah.
58957.......  ........  A          Resect recurrent      26.06          NA            NA         9.63          9.63        2.95          NA            NA        38.64         38.64         090
                                    gyn mal.
58958.......  ........  A          Resect recur gyn      29.06          NA            NA        10.44         10.44        3.29          NA            NA        42.79         42.79         090
                                    mal w/lym.
58960.......  ........  A          Exploration of        15.68          NA            NA         6.29          7.09        1.80          NA            NA        23.77         24.57         090
                                    abdomen.
58970.......  ........  A          Retrieval of           3.52        1.82          2.19         1.26          1.43        0.43        5.77          6.14         5.21          5.38         000
                                    oocyte.
58974.......  ........  C          Transfer of            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    embryo.
58976.......  ........  A          Transfer of            3.82        1.93          2.49         1.20          1.67        0.47        6.22          6.78         5.49          5.96         000
                                    embryo.
58999.......  ........  C          Genital surgery        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
59000.......  ........  A          Amniocentesis,         1.30        1.72          1.98         0.55          0.64        0.31        3.33          3.59         2.16          2.25         000
                                    diagnostic.
59001.......  ........  A          Amniocentesis,         3.00          NA            NA         1.08          1.33        0.71          NA            NA         4.79          5.04         000
                                    therapeutic.
59012.......  ........  A          Fetal cord             3.44          NA            NA         1.15          1.44        0.82          NA            NA         5.41          5.70         000
                                    puncture,prenat
                                    al.
59015.......  ........  A          Chorion biopsy..       2.20        1.41          1.52         0.80          0.98        0.52        4.13          4.24         3.52          3.70         000
59020.......  ........  A          Fetal contract         0.66        1.06          0.85         1.06          0.85        0.26        1.98          1.77         1.98          1.77         000
                                    stress test.
59020.......  TC......  A          Fetal contract         0.00        0.88          0.61         0.88          0.61        0.10        0.98          0.71         0.98          0.71         000
                                    stress test.
59020.......  26......  A          Fetal contract         0.66        0.18          0.24         0.18          0.24        0.16        1.00          1.06         1.00          1.06         000
                                    stress test.
59025.......  ........  A          Fetal non-stress       0.53        0.63          0.49         0.63          0.49        0.15        1.31          1.17         1.31          1.17         000
                                    test.
59025.......  TC......  A          Fetal non-stress       0.00        0.48          0.29         0.48          0.29        0.02        0.50          0.31         0.50          0.31         000
                                    test.
59025.......  26......  A          Fetal non-stress       0.53        0.15          0.20         0.15          0.20        0.13        0.81          0.86         0.81          0.86         000
                                    test.
59030.......  ........  A          Fetal scalp            1.99          NA            NA         0.56          0.72        0.47          NA            NA         3.02          3.18         000
                                    blood sample.
59050.......  ........  A          Fetal monitor w/       0.89          NA            NA         0.25          0.33        0.21          NA            NA         1.35          1.43         XXX
                                    report.
59051.......  ........  A          Fetal monitor/         0.74          NA            NA         0.21          0.27        0.17          NA            NA         1.12          1.18         XXX
                                    interpret only.
59070.......  ........  A          Transabdom             5.24        4.33          4.95         1.76          2.17        0.28        9.85         10.47         7.28          7.69         000
                                    amnioinfus w/us.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69898]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
59072.......  ........  A          Umbilical cord         8.99          NA            NA         2.86          3.06        0.16          NA            NA        12.01         12.21         000
                                    occlud w/us.
59074.......  ........  A          Fetal fluid            5.24        3.86          4.39         1.70          2.16        0.28        9.38          9.91         7.22          7.68         000
                                    drainage w/us.
59076.......  ........  A          Fetal shunt            8.99          NA            NA         2.40          2.94        0.16          NA            NA        11.55         12.09         000
                                    placement, w/us.
59100.......  ........  A          Remove uterus         13.26          NA            NA         5.81          6.29        2.95          NA            NA        22.02         22.50         090
                                    lesion.
59120.......  ........  A          Treat ectopic         12.56          NA            NA         5.42          6.04        2.73          NA            NA        20.71         21.33         090
                                    pregnancy.
59121.......  ........  A          Treat ectopic         12.64          NA            NA         5.37          6.08        2.79          NA            NA        20.80         21.51         090
                                    pregnancy.
59130.......  ........  A          Treat ectopic         14.98          NA            NA         6.05          5.11        3.39          NA            NA        24.42         23.48         090
                                    pregnancy.
59135.......  ........  A          Treat ectopic         14.82          NA            NA         5.07          6.68        3.31          NA            NA        23.20         24.81         090
                                    pregnancy.
59136.......  ........  A          Treat ectopic         14.15          NA            NA         5.72          6.38        3.14          NA            NA        23.01         23.67         090
                                    pregnancy.
59140.......  ........  A          Treat ectopic          5.86          NA            NA         2.88          2.38        1.29          NA            NA        10.03          9.53         090
                                    pregnancy.
59150.......  ........  A          Treat ectopic         12.19          NA            NA         5.21          5.80        2.79          NA            NA        20.19         20.78         090
                                    pregnancy.
59151.......  ........  A          Treat ectopic         12.01          NA            NA         4.89          5.76        2.74          NA            NA        19.64         20.51         090
                                    pregnancy.
59160.......  ........  A          D & c after            2.73        1.98          2.96         1.18          1.89        0.64        5.35          6.33         4.55          5.26         010
                                    delivery.
59200.......  ........  A          Insert cervical        0.79        0.93          1.13         0.22          0.28        0.19        1.91          2.11         1.20          1.26         000
                                    dilator.
59300.......  ........  A          Episiotomy or          2.41        2.19          2.18         1.03          0.98        0.57        5.17          5.16         4.01          3.96         000
                                    vaginal repair.
59320.......  ........  A          Revision of            2.48          NA            NA         1.00          1.18        0.59          NA            NA         4.07          4.25         000
                                    cervix.
59325.......  ........  A          Revision of            4.06          NA            NA         1.23          1.73        0.88          NA            NA         6.17          6.67         000
                                    cervix.
59350.......  ........  A          Repair of uterus       4.94          NA            NA         1.40          1.75        1.17          NA            NA         7.51          7.86         000
59400.......  ........  A          Obstetrical care      26.80          NA            NA        14.26         15.06        5.50          NA            NA        46.56         47.36         MMM
59409.......  ........  A          Obstetrical care      13.48          NA            NA         3.75          4.91        3.22          NA            NA        20.45         21.61         MMM
59410.......  ........  A          Obstetrical care      15.29          NA            NA         4.95          5.96        3.52          NA            NA        23.76         24.77         MMM
59412.......  ........  A          Antepartum             1.71          NA            NA         0.64          0.77        0.40          NA            NA         2.75          2.88         MMM
                                    manipulation.
59414.......  ........  A          Deliver placenta       1.61          NA            NA         0.44          0.59        0.38          NA            NA         2.43          2.58         MMM
59425.......  ........  A          Antepartum care        6.22        4.22          4.21         1.70          1.81        1.14       11.58         11.57         9.06          9.17         MMM
                                    only.
59426.......  ........  A          Antepartum care       11.04        7.77          7.60         3.02          3.17        1.98       20.79         20.62        16.04         16.19         MMM
                                    only.
59430.......  ........  A          Care after             2.13        1.08          1.19         0.71          0.88        0.50        3.71          3.82         3.34          3.51         MMM
                                    delivery.
59510.......  ........  A          Cesarean              30.34          NA            NA        15.91         16.92        6.25          NA            NA        52.50         53.51         MMM
                                    delivery.
59514.......  ........  A          Cesarean              15.95          NA            NA         4.49          5.78        3.80          NA            NA        24.24         25.53         MMM
                                    delivery only.
59515.......  ........  A          Cesarean              18.26          NA            NA         6.21          7.43        4.13          NA            NA        28.60         29.82         MMM
                                    delivery.
59525.......  ........  A          Remove uterus          8.53          NA            NA         2.39          3.07        1.95          NA            NA        12.87         13.55         ZZZ
                                    after cesarean.
59610.......  ........  A          Vbac delivery...      28.21          NA            NA        14.51         15.52        5.87          NA            NA        48.59         49.60         MMM
59612.......  ........  A          Vbac delivery         15.04          NA            NA         4.26          5.60        3.59          NA            NA        22.89         24.23         MMM
                                    only.
59614.......  ........  A          Vbac care after       16.59          NA            NA         5.15          6.49        3.89          NA            NA        25.63         26.97         MMM
                                    delivery.
59618.......  ........  A          Attempted vbac        31.78          NA            NA        16.28         17.74        6.61          NA            NA        54.67         56.13         MMM
                                    delivery.
59620.......  ........  A          Attempted vbac        17.50          NA            NA         4.80          6.27        4.17          NA            NA        26.47         27.94         MMM
                                    delivery only.
59622.......  ........  A          Attempted vbac        19.70          NA            NA         6.66          8.14        4.50          NA            NA        30.86         32.34         MMM
                                    after care.
59812.......  ........  A          Treatment of           4.39        3.08          2.68         2.35          2.49        0.95        8.42          8.02         7.69          7.83         090
                                    miscarriage.
59820.......  ........  A          Care of                4.68        4.04          4.33         3.45          3.53        0.95        9.67          9.96         9.08          9.16         090
                                    miscarriage.
59821.......  ........  A          Treatment of           4.97        3.80          4.15         3.15          3.34        1.06        9.83         10.18         9.18          9.37         090
                                    miscarriage.
59830.......  ........  A          Treat uterus           6.51          NA            NA         3.44          3.85        1.44          NA            NA        11.39         11.80         090
                                    infection.
59840.......  ........  R          Abortion........       3.01        2.01          2.09         1.79          2.04        0.71        5.73          5.81         5.51          5.76         010
59841.......  ........  R          Abortion........       5.57        3.15          3.41         2.59          2.88        1.24        9.96         10.22         9.40          9.69         010
59850.......  ........  R          Abortion........       5.90          NA            NA         2.63          3.10        1.28          NA            NA         9.81         10.28         090
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69899]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
59851.......  ........  R          Abortion........       5.92          NA            NA         3.28          3.63        1.28          NA            NA        10.48         10.83         090
59852.......  ........  R          Abortion........       8.23          NA            NA         3.79          4.73        1.81          NA            NA        13.83         14.77         090
59855.......  ........  R          Abortion........       6.38          NA            NA         2.98          3.40        1.45          NA            NA        10.81         11.23         090
59856.......  ........  R          Abortion........       7.74          NA            NA         3.85          4.01        1.79          NA            NA        13.38         13.54         090
59857.......  ........  R          Abortion........       9.30          NA            NA         3.13          4.32        2.02          NA            NA        14.45         15.64         090
59866.......  ........  R          Abortion (mpr)..       3.99          NA            NA         1.24          1.73        0.87          NA            NA         6.10          6.59         000
59870.......  ........  A          Evacuate mole of       6.40          NA            NA         4.28          4.43        1.42          NA            NA        12.10         12.25         090
                                    uterus.
59871.......  ........  A          Remove cerclage        2.13          NA            NA         0.93          1.08        0.50          NA            NA         3.56          3.71         000
                                    suture.
59897.......  ........  C          Fetal invas px w/      0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    us.
59898.......  ........  C          Laparo proc, ob        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    care/deliver.
59899.......  ........  C          Maternity care         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
60000.......  ........  A          Drain thyroid/         1.78        2.03          1.95         1.65          1.70        0.15        3.96          3.88         3.58          3.63         010
                                    tongue cyst.
60001.......  ........  A          Aspirate/inject        0.97        1.86          1.52         0.27          0.32        0.07        2.90          2.56         1.31          1.36         000
                                    thyriod cyst.
60100.......  ........  A          Biopsy of              1.56        1.20          1.35         0.43          0.51        0.10        2.86          3.01         2.09          2.17         000
                                    thyroid.
60200.......  ........  A          Remove thyroid         9.91          NA            NA         5.25          5.80        1.01          NA            NA        16.17         16.72         090
                                    lesion.
60210.......  ........  A          Partial thyroid       11.15          NA            NA         5.05          5.49        1.23          NA            NA        17.43         17.87         090
                                    excision.
60212.......  ........  A          Partial thyroid       16.32          NA            NA         6.80          7.45        1.95          NA            NA        25.07         25.72         090
                                    excision.
60220.......  ........  A          Partial removal       12.29          NA            NA         5.40          5.96        1.32          NA            NA        19.01         19.57         090
                                    of thyroid.
60225.......  ........  A          Partial removal       14.67          NA            NA         6.69          7.22        1.64          NA            NA        23.00         23.53         090
                                    of thyroid.
60240.......  ........  A          Removal of            16.18          NA            NA         6.16          7.23        1.86          NA            NA        24.20         25.27         090
                                    thyroid.
60252.......  ........  A          Removal of            21.88          NA            NA         8.43          9.68        2.30          NA            NA        32.61         33.86         090
                                    thyroid.
60254.......  ........  A          Extensive             28.29          NA            NA        10.44         13.22        2.61          NA            NA        41.34         44.12         090
                                    thyroid surgery.
60260.......  ........  A          Repeat thyroid        18.18          NA            NA         7.02          8.24        1.94          NA            NA        27.14         28.36         090
                                    surgery.
60270.......  ........  A          Removal of            23.07          NA            NA         8.96         10.08        2.33          NA            NA        34.36         35.48         090
                                    thyroid.
60271.......  ........  A          Removal of            17.54          NA            NA         6.83          8.14        1.75          NA            NA        26.12         27.43         090
                                    thyroid.
60280.......  ........  A          Remove thyroid         6.05          NA            NA         4.12          4.53        0.54          NA            NA        10.71         11.12         090
                                    duct lesion.
60281.......  ........  A          Remove thyroid         8.71          NA            NA         4.67          5.54        0.73          NA            NA        14.11         14.98         090
                                    duct lesion.
60500.......  ........  A          Explore               16.69          NA            NA         6.73          7.23        2.01          NA            NA        25.43         25.93         090
                                    parathyroid
                                    glands.
60502.......  ........  A          Re-explore            21.01          NA            NA         8.46          9.13        2.54          NA            NA        32.01         32.68         090
                                    parathyroids.
60505.......  ........  A          Explore               22.91          NA            NA         9.24         10.50        2.65          NA            NA        34.80         36.06         090
                                    parathyroid
                                    glands.
60512.......  ........  A          Autotransplant         4.44          NA            NA         1.19          1.51        0.53          NA            NA         6.16          6.48         ZZZ
                                    parathyroid.
60520.......  ........  A          Removal of            17.07          NA            NA         6.93          7.95        2.20          NA            NA        26.20         27.22         090
                                    thymus gland.
60521.......  ........  A          Removal of            19.11          NA            NA         8.27          9.22        2.82          NA            NA        30.20         31.15         090
                                    thymus gland.
60522.......  ........  A          Removal of            23.37          NA            NA         9.76         10.89        3.27          NA            NA        36.40         37.53         090
                                    thymus gland.
60540.......  ........  A          Explore adrenal       17.91          NA            NA         8.12          7.72        1.75          NA            NA        27.78         27.38         090
                                    gland.
60545.......  ........  A          Explore adrenal       20.82          NA            NA         8.89          8.62        2.08          NA            NA        31.79         31.52         090
                                    gland.
60600.......  ........  A          Remove carotid        24.99          NA            NA         8.77         10.41        2.20          NA            NA        35.96         37.60         090
                                    body lesion.
60605.......  ........  A          Remove carotid        31.86          NA            NA        12.23         12.25        2.50          NA            NA        46.59         46.61         090
                                    body lesion.
60650.......  ........  A          Laparoscopy           20.63          NA            NA         8.20          8.04        2.29          NA            NA        31.12         30.96         090
                                    adrenalectomy.
60659.......  ........  C          Laparo proc,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    endocrine.
60699.......  ........  C          Endocrine              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery
                                    procedure.
61000.......  ........  A          Remove cranial         1.58          NA            NA         1.23          1.02        0.13          NA            NA         2.94          2.73         000
                                    cavity fluid.
61001.......  ........  A          Remove cranial         1.49          NA            NA         1.21          1.10        0.16          NA            NA         2.86          2.75         000
                                    cavity fluid.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69900]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
61020.......  ........  A          Remove brain           1.51          NA            NA         1.59          1.40        0.34          NA            NA         3.44          3.25         000
                                    cavity fluid.
61026.......  ........  A          Injection into         1.69          NA            NA         1.49          1.42        0.33          NA            NA         3.51          3.44         000
                                    brain canal.
61050.......  ........  A          Remove brain           1.51          NA            NA         1.09          1.23        0.11          NA            NA         2.71          2.85         000
                                    canal fluid.
61055.......  ........  A          Injection into         2.10          NA            NA         1.21          1.37        0.17          NA            NA         3.48          3.64         000
                                    brain canal.
61070.......  ........  A          Brain canal            0.89          NA            NA         1.15          1.05        0.17          NA            NA         2.21          2.11         000
                                    shunt procedure.
61105.......  ........  A          Twist drill hole       5.40          NA            NA         4.93          4.18        1.32          NA            NA        11.65         10.90         090
61107.......  ........  A          Drill skull for        4.99          NA            NA         1.89          2.37        1.29          NA            NA         8.17          8.65         000
                                    implantation.
61108.......  ........  A          Drill skull for       11.51          NA            NA         8.52          7.49        2.64          NA            NA        22.67         21.64         090
                                    drainage.
61120.......  ........  A          Burr hole for          9.52          NA            NA         6.75          6.18        2.10          NA            NA        18.37         17.80         090
                                    puncture.
61140.......  ........  A          Pierce skull for      17.10          NA            NA        10.52         10.04        4.12          NA            NA        31.74         31.26         090
                                    biopsy.
61150.......  ........  A          Pierce skull for      18.80          NA            NA        10.88         10.50        4.32          NA            NA        34.00         33.62         090
                                    drainage.
61151.......  ........  A          Pierce skull for      13.41          NA            NA         8.59          8.01        3.01          NA            NA        25.01         24.43         090
                                    drainage.
61154.......  ........  A          Pierce skull &        16.92          NA            NA        10.89          9.83        4.21          NA            NA        32.02         30.96         090
                                    remove clot.
61156.......  ........  A          Pierce skull for      17.37          NA            NA        10.01          9.88        4.23          NA            NA        31.61         31.48         090
                                    drainage.
61210.......  ........  A          Pierce skull,          5.83          NA            NA         2.23          2.74        1.50          NA            NA         9.56         10.07         000
                                    implant device.
61215.......  ........  A          Insert brain-          5.77          NA            NA         5.48          4.37        1.26          NA            NA        12.51         11.40         090
                                    fluid device.
61250.......  ........  A          Pierce skull &        11.41          NA            NA         7.64          7.05        2.77          NA            NA        21.82         21.23         090
                                    explore.
61253.......  ........  A          Pierce skull &        13.41          NA            NA         7.87          7.76        2.62          NA            NA        23.90         23.79         090
                                    explore.
61304.......  ........  A          Open skull for        23.31          NA            NA        12.79         12.82        5.63          NA            NA        41.73         41.76         090
                                    exploration.
61305.......  ........  A          Open skull for        28.51          NA            NA        15.30         15.31        6.09          NA            NA        49.90         49.91         090
                                    exploration.
61312.......  ........  A          Open skull for        30.07          NA            NA        15.57         15.17        6.36          NA            NA        52.00         51.60         090
                                    drainage.
61313.......  ........  A          Open skull for        27.94          NA            NA        15.70         15.03        6.45          NA            NA        50.09         49.42         090
                                    drainage.
61314.......  ........  A          Open skull for        25.77          NA            NA        14.43         13.38        6.28          NA            NA        46.48         45.43         090
                                    drainage.
61315.......  ........  A          Open skull for        29.52          NA            NA        15.80         15.96        7.16          NA            NA        52.48         52.64         090
                                    drainage.
61316.......  ........  A          Implt cran bone        1.39          NA            NA         0.53          0.58        0.35          NA            NA         2.27          2.32         ZZZ
                                    flap to abdo.
61320.......  ........  A          Open skull for        27.32          NA            NA        14.49         14.69        6.62          NA            NA        48.43         48.63         090
                                    drainage.
61321.......  ........  A          Open skull for        30.40          NA            NA        14.51         15.72        7.14          NA            NA        52.05         53.26         090
                                    drainage.
61322.......  ........  A          Decompressive         34.08          NA            NA        18.05         16.26        7.63          NA            NA        59.76         57.97         090
                                    craniotomy.
61323.......  ........  A          Decompressive         34.93          NA            NA        17.28         16.38        8.03          NA            NA        60.24         59.34         090
                                    lobectomy.
61330.......  ........  A          Decompress eye        25.17          NA            NA        12.08         13.31        2.32          NA            NA        39.57         40.80         090
                                    socket.
61332.......  ........  A          Explore/biopsy        28.50          NA            NA        13.68         15.11        4.83          NA            NA        47.01         48.44         090
                                    eye socket.
61333.......  ........  A          Explore orbit/        29.17          NA            NA        13.56         15.07        3.92          NA            NA        46.65         48.16         090
                                    remove lesion.
61334.......  ........  A          Explore orbit/        19.50          NA            NA         9.25         10.29        1.75          NA            NA        30.50         31.54         090
                                    remove object.
61340.......  ........  A          Subtemporal           20.01          NA            NA        11.55         11.23        4.84          NA            NA        36.40         36.08         090
                                    decompression.
61343.......  ........  A          Incise skull          31.73          NA            NA        16.38         16.70        7.64          NA            NA        55.75         56.07         090
                                    (press relief).
61345.......  ........  A          Relieve cranial       29.10          NA            NA        15.47         15.41        7.04          NA            NA        51.61         51.55         090
                                    pressure.
61440.......  ........  A          Incise skull for      28.53          NA            NA        14.27         14.22        6.90          NA            NA        49.70         49.65         090
                                    surgery.
61450.......  ........  A          Incise skull for      27.59          NA            NA        12.89         13.93        5.79          NA            NA        46.27         47.31         090
                                    surgery.
61458.......  ........  A          Incise skull for      28.71          NA            NA        15.23         15.44        7.03          NA            NA        50.97         51.18         090
                                    brain wound.
61460.......  ........  A          Incise skull for      30.11          NA            NA        15.37         16.15        6.04          NA            NA        51.52         52.30         090
                                    surgery.
61470.......  ........  A          Incise skull for      27.52          NA            NA        13.31         13.72        5.90          NA            NA        46.73         47.14         090
                                    surgery.
61480.......  ........  A          Incise skull for      27.95          NA            NA         8.15         13.49        6.73          NA            NA        42.83         48.17         090
                                    surgery.
61490.......  ........  A          Incise skull for      27.12          NA            NA        14.55         14.38        6.92          NA            NA        48.59         48.42         090
                                    surgery.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69901]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
61500.......  ........  A          Removal of skull      19.05          NA            NA        10.77         10.79        4.11          NA            NA        33.93         33.95         090
                                    lesion.
61501.......  ........  A          Remove infected       16.22          NA            NA         9.66          9.32        3.22          NA            NA        29.10         28.76         090
                                    skull bone.
61510.......  ........  A          Removal of brain      30.63          NA            NA        17.32         16.85        7.35          NA            NA        55.30         54.83         090
                                    lesion.
61512.......  ........  A          Remove brain          36.99          NA            NA        18.85         19.47        9.08          NA            NA        64.92         65.54         090
                                    lining lesion.
61514.......  ........  A          Removal of brain      27.10          NA            NA        14.74         14.51        6.54          NA            NA        48.38         48.15         090
                                    abscess.
61516.......  ........  A          Removal of brain      26.45          NA            NA        14.50         14.32        6.35          NA            NA        47.30         47.12         090
                                    lesion.
61517.......  ........  A          Implt brain            1.38          NA            NA         0.52          0.61        0.35          NA            NA         2.25          2.34         ZZZ
                                    chemotx add-on.
61518.......  ........  A          Removal of brain      39.69          NA            NA        20.75         21.01        9.65          NA            NA        70.09         70.35         090
                                    lesion.
61519.......  ........  A          Remove brain          43.28          NA            NA        21.16         22.27       10.63          NA            NA        75.07         76.18         090
                                    lining lesion.
61520.......  ........  A          Removal of brain      56.89          NA            NA        26.11         29.27       11.21          NA            NA        94.21         97.37         090
                                    lesion.
61521.......  ........  A          Removal of brain      46.84          NA            NA        22.54         23.79       11.39          NA            NA        80.77         82.02         090
                                    lesion.
61522.......  ........  A          Removal of brain      31.41          NA            NA        15.77         16.25        7.62          NA            NA        54.80         55.28         090
                                    abscess.
61524.......  ........  A          Removal of brain      29.76          NA            NA        16.01         15.75        7.16          NA            NA        52.93         52.67         090
                                    lesion.
61526.......  ........  A          Removal of brain      53.90          NA            NA        22.15         27.65        7.07          NA            NA        83.12         88.62         090
                                    lesion.
61530.......  ........  A          Removal of brain      45.43          NA            NA        18.59         23.44        6.15          NA            NA        70.17         75.02         090
                                    lesion.
61531.......  ........  A          Implant brain         16.28          NA            NA        10.39          9.44        3.79          NA            NA        30.46         29.51         090
                                    electrodes.
61533.......  ........  A          Implant brain         21.36          NA            NA        11.94         11.63        5.12          NA            NA        38.42         38.11         090
                                    electrodes.
61534.......  ........  A          Removal of brain      22.88          NA            NA        13.39         12.41        5.44          NA            NA        41.71         40.73         090
                                    lesion.
61535.......  ........  A          Remove brain          13.05          NA            NA         9.03          7.82        3.02          NA            NA        25.10         23.89         090
                                    electrodes.
61536.......  ........  A          Removal of brain      37.59          NA            NA        18.76         19.53        9.21          NA            NA        65.56         66.33         090
                                    lesion.
61537.......  ........  A          Removal of brain      36.35          NA            NA        17.80         15.51        6.94          NA            NA        61.09         58.80         090
                                    tissue.
61538.......  ........  A          Removal of brain      39.35          NA            NA        19.10         16.26        6.94          NA            NA        65.39         62.55         090
                                    tissue.
61539.......  ........  A          Removal of brain      34.15          NA            NA        15.75         17.26        8.32          NA            NA        58.22         59.73         090
                                    tissue.
61540.......  ........  A          Removal of brain      31.30          NA            NA        16.15         16.97        8.32          NA            NA        55.77         56.59         090
                                    tissue.
61541.......  ........  A          Incision of           30.81          NA            NA        16.34         16.24        6.60          NA            NA        53.75         53.65         090
                                    brain tissue.
61542.......  ........  A          Removal of brain      33.03          NA            NA        16.46         17.48        8.03          NA            NA        57.52         58.54         090
                                    tissue.
61543.......  ........  A          Removal of brain      31.18          NA            NA        16.59         16.43        7.56          NA            NA        55.33         55.17         090
                                    tissue.
61544.......  ........  A          Remove & treat        27.26          NA            NA        14.60         14.02        5.97          NA            NA        47.83         47.25         090
                                    brain lesion.
61545.......  ........  A          Excision of           46.23          NA            NA        22.72         23.84       10.63          NA            NA        79.58         80.70         090
                                    brain tumor.
61546.......  ........  A          Removal of            33.31          NA            NA        16.89         17.34        7.67          NA            NA        57.87         58.32         090
                                    pituitary gland.
61548.......  ........  A          Removal of            23.27          NA            NA        11.56         12.48        3.43          NA            NA        38.26         39.18         090
                                    pituitary gland.
61550.......  ........  A          Release of skull      15.44          NA            NA         5.64          6.61        0.98          NA            NA        22.06         23.03         090
                                    seams.
61552.......  ........  A          Release of skull      20.27          NA            NA         6.64          8.49        1.06          NA            NA        27.97         29.82         090
                                    seams.
61556.......  ........  A          Incise skull/         24.00          NA            NA        12.94         11.76        4.65          NA            NA        41.59         40.41         090
                                    sutures.
61557.......  ........  A          Incise skull/         23.16          NA            NA        13.91         13.69        5.80          NA            NA        42.87         42.65         090
                                    sutures.
61558.......  ........  A          Excision of           26.35          NA            NA         8.16         12.68        1.36          NA            NA        35.87         40.39         090
                                    skull/sutures.
61559.......  ........  A          Excision of           33.82          NA            NA        19.40         19.33        8.51          NA            NA        61.73         61.66         090
                                    skull/sutures.
61563.......  ........  A          Excision of           28.35          NA            NA        14.57         15.07        5.17          NA            NA        48.09         48.59         090
                                    skull tumor.
61564.......  ........  A          Excision of           34.59          NA            NA        16.53         17.84        8.78          NA            NA        59.90         61.21         090
                                    skull tumor.
61566.......  ........  A          Removal of brain      32.32          NA            NA        16.91         17.56        6.94          NA            NA        56.17         56.82         090
                                    tissue.
61567.......  ........  A          Incision of           36.84          NA            NA        17.10         19.78        6.54          NA            NA        60.48         63.16         090
                                    brain tissue.
61570.......  ........  A          Remove foreign        26.38          NA            NA        14.37         14.03        5.88          NA            NA        46.63         46.29         090
                                    body, brain.
61571.......  ........  A          Incise skull for      28.29          NA            NA        15.43         15.21        6.79          NA            NA        50.51         50.29         090
                                    brain wound.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69902]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
61575.......  ........  A          Skull base/           36.43          NA            NA        15.92         18.70        5.34          NA            NA        57.69         60.47         090
                                    brainstem
                                    surgery.
61576.......  ........  A          Skull base/           55.11          NA            NA        26.26         32.61        5.58          NA            NA        86.95         93.30         090
                                    brainstem
                                    surgery.
61580.......  ........  A          Craniofacial          34.34          NA            NA        21.02         24.44        3.37          NA            NA        58.73         62.15         090
                                    approach, skull.
61581.......  ........  A          Craniofacial          38.88          NA            NA        25.23         23.89        3.92          NA            NA        68.03         66.69         090
                                    approach, skull.
61582.......  ........  A          Craniofacial          34.93          NA            NA        30.66         28.14        7.21          NA            NA        72.80         70.28         090
                                    approach, skull.
61583.......  ........  A          Craniofacial          38.41          NA            NA        26.09         25.36        9.21          NA            NA        73.71         72.98         090
                                    approach, skull.
61584.......  ........  A          Orbitocranial         37.61          NA            NA        25.81         24.84        8.18          NA            NA        71.60         70.63         090
                                    approach/skull.
61585.......  ........  A          Orbitocranial         42.46          NA            NA        25.16         26.16        7.03          NA            NA        74.65         75.65         090
                                    approach/skull.
61586.......  ........  A          Resect                27.28          NA            NA        24.16         22.98        4.37          NA            NA        55.81         54.63         090
                                    nasopharynx,
                                    skull.
61590.......  ........  A          Infratemporal         46.87          NA            NA        23.59         27.36        5.31          NA            NA        75.77         79.54         090
                                    approach/skull.
61591.......  ........  A          Infratemporal         46.87          NA            NA        24.23         28.20        5.66          NA            NA        76.76         80.73         090
                                    approach/skull.
61592.......  ........  A          Orbitocranial         42.98          NA            NA        27.88         26.85       10.07          NA            NA        80.93         79.90         090
                                    approach/skull.
61595.......  ........  A          Transtemporal         33.57          NA            NA        19.59         21.66        3.98          NA            NA        57.14         59.21         090
                                    approach/skull.
61596.......  ........  A          Transcochlear         39.31          NA            NA        18.79         23.03        3.40          NA            NA        61.50         65.74         090
                                    approach/skull.
61597.......  ........  A          Transcondylar         40.73          NA            NA        23.14         23.03        8.84          NA            NA        72.71         72.60         090
                                    approach/skull.
61598.......  ........  A          Transpetrosal         36.41          NA            NA        21.31         22.75        5.70          NA            NA        63.42         64.86         090
                                    approach/skull.
61600.......  ........  A          Resect/excise         29.84          NA            NA        18.60         19.48        3.79          NA            NA        52.23         53.11         090
                                    cranial lesion.
61601.......  ........  A          Resect/excise         31.04          NA            NA        22.56         21.01        6.63          NA            NA        60.23         58.68         090
                                    cranial lesion.
61605.......  ........  A          Resect/excise         32.40          NA            NA        17.90         20.95        2.86          NA            NA        53.16         56.21         090
                                    cranial lesion.
61606.......  ........  A          Resect/excise         41.94          NA            NA        24.64         25.02        8.97          NA            NA        75.55         75.93         090
                                    cranial lesion.
61607.......  ........  A          Resect/excise         40.82          NA            NA        20.93         23.07        6.90          NA            NA        68.65         70.79         090
                                    cranial lesion.
61608.......  ........  A          Resect/excise         45.45          NA            NA        26.88         26.66       10.75          NA            NA        83.08         82.86         090
                                    cranial lesion.
61609.......  ........  A          Transect artery,       9.88          NA            NA         3.81          4.59        2.56          NA            NA        16.25         17.03         ZZZ
                                    sinus.
61610.......  ........  A          Transect artery,      29.63          NA            NA        11.43         12.71        7.68          NA            NA        48.74         50.02         ZZZ
                                    sinus.
61611.......  ........  A          Transect artery,       7.41          NA            NA         2.86          3.58        1.89          NA            NA        12.16         12.88         ZZZ
                                    sinus.
61612.......  ........  A          Transect artery,      27.84          NA            NA         8.34         12.07        4.31          NA            NA        40.49         44.22         ZZZ
                                    sinus.
61613.......  ........  A          Remove aneurysm,      44.94          NA            NA        27.87         26.66        8.45          NA            NA        81.26         80.05         090
                                    sinus.
61615.......  ........  A          Resect/excise         35.63          NA            NA        19.60         21.94        4.73          NA            NA        59.96         62.30         090
                                    lesion, skull.
61616.......  ........  A          Resect/excise         46.60          NA            NA        26.91         28.22        8.26          NA            NA        81.77         83.08         090
                                    lesion, skull.
61618.......  ........  A          Repair dura.....      18.58          NA            NA        10.25         10.39        3.72          NA            NA        32.55         32.69         090
61619.......  ........  A          Repair dura.....      22.01          NA            NA        11.17         11.97        3.95          NA            NA        37.13         37.93         090
61623.......  ........  A          Endovasc tempory       9.95          NA            NA         3.16          3.85        1.05          NA            NA        14.16         14.85         000
                                    vessel occl.
61624.......  ........  A          Transcath             20.12          NA            NA         6.30          6.74        1.96          NA            NA        28.38         28.82         000
                                    occlusion, cns.
61626.......  ........  A          Transcath             16.60          NA            NA         4.91          5.36        1.24          NA            NA        22.75         23.20         000
                                    occlusion, non-
                                    cns.
61630.......  ........  N          Intracranial          22.07          NA            NA         6.44         10.98        2.02          NA            NA        30.53         35.07         090
                                    angioplasty.
61635.......  ........  N          Intracran             24.28          NA            NA         6.95         11.89        2.21          NA            NA        33.44         38.38         090
                                    angioplsty w/
                                    stent.
61640.......  ........  N          Dilate ic             12.32          NA            NA         2.85          2.85        0.71          NA            NA        15.88         15.88         000
                                    vasospasm, init.
61641.......  ........  N          Dilate ic              4.33          NA            NA         1.00          1.00        0.25          NA            NA         5.58          5.58         ZZZ
                                    vasospasm add-
                                    on.
61642.......  ........  N          Dilate ic              8.66          NA            NA         2.00          2.00        0.50          NA            NA        11.16         11.16         ZZZ
                                    vasospasm add-
                                    on.
61680.......  ........  A          Intracranial          32.40          NA            NA        17.11         17.35        7.95          NA            NA        57.46         57.70         090
                                    vessel surgery.
61682.......  ........  A          Intracranial          63.31          NA            NA        27.79         31.11       15.90          NA            NA       107.00        110.32         090
                                    vessel surgery.
61684.......  ........  A          Intracranial          41.49          NA            NA        20.79         21.70       10.31          NA            NA        72.59         73.50         090
                                    vessel surgery.
61686.......  ........  A          Intracranial          67.32          NA            NA        30.80         33.74       16.71          NA            NA       114.83        117.77         090
                                    vessel surgery.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69903]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
61690.......  ........  A          Intracranial          31.18          NA            NA        16.13         16.57        6.94          NA            NA        54.25         54.69         090
                                    vessel surgery.
61692.......  ........  A          Intracranial          54.43          NA            NA        25.06         26.87       13.43          NA            NA        92.92         94.73         090
                                    vessel surgery.
61697.......  ........  A          Brain aneurysm        63.22          NA            NA        29.29         28.33       12.85          NA            NA       105.36        104.40         090
                                    repr, complx.
61698.......  ........  A          Brain aneurysm        69.45          NA            NA        31.45         27.88       12.54          NA            NA       113.44        109.87         090
                                    repr, complx.
61700.......  ........  A          Brain aneurysm        50.44          NA            NA        24.39         26.95       13.02          NA            NA        87.85         90.41         090
                                    repr, simple.
61702.......  ........  A          Inner skull           59.86          NA            NA        28.41         26.63       10.79          NA            NA        99.06         97.28         090
                                    vessel surgery.
61703.......  ........  A          Clamp neck            18.70          NA            NA        10.98         10.59        4.06          NA            NA        33.74         33.35         090
                                    artery.
61705.......  ........  A          Revise                37.97          NA            NA        17.87         18.91        8.87          NA            NA        64.71         65.75         090
                                    circulation to
                                    head.
61708.......  ........  A          Revise                37.07          NA            NA        12.85         14.58        2.51          NA            NA        52.43         54.16         090
                                    circulation to
                                    head.
61710.......  ........  A          Revise                31.19          NA            NA        12.75         13.42        4.52          NA            NA        48.46         49.13         090
                                    circulation to
                                    head.
61711.......  ........  A          Fusion of skull       38.10          NA            NA        18.86         19.57        9.42          NA            NA        66.38         67.09         090
                                    arteries.
61720.......  ........  A          Incise skull/         17.52          NA            NA         8.24          9.54        2.79          NA            NA        28.55         29.85         090
                                    brain surgery.
61735.......  ........  A          Incise skull/         22.22          NA            NA        11.48         11.99        2.73          NA            NA        36.43         36.94         090
                                    brain surgery.
61750.......  ........  A          Incise skull/         19.73          NA            NA        11.13         10.74        4.72          NA            NA        35.58         35.19         090
                                    brain biopsy.
61751.......  ........  A          Brain biopsy w/       18.64          NA            NA        11.57         11.01        4.56          NA            NA        34.77         34.21         090
                                    ct/mr guide.
61760.......  ........  A          Implant brain         22.24          NA            NA        12.10          9.56        5.42          NA            NA        39.76         37.22         090
                                    electrodes.
61770.......  ........  A          Incise skull for      23.09          NA            NA        10.06         11.70        3.55          NA            NA        36.70         38.34         090
                                    treatment.
61790.......  ........  A          Treat trigeminal      11.50          NA            NA         7.87          6.40        2.82          NA            NA        22.19         20.72         090
                                    nerve.
61791.......  ........  A          Treat trigeminal      15.31          NA            NA         7.70          8.61        3.40          NA            NA        26.41         27.32         090
                                    tract.
61793.......  ........  A          Focus radiation       17.75          NA            NA         9.94         10.08        4.46          NA            NA        32.15         32.29         090
                                    beam.
61795.......  ........  A          Brain surgery          4.03          NA            NA         1.40          1.87        0.79          NA            NA         6.22          6.69         ZZZ
                                    using computer.
61850.......  ........  A          Implant               13.26          NA            NA         5.63          7.16        3.22          NA            NA        22.11         23.64         090
                                    neuroelectrodes.
61860.......  ........  A          Implant               22.16          NA            NA        11.36         11.89        4.95          NA            NA        38.47         39.00         090
                                    neuroelectrodes.
61863.......  ........  A          Implant               20.56          NA            NA        12.64         11.99        5.43          NA            NA        38.63         37.98         090
                                    neuroelectrode.
61864.......  ........  A          Implant                4.49          NA            NA         1.73          2.14        5.43          NA            NA        11.65         12.06         ZZZ
                                    neuroelectrde,
                                    addl.
61867.......  ........  A          Implant               32.88          NA            NA        16.95         17.75        5.43          NA            NA        55.26         56.06         090
                                    neuroelectrode.
61868.......  ........  A          Implant                7.91          NA            NA         3.02          3.76        5.43          NA            NA        16.36         17.10         ZZZ
                                    neuroelectrde,
                                    add[AElig]l.
61870.......  ........  A          Implant               16.24          NA            NA         8.78          9.47        3.87          NA            NA        28.89         29.58         090
                                    neuroelectrodes.
61875.......  ........  A          Implant               16.36          NA            NA         5.33          7.76        2.95          NA            NA        24.64         27.07         090
                                    neuroelectrodes.
61880.......  ........  A          Revise/remove          6.87          NA            NA         5.53          4.81        1.66          NA            NA        14.06         13.34         090
                                    neuroelectrode.
61885.......  ........  A          Insrt/redo             7.37          NA            NA         7.48          5.85        1.59          NA            NA        16.44         14.81         090
                                    neurostim 1
                                    array.
61886.......  ........  A          Implant                9.73          NA            NA         8.82          6.97        1.97          NA            NA        20.52         18.67         090
                                    neurostim
                                    arrays.
61888.......  ........  A          Revise/remove          5.20          NA            NA         3.63          3.66        1.33          NA            NA        10.16         10.19         010
                                    neuroreceiver.
62000.......  ........  A          Treat skull           13.83          NA            NA         7.28          5.95        1.06          NA            NA        22.17         20.84         090
                                    fracture.
62005.......  ........  A          Treat skull           17.53          NA            NA         9.61          9.00        3.87          NA            NA        31.01         30.40         090
                                    fracture.
62010.......  ........  A          Treatment of          21.30          NA            NA        12.08         11.80        5.14          NA            NA        38.52         38.24         090
                                    head injury.
62100.......  ........  A          Repair brain          23.40          NA            NA        12.05         12.60        4.84          NA            NA        40.29         40.84         090
                                    fluid leakage.
62115.......  ........  A          Reduction of          22.71          NA            NA        14.15         12.27        5.51          NA            NA        42.37         40.49         090
                                    skull defect.
62116.......  ........  A          Reduction of          24.90          NA            NA        13.44         13.38        6.11          NA            NA        44.45         44.39         090
                                    skull defect.
62117.......  ........  A          Reduction of          28.26          NA            NA        14.92         15.26        4.53          NA            NA        47.71         48.05         090
                                    skull defect.
62120.......  ........  A          Repair skull          24.39          NA            NA        15.93         17.84        3.00          NA            NA        43.32         45.23         090
                                    cavity lesion.
62121.......  ........  A          Incise skull          22.93          NA            NA        14.22         15.14        4.17          NA            NA        41.32         42.24         090
                                    repair.
62140.......  ........  A          Repair of skull       14.45          NA            NA         8.71          8.42        3.47          NA            NA        26.63         26.34         090
                                    defect.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69904]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
62141.......  ........  A          Repair of skull       15.97          NA            NA         9.43          9.14        3.76          NA            NA        29.16         28.87         090
                                    defect.
62142.......  ........  A          Remove skull          11.73          NA            NA         7.81          7.20        2.73          NA            NA        22.27         21.66         090
                                    plate/flap.
62143.......  ........  A          Replace skull         14.05          NA            NA         8.89          8.25        3.37          NA            NA        26.31         25.67         090
                                    plate/flap.
62145.......  ........  A          Repair of skull       19.99          NA            NA        10.35         10.76        4.50          NA            NA        34.84         35.25         090
                                    & brain.
62146.......  ........  A          Repair of skull       17.18          NA            NA         9.21          9.53        3.62          NA            NA        30.01         30.33         090
                                    with graft.
62147.......  ........  A          Repair of skull       20.57          NA            NA        10.75         11.16        4.32          NA            NA        35.64         36.05         090
                                    with graft.
62148.......  ........  A          Retr bone flap         2.00          NA            NA         0.78          0.84        0.48          NA            NA         3.26          3.32         ZZZ
                                    to fix skull.
62160.......  ........  A          Neuroendoscopy         3.00          NA            NA         1.15          1.44        0.77          NA            NA         4.92          5.21         ZZZ
                                    add-on.
62161.......  ........  A          Dissect brain w/      21.10          NA            NA        12.29         12.14        5.19          NA            NA        38.58         38.43         090
                                    scope.
62162.......  ........  A          Remove colloid        26.67          NA            NA        14.05         14.65        5.91          NA            NA        46.63         47.23         090
                                    cyst w/scope.
62163.......  ........  A          Neuroendoscopy w/     16.40          NA            NA        10.66         10.11        4.01          NA            NA        31.07         30.52         090
                                    fb removal.
62164.......  ........  A          Remove brain          29.27          NA            NA        15.15         15.00        5.38          NA            NA        49.80         49.65         090
                                    tumor w/scope.
62165.......  ........  A          Remove pituit         23.10          NA            NA        11.67         12.95        3.01          NA            NA        37.78         39.06         090
                                    tumor w/scope.
62180.......  ........  A          Establish brain       22.45          NA            NA        12.17         12.25        4.98          NA            NA        39.60         39.68         090
                                    cavity shunt.
62190.......  ........  A          Establish brain       12.07          NA            NA         7.76          7.25        2.80          NA            NA        22.63         22.12         090
                                    cavity shunt.
62192.......  ........  A          Establish brain       13.25          NA            NA         8.49          7.84        3.02          NA            NA        24.76         24.11         090
                                    cavity shunt.
62194.......  ........  A          Replace/irrigate       5.68          NA            NA         3.75          2.76        0.92          NA            NA        10.35          9.36         010
                                    catheter.
62200.......  ........  A          Establish brain       19.19          NA            NA        10.84         10.84        4.65          NA            NA        34.68         34.68         090
                                    cavity shunt.
62201.......  ........  A          Brain cavity          15.89          NA            NA        10.64          9.74        3.68          NA            NA        30.21         29.31         090
                                    shunt w/scope.
62220.......  ........  A          Establish brain       14.00          NA            NA         8.49          8.11        3.35          NA            NA        25.84         25.46         090
                                    cavity shunt.
62223.......  ........  A          Establish brain       13.90          NA            NA         9.52          8.56        3.14          NA            NA        26.56         25.60         090
                                    cavity shunt.
62225.......  ........  A          Replace/irrigate       6.11          NA            NA         5.54          4.45        1.39          NA            NA        13.04         11.95         090
                                    catheter.
62230.......  ........  A          Replace/revise        11.35          NA            NA         7.36          6.70        2.71          NA            NA        21.42         20.76         090
                                    brain shunt.
62252.......  ........  A          Csf shunt              0.74        1.78          1.55           NA            NA        0.21        2.73          2.50           NA            NA         XXX
                                    reprogram.
62252.......  TC......  A          Csf shunt              0.00        1.50          1.20           NA            NA        0.02        1.52          1.22           NA            NA         XXX
                                    reprogram.
62252.......  26......  A          Csf shunt              0.74        0.28          0.35         0.28          0.35        0.19        1.21          1.28         1.21          1.28         XXX
                                    reprogram.
62256.......  ........  A          Remove brain           7.30          NA            NA         5.94          5.00        1.72          NA            NA        14.96         14.02         090
                                    cavity shunt.
62258.......  ........  A          Replace brain         15.54          NA            NA         9.37          8.88        3.74          NA            NA        28.65         28.16         090
                                    cavity shunt.
62263.......  ........  A          Epidural lysis         6.41        9.04         11.78         2.86          3.11        0.41       15.86         18.60         9.68          9.93         010
                                    mult sessions.
62264.......  ........  A          Epidural lysis         4.42        5.62          7.20         1.27          1.38        0.27       10.31         11.89         5.96          6.07         010
                                    on single day.
62268.......  ........  A          Drain spinal           4.73        6.44         10.26         1.63          2.01        0.43       11.60         15.42         6.79          7.17         000
                                    cord cyst.
62269.......  ........  A          Needle biopsy,         5.01        6.62         12.67         1.61          1.88        0.37       12.00         18.05         6.99          7.26         000
                                    spinal cord.
62270.......  ........  A          Spinal fluid           1.37        2.30          2.82         0.53          0.55        0.08        3.75          4.27         1.98          2.00         000
                                    tap, diagnostic.
62272.......  ........  A          Drain cerebro          1.35        3.06          3.47         0.60          0.68        0.18        4.59          5.00         2.13          2.21         000
                                    spinal fluid.
62273.......  ........  A          Inject epidural        2.15        1.66          2.45         0.57          0.68        0.13        3.94          4.73         2.85          2.96         000
                                    patch.
62280.......  ........  A          Treat spinal           2.63        4.21          6.25         1.06          1.02        0.30        7.14          9.18         3.99          3.95         010
                                    cord lesion.
62281.......  ........  A          Treat spinal           2.66        3.69          5.16         0.89          0.89        0.19        6.54          8.01         3.74          3.74         010
                                    cord lesion.
62282.......  ........  A          Treat spinal           2.33        3.90          7.25         1.06          0.96        0.17        6.40          9.75         3.56          3.46         010
                                    canal lesion.
62284.......  ........  A          Injection for          1.54        3.58          4.62         0.62          0.67        0.13        5.25          6.29         2.29          2.34         000
                                    myelogram.
62287.......  ........  A          Percutaneous           8.88          NA            NA         4.08          5.18        0.58          NA            NA        13.54         14.64         090
                                    diskectomy.
62290.......  ........  A          Inject for spine       3.00        4.31          6.43         1.09          1.31        0.23        7.54          9.66         4.32          4.54         000
                                    disk x-ray.
62291.......  ........  A          Inject for spine       2.91        4.09          5.47         1.02          1.18        0.26        7.26          8.64         4.19          4.35         000
                                    disk x-ray.
62292.......  ........  A          Injection into         9.14          NA            NA         3.19          4.15        0.82          NA            NA        13.15         14.11         090
                                    disk lesion.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69905]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
62294.......  ........  A          Injection into        12.77          NA            NA         5.56          5.58        1.24          NA            NA        19.57         19.59         090
                                    spinal artery.
62310.......  ........  A          Inject spine c/t       1.91        2.98          4.35         0.57          0.63        0.12        5.01          6.38         2.60          2.66         000
62311.......  ........  A          Inject spine l/s       1.54        2.65          4.35         0.53          0.58        0.09        4.28          5.98         2.16          2.21         000
                                    (cd).
62318.......  ........  A          Inject spine w/        2.04        3.19          5.09         0.48          0.61        0.12        5.35          7.25         2.64          2.77         000
                                    cath, c/t.
62319.......  ........  A          Inject spine w/        1.87        2.85          4.45         0.47          0.58        0.11        4.83          6.43         2.45          2.56         000
                                    cath l/s (cd).
62350.......  ........  A          Implant spinal         8.04          NA            NA         4.16          4.00        1.02          NA            NA        13.22         13.06         090
                                    canal cath.
62351.......  ........  A          Implant spinal        11.54          NA            NA         7.79          7.29        2.25          NA            NA        21.58         21.08         090
                                    canal cath.
62355.......  ........  A          Remove spinal          6.60          NA            NA         3.61          3.27        0.71          NA            NA        10.92         10.58         090
                                    canal catheter.
62360.......  ........  A          Insert spine           3.68          NA            NA         3.45          2.87        0.34          NA            NA         7.47          6.89         090
                                    infusion device.
62361.......  ........  A          Implant spine          6.59          NA            NA         4.00          3.94        0.80          NA            NA        11.39         11.33         090
                                    infusion pump.
62362.......  ........  A          Implant spine          8.58          NA            NA         4.77          4.46        1.18          NA            NA        14.53         14.22         090
                                    infusion pump.
62365.......  ........  A          Remove spine           6.57          NA            NA         3.85          3.65        0.86          NA            NA        11.28         11.08         090
                                    infusion device.
62367.......  ........  A          Analyze spine          0.48        0.41          0.56         0.11          0.10        0.03        0.92          1.07         0.62          0.61         XXX
                                    infusion pump.
62368.......  ........  A          Analyze spine          0.75        0.59          0.67         0.18          0.17        0.06        1.40          1.48         0.99          0.98         XXX
                                    infusion pump.
63001.......  ........  A          Removal of            17.51          NA            NA        10.01          9.64        3.77          NA            NA        31.29         30.92         090
                                    spinal lamina.
63003.......  ........  A          Removal of            17.64          NA            NA         9.91          9.87        3.73          NA            NA        31.28         31.24         090
                                    spinal lamina.
63005.......  ........  A          Removal of            16.28          NA            NA         9.86          9.94        3.35          NA            NA        29.49         29.57         090
                                    spinal lamina.
63011.......  ........  A          Removal of            15.78          NA            NA         9.30          8.53        3.38          NA            NA        28.46         27.69         090
                                    spinal lamina.
63012.......  ........  A          Removal of            16.72          NA            NA         9.94         10.08        3.49          NA            NA        30.15         30.29         090
                                    spinal lamina.
63015.......  ........  A          Removal of            20.70          NA            NA        12.16         11.94        4.76          NA            NA        37.62         37.40         090
                                    spinal lamina.
63016.......  ........  A          Removal of            21.90          NA            NA        12.09         11.86        4.59          NA            NA        38.58         38.35         090
                                    spinal lamina.
63017.......  ........  A          Removal of            17.18          NA            NA        10.54         10.43        3.64          NA            NA        31.36         31.25         090
                                    spinal lamina.
63020.......  ........  A          Neck spine disk       16.05          NA            NA        10.09          9.78        3.72          NA            NA        29.86         29.55         090
                                    surgery.
63030.......  ........  A          Low back disk         13.03          NA            NA         8.74          8.50        3.01          NA            NA        24.78         24.54         090
                                    surgery.
63035.......  ........  A          Spinal disk            3.15          NA            NA         1.22          1.50        0.79          NA            NA         5.16          5.44         ZZZ
                                    surgery add-on.
63040.......  ........  A          Laminotomy,           20.18          NA            NA        11.20         11.43        4.68          NA            NA        36.06         36.29         090
                                    single cervical.
63042.......  ........  A          Laminotomy,           18.61          NA            NA        10.78         11.20        4.26          NA            NA        33.65         34.07         090
                                    single lumbar.
63043.......  ........  C          Laminotomy,            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    add[AElig]l
                                    cervical.
63044.......  ........  C          Laminotomy,            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    add[AElig]l
                                    lumbar.
63045.......  ........  A          Removal of            17.82          NA            NA        10.53         10.40        3.99          NA            NA        32.34         32.21         090
                                    spinal lamina.
63046.......  ........  A          Removal of            17.12          NA            NA         9.98         10.13        3.56          NA            NA        30.66         30.81         090
                                    spinal lamina.
63047.......  ........  A          Removal of            15.22          NA            NA         9.49          9.79        3.24          NA            NA        27.95         28.25         090
                                    spinal lamina.
63048.......  ........  A          Remove spinal          3.47          NA            NA         1.35          1.58        0.72          NA            NA         5.54          5.77         ZZZ
                                    lamina add-on.
63050.......  ........  A          Cervical              21.88          NA            NA         8.91         11.11        4.67          NA            NA        35.46         37.66         090
                                    laminoplasty.
63051.......  ........  A          C-laminoplasty w/     25.38          NA            NA        11.79         13.05        4.67          NA            NA        41.84         43.10         090
                                    graft/plate.
63055.......  ........  A          Decompress            23.42          NA            NA        12.55         12.99        5.29          NA            NA        41.26         41.70         090
                                    spinal cord.
63056.......  ........  A          Decompress            21.73          NA            NA        11.54         12.31        4.76          NA            NA        38.03         38.80         090
                                    spinal cord.
63057.......  ........  A          Decompress spine       5.25          NA            NA         2.00          2.47        1.22          NA            NA         8.47          8.94         ZZZ
                                    cord add-on.
63064.......  ........  A          Decompress            26.09          NA            NA        13.58         14.21        5.71          NA            NA        45.38         46.01         090
                                    spinal cord.
63066.......  ........  A          Decompress spine       3.26          NA            NA         1.26          1.56        0.69          NA            NA         5.21          5.51         ZZZ
                                    cord add-on.
63075.......  ........  A          Neck spine disk       19.47          NA            NA        11.24         11.87        4.63          NA            NA        35.34         35.97         090
                                    surgery.
63076.......  ........  A          Neck spine disk        4.04          NA            NA         1.56          1.93        0.96          NA            NA         6.56          6.93         ZZZ
                                    surgery.
63077.......  ........  A          Spine disk            22.75          NA            NA        11.28         12.41        3.99          NA            NA        38.02         39.15         090
                                    surgery, thorax.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69906]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
63078.......  ........  A          Spine disk             3.28          NA            NA         1.22          1.54        0.66          NA            NA         5.16          5.48         ZZZ
                                    surgery, thorax.
63081.......  ........  A          Removal of            25.97          NA            NA        13.78         14.19        5.56          NA            NA        45.31         45.72         090
                                    vertebral body.
63082.......  ........  A          Remove vertebral       4.36          NA            NA         1.69          2.09        1.02          NA            NA         7.07          7.47         ZZZ
                                    body add-on.
63085.......  ........  A          Removal of            29.34          NA            NA        13.89         15.08        4.49          NA            NA        47.72         48.91         090
                                    vertebral body.
63086.......  ........  A          Remove vertebral       3.19          NA            NA         1.19          1.49        0.59          NA            NA         4.97          5.27         ZZZ
                                    body add-on.
63087.......  ........  A          Removal of            37.38          NA            NA        16.99         18.84        6.22          NA            NA        60.59         62.44         090
                                    vertebral body.
63088.......  ........  A          Remove vertebral       4.32          NA            NA         1.66          2.04        0.82          NA            NA         6.80          7.18         ZZZ
                                    body add-on.
63090.......  ........  A          Removal of            30.78          NA            NA        14.24         15.58        4.22          NA            NA        49.24         50.58         090
                                    vertebral body.
63091.......  ........  A          Remove vertebral       3.03          NA            NA         1.14          1.38        0.48          NA            NA         4.65          4.89         ZZZ
                                    body add-on.
63101.......  ........  A          Removal of            33.92          NA            NA        17.38         18.80        5.71          NA            NA        57.01         58.43         090
                                    vertebral body.
63102.......  ........  A          Removal of            33.92          NA            NA        17.09         18.73        5.71          NA            NA        56.72         58.36         090
                                    vertebral body.
63103.......  ........  A          Remove vertebral       4.82          NA            NA         1.82          2.33        0.69          NA            NA         7.33          7.84         ZZZ
                                    body add-on.
63170.......  ........  A          Incise spinal         22.08          NA            NA        12.80         12.10        4.87          NA            NA        39.75         39.05         090
                                    cord tract(s).
63172.......  ........  A          Drainage of           19.66          NA            NA        11.44         10.84        4.49          NA            NA        35.59         34.99         090
                                    spinal cyst.
63173.......  ........  A          Drainage of           24.18          NA            NA        13.56         12.99        5.70          NA            NA        43.44         42.87         090
                                    spinal cyst.
63180.......  ........  A          Revise spinal         20.40          NA            NA        10.98         10.98        3.96          NA            NA        35.34         35.34         090
                                    cord ligaments.
63182.......  ........  A          Revise spinal         22.69          NA            NA         7.18         10.01        5.32          NA            NA        35.19         38.02         090
                                    cord ligaments.
63185.......  ........  A          Incise spinal         16.36          NA            NA        10.19          8.62        2.80          NA            NA        29.35         27.78         090
                                    column/nerves.
63190.......  ........  A          Incise spinal         18.76          NA            NA        10.26         10.16        3.25          NA            NA        32.27         32.17         090
                                    column/nerves.
63191.......  ........  A          Incise spinal         18.79          NA            NA        10.89         10.58        6.36          NA            NA        36.04         35.73         090
                                    column/nerves.
63194.......  ........  A          Incise spinal         21.97          NA            NA         8.89         11.01        3.27          NA            NA        34.13         36.25         090
                                    column & cord.
63195.......  ........  A          Incise spinal         21.54          NA            NA        12.35         11.37        4.88          NA            NA        38.77         37.79         090
                                    column & cord.
63196.......  ........  A          Incise spinal         25.14          NA            NA        14.08         13.56        5.78          NA            NA        45.00         44.48         090
                                    column & cord.
63197.......  ........  A          Incise spinal         23.95          NA            NA        13.61         12.55        5.38          NA            NA        42.94         41.88         090
                                    column & cord.
63198.......  ........  A          Incise spinal         29.75          NA            NA         8.93          8.56        6.45          NA            NA        45.13         44.76         090
                                    column & cord.
63199.......  ........  A          Incise spinal         31.32          NA            NA         9.29         13.60        1.40          NA            NA        42.01         46.32         090
                                    column & cord.
63200.......  ........  A          Release of            21.31          NA            NA        11.92         11.45        4.97          NA            NA        38.20         37.73         090
                                    spinal cord.
63250.......  ........  A          Revise spinal         43.73          NA            NA        21.43         20.30        9.04          NA            NA        74.20         73.07         090
                                    cord vessels.
63251.......  ........  A          Revise spinal         44.49          NA            NA        21.71         22.36       10.44          NA            NA        76.64         77.29         090
                                    cord vessels.
63252.......  ........  A          Revise spinal         44.48          NA            NA        21.59         22.07       10.67          NA            NA        76.74         77.22         090
                                    cord vessels.
63265.......  ........  A          Excise                23.69          NA            NA        13.27         12.89        5.45          NA            NA        42.41         42.03         090
                                    intraspinal
                                    lesion.
63266.......  ........  A          Excise                24.55          NA            NA        13.44         13.24        5.56          NA            NA        43.55         43.35         090
                                    intraspinal
                                    lesion.
63267.......  ........  A          Excise                19.32          NA            NA        11.35         11.14        4.38          NA            NA        35.05         34.84         090
                                    intraspinal
                                    lesion.
63268.......  ........  A          Excise                19.89          NA            NA        10.95         10.51        3.70          NA            NA        34.54         34.10         090
                                    intraspinal
                                    lesion.
63270.......  ........  A          Excise                29.67          NA            NA        15.96         15.59        6.84          NA            NA        52.47         52.10         090
                                    intraspinal
                                    lesion.
63271.......  ........  A          Excise                29.79          NA            NA        15.57         15.56        6.92          NA            NA        52.28         52.27         090
                                    intraspinal
                                    lesion.
63272.......  ........  A          Excise                27.37          NA            NA        14.52         14.64        6.20          NA            NA        48.09         48.21         090
                                    intraspinal
                                    lesion.
63273.......  ........  A          Excise                26.34          NA            NA        14.02         14.25        5.76          NA            NA        46.12         46.35         090
                                    intraspinal
                                    lesion.
63275.......  ........  A          Biopsy/excise         25.73          NA            NA        13.67         13.74        5.82          NA            NA        45.22         45.29         090
                                    spinal tumor.
63276.......  ........  A          Biopsy/excise         25.56          NA            NA        13.92         13.73        5.85          NA            NA        45.33         45.14         090
                                    spinal tumor.
63277.......  ........  A          Biopsy/excise         22.26          NA            NA        12.31         12.46        5.03          NA            NA        39.60         39.75         090
                                    spinal tumor.
63278.......  ........  A          Biopsy/excise         21.99          NA            NA        12.22         12.34        4.56          NA            NA        38.77         38.89         090
                                    spinal tumor.
63280.......  ........  A          Biopsy/excise         30.14          NA            NA        16.25         16.29        7.29          NA            NA        53.68         53.72         090
                                    spinal tumor.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69907]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
63281.......  ........  A          Biopsy/excise         29.84          NA            NA        16.05         16.13        7.19          NA            NA        53.08         53.16         090
                                    spinal tumor.
63282.......  ........  A          Biopsy/excise         28.00          NA            NA        15.35         15.33        6.78          NA            NA        50.13         50.11         090
                                    spinal tumor.
63283.......  ........  A          Biopsy/excise         26.61          NA            NA        14.38         14.58        6.28          NA            NA        47.27         47.47         090
                                    spinal tumor.
63285.......  ........  A          Biopsy/excise         37.90          NA            NA        19.34         19.78        9.21          NA            NA        66.45         66.89         090
                                    spinal tumor.
63286.......  ........  A          Biopsy/excise         37.47          NA            NA        19.08         19.69        9.24          NA            NA        65.79         66.40         090
                                    spinal tumor.
63287.......  ........  A          Biopsy/excise         39.93          NA            NA        19.79         20.26        9.42          NA            NA        69.14         69.61         090
                                    spinal tumor.
63290.......  ........  A          Biopsy/excise         40.67          NA            NA        20.38         20.53        9.05          NA            NA        70.10         70.25         090
                                    spinal tumor.
63295.......  ........  A          Repair of              5.25          NA            NA         1.34          1.94        1.03          NA            NA         7.62          8.22         ZZZ
                                    laminectomy
                                    defect.
63300.......  ........  A          Removal of            26.67          NA            NA        13.72         14.15        5.99          NA            NA        46.38         46.81         090
                                    vertebral body.
63301.......  ........  A          Removal of            31.42          NA            NA        15.20         15.46        5.41          NA            NA        52.03         52.29         090
                                    vertebral body.
63302.......  ........  A          Removal of            31.00          NA            NA        14.96         15.62        5.55          NA            NA        51.51         52.17         090
                                    vertebral body.
63303.......  ........  A          Removal of            33.42          NA            NA        14.79         16.37        4.69          NA            NA        52.90         54.48         090
                                    vertebral body.
63304.......  ........  A          Removal of            33.70          NA            NA        17.29         17.27        6.43          NA            NA        57.42         57.40         090
                                    vertebral body.
63305.......  ........  A          Removal of            36.09          NA            NA        17.76         17.97        5.73          NA            NA        59.58         59.79         090
                                    vertebral body.
63306.......  ........  A          Removal of            35.40          NA            NA        15.81         17.30        8.35          NA            NA        59.56         61.05         090
                                    vertebral body.
63307.......  ........  A          Removal of            34.81          NA            NA        17.93         17.08        4.47          NA            NA        57.21         56.36         090
                                    vertebral body.
63308.......  ........  A          Remove vertebral       5.24          NA            NA         1.96          2.44        1.29          NA            NA         8.49          8.97         ZZZ
                                    body add-on.
63600.......  ........  A          Remove spinal         15.02          NA            NA         4.54          5.18        1.52          NA            NA        21.08         21.72         090
                                    cord lesion.
63610.......  ........  A          Stimulation of         8.72       13.95         48.25         1.57          2.08        0.86       23.53         57.83        11.15         11.66         000
                                    spinal cord.
63615.......  ........  A          Remove lesion of      17.22          NA            NA         6.06          8.46        2.85          NA            NA        26.13         28.53         090
                                    spinal cord.
63650.......  ........  A          Implant                7.57          NA            NA         2.91          3.11        0.53          NA            NA        11.01         11.21         090
                                    neuroelectrodes.
63655.......  ........  A          Implant               11.43          NA            NA         7.91          7.15        2.44          NA            NA        21.78         21.02         090
                                    neuroelectrodes.
63660.......  ........  A          Revise/remove          6.87          NA            NA         3.33          3.54        0.78          NA            NA        10.98         11.19         090
                                    neuroelectrode.
63685.......  ........  A          Insrt/redo spine       7.87          NA            NA         3.71          4.03        1.05          NA            NA        12.63         12.95         090
                                    n generator.
63688.......  ........  A          Revise/remove          6.10          NA            NA         3.59          3.56        0.89          NA            NA        10.58         10.55         090
                                    neuroreceiver.
63700.......  ........  A          Repair of spinal      17.32          NA            NA         9.88         10.20        3.53          NA            NA        30.73         31.05         090
                                    herniation.
63702.......  ........  A          Repair of spinal      19.26          NA            NA        11.03         11.03        4.13          NA            NA        34.42         34.42         090
                                    herniation.
63704.......  ........  A          Repair of spinal      22.23          NA            NA        12.71         12.86        4.58          NA            NA        39.52         39.67         090
                                    herniation.
63706.......  ........  A          Repair of spinal      25.15          NA            NA        15.27         14.00        6.25          NA            NA        46.67         45.40         090
                                    herniation.
63707.......  ........  A          Repair spinal         12.52          NA            NA         7.96          7.77        2.52          NA            NA        23.00         22.81         090
                                    fluid leakage.
63709.......  ........  A          Repair spinal         15.52          NA            NA         9.14          9.33        3.10          NA            NA        27.76         27.95         090
                                    fluid leakage.
63710.......  ........  A          Graft repair of       15.27          NA            NA         9.35          9.11        3.41          NA            NA        28.03         27.79         090
                                    spine defect.
63740.......  ........  A          Install spinal        12.50          NA            NA         8.33          7.59        2.94          NA            NA        23.77         23.03         090
                                    shunt.
63741.......  ........  A          Install spinal         9.02          NA            NA         4.85          4.78        1.66          NA            NA        15.53         15.46         090
                                    shunt.
63744.......  ........  A          Revision of            8.86          NA            NA         6.12          5.47        1.90          NA            NA        16.88         16.23         090
                                    spinal shunt.
63746.......  ........  A          Removal of             7.25          NA            NA         4.78          4.02        1.53          NA            NA        13.56         12.80         090
                                    spinal shunt.
64400.......  ........  A          N block inj,           1.11        1.39          1.77         0.45          0.44        0.07        2.57          2.95         1.63          1.62         000
                                    trigeminal.
64402.......  ........  A          N block inj,           1.25        1.45          1.57         0.53          0.58        0.09        2.79          2.91         1.87          1.92         000
                                    facial.
64405.......  ........  A          N block inj,           1.32        1.16          1.39         0.51          0.47        0.08        2.56          2.79         1.91          1.87         000
                                    occipital.
64408.......  ........  A          N block inj,           1.41        1.46          1.55         0.72          0.82        0.10        2.97          3.06         2.23          2.33         000
                                    vagus.
64410.......  ........  A          N block inj,           1.43        1.80          2.33         0.52          0.48        0.09        3.32          3.85         2.04          2.00         000
                                    phrenic.
64412.......  ........  A          N block inj,           1.18        2.03          2.50         0.55          0.46        0.08        3.29          3.76         1.81          1.72         000
                                    spinal accessor.
64413.......  ........  A          N block inj,           1.40        1.28          1.70         0.47          0.49        0.08        2.76          3.18         1.95          1.97         000
                                    cervical plexus.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69908]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
64415.......  ........  A          N block inj,           1.48        1.48          2.47         0.34          0.43        0.09        3.05          4.04         1.91          2.00         000
                                    brachial plexus.
64416.......  ........  A          N block cont           3.85          NA            NA         0.58          0.74        0.31          NA            NA         4.74          4.90         010
                                    infuse, b plex.
64417.......  ........  A          N block inj,           1.44        1.49          2.65         0.35          0.46        0.11        3.04          4.20         1.90          2.01         000
                                    axillary.
64418.......  ........  A          N block inj,           1.32        1.87          2.43         0.52          0.46        0.07        3.26          3.82         1.91          1.85         000
                                    suprascapular.
64420.......  ........  A          N block inj,           1.18        2.36          3.50         0.44          0.43        0.08        3.62          4.76         1.70          1.69         000
                                    intercost, sng.
64421.......  ........  A          N block inj,           1.68        3.48          5.43         0.52          0.52        0.11        5.27          7.22         2.31          2.31         000
                                    intercost, mlt.
64425.......  ........  A          N block inj,           1.75        1.32          1.57         0.55          0.54        0.13        3.20          3.45         2.43          2.42         000
                                    ilio-ing/hypogi.
64430.......  ........  A          N block inj,           1.46        2.40          2.48         0.79          0.61        0.10        3.96          4.04         2.35          2.17         000
                                    pudendal.
64435.......  ........  A          N block inj,           1.45        1.97          2.38         0.55          0.66        0.16        3.58          3.99         2.16          2.27         000
                                    paracervical.
64445.......  ........  A          N block inj,           1.48        1.65          2.42         0.52          0.51        0.10        3.23          4.00         2.10          2.09         000
                                    sciatic, sng.
64446.......  ........  A          N blk inj,             3.61          NA            NA         0.59          0.90        0.20          NA            NA         4.40          4.71         010
                                    sciatic, cont
                                    inf.
64447.......  ........  A          N block inj fem,       1.50          NA            NA         0.21          0.38        0.09          NA            NA         1.80          1.97         000
                                    single.
64448.......  ........  A          N block inj fem,       3.36          NA            NA         0.47          0.73        0.18          NA            NA         4.01          4.27         010
                                    cont inf.
64449.......  ........  A          N block inj,           3.24          NA            NA         0.49          0.84        0.15          NA            NA         3.88          4.23         010
                                    lumbar plexus.
64450.......  ........  A          N block, other         1.27        1.29          1.25         0.50          0.49        0.13        2.69          2.65         1.90          1.89         000
                                    peripheral.
64470.......  ........  A          Inj                    1.85        3.79          6.37         0.70          0.71        0.11        5.75          8.33         2.66          2.67         000
                                    paravertebral c/
                                    t.
64472.......  ........  A          Inj                    1.29        1.20          2.05         0.33          0.34        0.08        2.57          3.42         1.70          1.71         ZZZ
                                    paravertebral c/
                                    t add-on.
64475.......  ........  A          Inj                    1.41        3.64          6.07         0.59          0.62        0.10        5.15          7.58         2.10          2.13         000
                                    paravertebral l/
                                    s.
64476.......  ........  A          Inj                    0.98        1.09          1.86         0.23          0.24        0.07        2.14          2.91         1.28          1.29         ZZZ
                                    paravertebral l/
                                    s add-on.
64479.......  ........  A          Inj foramen            2.20        3.71          6.55         0.80          0.87        0.12        6.03          8.87         3.12          3.19         000
                                    epidural c/t.
64480.......  ........  A          Inj foramen            1.54        1.46          2.50         0.37          0.45        0.10        3.10          4.14         2.01          2.09         ZZZ
                                    epidural add-on.
64483.......  ........  A          Inj foramen            1.90        3.76          6.86         0.74          0.81        0.11        5.77          8.87         2.75          2.82         000
                                    epidural l/s.
64484.......  ........  A          Inj foramen            1.33        1.59          2.86         0.32          0.36        0.08        3.00          4.27         1.73          1.77         ZZZ
                                    epidural add-on.
64505.......  ........  A          N block,               1.36        1.10          1.21         0.73          0.68        0.10        2.56          2.67         2.19          2.14         000
                                    spenopalatine
                                    gangl.
64508.......  ........  A          N block, carotid       1.12        1.87          2.96         0.49          0.68        0.07        3.06          4.15         1.68          1.87         000
                                    sinus s/p.
64510.......  ........  A          N block,               1.22        1.88          3.06         0.43          0.49        0.07        3.17          4.35         1.72          1.78         000
                                    stellate
                                    ganglion.
64517.......  ........  A          N block inj,           2.20        1.65          2.45         0.64          0.81        0.11        3.96          4.76         2.95          3.12         000
                                    hypogas plxs.
64520.......  ........  A          N block, lumbar/       1.35        2.56          4.50         0.51          0.54        0.08        3.99          5.93         1.94          1.97         000
                                    thoracic.
64530.......  ........  A          N block inj,           1.58        2.58          3.98         0.58          0.63        0.10        4.26          5.66         2.26          2.31         000
                                    celiac pelus.
64550.......  ........  A          Apply                  0.18        0.20          0.26         0.06          0.05        0.01        0.39          0.45         0.25          0.24         000
                                    neurostimulator.
64553.......  ........  A          Implant                2.33        2.50          2.75         1.37          1.73        0.18        5.01          5.26         3.88          4.24         010
                                    neuroelectrodes.
64555.......  ........  A          Implant                2.29        2.55          2.96         1.36          1.23        0.19        5.03          5.44         3.84          3.71         010
                                    neuroelectrodes.
64560.......  ........  A          Implant                2.38        2.48          2.59         1.34          1.30        0.22        5.08          5.19         3.94          3.90         010
                                    neuroelectrodes.
64561.......  ........  A          Implant                7.07       19.89         27.51         3.90          3.05        0.51       27.47         35.09        11.48         10.63         010
                                    neuroelectrodes.
64565.......  ........  A          Implant                1.78        2.47          3.08         1.29          1.27        0.13        4.38          4.99         3.20          3.18         010
                                    neuroelectrodes.
64573.......  ........  A          Implant                8.15          NA            NA         5.50          5.31        1.60          NA            NA        15.25         15.06         090
                                    neuroelectrodes.
64575.......  ........  A          Implant                4.37          NA            NA         1.96          2.49        0.61          NA            NA         6.94          7.47         090
                                    neuroelectrodes.
64577.......  ........  A          Implant                4.64          NA            NA         2.84          3.17        1.04          NA            NA         8.52          8.85         090
                                    neuroelectrodes.
64580.......  ........  A          Implant                4.14          NA            NA         2.69          3.34        0.36          NA            NA         7.19          7.84         090
                                    neuroelectrodes.
64581.......  ........  A          Implant               14.15          NA            NA         6.79          5.73        1.05          NA            NA        21.99         20.93         090
                                    neuroelectrodes.
64585.......  ........  A          Revise/remove          2.08        5.74          9.90         2.23          2.16        0.20        8.02         12.18         4.51          4.44         010
                                    neuroelectrode.
64590.......  ........  A          Insrt/redo pn/         2.42        6.39          6.95         2.47          2.33        0.19        9.00          9.56         5.08          4.94         010
                                    gastr stimul.
64595.......  ........  A          Revise/rmv pn/         1.75        6.46          9.41         2.20          1.99        0.19        8.40         11.35         4.14          3.93         010
                                    gastr stimul.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69909]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
64600.......  ........  A          Injection              3.46        5.24          8.32         1.59          1.64        0.34        9.04         12.12         5.39          5.44         010
                                    treatment of
                                    nerve.
64605.......  ........  A          Injection              5.62        7.49          9.04         2.36          2.23        0.79       13.90         15.45         8.77          8.64         010
                                    treatment of
                                    nerve.
64610.......  ........  A          Injection              7.17        9.40          9.00         3.56          3.67        1.58       18.15         17.75        12.31         12.42         010
                                    treatment of
                                    nerve.
64612.......  ........  A          Destroy nerve,         1.98        1.63          2.27         1.38          1.34        0.11        3.72          4.36         3.47          3.43         010
                                    face muscle.
64613.......  ........  A          Destroy nerve,         1.98        1.37          2.54         1.14          1.20        0.11        3.46          4.63         3.23          3.29         010
                                    neck muscle.
64614.......  ........  A          Destroy nerve,         2.20        1.62          2.82         1.32          1.31        0.10        3.92          5.12         3.62          3.61         010
                                    extrem musc.
64620.......  ........  A          Injection              2.86        3.36          4.64         1.14          1.28        0.20        6.42          7.70         4.20          4.34         010
                                    treatment of
                                    nerve.
64622.......  ........  A          Destr                  3.02        4.00          6.82         1.25          1.34        0.18        7.20         10.02         4.45          4.54         010
                                    paravertebrl
                                    nerve l/s.
64623.......  ........  A          Destr                  0.99        1.61          2.62         0.21          0.22        0.06        2.66          3.67         1.26          1.27         ZZZ
                                    paravertebral n
                                    add-on.
64626.......  ........  A          Destr                  3.82        4.60          6.99         1.82          1.93        0.20        8.62         11.01         5.84          5.95         010
                                    paravertebrl
                                    nerve c/t.
64627.......  ........  A          Destr                  1.16        2.31          3.98         0.24          0.26        0.07        3.54          5.21         1.47          1.49         ZZZ
                                    paravertebral n
                                    add-on.
64630.......  ........  A          Injection              3.02        2.78          2.74         1.87          1.53        0.22        6.02          5.98         5.11          4.77         010
                                    treatment of
                                    nerve.
64640.......  ........  A          Injection              2.78        2.46          3.75         1.46          1.75        0.29        5.53          6.82         4.53          4.82         010
                                    treatment of
                                    nerve.
64650.......  ........  A          Chemodenerv            0.70        0.77          0.85         0.18          0.27        0.06        1.53          1.61         0.94          1.03         000
                                    eccrine glands.
64653.......  ........  A          Chemodenerv            0.88        0.82          0.90         0.22          0.34        0.08        1.78          1.86         1.18          1.30         000
                                    eccrine glands.
64680.......  ........  A          Injection              2.64        3.93          6.02         1.08          1.34        0.18        6.75          8.84         3.90          4.16         010
                                    treatment of
                                    nerve.
64681.......  ........  A          Injection              3.78        4.80          8.17         1.28          1.87        0.28        8.86         12.23         5.34          5.93         010
                                    treatment of
                                    nerve.
64702.......  ........  A          Revise finger/         6.10          NA            NA         5.33          4.23        0.61          NA            NA        12.04         10.94         090
                                    toe nerve.
64704.......  ........  A          Revise hand/foot       4.61          NA            NA         3.23          3.29        0.61          NA            NA         8.45          8.51         090
                                    nerve.
64708.......  ........  A          Revise arm/leg         6.22          NA            NA         4.32          4.73        0.96          NA            NA        11.50         11.91         090
                                    nerve.
64712.......  ........  A          Revision of            7.98          NA            NA         4.56          4.86        0.95          NA            NA        13.49         13.79         090
                                    sciatic nerve.
64713.......  ........  A          Revision of arm       11.29          NA            NA         6.50          6.03        1.83          NA            NA        19.62         19.15         090
                                    nerve(s).
64714.......  ........  A          Revise low back       10.44          NA            NA         4.93          4.38        1.19          NA            NA        16.56         16.01         090
                                    nerve(s).
64716.......  ........  A          Revision of            6.86          NA            NA         5.23          5.79        0.63          NA            NA        12.72         13.28         090
                                    cranial nerve.
64718.......  ........  A          Revise ulnar           7.06          NA            NA         6.27          6.06        1.05          NA            NA        14.38         14.17         090
                                    nerve at elbow.
64719.......  ........  A          Revise ulnar           4.89          NA            NA         4.19          4.44        0.77          NA            NA         9.85         10.10         090
                                    nerve at wrist.
64721.......  ........  A          Carpal tunnel          4.84        4.74          5.21         4.68          5.19        0.73       10.31         10.78        10.25         10.76         090
                                    surgery.
64722.......  ........  A          Relieve pressure       4.74          NA            NA         2.83          2.99        0.48          NA            NA         8.05          8.21         090
                                    on nerve(s).
64726.......  ........  A          Release foot/toe       4.21          NA            NA         2.76          2.78        0.54          NA            NA         7.51          7.53         090
                                    nerve.
64727.......  ........  A          Internal nerve         3.10          NA            NA         1.25          1.44        0.48          NA            NA         4.83          5.02         ZZZ
                                    revision.
64732.......  ........  A          Incision of brow       4.81          NA            NA         4.33          3.71        0.98          NA            NA        10.12          9.50         090
                                    nerve.
64734.......  ........  A          Incision of            5.45          NA            NA         4.67          4.21        0.89          NA            NA        11.01         10.55         090
                                    cheek nerve.
64736.......  ........  A          Incision of chin       5.13          NA            NA         3.91          3.99        0.52          NA            NA         9.56          9.64         090
                                    nerve.
64738.......  ........  A          Incision of jaw        6.26          NA            NA         4.28          4.53        1.08          NA            NA        11.62         11.87         090
                                    nerve.
64740.......  ........  A          Incision of            6.12          NA            NA         4.44          4.95        0.69          NA            NA        11.25         11.76         090
                                    tongue nerve.
64742.......  ........  A          Incision of            6.75          NA            NA         4.41          4.63        0.73          NA            NA        11.89         12.11         090
                                    facial nerve.
64744.......  ........  A          Incise nerve,          5.64          NA            NA         4.62          3.98        1.16          NA            NA        11.42         10.78         090
                                    back of head.
64746.......  ........  A          Incise diaphragm       6.46          NA            NA         3.87          4.34        0.82          NA            NA        11.15         11.62         090
                                    nerve.
64752.......  ........  A          Incision of            7.59          NA            NA         4.04          4.22        0.93          NA            NA        12.56         12.74         090
                                    vagus nerve.
64755.......  ........  A          Incision of           14.97          NA            NA         5.80          5.67        1.84          NA            NA        22.61         22.48         090
                                    stomach nerves.
64760.......  ........  A          Incision of            7.49          NA            NA         3.84          3.55        0.81          NA            NA        12.14         11.85         090
                                    vagus nerve.
64761.......  ........  A          Incision of            6.94          NA            NA         3.95          3.63        0.53          NA            NA        11.42         11.10         090
                                    pelvis nerve.
64763.......  ........  A          Incise hip/thigh       7.46          NA            NA         5.13          5.18        0.94          NA            NA        13.53         13.58         090
                                    nerve.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69910]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
64766.......  ........  A          Incise hip/thigh       9.34          NA            NA         5.31          5.26        1.06          NA            NA        15.71         15.66         090
                                    nerve.
64771.......  ........  A          Sever cranial          8.02          NA            NA         5.36          5.50        1.23          NA            NA        14.61         14.75         090
                                    nerve.
64772.......  ........  A          Incision of            7.74          NA            NA         5.35          5.03        1.40          NA            NA        14.49         14.17         090
                                    spinal nerve.
64774.......  ........  A          Remove skin            5.70          NA            NA         4.00          3.87        0.74          NA            NA        10.44         10.31         090
                                    nerve lesion.
64776.......  ........  A          Remove digit           5.52          NA            NA         3.77          3.70        0.76          NA            NA        10.05          9.98         090
                                    nerve lesion.
64778.......  ........  A          Digit nerve            3.11          NA            NA         1.22          1.43        0.46          NA            NA         4.79          5.00         ZZZ
                                    surgery add-on.
64782.......  ........  A          Remove limb            6.76          NA            NA         4.14          3.86        0.86          NA            NA        11.76         11.48         090
                                    nerve lesion.
64783.......  ........  A          Limb nerve             3.71          NA            NA         1.44          1.73        0.51          NA            NA         5.66          5.95         ZZZ
                                    surgery add-on.
64784.......  ........  A          Remove nerve          10.49          NA            NA         6.26          6.51        1.38          NA            NA        18.13         18.38         090
                                    lesion.
64786.......  ........  A          Remove sciatic        16.12          NA            NA         9.10          9.65        2.61          NA            NA        27.83         28.38         090
                                    nerve lesion.
64787.......  ........  A          Implant nerve          4.29          NA            NA         1.64          2.00        0.58          NA            NA         6.51          6.87         ZZZ
                                    end.
64788.......  ........  A          Remove skin            5.14          NA            NA         3.91          3.57        0.73          NA            NA         9.78          9.44         090
                                    nerve lesion.
64790.......  ........  A          Removal of nerve      11.97          NA            NA         6.89          7.12        2.11          NA            NA        20.97         21.20         090
                                    lesion.
64792.......  ........  A          Removal of nerve      15.71          NA            NA         8.50          8.74        2.49          NA            NA        26.70         26.94         090
                                    lesion.
64795.......  ........  A          Biopsy of nerve.       3.01          NA            NA         1.45          1.53        0.52          NA            NA         4.98          5.06         000
64802.......  ........  A          Remove                10.24          NA            NA         4.23          4.91        1.29          NA            NA        15.76         16.44         090
                                    sympathetic
                                    nerves.
64804.......  ........  A          Remove                15.78          NA            NA         5.99          6.87        2.15          NA            NA        23.92         24.80         090
                                    sympathetic
                                    nerves.
64809.......  ........  A          Remove                14.61          NA            NA         6.63          5.98        1.50          NA            NA        22.74         22.09         090
                                    sympathetic
                                    nerves.
64818.......  ........  A          Remove                11.24          NA            NA         4.29          5.03        1.33          NA            NA        16.86         17.60         090
                                    sympathetic
                                    nerves.
64820.......  ........  A          Remove                10.64          NA            NA         7.14          7.13        1.49          NA            NA        19.27         19.26         090
                                    sympathetic
                                    nerves.
64821.......  ........  A          Remove                 9.19          NA            NA         6.73          7.19        1.24          NA            NA        17.16         17.62         090
                                    sympathetic
                                    nerves.
64822.......  ........  A          Remove                 9.19          NA            NA         6.53          7.06        1.30          NA            NA        17.02         17.55         090
                                    sympathetic
                                    nerves.
64823.......  ........  A          Remove                10.80          NA            NA         7.22          7.90        1.57          NA            NA        19.59         20.27         090
                                    sympathetic
                                    nerves.
64831.......  ........  A          Repair of digit       10.23          NA            NA         6.77          7.00        1.41          NA            NA        18.41         18.64         090
                                    nerve.
64832.......  ........  A          Repair nerve add-      5.65          NA            NA         2.41          2.80        0.85          NA            NA         8.91          9.30         ZZZ
                                    on.
64834.......  ........  A          Repair of hand        10.71          NA            NA         6.67          6.99        1.54          NA            NA        18.92         19.24         090
                                    or foot nerve.
64835.......  ........  A          Repair of hand        11.60          NA            NA         7.42          7.62        1.74          NA            NA        20.76         20.96         090
                                    or foot nerve.
64836.......  ........  A          Repair of hand        11.60          NA            NA         7.15          7.53        1.68          NA            NA        20.43         20.81         090
                                    or foot nerve.
64837.......  ........  A          Repair nerve add-      6.25          NA            NA         2.74          3.11        0.97          NA            NA         9.96         10.33         ZZZ
                                    on.
64840.......  ........  A          Repair of leg         13.87          NA            NA         5.16          7.48        1.37          NA            NA        20.40         22.72         090
                                    nerve.
64856.......  ........  A          Repair/transpose      14.94          NA            NA         8.74          9.07        2.13          NA            NA        25.81         26.14         090
                                    nerve.
64857.......  ........  A          Repair arm/leg        15.69          NA            NA         9.08          9.49        2.22          NA            NA        26.99         27.40         090
                                    nerve.
64858.......  ........  A          Repair sciatic        17.69          NA            NA        10.42         10.68        3.34          NA            NA        31.45         31.71         090
                                    nerve.
64859.......  ........  A          Nerve surgery...       4.25          NA            NA         1.94          2.13        0.67          NA            NA         6.86          7.05         ZZZ
64861.......  ........  A          Repair of arm         20.74          NA            NA        10.16         11.37        4.09          NA            NA        34.99         36.20         090
                                    nerves.
64862.......  ........  A          Repair of low         20.94          NA            NA         6.76         10.64        4.32          NA            NA        32.02         35.90         090
                                    back nerves.
64864.......  ........  A          Repair of facial      13.31          NA            NA         7.20          8.37        1.26          NA            NA        21.77         22.94         090
                                    nerve.
64865.......  ........  A          Repair of facial      15.96          NA            NA        10.06         12.66        1.50          NA            NA        27.52         30.12         090
                                    nerve.
64866.......  ........  A          Fusion of facial/     16.70          NA            NA        12.44         12.98        2.05          NA            NA        31.19         31.73         090
                                    other nerve.
64868.......  ........  A          Fusion of facial/     14.80          NA            NA         9.19         10.87        1.43          NA            NA        25.42         27.10         090
                                    other nerve.
64870.......  ........  A          Fusion of facial/     16.95          NA            NA         8.55          8.68        1.30          NA            NA        26.80         26.93         090
                                    other nerve.
64872.......  ........  A          Subsequent             1.99          NA            NA         0.83          1.02        0.29          NA            NA         3.11          3.30         ZZZ
                                    repair of nerve.
64874.......  ........  A          Repair & revise        2.98          NA            NA         1.24          1.46        0.42          NA            NA         4.64          4.86         ZZZ
                                    nerve add-on.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69911]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
64876.......  ........  A          Repair nerve/          3.37          NA            NA         0.78          1.50        0.47          NA            NA         4.62          5.34         ZZZ
                                    shorten bone.
64885.......  ........  A          Nerve graft,          17.50          NA            NA         9.04         10.96        1.63          NA            NA        28.17         30.09         090
                                    head or neck.
64886.......  ........  A          Nerve graft,          20.72          NA            NA         9.96         12.65        2.09          NA            NA        32.77         35.46         090
                                    head or neck.
64890.......  ........  A          Nerve graft,          16.11          NA            NA         9.24          9.80        2.30          NA            NA        27.65         28.21         090
                                    hand or foot.
64891.......  ........  A          Nerve graft,          17.22          NA            NA        10.07          8.20        1.63          NA            NA        28.92         27.05         090
                                    hand or foot.
64892.......  ........  A          Nerve graft, arm      15.61          NA            NA         9.09          8.92        2.48          NA            NA        27.18         27.01         090
                                    or leg.
64893.......  ........  A          Nerve graft, arm      16.74          NA            NA         9.88          9.87        2.62          NA            NA        29.24         29.23         090
                                    or leg.
64895.......  ........  A          Nerve graft,          20.26          NA            NA        10.27          9.81        2.58          NA            NA        33.11         32.65         090
                                    hand or foot.
64896.......  ........  A          Nerve graft,          21.81          NA            NA        12.07         11.25        3.17          NA            NA        37.05         36.23         090
                                    hand or foot.
64897.......  ........  A          Nerve graft, arm      19.25          NA            NA        10.59         10.67        2.55          NA            NA        32.39         32.47         090
                                    or leg.
64898.......  ........  A          Nerve graft, arm      20.82          NA            NA        11.50         11.72        2.78          NA            NA        35.10         35.32         090
                                    or leg.
64901.......  ........  A          Nerve graft add-      10.20          NA            NA         3.94          4.93        1.37          NA            NA        15.51         16.50         ZZZ
                                    on.
64902.......  ........  A          Nerve graft add-      11.81          NA            NA         4.38          5.57        1.55          NA            NA        17.74         18.93         ZZZ
                                    on.
64905.......  ........  A          Nerve pedicle         14.98          NA            NA         7.01          8.12        2.01          NA            NA        24.00         25.11         090
                                    transfer.
64907.......  ........  A          Nerve pedicle         19.90          NA            NA         6.35         10.98        3.17          NA            NA        29.42         34.05         090
                                    transfer.
64910.......  ........  A          Nerve repair w/       11.21          NA            NA         5.21          5.21        1.74          NA            NA        18.16         18.16         090
                                    allograft.
64911.......  ........  A          Neurorraphy w/        14.21          NA            NA         5.97          5.97        1.91          NA            NA        22.09         22.09         090
                                    vein autograft.
64999.......  ........  C          Nervous system         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery.
65091.......  ........  A          Revise eye......       7.13          NA            NA         6.95          8.00        0.32          NA            NA        14.40         15.45         090
65093.......  ........  A          Revise eye with        6.93          NA            NA         7.04          8.29        0.34          NA            NA        14.31         15.56         090
                                    implant.
65101.......  ........  A          Removal of eye..       8.10          NA            NA         8.19          9.19        0.35          NA            NA        16.64         17.64         090
65103.......  ........  A          Remove eye/            8.64          NA            NA         8.42          9.40        0.37          NA            NA        17.43         18.41         090
                                    insert implant.
65105.......  ........  A          Remove eye/            9.70          NA            NA         9.12         10.13        0.42          NA            NA        19.24         20.25         090
                                    attach implant.
65110.......  ........  A          Removal of eye..      15.42          NA            NA        11.71         13.18        0.81          NA            NA        27.94         29.41         090
65112.......  ........  A          Remove eye/           18.18          NA            NA        13.21         15.40        1.30          NA            NA        32.69         34.88         090
                                    revise socket.
65114.......  ........  A          Remove eye/           19.32          NA            NA        13.86         15.72        1.02          NA            NA        34.20         36.06         090
                                    revise socket.
65125.......  ........  A          Revise ocular          3.18        6.78          8.30         3.18          3.50        0.19       10.15         11.67         6.55          6.87         090
                                    implant.
65130.......  ........  A          Insert ocular          8.22          NA            NA         8.03          8.88        0.35          NA            NA        16.60         17.45         090
                                    implant.
65135.......  ........  A          Insert ocular          8.40          NA            NA         8.01          8.99        0.36          NA            NA        16.77         17.75         090
                                    implant.
65140.......  ........  A          Attach ocular          9.23          NA            NA         8.65          9.57        0.40          NA            NA        18.28         19.20         090
                                    implant.
65150.......  ........  A          Revise ocular          6.32          NA            NA         6.51          7.61        0.31          NA            NA        13.14         14.24         090
                                    implant.
65155.......  ........  A          Reinsert ocular        9.87          NA            NA         8.92         10.09        0.50          NA            NA        19.29         20.46         090
                                    implant.
65175.......  ........  A          Removal of             7.22          NA            NA         7.32          8.19        0.31          NA            NA        14.85         15.72         090
                                    ocular implant.
65205.......  ........  A          Remove foreign         0.71        0.59          0.63         0.34          0.30        0.03        1.33          1.37         1.08          1.04         000
                                    body from eye.
65210.......  ........  A          Remove foreign         0.84        0.74          0.79         0.41          0.39        0.04        1.62          1.67         1.29          1.27         000
                                    body from eye.
65220.......  ........  A          Remove foreign         0.71        0.60          0.63         0.29          0.28        0.05        1.36          1.39         1.05          1.04         000
                                    body from eye.
65222.......  ........  A          Remove foreign         0.93        0.81          0.87         0.44          0.40        0.04        1.78          1.84         1.41          1.37         000
                                    body from eye.
65235.......  ........  A          Remove foreign         8.78          NA            NA         7.05          6.82        0.37          NA            NA        16.20         15.97         090
                                    body from eye.
65260.......  ........  A          Remove foreign        12.29          NA            NA         9.13          9.52        0.57          NA            NA        21.99         22.38         090
                                    body from eye.
65265.......  ........  A          Remove foreign        14.06          NA            NA        10.01         10.47        0.62          NA            NA        24.69         25.15         090
                                    body from eye.
65270.......  ........  A          Repair of eye          1.92        3.87          4.88         1.24          1.35        0.09        5.88          6.89         3.25          3.36         010
                                    wound.
65272.......  ........  A          Repair of eye          4.49        6.51          7.41         3.31          3.30        0.19       11.19         12.09         7.99          7.98         090
                                    wound.
65273.......  ........  A          Repair of eye          5.03          NA            NA         3.47          3.55        0.22          NA            NA         8.72          8.80         090
                                    wound.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69912]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
65275.......  ........  A          Repair of eye          6.14        6.46          6.35         4.04          3.97        0.26       12.86         12.75        10.44         10.37         090
                                    wound.
65280.......  ........  A          Repair of eye          8.87          NA            NA         6.10          6.20        0.38          NA            NA        15.35         15.45         090
                                    wound.
65285.......  ........  A          Repair of eye         14.43          NA            NA         8.83          9.12        0.64          NA            NA        23.90         24.19         090
                                    wound.
65286.......  ........  A          Repair of eye          6.45        8.98         10.60         4.59          4.61        0.27       15.70         17.32        11.31         11.33         090
                                    wound.
65290.......  ........  A          Repair of eye          6.35          NA            NA         4.61          4.71        0.31          NA            NA        11.27         11.37         090
                                    socket wound.
65400.......  ........  A          Removal of eye         7.27        7.71          8.18         6.09          6.11        0.30       15.28         15.75        13.66         13.68         090
                                    lesion.
65410.......  ........  A          Biopsy of cornea       1.47        1.72          2.01         0.90          0.95        0.07        3.26          3.55         2.44          2.49         000
65420.......  ........  A          Removal of eye         4.24        7.04          8.40         4.10          4.36        0.21       11.49         12.85         8.55          8.81         090
                                    lesion.
65426.......  ........  A          Removal of eye         5.93        8.43          9.74         4.76          4.88        0.25       14.61         15.92        10.94         11.06         090
                                    lesion.
65430.......  ........  A          Corneal smear...       1.47        1.13          1.25         0.90          0.96        0.07        2.67          2.79         2.44          2.50         000
65435.......  ........  A          Curette/treat          0.92        0.89          0.97         0.68          0.70        0.04        1.85          1.93         1.64          1.66         000
                                    cornea.
65436.......  ........  A          Curette/treat          4.72        3.92          4.05         3.58          3.65        0.21        8.85          8.98         8.51          8.58         090
                                    cornea.
65450.......  ........  A          Treatment of           3.35        3.79          4.00         3.71          3.88        0.16        7.30          7.51         7.22          7.39         090
                                    corneal lesion.
65600.......  ........  A          Revision of            4.07        4.60          4.91         3.54          3.40        0.17        8.84          9.15         7.78          7.64         090
                                    cornea.
65710.......  ........  A          Corneal               14.09          NA            NA        10.60         11.05        0.61          NA            NA        25.30         25.75         090
                                    transplant.
65730.......  ........  A          Corneal               15.99          NA            NA        11.41         11.87        0.70          NA            NA        28.10         28.56         090
                                    transplant.
65750.......  ........  A          Corneal               16.60          NA            NA        11.13         11.76        0.74          NA            NA        28.47         29.10         090
                                    transplant.
65755.......  ........  A          Corneal               16.49          NA            NA        11.10         11.69        0.73          NA            NA        28.32         28.91         090
                                    transplant.
65760.......  ........  N          Revision of            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cornea.
65765.......  ........  N          Revision of            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cornea.
65767.......  ........  N          Corneal tissue         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transplant.
65770.......  ........  A          Revise cornea         19.41          NA            NA        12.24         12.96        0.87          NA            NA        32.52         33.24         090
                                    with implant.
65771.......  ........  N          Radial                 0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    keratotomy.
65772.......  ........  A          Correction of          4.96        5.02          5.40         4.08          4.12        0.21       10.19         10.57         9.25          9.29         090
                                    astigmatism.
65775.......  ........  A          Correction of          6.73          NA            NA         5.52          5.84        0.28          NA            NA        12.53         12.85         090
                                    astigmatism.
65780.......  ........  A          Ocular reconst,       10.43          NA            NA         9.29         10.04        0.44          NA            NA        20.16         20.91         090
                                    transplant.
65781.......  ........  A          Ocular reconst,       17.84          NA            NA        12.11         13.28        0.44          NA            NA        30.39         31.56         090
                                    transplant.
65782.......  ........  A          Ocular reconst,       15.16          NA            NA        10.67         11.66        0.44          NA            NA        26.27         27.26         090
                                    transplant.
65800.......  ........  A          Drainage of eye.       1.91        1.46          1.71         1.08          1.16        0.09        3.46          3.71         3.08          3.16         000
65805.......  ........  A          Drainage of eye.       1.91        1.77          2.07         1.08          1.16        0.09        3.77          4.07         3.08          3.16         000
65810.......  ........  A          Drainage of eye.       5.67          NA            NA         4.87          4.74        0.24          NA            NA        10.78         10.65         090
65815.......  ........  A          Drainage of eye.       5.85        8.15          9.54         4.76          4.80        0.25       14.25         15.64        10.86         10.90         090
65820.......  ........  A          Relieve inner          8.72          NA            NA         7.94          8.77        0.40          NA            NA        17.06         17.89         090
                                    eye pressure.
65850.......  ........  A          Incision of eye.      11.24          NA            NA         7.65          8.24        0.52          NA            NA        19.41         20.00         090
65855.......  ........  A          Laser surgery of       3.90        3.63          4.14         2.75          3.01        0.19        7.72          8.23         6.84          7.10         010
                                    eye.
65860.......  ........  A          Incise inner eye       3.56        3.38          3.88         2.18          2.42        0.18        7.12          7.62         5.92          6.16         090
                                    adhesions.
65865.......  ........  A          Incise inner eye       5.66          NA            NA         4.88          5.44        0.28          NA            NA        10.82         11.38         090
                                    adhesions.
65870.......  ........  A          Incise inner eye       7.21          NA            NA         5.94          6.29        0.31          NA            NA        13.46         13.81         090
                                    adhesions.
65875.......  ........  A          Incise inner eye       7.61          NA            NA         6.39          6.69        0.32          NA            NA        14.32         14.62         090
                                    adhesions.
65880.......  ........  A          Incise inner eye       8.16          NA            NA         6.61          6.93        0.35          NA            NA        15.12         15.44         090
                                    adhesions.
65900.......  ........  A          Remove eye            12.26          NA            NA         9.25         10.00        0.54          NA            NA        22.05         22.80         090
                                    lesion.
65920.......  ........  A          Remove implant         9.74          NA            NA         7.80          8.08        0.41          NA            NA        17.95         18.23         090
                                    of eye.
65930.......  ........  A          Remove blood           8.24          NA            NA         6.04          6.63        0.37          NA            NA        14.65         15.24         090
                                    clot from eye.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69913]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
66020.......  ........  A          Injection              1.61        2.49          2.96         1.33          1.41        0.08        4.18          4.65         3.02          3.10         010
                                    treatment of
                                    eye.
66030.......  ........  A          Injection              1.27        2.36          2.81         1.19          1.26        0.06        3.69          4.14         2.52          2.59         010
                                    treatment of
                                    eye.
66130.......  ........  A          Remove eye             7.74        7.79          9.16         5.11          5.49        0.38       15.91         17.28        13.23         13.61         090
                                    lesion.
66150.......  ........  A          Glaucoma surgery      10.18          NA            NA         9.13          9.33        0.46          NA            NA        19.77         19.97         090
66155.......  ........  A          Glaucoma surgery      10.17          NA            NA         9.11          9.29        0.41          NA            NA        19.69         19.87         090
66160.......  ........  A          Glaucoma surgery      12.04          NA            NA         9.88         10.11        0.50          NA            NA        22.42         22.65         090
66165.......  ........  A          Glaucoma surgery       9.89          NA            NA         9.06          9.20        0.40          NA            NA        19.35         19.49         090
66170.......  ........  A          Glaucoma surgery      14.57          NA            NA        12.02         12.17        0.60          NA            NA        27.19         27.34         090
66172.......  ........  A          Incision of eye.      18.26          NA            NA        15.25         15.21        0.74          NA            NA        34.25         34.21         090
66180.......  ........  A          Implant eye           16.02          NA            NA        10.18         10.62        0.71          NA            NA        26.91         27.35         090
                                    shunt.
66185.......  ........  A          Revise eye shunt       9.35          NA            NA         7.35          7.37        0.40          NA            NA        17.10         17.12         090
66220.......  ........  A          Repair eye             8.98          NA            NA         7.28          7.15        0.40          NA            NA        16.66         16.53         090
                                    lesion.
66225.......  ........  A          Repair/graft eye      12.38          NA            NA         8.51          8.68        0.55          NA            NA        21.44         21.61         090
                                    lesion.
66250.......  ........  A          Follow-up              6.92        9.53         11.15         5.48          5.48        0.30       16.75         18.37        12.70         12.70         090
                                    surgery of eye.
66500.......  ........  A          Incision of iris       3.75          NA            NA         4.09          4.50        0.18          NA            NA         8.02          8.43         090
66505.......  ........  A          Incision of iris       4.13          NA            NA         4.46          4.86        0.20          NA            NA         8.79          9.19         090
66600.......  ........  A          Remove iris and        9.89          NA            NA         8.62          8.32        0.43          NA            NA        18.94         18.64         090
                                    lesion.
66605.......  ........  A          Removal of iris.      13.99          NA            NA         9.51          9.89        0.77          NA            NA        24.27         24.65         090
66625.......  ........  A          Removal of iris.       5.19          NA            NA         4.38          4.64        0.26          NA            NA         9.83         10.09         090
66630.......  ........  A          Removal of iris.       7.10          NA            NA         5.58          5.68        0.31          NA            NA        12.99         13.09         090
66635.......  ........  A          Removal of iris.       7.19          NA            NA         5.61          5.71        0.31          NA            NA        13.11         13.21         090
66680.......  ........  A          Repair iris &          6.24          NA            NA         5.27          5.27        0.27          NA            NA        11.78         11.78         090
                                    ciliary body.
66682.......  ........  A          Repair iris &          7.15          NA            NA         6.97          6.70        0.31          NA            NA        14.43         14.16         090
                                    ciliary body.
66700.......  ........  A          Destruction,           5.06        4.98          5.18         3.77          3.89        0.24       10.28         10.48         9.07          9.19         090
                                    ciliary body.
66710.......  ........  A          Ciliary                5.06        4.76          5.07         3.74          3.82        0.23       10.05         10.36         9.03          9.11         090
                                    transsleral
                                    therapy.
66711.......  ........  A          Ciliary                7.70          NA            NA         6.56          6.49        0.30          NA            NA        14.56         14.49         090
                                    endoscopic
                                    ablation.
66720.......  ........  A          Destruction,           4.86        5.50          5.72         4.44          4.65        0.26       10.62         10.84         9.56          9.77         090
                                    ciliary body.
66740.......  ........  A          Destruction,           5.06        4.70          4.99         3.77          3.92        0.23        9.99         10.28         9.06          9.21         090
                                    ciliary body.
66761.......  ........  A          Revision of iris       4.87        5.20          5.49         4.36          4.32        0.20       10.27         10.56         9.43          9.39         090
66762.......  ........  A          Revision of iris       5.25        5.29          5.56         4.24          4.28        0.23       10.77         11.04         9.72          9.76         090
66770.......  ........  A          Removal of inner       5.98        5.75          6.00         4.79          4.80        0.26       11.99         12.24        11.03         11.04         090
                                    eye lesion.
66820.......  ........  A          Incision,              3.93          NA            NA         4.78          5.55        0.19          NA            NA         8.90          9.67         090
                                    secondary
                                    cataract.
66821.......  ........  A          After cataract         3.32        3.94          4.05         3.53          3.60        0.11        7.37          7.48         6.96          7.03         090
                                    laser surgery.
66825.......  ........  A          Reposition             8.82          NA            NA         8.07          8.81        0.40          NA            NA        17.29         18.03         090
                                    intraocular
                                    lens.
66830.......  ........  A          Removal of lens        9.27          NA            NA         6.65          6.88        0.36          NA            NA        16.28         16.51         090
                                    lesion.
66840.......  ........  A          Removal of lens        8.98          NA            NA         6.59          6.79        0.39          NA            NA        15.96         16.16         090
                                    material.
66850.......  ........  A          Removal of lens       10.32          NA            NA         7.40          7.58        0.45          NA            NA        18.17         18.35         090
                                    material.
66852.......  ........  A          Removal of lens       11.18          NA            NA         7.74          8.01        0.49          NA            NA        19.41         19.68         090
                                    material.
66920.......  ........  A          Extraction of          9.93          NA            NA         6.95          7.21        0.44          NA            NA        17.32         17.58         090
                                    lens.
66930.......  ........  A          Extraction of         11.38          NA            NA         7.82          8.06        0.49          NA            NA        19.69         19.93         090
                                    lens.
66940.......  ........  A          Extraction of         10.14          NA            NA         7.34          7.54        0.43          NA            NA        17.91         18.11         090
                                    lens.
66982.......  ........  A          Cataract              14.83          NA            NA         9.40          9.75        0.63          NA            NA        24.86         25.21         090
                                    surgery,
                                    complex.
66983.......  ........  A          Cataract surg w/      10.20          NA            NA         6.37          6.18        0.14          NA            NA        16.71         16.52         090
                                    iol, 1 stage.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69914]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
66984.......  ........  A          Cataract surg w/      10.36          NA            NA         6.70          7.24        0.39          NA            NA        17.45         17.99         090
                                    iol, 1 stage.
66985.......  ........  A          Insert lens            9.73          NA            NA         7.41          7.44        0.36          NA            NA        17.50         17.53         090
                                    prosthesis.
66986.......  ........  A          Exchange lens         12.26          NA            NA         8.44          8.99        0.60          NA            NA        21.30         21.85         090
                                    prosthesis.
66990.......  ........  A          Ophthalmic             1.51          NA            NA         0.58          0.66        0.07          NA            NA         2.16          2.24         ZZZ
                                    endoscope add-
                                    on.
66999.......  ........  C          Eye surgery            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
67005.......  ........  A          Partial removal        5.77          NA            NA         4.77          4.84        0.28          NA            NA        10.82         10.89         090
                                    of eye fluid.
67010.......  ........  A          Partial removal        6.94          NA            NA         5.22          5.36        0.34          NA            NA        12.50         12.64         090
                                    of eye fluid.
67015.......  ........  A          Release of eye         7.00          NA            NA         5.94          6.32        0.34          NA            NA        13.28         13.66         090
                                    fluid.
67025.......  ........  A          Replace eye            7.91        8.15          8.95         6.17          6.21        0.34       16.40         17.20        14.42         14.46         090
                                    fluid.
67027.......  ........  A          Implant eye drug      11.43          NA            NA         7.71          7.93        0.54          NA            NA        19.68         19.90         090
                                    system.
67028.......  ........  A          Injection eye          2.52        2.24          2.59         1.31          1.42        0.12        4.88          5.23         3.95          4.06         000
                                    drug.
67030.......  ........  A          Incise inner eye       5.91          NA            NA         5.81          5.84        0.24          NA            NA        11.96         11.99         090
                                    strands.
67031.......  ........  A          Laser surgery,         4.34        4.24          4.51         3.56          3.62        0.18        8.76          9.03         8.08          8.14         090
                                    eye strands.
67036.......  ........  A          Removal of inner      13.09          NA            NA         8.46          8.96        0.58          NA            NA        22.13         22.63         090
                                    eye fluid.
67038.......  ........  A          Strip retinal         23.30          NA            NA        14.16         15.16        1.04          NA            NA        38.50         39.50         090
                                    membrane.
67039.......  ........  A          Laser treatment       16.39          NA            NA        11.22         11.94        0.71          NA            NA        28.32         29.04         090
                                    of retina.
67040.......  ........  A          Laser treatment       19.23          NA            NA        12.61         13.41        0.85          NA            NA        32.69         33.49         090
                                    of retina.
67101.......  ........  A          Repair detached        8.60        8.80          9.04         6.45          6.51        0.37       17.77         18.01        15.42         15.48         090
                                    retina.
67105.......  ........  A          Repair detached        8.35        7.70          7.99         6.05          6.13        0.37       16.42         16.71        14.77         14.85         090
                                    retina.
67107.......  ........  A          Repair detached       16.35          NA            NA        10.86         11.19        0.73          NA            NA        27.94         28.27         090
                                    retina.
67108.......  ........  A          Repair detached       22.49          NA            NA        13.62         14.22        1.02          NA            NA        37.13         37.73         090
                                    retina.
67110.......  ........  A          Repair detached       10.02        9.28          9.99         7.29          7.37        0.44       19.74         20.45        17.75         17.83         090
                                    retina.
67112.......  ........  A          Rerepair              18.45          NA            NA        11.42         11.71        0.83          NA            NA        30.70         30.99         090
                                    detached retina.
67115.......  ........  A          Release                5.93          NA            NA         5.11          5.09        0.25          NA            NA        11.29         11.27         090
                                    encircling
                                    material.
67120.......  ........  A          Remove eye             6.92        7.61          8.34         5.50          5.52        0.29       14.82         15.55        12.71         12.73         090
                                    implant
                                    material.
67121.......  ........  A          Remove eye            12.00          NA            NA         8.35          8.49        0.53          NA            NA        20.88         21.02         090
                                    implant
                                    material.
67141.......  ........  A          Treatment of           6.00        5.63          5.80         4.86          4.86        0.26       11.89         12.06        11.12         11.12         090
                                    retina.
67145.......  ........  A          Treatment of           6.17        5.55          5.68         4.92          4.93        0.27       11.99         12.12        11.36         11.37         090
                                    retina.
67208.......  ........  A          Treatment of           7.50        5.89          6.06         5.44          5.49        0.33       13.72         13.89        13.27         13.32         090
                                    retinal lesion.
67210.......  ........  A          Treatment of           9.35        6.21          6.48         5.72          5.84        0.44       16.00         16.27        15.51         15.63         090
                                    retinal lesion.
67218.......  ........  A          Treatment of          20.22          NA            NA        11.24         11.92        0.92          NA            NA        32.38         33.06         090
                                    retinal lesion.
67220.......  ........  A          Treatment of          14.19        9.66         10.23         8.58          8.90        0.65       24.50         25.07        23.42         23.74         090
                                    choroid lesion.
67221.......  ........  R          Ocular                 3.45        3.04          4.01         1.47          1.72        0.20        6.69          7.66         5.12          5.37         000
                                    photodynamic
                                    ther.
67225.......  ........  A          Eye photodynamic       0.47        0.24          0.25         0.18          0.20        0.02        0.73          0.74         0.67          0.69         ZZZ
                                    ther add-on.
67227.......  ........  A          Treatment of           7.38        6.24          6.50         5.39          5.49        0.33       13.95         14.21        13.10         13.20         090
                                    retinal lesion.
67228.......  ........  A          Treatment of          13.67       10.36         11.20         8.09          8.43        0.63       24.66         25.50        22.39         22.73         090
                                    retinal lesion.
67250.......  ........  A          Reinforce eye          9.46          NA            NA         7.95          8.87        0.47          NA            NA        17.88         18.80         090
                                    wall.
67255.......  ........  A          Reinforce/graft        9.97          NA            NA         8.78          9.61        0.44          NA            NA        19.19         20.02         090
                                    eye wall.
67299.......  ........  C          Eye surgery            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
67311.......  ........  A          Revise eye             7.59          NA            NA         5.74          5.95        0.37          NA            NA        13.70         13.91         090
                                    muscle.
67312.......  ........  A          Revise two eye         9.48          NA            NA         6.49          6.69        0.43          NA            NA        16.40         16.60         090
                                    muscles.
67314.......  ........  A          Revise eye             8.59          NA            NA         6.44          6.52        0.39          NA            NA        15.42         15.50         090
                                    muscle.
67316.......  ........  A          Revise two eye        10.73          NA            NA         7.26          7.44        0.49          NA            NA        18.48         18.66         090
                                    muscles.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69915]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
67318.......  ........  A          Revise eye             8.92          NA            NA         6.83          6.91        0.41          NA            NA        16.16         16.24         090
                                    muscle(s).
67320.......  ........  A          Revise eye             5.40          NA            NA         2.07          1.98        0.22          NA            NA         7.69          7.60         ZZZ
                                    muscle(s) add-
                                    on.
67331.......  ........  A          Eye surgery            5.13          NA            NA         1.95          1.86        0.21          NA            NA         7.29          7.20         ZZZ
                                    follow-up add-
                                    on.
67332.......  ........  A          Rerevise eye           5.56          NA            NA         2.13          2.05        0.23          NA            NA         7.92          7.84         ZZZ
                                    muscles add-on.
67334.......  ........  A          Revise eye             5.05          NA            NA         1.92          1.82        0.20          NA            NA         7.17          7.07         ZZZ
                                    muscle w/suture.
67335.......  ........  A          Eye suture             2.49          NA            NA         0.95          1.08        0.13          NA            NA         3.57          3.70         ZZZ
                                    during surgery.
67340.......  ........  A          Revise eye             6.00          NA            NA         2.29          2.22        0.25          NA            NA         8.54          8.47         ZZZ
                                    muscle add-on.
67343.......  ........  A          Release eye            8.29          NA            NA         6.32          6.46        0.37          NA            NA        14.98         15.12         090
                                    tissue.
67345.......  ........  A          Destroy nerve of       2.98        2.29          2.51         1.80          1.96        0.17        5.44          5.66         4.95          5.11         010
                                    eye muscle.
67346.......  ........  A          Biopsy, eye            2.87          NA            NA         1.71          1.83        0.15          NA            NA         4.73          4.85         000
                                    muscle.
67399.......  ........  C          Eye muscle             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery
                                    procedure.
67400.......  ........  A          Explore/biopsy        10.97          NA            NA         9.79         10.89        0.56          NA            NA        21.32         22.42         090
                                    eye socket.
67405.......  ........  A          Explore/drain          9.00          NA            NA         8.53          9.46        0.44          NA            NA        17.97         18.90         090
                                    eye socket.
67412.......  ........  A          Explore/treat         10.17          NA            NA         8.87         10.42        0.48          NA            NA        19.52         21.07         090
                                    eye socket.
67413.......  ........  A          Explore/treat         10.09          NA            NA         9.02         10.33        0.50          NA            NA        19.61         20.92         090
                                    eye socket.
67414.......  ........  A          Explr/decompress      17.78          NA            NA        12.12         12.06        0.65          NA            NA        30.55         30.49         090
                                    eye socket.
67415.......  ........  A          Aspiration,            1.76          NA            NA         0.64          0.73        0.09          NA            NA         2.49          2.58         000
                                    orbital
                                    contents.
67420.......  ........  A          Explore/treat         21.62          NA            NA        14.75         16.73        1.15          NA            NA        37.52         39.50         090
                                    eye socket.
67430.......  ........  A          Explore/treat         14.99          NA            NA        12.78         14.36        0.86          NA            NA        28.63         30.21         090
                                    eye socket.
67440.......  ........  A          Explore/drain         14.56          NA            NA        12.23         13.75        0.70          NA            NA        27.49         29.01         090
                                    eye socket.
67445.......  ........  A          Explr/decompress      18.96          NA            NA        12.71         13.61        0.90          NA            NA        32.57         33.47         090
                                    eye socket.
67450.......  ........  A          Explore/biopsy        15.11          NA            NA        12.71         14.20        0.68          NA            NA        28.50         29.99         090
                                    eye socket.
67500.......  ........  A          Inject/treat eye       1.44        0.62          0.66         0.49          0.34        0.05        2.11          2.15         1.98          1.83         000
                                    socket.
67505.......  ........  A          Inject/treat eye       1.27        0.54          0.65         0.41          0.34        0.05        1.86          1.97         1.73          1.66         000
                                    socket.
67515.......  ........  A          Inject/treat eye       1.40        0.82          0.65         0.65          0.45        0.03        2.25          2.08         2.08          1.88         000
                                    socket.
67550.......  ........  A          Insert eye            11.52          NA            NA        10.13         11.01        0.72          NA            NA        22.37         23.25         090
                                    socket implant.
67560.......  ........  A          Revise eye            11.93          NA            NA        10.16         11.07        0.60          NA            NA        22.69         23.60         090
                                    socket implant.
67570.......  ........  A          Decompress optic      14.21          NA            NA        11.42         13.04        0.68          NA            NA        26.31         27.93         090
                                    nerve.
67599.......  ........  C          Orbit surgery          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
67700.......  ........  A          Drainage of            1.37        4.41          5.62         1.22          1.26        0.07        5.85          7.06         2.66          2.70         010
                                    eyelid abscess.
67710.......  ........  A          Incision of            1.04        3.78          4.97         1.12          1.19        0.05        4.87          6.06         2.21          2.28         010
                                    eyelid.
67715.......  ........  A          Incision of            1.24        3.90          5.00         1.20          1.27        0.06        5.20          6.30         2.50          2.57         010
                                    eyelid fold.
67800.......  ........  A          Remove eyelid          1.39        1.44          1.58         0.94          1.02        0.07        2.90          3.04         2.40          2.48         010
                                    lesion.
67801.......  ........  A          Remove eyelid          1.89        1.74          1.91         1.13          1.23        0.09        3.72          3.89         3.11          3.21         010
                                    lesions.
67805.......  ........  A          Remove eyelid          2.24        2.26          2.46         1.48          1.61        0.11        4.61          4.81         3.83          3.96         010
                                    lesions.
67808.......  ........  A          Remove eyelid          4.47          NA            NA         3.74          3.76        0.19          NA            NA         8.40          8.42         090
                                    lesion(s).
67810.......  ........  A          Biopsy of eyelid       1.48        3.96          3.49         0.70          0.69        0.06        5.50          5.03         2.24          2.23         000
67820.......  ........  A          Revise eyelashes       0.71        0.46          0.57         0.46          0.54        0.04        1.21          1.32         1.21          1.29         000
67825.......  ........  A          Revise eyelashes       1.40        1.45          1.66         1.31          1.39        0.07        2.92          3.13         2.78          2.86         010
67830.......  ........  A          Revise eyelashes       1.72        4.09          5.17         1.38          1.47        0.08        5.89          6.97         3.18          3.27         010
67835.......  ........  A          Revise eyelashes       5.61          NA            NA         4.23          4.52        0.28          NA            NA        10.12         10.41         090
67840.......  ........  A          Remove eyelid          2.06        4.00          5.10         1.52          1.62        0.10        6.16          7.26         3.68          3.78         010
                                    lesion.
67850.......  ........  A          Treat eyelid           1.71        3.31          3.36         1.47          1.47        0.07        5.09          5.14         3.25          3.25         010
                                    lesion.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69916]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
67875.......  ........  A          Closure of             1.35        2.44          3.09         0.87          0.92        0.07        3.86          4.51         2.29          2.34         000
                                    eyelid by
                                    suture.
67880.......  ........  A          Revision of            4.47        5.60          6.36         3.71          3.78        0.19       10.26         11.02         8.37          8.44         090
                                    eyelid.
67882.......  ........  A          Revision of            5.87        6.59          7.37         4.66          4.77        0.25       12.71         13.49        10.78         10.89         090
                                    eyelid.
67900.......  ........  A          Repair brow            6.69        7.56          8.69         4.78          5.13        0.38       14.63         15.76        11.85         12.20         090
                                    defect.
67901.......  ........  A          Repair eyelid          7.47        9.29          6.37         5.53          5.43        0.54       17.30         14.38        13.54         13.44         090
                                    defect.
67902.......  ........  A          Repair eyelid          9.68          NA            NA         6.67          5.76        0.60          NA            NA        16.95         16.04         090
                                    defect.
67903.......  ........  A          Repair eyelid          6.42        6.86          8.89         4.54          5.27        0.47       13.75         15.78        11.43         12.16         090
                                    defect.
67904.......  ........  A          Repair eyelid          7.83        8.45          9.34         5.61          5.33        0.41       16.69         17.58        13.85         13.57         090
                                    defect.
67906.......  ........  A          Repair eyelid          6.84          NA            NA         4.69          4.95        0.46          NA            NA        11.99         12.25         090
                                    defect.
67908.......  ........  A          Repair eyelid          5.19        5.74          6.41         4.30          5.08        0.28       11.21         11.88         9.77         10.55         090
                                    defect.
67909.......  ........  A          Revise eyelid          5.46        6.42          7.63         4.37          4.81        0.31       12.19         13.40        10.14         10.58         090
                                    defect.
67911.......  ........  A          Revise eyelid          7.38          NA            NA         5.28          4.91        0.31          NA            NA        12.97         12.60         090
                                    defect.
67912.......  ........  A          Correction             6.23       13.17         17.49         4.80          5.35        0.28       19.68         24.00        11.31         11.86         090
                                    eyelid w/
                                    implant.
67914.......  ........  A          Repair eyelid          3.70        4.89          5.98         2.79          2.99        0.19        8.78          9.87         6.68          6.88         090
                                    defect.
67915.......  ........  A          Repair eyelid          3.21        4.54          5.62         2.59          2.75        0.16        7.91          8.99         5.96          6.12         090
                                    defect.
67916.......  ........  A          Repair eyelid          5.37        6.56          7.68         4.31          4.65        0.28       12.21         13.33         9.96         10.30         090
                                    defect.
67917.......  ........  A          Repair eyelid          6.08        6.95          8.08         4.60          4.95        0.36       13.39         14.52        11.04         11.39         090
                                    defect.
67921.......  ........  A          Repair eyelid          3.42        4.76          5.83         2.67          2.84        0.17        8.35          9.42         6.26          6.43         090
                                    defect.
67922.......  ........  A          Repair eyelid          3.09        4.45          5.55         2.53          2.70        0.15        7.69          8.79         5.77          5.94         090
                                    defect.
67923.......  ........  A          Repair eyelid          5.94        6.66          7.76         4.52          4.86        0.30       12.90         14.00        10.76         11.10         090
                                    defect.
67924.......  ........  A          Repair eyelid          5.84        7.14          8.48         4.25          4.57        0.30       13.28         14.62        10.39         10.71         090
                                    defect.
67930.......  ........  A          Repair eyelid          3.62        4.51          5.41         1.88          2.10        0.19        8.32          9.22         5.69          5.91         010
                                    wound.
67935.......  ........  A          Repair eyelid          6.27        6.99          8.14         3.77          4.25        0.39       13.65         14.80        10.43         10.91         090
                                    wound.
67938.......  ........  A          Remove eyelid          1.35        3.94          5.02         1.27          1.26        0.06        5.35          6.43         2.68          2.67         010
                                    foreign body.
67950.......  ........  A          Revision of            5.88        6.84          8.18         4.53          5.04        0.36       13.08         14.42        10.77         11.28         090
                                    eyelid.
67961.......  ........  A          Revision of            5.75        7.04          8.27         4.49          4.90        0.33       13.12         14.35        10.57         10.98         090
                                    eyelid.
67966.......  ........  A          Revision of            8.83        8.35          8.94         6.01          5.67        0.37       17.55         18.14        15.21         14.87         090
                                    eyelid.
67971.......  ........  A          Reconstruction         9.87          NA            NA         6.49          7.08        0.53          NA            NA        16.89         17.48         090
                                    of eyelid.
67973.......  ........  A          Reconstruction        12.96          NA            NA         8.14          9.02        0.75          NA            NA        21.85         22.73         090
                                    of eyelid.
67974.......  ........  A          Reconstruction        12.93          NA            NA         8.16          8.96        0.75          NA            NA        21.84         22.64         090
                                    of eyelid.
67975.......  ........  A          Reconstruction         9.21          NA            NA         6.25          6.78        0.50          NA            NA        15.96         16.49         090
                                    of eyelid.
67999.......  ........  C          Revision of            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    eyelid.
68020.......  ........  A          Incise/drain           1.39        1.28          1.38         1.10          1.18        0.06        2.73          2.83         2.55          2.63         010
                                    eyelid lining.
68040.......  ........  A          Treatment of           0.85        0.62          0.69         0.37          0.42        0.04        1.51          1.58         1.26          1.31         000
                                    eyelid lesions.
68100.......  ........  A          Biopsy of eyelid       1.35        2.40          3.04         0.89          0.94        0.07        3.82          4.46         2.31          2.36         000
                                    lining.
68110.......  ........  A          Remove eyelid          1.79        3.15          3.86         1.54          1.62        0.09        5.03          5.74         3.42          3.50         010
                                    lining lesion.
68115.......  ........  A          Remove eyelid          2.38        4.44          5.58         1.76          1.87        0.12        6.94          8.08         4.26          4.37         010
                                    lining lesion.
68130.......  ........  A          Remove eyelid          4.99        6.86          8.25         4.20          4.50        0.24       12.09         13.48         9.43          9.73         090
                                    lining lesion.
68135.......  ........  A          Remove eyelid          1.86        1.64          1.77         1.53          1.62        0.09        3.59          3.72         3.48          3.57         010
                                    lining lesion.
68200.......  ........  A          Treat eyelid by        0.49        0.47          0.52         0.30          0.32        0.02        0.98          1.03         0.81          0.83         000
                                    injection.
68320.......  ........  A          Revise/graft           6.44        9.44         10.82         5.52          5.52        0.27       16.15         17.53        12.23         12.23         090
                                    eyelid lining.
68325.......  ........  A          Revise/graft           8.43          NA            NA         6.23          6.46        0.44          NA            NA        15.10         15.33         090
                                    eyelid lining.
68326.......  ........  A          Revise/graft           8.22          NA            NA         6.18          6.35        0.35          NA            NA        14.75         14.92         090
                                    eyelid lining.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69917]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
68328.......  ........  A          Revise/graft           9.25          NA            NA         6.74          7.15        0.54          NA            NA        16.53         16.94         090
                                    eyelid lining.
68330.......  ........  A          Revise eyelid          5.63        7.65          8.97         4.64          4.70        0.24       13.52         14.84        10.51         10.57         090
                                    lining.
68335.......  ........  A          Revise/graft           8.26          NA            NA         6.20          6.34        0.36          NA            NA        14.82         14.96         090
                                    eyelid lining.
68340.......  ........  A          Separate eyelid        4.84        7.08          8.42         4.02          4.08        0.21       12.13         13.47         9.07          9.13         090
                                    adhesions.
68360.......  ........  A          Revise eyelid          5.04        6.62          7.69         4.11          4.16        0.22       11.88         12.95         9.37          9.42         090
                                    lining.
68362.......  ........  A          Revise eyelid          8.41          NA            NA         6.24          6.36        0.36          NA            NA        15.01         15.13         090
                                    lining.
68371.......  ........  A          Harvest eye            4.97          NA            NA         4.23          4.61        0.44          NA            NA         9.64         10.02         010
                                    tissue,
                                    alograft.
68399.......  ........  C          Eyelid lining          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery.
68400.......  ........  A          Incise/drain           1.71        4.42          5.53         1.24          1.68        0.08        6.21          7.32         3.03          3.47         010
                                    tear gland.
68420.......  ........  A          Incise/drain           2.32        4.69          5.82         1.48          1.95        0.11        7.12          8.25         3.91          4.38         010
                                    tear sac.
68440.......  ........  A          Incise tear duct       0.96        1.28          1.88         1.22          1.26        0.05        2.29          2.89         2.23          2.27         010
                                    opening.
68500.......  ........  A          Removal of tear       12.49          NA            NA         9.07          9.57        0.55          NA            NA        22.11         22.61         090
                                    gland.
68505.......  ........  A          Partial removal,      12.41          NA            NA         9.21         10.29        0.55          NA            NA        22.17         23.25         090
                                    tear gland.
68510.......  ........  A          Biopsy of tear         4.60        5.38          6.84         2.14          2.10        0.23       10.21         11.67         6.97          6.93         000
                                    gland.
68520.......  ........  A          Removal of tear        8.58          NA            NA         6.74          7.25        0.37          NA            NA        15.69         16.20         090
                                    sac.
68525.......  ........  A          Biopsy of tear         4.42          NA            NA         1.68          1.94        0.22          NA            NA         6.32          6.58         000
                                    sac.
68530.......  ........  A          Clearance of           3.67        5.74          7.56         2.17          2.52        0.18        9.59         11.41         6.02          6.37         010
                                    tear duct.
68540.......  ........  A          Remove tear           11.93          NA            NA         8.81          9.25        0.52          NA            NA        21.26         21.70         090
                                    gland lesion.
68550.......  ........  A          Remove tear           14.86          NA            NA        10.64         11.17        0.80          NA            NA        26.30         26.83         090
                                    gland lesion.
68700.......  ........  A          Repair tear            7.67          NA            NA         5.81          5.94        0.32          NA            NA        13.80         13.93         090
                                    ducts.
68705.......  ........  A          Revise tear duct       2.08        3.12          3.91         1.65          1.76        0.10        5.30          6.09         3.83          3.94         010
                                    opening.
68720.......  ........  A          Create tear sac        9.78          NA            NA         7.18          7.69        0.44          NA            NA        17.40         17.91         090
                                    drain.
68745.......  ........  A          Create tear duct       9.70          NA            NA         7.54          7.78        0.52          NA            NA        17.76         18.00         090
                                    drain.
68750.......  ........  A          Create tear duct       9.87          NA            NA         7.72          8.13        0.43          NA            NA        18.02         18.43         090
                                    drain.
68760.......  ........  A          Close tear duct        1.75        2.66          3.32         1.51          1.60        0.09        4.50          5.16         3.35          3.44         010
                                    opening.
68761.......  ........  A          Close tear duct        1.38        1.88          2.17         1.29          1.31        0.06        3.32          3.61         2.73          2.75         010
                                    opening.
68770.......  ........  A          Close tear             8.09          NA            NA         5.95          3.87        0.35          NA            NA        14.39         12.31         090
                                    system fistula.
68801.......  ........  A          Dilate tear duct       0.96        1.82          1.91         1.46          1.48        0.05        2.83          2.92         2.47          2.49         010
                                    opening.
68810.......  ........  A          Probe                  2.63        3.50          3.62         2.78          2.70        0.10        6.23          6.35         5.51          5.43         010
                                    nasolacrimal
                                    duct.
68811.......  ........  A          Probe                  2.39          NA            NA         2.19          2.36        0.13          NA            NA         4.71          4.88         010
                                    nasolacrimal
                                    duct.
68815.......  ........  A          Probe                  3.24        6.56          7.82         2.52          2.74        0.17        9.97         11.23         5.93          6.15         010
                                    nasolacrimal
                                    duct.
68840.......  ........  A          Explore/irrigate       1.27        1.56          1.59         1.33          1.17        0.06        2.89          2.92         2.66          2.50         010
                                    tear ducts.
68850.......  ........  A          Injection for          0.80        0.69          0.83         0.57          0.65        0.04        1.53          1.67         1.41          1.49         000
                                    tear sac x-ray.
68899.......  ........  C          Tear duct system       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery.
69000.......  ........  A          Drain external         1.47        2.71          2.84         1.26          1.34        0.12        4.30          4.43         2.85          2.93         010
                                    ear lesion.
69005.......  ........  A          Drain external         2.13        2.76          2.89         1.48          1.74        0.17        5.06          5.19         3.78          4.04         010
                                    ear lesion.
69020.......  ........  A          Drain outer ear        1.50        3.85          3.96         1.78          1.99        0.12        5.47          5.58         3.40          3.61         010
                                    canal lesion.
69090.......  ........  N          Pierce earlobes.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
69100.......  ........  A          Biopsy of              0.81        1.86          1.75         0.41          0.40        0.03        2.70          2.59         1.25          1.24         000
                                    external ear.
69105.......  ........  A          Biopsy of              0.85        2.49          2.38         0.66          0.74        0.07        3.41          3.30         1.58          1.66         000
                                    external ear
                                    canal.
69110.......  ........  A          Remove external        3.47        7.62          6.96         4.32          4.43        0.30       11.39         10.73         8.09          8.20         090
                                    ear, partial.
69120.......  ........  A          Removal of             4.08          NA            NA         5.11          5.91        0.38          NA            NA         9.57         10.37         090
                                    external ear.
69140.......  ........  A          Remove ear canal       8.03          NA            NA        12.39         13.06        0.65          NA            NA        21.07         21.74         090
                                    lesion(s).
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69918]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
69145.......  ........  A          Remove ear canal       2.65        6.55          5.97         3.13          3.26        0.21        9.41          8.83         5.99          6.12         090
                                    lesion(s).
69150.......  ........  A          Extensive ear         13.49          NA            NA        10.66         12.72        1.22          NA            NA        25.37         27.43         090
                                    canal surgery.
69155.......  ........  A          Extensive ear/        23.06          NA            NA        15.03         18.41        1.93          NA            NA        40.02         43.40         090
                                    neck surgery.
69200.......  ........  A          Clear outer ear        0.77        2.03          2.29         0.57          0.56        0.06        2.86          3.12         1.40          1.39         000
                                    canal.
69205.......  ........  A          Clear outer ear        1.20          NA            NA         1.15          1.31        0.10          NA            NA         2.45          2.61         010
                                    canal.
69210.......  ........  A          Remove impacted        0.61        0.56          0.61         0.16          0.21        0.05        1.22          1.27         0.82          0.87         000
                                    ear wax.
69220.......  ........  A          Clean out              0.83        2.38          2.37         0.62          0.70        0.07        3.28          3.27         1.52          1.60         000
                                    mastoid cavity.
69222.......  ........  A          Clean out              1.42        3.68          3.81         1.75          1.98        0.12        5.22          5.35         3.29          3.52         010
                                    mastoid cavity.
69300.......  ........  R          Revise external        6.69        9.77          5.61         4.69          4.34        0.72       17.18         13.02        12.10         11.75         YYY
                                    ear.
69310.......  ........  A          Rebuild outer         10.85          NA            NA        14.30         15.79        0.85          NA            NA        26.00         27.49         090
                                    ear canal.
69320.......  ........  A          Rebuild outer         17.03          NA            NA        18.32         20.96        1.37          NA            NA        36.72         39.36         090
                                    ear canal.
69399.......  ........  C          Outer ear              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery
                                    procedure.
69400.......  ........  A          Inflate middle         0.83        2.61          2.27         0.62          0.66        0.07        3.51          3.17         1.52          1.56         000
                                    ear canal.
69401.......  ........  A          Inflate middle         0.63        1.47          1.30         0.56          0.63        0.05        2.15          1.98         1.24          1.31         000
                                    ear canal.
69405.......  ........  A          Catheterize            2.65        3.41          3.48         1.81          2.19        0.21        6.27          6.34         4.67          5.05         010
                                    middle ear
                                    canal.
69420.......  ........  A          Incision of            1.35        3.06          3.13         1.43          1.55        0.11        4.52          4.59         2.89          3.01         010
                                    eardrum.
69421.......  ........  A          Incision of            1.75          NA            NA         1.70          2.05        0.15          NA            NA         3.60          3.95         010
                                    eardrum.
69424.......  ........  A          Remove                 0.85        2.18          2.18         0.62          0.67        0.07        3.10          3.10         1.54          1.59         000
                                    ventilating
                                    tube.
69433.......  ........  A          Create eardrum         1.54        3.07          3.09         1.47          1.60        0.13        4.74          4.76         3.14          3.27         010
                                    opening.
69436.......  ........  A          Create eardrum         1.98          NA            NA         1.74          2.15        0.19          NA            NA         3.91          4.32         010
                                    opening.
69440.......  ........  A          Exploration of         7.62          NA            NA         8.39          8.68        0.61          NA            NA        16.62         16.91         090
                                    middle ear.
69450.......  ........  A          Eardrum revision       5.61          NA            NA         7.03          7.03        0.45          NA            NA        13.09         13.09         090
69501.......  ........  A          Mastoidectomy...       9.12          NA            NA         7.90          8.73        0.73          NA            NA        17.75         18.58         090
69502.......  ........  A          Mastoidectomy...      12.44          NA            NA        10.15         11.23        1.00          NA            NA        23.59         24.67         090
69505.......  ........  A          Remove mastoid        13.05          NA            NA        14.94         16.63        1.05          NA            NA        29.04         30.73         090
                                    structures.
69511.......  ........  A          Extensive             13.58          NA            NA        15.02         16.86        1.09          NA            NA        29.69         31.53         090
                                    mastoid surgery.
69530.......  ........  A          Extensive             20.24          NA            NA        18.19         20.77        1.54          NA            NA        39.97         42.55         090
                                    mastoid surgery.
69535.......  ........  A          Remove part of        37.27          NA            NA        24.53         30.10        2.93          NA            NA        64.73         70.30         090
                                    temporal bone.
69540.......  ........  A          Remove ear             1.22        3.63          3.71         1.72          1.91        0.10        4.95          5.03         3.04          3.23         010
                                    lesion.
69550.......  ........  A          Remove ear            11.04          NA            NA        13.17         14.44        0.89          NA            NA        25.10         26.37         090
                                    lesion.
69552.......  ........  A          Remove ear            19.69          NA            NA        16.74         19.69        1.59          NA            NA        38.02         40.97         090
                                    lesion.
69554.......  ........  A          Remove ear            35.71          NA            NA        22.78         28.44        2.92          NA            NA        61.41         67.07         090
                                    lesion.
69601.......  ........  A          Mastoid surgery       13.31          NA            NA        10.98         12.25        1.07          NA            NA        25.36         26.63         090
                                    revision.
69602.......  ........  A          Mastoid surgery       13.64          NA            NA        11.71         12.85        1.10          NA            NA        26.45         27.59         090
                                    revision.
69603.......  ........  A          Mastoid surgery       14.08          NA            NA        15.18         17.57        1.14          NA            NA        30.40         32.79         090
                                    revision.
69604.......  ........  A          Mastoid surgery       14.08          NA            NA        11.82         13.22        1.14          NA            NA        27.04         28.44         090
                                    revision.
69605.......  ........  A          Mastoid surgery       18.55          NA            NA        17.69         20.14        1.50          NA            NA        37.74         40.19         090
                                    revision.
69610.......  ........  A          Repair of              4.44        4.52          5.29         2.35          3.04        0.36        9.32         10.09         7.15          7.84         010
                                    eardrum.
69620.......  ........  A          Repair of              5.94       10.10         10.87         5.36          6.06        0.48       16.52         17.29        11.78         12.48         090
                                    eardrum.
69631.......  ........  A          Repair eardrum         9.93          NA            NA        10.61         11.05        0.80          NA            NA        21.34         21.78         090
                                    structures.
69632.......  ........  A          Rebuild eardrum       12.82          NA            NA        12.22         13.16        1.03          NA            NA        26.07         27.01         090
                                    structures.
69633.......  ........  A          Rebuild eardrum       12.17          NA            NA        12.04         12.80        0.98          NA            NA        25.19         25.95         090
                                    structures.
69635.......  ........  A          Repair eardrum        13.39          NA            NA        14.97         16.30        1.08          NA            NA        29.44         30.77         090
                                    structures.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69919]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
69636.......  ........  A          Rebuild eardrum       15.29          NA            NA        16.76         18.67        1.23          NA            NA        33.28         35.19         090
                                    structures.
69637.......  ........  A          Rebuild eardrum       15.18          NA            NA        16.73         18.60        1.22          NA            NA        33.13         35.00         090
                                    structures.
69641.......  ........  A          Revise middle         12.77          NA            NA        11.45         12.45        1.03          NA            NA        25.25         26.25         090
                                    ear & mastoid.
69642.......  ........  A          Revise middle         16.91          NA            NA        14.23         15.77        1.36          NA            NA        32.50         34.04         090
                                    ear & mastoid.
69643.......  ........  A          Revise middle         15.45          NA            NA        12.98         14.36        1.24          NA            NA        29.67         31.05         090
                                    ear & mastoid.
69644.......  ........  A          Revise middle         17.09          NA            NA        17.27         19.62        1.37          NA            NA        35.73         38.08         090
                                    ear & mastoid.
69645.......  ........  A          Revise middle         16.57          NA            NA        17.17         19.31        1.33          NA            NA        35.07         37.21         090
                                    ear & mastoid.
69646.......  ........  A          Revise middle         18.23          NA            NA        17.60         19.97        1.46          NA            NA        37.29         39.66         090
                                    ear & mastoid.
69650.......  ........  A          Release middle         9.71          NA            NA         8.74          9.62        0.78          NA            NA        19.23         20.11         090
                                    ear bone.
69660.......  ........  A          Revise middle         11.94          NA            NA         9.64         10.80        0.96          NA            NA        22.54         23.70         090
                                    ear bone.
69661.......  ........  A          Revise middle         15.80          NA            NA        12.34         14.11        1.27          NA            NA        29.41         31.18         090
                                    ear bone.
69662.......  ........  A          Revise middle         15.49          NA            NA        11.45         13.18        1.25          NA            NA        28.19         29.92         090
                                    ear bone.
69666.......  ........  A          Repair middle          9.80          NA            NA         9.02          9.73        0.79          NA            NA        19.61         20.32         090
                                    ear structures.
69667.......  ........  A          Repair middle          9.81          NA            NA         8.93          9.72        0.79          NA            NA        19.53         20.32         090
                                    ear structures.
69670.......  ........  A          Remove mastoid        11.62          NA            NA        10.27         11.35        0.93          NA            NA        22.82         23.90         090
                                    air cells.
69676.......  ........  A          Remove middle          9.58          NA            NA         9.74         10.50        0.81          NA            NA        20.13         20.89         090
                                    ear nerve.
69700.......  ........  A          Close mastoid          8.28          NA            NA         7.75          8.87        0.67          NA            NA        16.70         17.82         090
                                    fistula.
69710.......  ........  N          Implant/replace        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    hearing aid.
69711.......  ........  A          Remove/repair         10.50          NA            NA         9.54         10.48        0.83          NA            NA        20.87         21.81         090
                                    hearing aid.
69714.......  ........  A          Implant temple        14.31          NA            NA        10.72         12.18        1.13          NA            NA        26.16         27.62         090
                                    bone w/stimul.
69715.......  ........  A          Temple bne            18.80          NA            NA        12.14         14.31        1.48          NA            NA        32.42         34.59         090
                                    implnt w/
                                    stimulat.
69717.......  ........  A          Temple bone           15.29          NA            NA        11.42         13.71        0.90          NA            NA        27.61         29.90         090
                                    implant
                                    revision.
69718.......  ........  A          Revise temple         19.05          NA            NA        20.38         16.57        3.22          NA            NA        42.65         38.84         090
                                    bone implant.
69720.......  ........  A          Release facial        14.57          NA            NA        12.90         14.12        1.16          NA            NA        28.63         29.85         090
                                    nerve.
69725.......  ........  A          Release facial        27.44          NA            NA        16.59         19.25        2.45          NA            NA        46.48         49.14         090
                                    nerve.
69740.......  ........  A          Repair facial         16.18          NA            NA        11.32         12.89        1.27          NA            NA        28.77         30.34         090
                                    nerve.
69745.......  ........  A          Repair facial         16.91          NA            NA        12.06         14.24        1.14          NA            NA        30.11         32.29         090
                                    nerve.
69799.......  ........  C          Middle ear             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery
                                    procedure.
69801.......  ........  A          Incise inner ear       8.61          NA            NA         8.84          9.31        0.69          NA            NA        18.14         18.61         090
69802.......  ........  A          Incise inner ear      13.39          NA            NA        10.68         11.91        1.06          NA            NA        25.13         26.36         090
69805.......  ........  A          Explore inner         14.55          NA            NA         9.96         11.40        1.12          NA            NA        25.63         27.07         090
                                    ear.
69806.......  ........  A          Explore inner         12.52          NA            NA         9.50         10.66        1.00          NA            NA        23.02         24.18         090
                                    ear.
69820.......  ........  A          Establish inner       10.40          NA            NA         9.91         10.89        0.90          NA            NA        21.21         22.19         090
                                    ear window.
69840.......  ........  A          Revise inner ear      10.32          NA            NA        11.73         12.81        0.79          NA            NA        22.84         23.92         090
                                    window.
69905.......  ........  A          Remove inner ear      11.15          NA            NA        10.20         11.06        0.90          NA            NA        22.25         23.11         090
69910.......  ........  A          Remove inner ear      13.80          NA            NA         9.94         11.43        1.07          NA            NA        24.81         26.30         090
                                    & mastoid.
69915.......  ........  A          Incise inner ear      22.65          NA            NA        13.59         15.74        1.70          NA            NA        37.94         40.09         090
                                    nerve.
69930.......  ........  A          Implant cochlear      17.60          NA            NA        11.99         14.06        1.36          NA            NA        30.95         33.02         090
                                    device.
69949.......  ........  C          Inner ear              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery
                                    procedure.
69950.......  ........  A          Incise inner ear      27.44          NA            NA        15.54         18.06        2.29          NA            NA        45.27         47.79         090
                                    nerve.
69955.......  ........  A          Release facial        29.22          NA            NA        17.57         20.43        2.49          NA            NA        49.28         52.14         090
                                    nerve.
69960.......  ........  A          Release inner         29.22          NA            NA        15.70         18.96        2.18          NA            NA        47.10         50.36         090
                                    ear canal.
69970.......  ........  A          Remove inner ear      32.21          NA            NA        18.08         21.97        2.42          NA            NA        52.71         56.60         090
                                    lesion.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69920]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
69979.......  ........  C          Temporal bone          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    surgery.
69990.......  ........  R          Microsurgery add-      3.46          NA            NA         1.31          1.67        0.89          NA            NA         5.66          6.02         ZZZ
                                    on.
70010.......  ........  A          Contrast x-ray         1.19        2.61          4.20           NA            NA        0.27        4.07          5.66           NA            NA         XXX
                                    of brain.
70010.......  TC......  A          Contrast x-ray         0.00        2.27          3.82           NA            NA        0.22        2.49          4.04           NA            NA         XXX
                                    of brain.
70010.......  26......  A          Contrast x-ray         1.19        0.34          0.38         0.34          0.38        0.05        1.58          1.62         1.58          1.62         XXX
                                    of brain.
70015.......  ........  A          Contrast x-ray         1.19        2.68          1.98           NA            NA        0.16        4.03          3.33           NA            NA         XXX
                                    of brain.
70015.......  TC......  A          Contrast x-ray         0.00        2.33          1.60           NA            NA        0.08        2.41          1.68           NA            NA         XXX
                                    of brain.
70015.......  26......  A          Contrast x-ray         1.19        0.35          0.38         0.35          0.38        0.08        1.62          1.65         1.62          1.65         XXX
                                    of brain.
70030.......  ........  A          X-ray eye for          0.17        0.57          0.51           NA            NA        0.03        0.77          0.71           NA            NA         XXX
                                    foreign body.
70030.......  TC......  A          X-ray eye for          0.00        0.52          0.45           NA            NA        0.02        0.54          0.47           NA            NA         XXX
                                    foreign body.
70030.......  26......  A          X-ray eye for          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    foreign body.
70100.......  ........  A          X-ray exam of          0.18        0.59          0.59           NA            NA        0.03        0.80          0.80           NA            NA         XXX
                                    jaw.
70100.......  TC......  A          X-ray exam of          0.00        0.55          0.53           NA            NA        0.02        0.57          0.55           NA            NA         XXX
                                    jaw.
70100.......  26......  A          X-ray exam of          0.18        0.04          0.06         0.04          0.06        0.01        0.23          0.25         0.23          0.25         XXX
                                    jaw.
70110.......  ........  A          X-ray exam of          0.25        0.75          0.72           NA            NA        0.05        1.05          1.02           NA            NA         XXX
                                    jaw.
70110.......  TC......  A          X-ray exam of          0.00        0.68          0.64           NA            NA        0.04        0.72          0.68           NA            NA         XXX
                                    jaw.
70110.......  26......  A          X-ray exam of          0.25        0.07          0.08         0.07          0.08        0.01        0.33          0.34         0.33          0.34         XXX
                                    jaw.
70120.......  ........  A          X-ray exam of          0.18        0.66          0.68           NA            NA        0.05        0.89          0.91           NA            NA         XXX
                                    mastoids.
70120.......  TC......  A          X-ray exam of          0.00        0.61          0.62           NA            NA        0.04        0.65          0.66           NA            NA         XXX
                                    mastoids.
70120.......  26......  A          X-ray exam of          0.18        0.05          0.06         0.05          0.06        0.01        0.24          0.25         0.24          0.25         XXX
                                    mastoids.
70130.......  ........  A          X-ray exam of          0.34        1.10          0.95           NA            NA        0.07        1.51          1.36           NA            NA         XXX
                                    mastoids.
70130.......  TC......  A          X-ray exam of          0.00        1.00          0.84           NA            NA        0.05        1.05          0.89           NA            NA         XXX
                                    mastoids.
70130.......  26......  A          X-ray exam of          0.34        0.10          0.11         0.10          0.11        0.02        0.46          0.47         0.46          0.47         XXX
                                    mastoids.
70134.......  ........  A          X-ray exam of          0.34        0.88          0.85           NA            NA        0.07        1.29          1.26           NA            NA         XXX
                                    middle ear.
70134.......  TC......  A          X-ray exam of          0.00        0.78          0.74           NA            NA        0.05        0.83          0.79           NA            NA         XXX
                                    middle ear.
70134.......  26......  A          X-ray exam of          0.34        0.10          0.11         0.10          0.11        0.02        0.46          0.47         0.46          0.47         XXX
                                    middle ear.
70140.......  ........  A          X-ray exam of          0.19        0.51          0.64           NA            NA        0.05        0.75          0.88           NA            NA         XXX
                                    facial bones.
70140.......  TC......  A          X-ray exam of          0.00        0.47          0.58           NA            NA        0.04        0.51          0.62           NA            NA         XXX
                                    facial bones.
70140.......  26......  A          X-ray exam of          0.19        0.04          0.06         0.04          0.06        0.01        0.24          0.26         0.24          0.26         XXX
                                    facial bones.
70150.......  ........  A          X-ray exam of          0.26        0.80          0.85           NA            NA        0.06        1.12          1.17           NA            NA         XXX
                                    facial bones.
70150.......  TC......  A          X-ray exam of          0.00        0.73          0.77           NA            NA        0.05        0.78          0.82           NA            NA         XXX
                                    facial bones.
70150.......  26......  A          X-ray exam of          0.26        0.07          0.08         0.07          0.08        0.01        0.34          0.35         0.34          0.35         XXX
                                    facial bones.
70160.......  ........  A          X-ray exam of          0.17        0.65          0.60           NA            NA        0.03        0.85          0.80           NA            NA         XXX
                                    nasal bones.
70160.......  TC......  A          X-ray exam of          0.00        0.61          0.54           NA            NA        0.02        0.63          0.56           NA            NA         XXX
                                    nasal bones.
70160.......  26......  A          X-ray exam of          0.17        0.04          0.06         0.04          0.06        0.01        0.22          0.24         0.22          0.24         XXX
                                    nasal bones.
70170.......  ........  C          X-ray exam of          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    tear duct.
70170.......  TC......  C          X-ray exam of          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    tear duct.
70170.......  26......  A          X-ray exam of          0.30        0.08          0.10         0.08          0.10        0.01        0.39          0.41         0.39          0.41         XXX
                                    tear duct.
70190.......  ........  A          X-ray exam of          0.21        0.68          0.69           NA            NA        0.05        0.94          0.95           NA            NA         XXX
                                    eye sockets.
70190.......  TC......  A          X-ray exam of          0.00        0.62          0.62           NA            NA        0.04        0.66          0.66           NA            NA         XXX
                                    eye sockets.
70190.......  26......  A          X-ray exam of          0.21        0.06          0.07         0.06          0.07        0.01        0.28          0.29         0.28          0.29         XXX
                                    eye sockets.
70200.......  ........  A          X-ray exam of          0.28        0.82          0.86           NA            NA        0.06        1.16          1.20           NA            NA         XXX
                                    eye sockets.
70200.......  TC......  A          X-ray exam of          0.00        0.74          0.77           NA            NA        0.05        0.79          0.82           NA            NA         XXX
                                    eye sockets.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69921]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
70200.......  26......  A          X-ray exam of          0.28        0.08          0.09         0.08          0.09        0.01        0.37          0.38         0.37          0.38         XXX
                                    eye sockets.
70210.......  ........  A          X-ray exam of          0.17        0.55          0.65           NA            NA        0.05        0.77          0.87           NA            NA         XXX
                                    sinuses.
70210.......  TC......  A          X-ray exam of          0.00        0.51          0.59           NA            NA        0.04        0.55          0.63           NA            NA         XXX
                                    sinuses.
70210.......  26......  A          X-ray exam of          0.17        0.04          0.06         0.04          0.06        0.01        0.22          0.24         0.22          0.24         XXX
                                    sinuses.
70220.......  ........  A          X-ray exam of          0.25        0.69          0.82           NA            NA        0.06        1.00          1.13           NA            NA         XXX
                                    sinuses.
70220.......  TC......  A          X-ray exam of          0.00        0.62          0.74           NA            NA        0.05        0.67          0.79           NA            NA         XXX
                                    sinuses.
70220.......  26......  A          X-ray exam of          0.25        0.07          0.08         0.07          0.08        0.01        0.33          0.34         0.33          0.34         XXX
                                    sinuses.
70240.......  ........  A          X-ray exam,            0.19        0.58          0.51           NA            NA        0.03        0.80          0.73           NA            NA         XXX
                                    pituitary
                                    saddle.
70240.......  TC......  A          X-ray exam,            0.00        0.53          0.45           NA            NA        0.02        0.55          0.47           NA            NA         XXX
                                    pituitary
                                    saddle.
70240.......  26......  A          X-ray exam,            0.19        0.05          0.06         0.05          0.06        0.01        0.25          0.26         0.25          0.26         XXX
                                    pituitary
                                    saddle.
70250.......  ........  A          X-ray exam of          0.24        0.66          0.70           NA            NA        0.05        0.95          0.99           NA            NA         XXX
                                    skull.
70250.......  TC......  A          X-ray exam of          0.00        0.60          0.62           NA            NA        0.04        0.64          0.66           NA            NA         XXX
                                    skull.
70250.......  26......  A          X-ray exam of          0.24        0.06          0.08         0.06          0.08        0.01        0.31          0.33         0.31          0.33         XXX
                                    skull.
70260.......  ........  A          X-ray exam of          0.34        0.83          0.96           NA            NA        0.08        1.25          1.38           NA            NA         XXX
                                    skull.
70260.......  TC......  A          X-ray exam of          0.00        0.74          0.85           NA            NA        0.06        0.80          0.91           NA            NA         XXX
                                    skull.
70260.......  26......  A          X-ray exam of          0.34        0.09          0.11         0.09          0.11        0.02        0.45          0.47         0.45          0.47         XXX
                                    skull.
70300.......  ........  A          X-ray exam of          0.10        0.24          0.30           NA            NA        0.03        0.37          0.43           NA            NA         XXX
                                    teeth.
70300.......  TC......  A          X-ray exam of          0.00        0.21          0.25           NA            NA        0.02        0.23          0.27           NA            NA         XXX
                                    teeth.
70300.......  26......  A          X-ray exam of          0.10        0.03          0.05         0.03          0.05        0.01        0.14          0.16         0.14          0.16         XXX
                                    teeth.
70310.......  ........  A          X-ray exam of          0.16        0.82          0.58           NA            NA        0.03        1.01          0.77           NA            NA         XXX
                                    teeth.
70310.......  TC......  A          X-ray exam of          0.00        0.77          0.51           NA            NA        0.02        0.79          0.53           NA            NA         XXX
                                    teeth.
70310.......  26......  A          X-ray exam of          0.16        0.05          0.07         0.05          0.07        0.01        0.22          0.24         0.22          0.24         XXX
                                    teeth.
70320.......  ........  A          Full mouth x-ray       0.22        0.96          0.89           NA            NA        0.06        1.24          1.17           NA            NA         XXX
                                    of teeth.
70320.......  TC......  A          Full mouth x-ray       0.00        0.90          0.81           NA            NA        0.05        0.95          0.86           NA            NA         XXX
                                    of teeth.
70320.......  26......  A          Full mouth x-ray       0.22        0.06          0.08         0.06          0.08        0.01        0.29          0.31         0.29          0.31         XXX
                                    of teeth.
70328.......  ........  A          X-ray exam of          0.18        0.59          0.56           NA            NA        0.03        0.80          0.77           NA            NA         XXX
                                    jaw joint.
70328.......  TC......  A          X-ray exam of          0.00        0.54          0.50           NA            NA        0.02        0.56          0.52           NA            NA         XXX
                                    jaw joint.
70328.......  26......  A          X-ray exam of          0.18        0.05          0.06         0.05          0.06        0.01        0.24          0.25         0.24          0.25         XXX
                                    jaw joint.
70330.......  ........  A          X-ray exam of          0.24        0.96          0.93           NA            NA        0.06        1.26          1.23           NA            NA         XXX
                                    jaw joints.
70330.......  TC......  A          X-ray exam of          0.00        0.89          0.85           NA            NA        0.05        0.94          0.90           NA            NA         XXX
                                    jaw joints.
70330.......  26......  A          X-ray exam of          0.24        0.07          0.08         0.07          0.08        0.01        0.32          0.33         0.32          0.33         XXX
                                    jaw joints.
70332.......  ........  A          X-ray exam of          0.54        1.42          2.08           NA            NA        0.14        2.10          2.76           NA            NA         XXX
                                    jaw joint.
70332.......  TC......  A          X-ray exam of          0.00        1.26          1.89           NA            NA        0.12        1.38          2.01           NA            NA         XXX
                                    jaw joint.
70332.......  26......  A          X-ray exam of          0.54        0.16          0.19         0.16          0.19        0.02        0.72          0.75         0.72          0.75         XXX
                                    jaw joint.
70336.......  ........  A          Magnetic image,        1.48       11.62         11.67           NA            NA        0.66       13.76         13.81           NA            NA         XXX
                                    jaw joint.
70336.......  TC......  A          Magnetic image,        0.00       11.20         11.20           NA            NA        0.59       11.79         11.79           NA            NA         XXX
                                    jaw joint.
70336.......  26......  A          Magnetic image,        1.48        0.42          0.47         0.42          0.47        0.07        1.97          2.02         1.97          2.02         XXX
                                    jaw joint.
70350.......  ........  A          X-ray head for         0.17        0.32          0.42           NA            NA        0.03        0.52          0.62           NA            NA         XXX
                                    orthodontia.
70350.......  TC......  A          X-ray head for         0.00        0.27          0.35           NA            NA        0.02        0.29          0.37           NA            NA         XXX
                                    orthodontia.
70350.......  26......  A          X-ray head for         0.17        0.05          0.07         0.05          0.07        0.01        0.23          0.25         0.23          0.25         XXX
                                    orthodontia.
70355.......  ........  A          Panoramic x-ray        0.20        0.29          0.56           NA            NA        0.05        0.54          0.81           NA            NA         XXX
                                    of jaws.
70355.......  TC......  A          Panoramic x-ray        0.00        0.23          0.49           NA            NA        0.04        0.27          0.53           NA            NA         XXX
                                    of jaws.
70355.......  26......  A          Panoramic x-ray        0.20        0.06          0.07         0.06          0.07        0.01        0.27          0.28         0.27          0.28         XXX
                                    of jaws.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69922]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
70360.......  ........  A          X-ray exam of          0.17        0.53          0.50           NA            NA        0.03        0.73          0.70           NA            NA         XXX
                                    neck.
70360.......  TC......  A          X-ray exam of          0.00        0.48          0.44           NA            NA        0.02        0.50          0.46           NA            NA         XXX
                                    neck.
70360.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    neck.
70370.......  ........  A          Throat x-ray &         0.32        1.59          1.46           NA            NA        0.08        1.99          1.86           NA            NA         XXX
                                    fluoroscopy.
70370.......  TC......  A          Throat x-ray &         0.00        1.50          1.36           NA            NA        0.07        1.57          1.43           NA            NA         XXX
                                    fluoroscopy.
70370.......  26......  A          Throat x-ray &         0.32        0.09          0.10         0.09          0.10        0.01        0.42          0.43         0.42          0.43         XXX
                                    fluoroscopy.
70371.......  ........  A          Speech                 0.84        1.40          2.14           NA            NA        0.16        2.40          3.14           NA            NA         XXX
                                    evaluation,
                                    complex.
70371.......  TC......  A          Speech                 0.00        1.17          1.87           NA            NA        0.12        1.29          1.99           NA            NA         XXX
                                    evaluation,
                                    complex.
70371.......  26......  A          Speech                 0.84        0.23          0.27         0.23          0.27        0.04        1.11          1.15         1.11          1.15         XXX
                                    evaluation,
                                    complex.
70373.......  ........  A          Contrast x-ray         0.44        1.57          1.83           NA            NA        0.13        2.14          2.40           NA            NA         XXX
                                    of larynx.
70373.......  TC......  A          Contrast x-ray         0.00        1.46          1.70           NA            NA        0.11        1.57          1.81           NA            NA         XXX
                                    of larynx.
70373.......  26......  A          Contrast x-ray         0.44        0.11          0.13         0.11          0.13        0.02        0.57          0.59         0.57          0.59         XXX
                                    of larynx.
70380.......  ........  A          X-ray exam of          0.17        0.80          0.75           NA            NA        0.05        1.02          0.97           NA            NA         XXX
                                    salivary gland.
70380.......  TC......  A          X-ray exam of          0.00        0.75          0.69           NA            NA        0.04        0.79          0.73           NA            NA         XXX
                                    salivary gland.
70380.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    salivary gland.
70390.......  ........  A          X-ray exam of          0.38        2.20          1.98           NA            NA        0.13        2.71          2.49           NA            NA         XXX
                                    salivary duct.
70390.......  TC......  A          X-ray exam of          0.00        2.09          1.86           NA            NA        0.11        2.20          1.97           NA            NA         XXX
                                    salivary duct.
70390.......  26......  A          X-ray exam of          0.38        0.11          0.12         0.11          0.12        0.02        0.51          0.52         0.51          0.52         XXX
                                    salivary duct.
70450.......  ........  A          Ct head/brain w/       0.85        4.62          4.91           NA            NA        0.29        5.76          6.05           NA            NA         XXX
                                    o dye.
70450.......  TC......  A          Ct head/brain w/       0.00        4.38          4.64           NA            NA        0.25        4.63          4.89           NA            NA         XXX
                                    o dye.
70450.......  26......  A          Ct head/brain w/       0.85        0.24          0.27         0.24          0.27        0.04        1.13          1.16         1.13          1.16         XXX
                                    o dye.
70460.......  ........  A          Ct head/brain w/       1.13        6.14          6.06           NA            NA        0.35        7.62          7.54           NA            NA         XXX
                                    dye.
70460.......  TC......  A          Ct head/brain w/       0.00        5.82          5.70           NA            NA        0.30        6.12          6.00           NA            NA         XXX
                                    dye.
70460.......  26......  A          Ct head/brain w/       1.13        0.32          0.36         0.32          0.36        0.05        1.50          1.54         1.50          1.54         XXX
                                    dye.
70470.......  ........  A          Ct head/brain w/       1.27        7.48          7.49           NA            NA        0.43        9.18          9.19           NA            NA         XXX
                                    o & w/dye.
70470.......  TC......  A          Ct head/brain w/       0.00        7.12          7.08           NA            NA        0.37        7.49          7.45           NA            NA         XXX
                                    o & w/dye.
70470.......  26......  A          Ct head/brain w/       1.27        0.36          0.41         0.36          0.41        0.06        1.69          1.74         1.69          1.74         XXX
                                    o & w/dye.
70480.......  ........  A          Ct orbit/ear/          1.28        7.99          5.86           NA            NA        0.31        9.58          7.45           NA            NA         XXX
                                    fossa w/o dye.
70480.......  TC......  A          Ct orbit/ear/          0.00        7.63          5.45           NA            NA        0.25        7.88          5.70           NA            NA         XXX
                                    fossa w/o dye.
70480.......  26......  A          Ct orbit/ear/          1.28        0.36          0.41         0.36          0.41        0.06        1.70          1.75         1.70          1.75         XXX
                                    fossa w/o dye.
70481.......  ........  A          Ct orbit/ear/          1.38        9.43          6.95           NA            NA        0.36       11.17          8.69           NA            NA         XXX
                                    fossa w/dye.
70481.......  TC......  A          Ct orbit/ear/          0.00        9.04          6.51           NA            NA        0.30        9.34          6.81           NA            NA         XXX
                                    fossa w/dye.
70481.......  26......  A          Ct orbit/ear/          1.38        0.39          0.44         0.39          0.44        0.06        1.83          1.88         1.83          1.88         XXX
                                    fossa w/dye.
70482.......  ........  A          Ct orbit/ear/          1.45       10.81          8.36           NA            NA        0.43       12.69         10.24           NA            NA         XXX
                                    fossa w/o&w/dye.
70482.......  TC......  A          Ct orbit/ear/          0.00       10.40          7.90           NA            NA        0.37       10.77          8.27           NA            NA         XXX
                                    fossa w/o&w/dye.
70482.......  26......  A          Ct orbit/ear/          1.45        0.41          0.46         0.41          0.46        0.06        1.92          1.97         1.92          1.97         XXX
                                    fossa w/o&w/dye.
70486.......  ........  A          Ct maxillofacial       1.14        6.39          5.42           NA            NA        0.30        7.83          6.86           NA            NA         XXX
                                    w/o dye.
70486.......  TC......  A          Ct maxillofacial       0.00        6.07          5.06           NA            NA        0.25        6.32          5.31           NA            NA         XXX
                                    w/o dye.
70486.......  26......  A          Ct maxillofacial       1.14        0.32          0.36         0.32          0.36        0.05        1.51          1.55         1.51          1.55         XXX
                                    w/o dye.
70487.......  ........  A          Ct maxillofacial       1.30        7.89          6.55           NA            NA        0.36        9.55          8.21           NA            NA         XXX
                                    w/dye.
70487.......  TC......  A          Ct maxillofacial       0.00        7.52          6.13           NA            NA        0.30        7.82          6.43           NA            NA         XXX
                                    w/dye.
70487.......  26......  A          Ct maxillofacial       1.30        0.37          0.42         0.37          0.42        0.06        1.73          1.78         1.73          1.78         XXX
                                    w/dye.
70488.......  ........  A          Ct maxillofacial       1.42        9.81          8.11           NA            NA        0.43       11.66          9.96           NA            NA         XXX
                                    w/o & w/dye.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69923]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
70488.......  TC......  A          Ct maxillofacial       0.00        9.41          7.66           NA            NA        0.37        9.78          8.03           NA            NA         XXX
                                    w/o & w/dye.
70488.......  26......  A          Ct maxillofacial       1.42        0.40          0.45         0.40          0.45        0.06        1.88          1.93         1.88          1.93         XXX
                                    w/o & w/dye.
70490.......  ........  A          Ct soft tissue         1.28        6.12          5.39           NA            NA        0.31        7.71          6.98           NA            NA         XXX
                                    neck w/o dye.
70490.......  TC......  A          Ct soft tissue         0.00        5.75          4.98           NA            NA        0.25        6.00          5.23           NA            NA         XXX
                                    neck w/o dye.
70490.......  26......  A          Ct soft tissue         1.28        0.37          0.41         0.37          0.41        0.06        1.71          1.75         1.71          1.75         XXX
                                    neck w/o dye.
70491.......  ........  A          Ct soft tissue         1.38        7.58          6.48           NA            NA        0.36        9.32          8.22           NA            NA         XXX
                                    neck w/dye.
70491.......  TC......  A          Ct soft tissue         0.00        7.19          6.04           NA            NA        0.30        7.49          6.34           NA            NA         XXX
                                    neck w/dye.
70491.......  26......  A          Ct soft tissue         1.38        0.39          0.44         0.39          0.44        0.06        1.83          1.88         1.83          1.88         XXX
                                    neck w/dye.
70492.......  ........  A          Ct sft tsue nck        1.45        9.50          8.04           NA            NA        0.43       11.38          9.92           NA            NA         XXX
                                    w/o & w/dye.
70492.......  TC......  A          Ct sft tsue nck        0.00        9.09          7.58           NA            NA        0.37        9.46          7.95           NA            NA         XXX
                                    w/o & w/dye.
70492.......  26......  A          Ct sft tsue nck        1.45        0.41          0.46         0.41          0.46        0.06        1.92          1.97         1.92          1.97         XXX
                                    w/o & w/dye.
70496.......  ........  A          Ct angiography,        1.75       16.19         12.43           NA            NA        0.66       18.60         14.84           NA            NA         XXX
                                    head.
70496.......  TC......  A          Ct angiography,        0.00       15.68         11.87           NA            NA        0.58       16.26         12.45           NA            NA         XXX
                                    head.
70496.......  26......  A          Ct angiography,        1.75        0.51          0.56         0.51          0.56        0.08        2.34          2.39         2.34          2.39         XXX
                                    head.
70498.......  ........  A          Ct angiography,        1.75       16.29         12.45           NA            NA        0.66       18.70         14.86           NA            NA         XXX
                                    neck.
70498.......  TC......  A          Ct angiography,        0.00       15.77         11.89           NA            NA        0.58       16.35         12.47           NA            NA         XXX
                                    neck.
70498.......  26......  A          Ct angiography,        1.75        0.52          0.56         0.52          0.56        0.08        2.35          2.39         2.35          2.39         XXX
                                    neck.
70540.......  ........  A          Mri orbit/face/        1.35       13.49         12.11           NA            NA        0.45       15.29         13.91           NA            NA         XXX
                                    neck w/o dye.
70540.......  TC......  A          Mri orbit/face/        0.00       13.11         11.68           NA            NA        0.39       13.50         12.07           NA            NA         XXX
                                    neck w/o dye.
70540.......  26......  A          Mri orbit/face/        1.35        0.38          0.43         0.38          0.43        0.06        1.79          1.84         1.79          1.84         XXX
                                    neck w/o dye.
70542.......  ........  A          Mri orbit/face/        1.62       14.46         14.09           NA            NA        0.54       16.62         16.25           NA            NA         XXX
                                    neck w/dye.
70542.......  TC......  A          Mri orbit/face/        0.00       14.00         13.58           NA            NA        0.47       14.47         14.05           NA            NA         XXX
                                    neck w/dye.
70542.......  26......  A          Mri orbit/face/        1.62        0.46          0.51         0.46          0.51        0.07        2.15          2.20         2.15          2.20         XXX
                                    neck w/dye.
70543.......  ........  A          Mri orbt/fac/nck       2.15       17.82         23.65           NA            NA        0.94       20.91         26.74           NA            NA         XXX
                                    w/o & w/dye.
70543.......  TC......  A          Mri orbt/fac/nck       0.00       17.21         22.96           NA            NA        0.84       18.05         23.80           NA            NA         XXX
                                    w/o & w/dye.
70543.......  26......  A          Mri orbt/fac/nck       2.15        0.61          0.69         0.61          0.69        0.10        2.86          2.94         2.86          2.94         XXX
                                    w/o & w/dye.
70544.......  ........  A          Mr angiography         1.20       15.03         12.46           NA            NA        0.64       16.87         14.30           NA            NA         XXX
                                    head w/o dye.
70544.......  TC......  A          Mr angiography         0.00       14.69         12.07           NA            NA        0.59       15.28         12.66           NA            NA         XXX
                                    head w/o dye.
70544.......  26......  A          Mr angiography         1.20        0.34          0.39         0.34          0.39        0.05        1.59          1.64         1.59          1.64         XXX
                                    head w/o dye.
70545.......  ........  A          Mr angiography         1.20       14.98         12.44           NA            NA        0.64       16.82         14.28           NA            NA         XXX
                                    head w/dye.
70545.......  TC......  A          Mr angiography         0.00       14.64         12.06           NA            NA        0.59       15.23         12.65           NA            NA         XXX
                                    head w/dye.
70545.......  26......  A          Mr angiography         1.20        0.34          0.38         0.34          0.38        0.05        1.59          1.63         1.59          1.63         XXX
                                    head w/dye.
70546.......  ........  A          Mr angiograph          1.80       22.88         22.97           NA            NA        0.67       25.35         25.44           NA            NA         XXX
                                    head w/o&w/dye.
70546.......  TC......  A          Mr angiograph          0.00       22.37         22.40           NA            NA        0.59       22.96         22.99           NA            NA         XXX
                                    head w/o&w/dye.
70546.......  26......  A          Mr angiograph          1.80        0.51          0.57         0.51          0.57        0.08        2.39          2.45         2.39          2.45         XXX
                                    head w/o&w/dye.
70547.......  ........  A          Mr angiography         1.20       15.01         12.45           NA            NA        0.64       16.85         14.29           NA            NA         XXX
                                    neck w/o dye.
70547.......  TC......  A          Mr angiography         0.00       14.67         12.07           NA            NA        0.59       15.26         12.66           NA            NA         XXX
                                    neck w/o dye.
70547.......  26......  A          Mr angiography         1.20        0.34          0.38         0.34          0.38        0.05        1.59          1.63         1.59          1.63         XXX
                                    neck w/o dye.
70548.......  ........  A          Mr angiography         1.20       15.81         12.65           NA            NA        0.64       17.65         14.49           NA            NA         XXX
                                    neck w/dye.
70548.......  TC......  A          Mr angiography         0.00       15.47         12.27           NA            NA        0.59       16.06         12.86           NA            NA         XXX
                                    neck w/dye.
70548.......  26......  A          Mr angiography         1.20        0.34          0.38         0.34          0.38        0.05        1.59          1.63         1.59          1.63         XXX
                                    neck w/dye.
70549.......  ........  A          Mr angiograph          1.80       22.85         22.96           NA            NA        0.67       25.32         25.43           NA            NA         XXX
                                    neck w/o&w/dye.
70549.......  TC......  A          Mr angiograph          0.00       22.34         22.39           NA            NA        0.59       22.93         22.98           NA            NA         XXX
                                    neck w/o&w/dye.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69924]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
70549.......  26......  A          Mr angiograph          1.80        0.51          0.57         0.51          0.57        0.08        2.39          2.45         2.39          2.45         XXX
                                    neck w/o&w/dye.
70551.......  ........  A          Mri brain w/o          1.48       13.72         12.20           NA            NA        0.66       15.86         14.34           NA            NA         XXX
                                    dye.
70551.......  TC......  A          Mri brain w/o          0.00       13.30         11.73           NA            NA        0.59       13.89         12.32           NA            NA         XXX
                                    dye.
70551.......  26......  A          Mri brain w/o          1.48        0.42          0.47         0.42          0.47        0.07        1.97          2.02         1.97          2.02         XXX
                                    dye.
70552.......  ........  A          Mri brain w/dye.       1.78       14.76         14.22           NA            NA        0.78       17.32         16.78           NA            NA         XXX
70552.......  TC......  A          Mri brain w/dye.       0.00       14.26         13.65           NA            NA        0.70       14.96         14.35           NA            NA         XXX
70552.......  26......  A          Mri brain w/dye.       1.78        0.50          0.57         0.50          0.57        0.08        2.36          2.43         2.36          2.43         XXX
70553.......  ........  A          Mri brain w/o &        2.36       17.15         23.53           NA            NA        1.41       20.92         27.30           NA            NA         XXX
                                    w/dye.
70553.......  TC......  A          Mri brain w/o &        0.00       16.48         22.78           NA            NA        1.31       17.79         24.09           NA            NA         XXX
                                    w/dye.
70553.......  26......  A          Mri brain w/o &        2.36        0.67          0.75         0.67          0.75        0.10        3.13          3.21         3.13          3.21         XXX
                                    w/dye.
70554.......  ........  A          Fmri brain by          2.11       13.49         13.49           NA            NA        0.92       16.52         16.52           NA            NA         XXX
                                    tech.
70554.......  TC......  A          Fmri brain by          0.00       12.89         12.89           NA            NA        0.82       13.71         13.71           NA            NA         XXX
                                    tech.
70554.......  26......  A          Fmri brain by          2.11        0.60          0.60         0.60          0.60        0.10        2.81          2.81         2.81          2.81         XXX
                                    tech.
70555.......  ........  C          Fmri brain by          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    phys/psych.
70555.......  TC......  C          Fmri brain by          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    phys/psych.
70555.......  26......  A          Fmri brain by          2.54        0.72          0.72         0.72          0.72        0.11        3.37          3.37         3.37          3.37         XXX
                                    phys/psych.
70557.......  ........  C          Mri brain w/o          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    dye.
70557.......  TC......  C          Mri brain w/o          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    dye.
70557.......  26......  A          Mri brain w/o          2.90        0.84          1.06         0.84          1.06        0.08        3.82          4.04         3.82          4.04         XXX
                                    dye.
70558.......  ........  C          Mri brain w/dye.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
70558.......  TC......  C          Mri brain w/dye.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
70558.......  26......  A          Mri brain w/dye.       3.20        1.02          1.19         1.02          1.19        0.10        4.32          4.49         4.32          4.49         XXX
70559.......  ........  C          Mri brain w/o &        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    w/dye.
70559.......  TC......  C          Mri brain w/o &        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    w/dye.
70559.......  26......  A          Mri brain w/o &        3.20        0.95          1.17         0.95          1.17        0.12        4.27          4.49         4.27          4.49         XXX
                                    w/dye.
71010.......  ........  A          Chest x-ray.....       0.18        0.40          0.50           NA            NA        0.03        0.61          0.71           NA            NA         XXX
71010.......  TC......  A          Chest x-ray.....       0.00        0.35          0.44           NA            NA        0.02        0.37          0.46           NA            NA         XXX
71010.......  26......  A          Chest x-ray.....       0.18        0.05          0.06         0.05          0.06        0.01        0.24          0.25         0.24          0.25         XXX
71015.......  ........  A          Chest x-ray.....       0.21        0.54          0.58           NA            NA        0.03        0.78          0.82           NA            NA         XXX
71015.......  TC......  A          Chest x-ray.....       0.00        0.48          0.51           NA            NA        0.02        0.50          0.53           NA            NA         XXX
71015.......  26......  A          Chest x-ray.....       0.21        0.06          0.07         0.06          0.07        0.01        0.28          0.29         0.28          0.29         XXX
71020.......  ........  A          Chest x-ray.....       0.22        0.54          0.66           NA            NA        0.05        0.81          0.93           NA            NA         XXX
71020.......  TC......  A          Chest x-ray.....       0.00        0.48          0.59           NA            NA        0.04        0.52          0.63           NA            NA         XXX
71020.......  26......  A          Chest x-ray.....       0.22        0.06          0.07         0.06          0.07        0.01        0.29          0.30         0.29          0.30         XXX
71021.......  ........  A          Chest x-ray.....       0.27        0.67          0.79           NA            NA        0.06        1.00          1.12           NA            NA         XXX
71021.......  TC......  A          Chest x-ray.....       0.00        0.60          0.70           NA            NA        0.05        0.65          0.75           NA            NA         XXX
71021.......  26......  A          Chest x-ray.....       0.27        0.07          0.09         0.07          0.09        0.01        0.35          0.37         0.35          0.37         XXX
71022.......  ........  A          Chest x-ray.....       0.31        0.84          0.84           NA            NA        0.06        1.21          1.21           NA            NA         XXX
71022.......  TC......  A          Chest x-ray.....       0.00        0.76          0.74           NA            NA        0.05        0.81          0.79           NA            NA         XXX
71022.......  26......  A          Chest x-ray.....       0.31        0.08          0.10         0.08          0.10        0.01        0.40          0.42         0.40          0.42         XXX
71023.......  ........  A          Chest x-ray and        0.38        1.53          1.06           NA            NA        0.06        1.97          1.50           NA            NA         XXX
                                    fluoroscopy.
71023.......  TC......  A          Chest x-ray and        0.00        1.39          0.93           NA            NA        0.05        1.44          0.98           NA            NA         XXX
                                    fluoroscopy.
71023.......  26......  A          Chest x-ray and        0.38        0.14          0.13         0.14          0.13        0.01        0.53          0.52         0.53          0.52         XXX
                                    fluoroscopy.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69925]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
71030.......  ........  A          Chest x-ray.....       0.31        0.87          0.88           NA            NA        0.06        1.24          1.25           NA            NA         XXX
71030.......  TC......  A          Chest x-ray.....       0.00        0.78          0.78           NA            NA        0.05        0.83          0.83           NA            NA         XXX
71030.......  26......  A          Chest x-ray.....       0.31        0.09          0.10         0.09          0.10        0.01        0.41          0.42         0.41          0.42         XXX
71034.......  ........  A          Chest x-ray and        0.46        1.96          1.69           NA            NA        0.10        2.52          2.25           NA            NA         XXX
                                    fluoroscopy.
71034.......  TC......  A          Chest x-ray and        0.00        1.79          1.53           NA            NA        0.08        1.87          1.61           NA            NA         XXX
                                    fluoroscopy.
71034.......  26......  A          Chest x-ray and        0.46        0.17          0.16         0.17          0.16        0.02        0.65          0.64         0.65          0.64         XXX
                                    fluoroscopy.
71035.......  ........  A          Chest x-ray.....       0.18        0.72          0.62           NA            NA        0.03        0.93          0.83           NA            NA         XXX
71035.......  TC......  A          Chest x-ray.....       0.00        0.67          0.56           NA            NA        0.02        0.69          0.58           NA            NA         XXX
71035.......  26......  A          Chest x-ray.....       0.18        0.05          0.06         0.05          0.06        0.01        0.24          0.25         0.24          0.25         XXX
71040.......  ........  A          Contrast x-ray         0.58        1.99          1.74           NA            NA        0.11        2.68          2.43           NA            NA         XXX
                                    of bronchi.
71040.......  TC......  A          Contrast x-ray         0.00        1.84          1.56           NA            NA        0.08        1.92          1.64           NA            NA         XXX
                                    of bronchi.
71040.......  26......  A          Contrast x-ray         0.58        0.15          0.18         0.15          0.18        0.03        0.76          0.79         0.76          0.79         XXX
                                    of bronchi.
71060.......  ........  A          Contrast x-ray         0.74        2.91          2.56           NA            NA        0.16        3.81          3.46           NA            NA         XXX
                                    of bronchi.
71060.......  TC......  A          Contrast x-ray         0.00        2.70          2.33           NA            NA        0.13        2.83          2.46           NA            NA         XXX
                                    of bronchi.
71060.......  26......  A          Contrast x-ray         0.74        0.21          0.23         0.21          0.23        0.03        0.98          1.00         0.98          1.00         XXX
                                    of bronchi.
71090.......  ........  C          X-ray &                0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    pacemaker
                                    insertion.
71090.......  TC......  C          X-ray &                0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    pacemaker
                                    insertion.
71090.......  26......  A          X-ray &                0.54        0.29          0.23         0.29          0.23        0.02        0.85          0.79         0.85          0.79         XXX
                                    pacemaker
                                    insertion.
71100.......  ........  A          X-ray exam of          0.22        0.58          0.63           NA            NA        0.05        0.85          0.90           NA            NA         XXX
                                    ribs.
71100.......  TC......  A          X-ray exam of          0.00        0.52          0.56           NA            NA        0.04        0.56          0.60           NA            NA         XXX
                                    ribs.
71100.......  26......  A          X-ray exam of          0.22        0.06          0.07         0.06          0.07        0.01        0.29          0.30         0.29          0.30         XXX
                                    ribs.
71101.......  ........  A          X-ray exam of          0.27        0.71          0.75           NA            NA        0.05        1.03          1.07           NA            NA         XXX
                                    ribs/chest.
71101.......  TC......  A          X-ray exam of          0.00        0.64          0.66           NA            NA        0.04        0.68          0.70           NA            NA         XXX
                                    ribs/chest.
71101.......  26......  A          X-ray exam of          0.27        0.07          0.09         0.07          0.09        0.01        0.35          0.37         0.35          0.37         XXX
                                    ribs/chest.
71110.......  ........  A          X-ray exam of          0.27        0.73          0.84           NA            NA        0.06        1.06          1.17           NA            NA         XXX
                                    ribs.
71110.......  TC......  A          X-ray exam of          0.00        0.66          0.75           NA            NA        0.05        0.71          0.80           NA            NA         XXX
                                    ribs.
71110.......  26......  A          X-ray exam of          0.27        0.07          0.09         0.07          0.09        0.01        0.35          0.37         0.35          0.37         XXX
                                    ribs.
71111.......  ........  A          X-ray exam of          0.32        1.00          1.00           NA            NA        0.07        1.39          1.39           NA            NA         XXX
                                    ribs/chest.
71111.......  TC......  A          X-ray exam of          0.00        0.92          0.90           NA            NA        0.06        0.98          0.96           NA            NA         XXX
                                    ribs/chest.
71111.......  26......  A          X-ray exam of          0.32        0.08          0.10         0.08          0.10        0.01        0.41          0.43         0.41          0.43         XXX
                                    ribs/chest.
71120.......  ........  A          X-ray exam of          0.20        0.59          0.69           NA            NA        0.05        0.84          0.94           NA            NA         XXX
                                    breastbone.
71120.......  TC......  A          X-ray exam of          0.00        0.53          0.62           NA            NA        0.04        0.57          0.66           NA            NA         XXX
                                    breastbone.
71120.......  26......  A          X-ray exam of          0.20        0.06          0.07         0.06          0.07        0.01        0.27          0.28         0.27          0.28         XXX
                                    breastbone.
71130.......  ........  A          X-ray exam of          0.22        0.72          0.77           NA            NA        0.05        0.99          1.04           NA            NA         XXX
                                    breastbone.
71130.......  TC......  A          X-ray exam of          0.00        0.65          0.70           NA            NA        0.04        0.69          0.74           NA            NA         XXX
                                    breastbone.
71130.......  26......  A          X-ray exam of          0.22        0.07          0.07         0.07          0.07        0.01        0.30          0.30         0.30          0.30         XXX
                                    breastbone.
71250.......  ........  A          Ct thorax w/o          1.16        6.08          6.24           NA            NA        0.36        7.60          7.76           NA            NA         XXX
                                    dye.
71250.......  TC......  A          Ct thorax w/o          0.00        5.75          5.87           NA            NA        0.31        6.06          6.18           NA            NA         XXX
                                    dye.
71250.......  26......  A          Ct thorax w/o          1.16        0.33          0.37         0.33          0.37        0.05        1.54          1.58         1.54          1.58         XXX
                                    dye.
71260.......  ........  A          Ct thorax w/dye.       1.24        7.54          7.50           NA            NA        0.42        9.20          9.16           NA            NA         XXX
71260.......  TC......  A          Ct thorax w/dye.       0.00        7.19          7.10           NA            NA        0.37        7.56          7.47           NA            NA         XXX
71260.......  26......  A          Ct thorax w/dye.       1.24        0.35          0.40         0.35          0.40        0.05        1.64          1.69         1.64          1.69         XXX
71270.......  ........  A          Ct thorax w/o &        1.38        9.52          9.36           NA            NA        0.52       11.42         11.26           NA            NA         XXX
                                    w/dye.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69926]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
71270.......  TC......  A          Ct thorax w/o &        0.00        9.13          8.92           NA            NA        0.46        9.59          9.38           NA            NA         XXX
                                    w/dye.
71270.......  26......  A          Ct thorax w/o &        1.38        0.39          0.44         0.39          0.44        0.06        1.83          1.88         1.83          1.88         XXX
                                    w/dye.
71275.......  ........  A          Ct angiography,        1.92       11.10         12.53           NA            NA        0.48       13.50         14.93           NA            NA         XXX
                                    chest.
71275.......  TC......  A          Ct angiography,        0.00       10.54         11.92           NA            NA        0.39       10.93         12.31           NA            NA         XXX
                                    chest.
71275.......  26......  A          Ct angiography,        1.92        0.56          0.61         0.56          0.61        0.09        2.57          2.62         2.57          2.62         XXX
                                    chest.
71550.......  ........  A          Mri chest w/o          1.46       15.58         12.65           NA            NA        0.51       17.55         14.62           NA            NA         XXX
                                    dye.
71550.......  TC......  A          Mri chest w/o          0.00       15.17         12.19           NA            NA        0.45       15.62         12.64           NA            NA         XXX
                                    dye.
71550.......  26......  A          Mri chest w/o          1.46        0.41          0.46         0.41          0.46        0.06        1.93          1.98         1.93          1.98         XXX
                                    dye.
71551.......  ........  A          Mri chest w/dye.       1.73       17.01         14.76           NA            NA        0.60       19.34         17.09           NA            NA         XXX
71551.......  TC......  A          Mri chest w/dye.       0.00       16.51         14.21           NA            NA        0.52       17.03         14.73           NA            NA         XXX
71551.......  26......  A          Mri chest w/dye.       1.73        0.50          0.55         0.50          0.55        0.08        2.31          2.36         2.31          2.36         XXX
71552.......  ........  A          Mri chest w/o &        2.26       21.36         24.56           NA            NA        0.78       24.40         27.60           NA            NA         XXX
                                    w/dye.
71552.......  TC......  A          Mri chest w/o &        0.00       20.71         23.84           NA            NA        0.68       21.39         24.52           NA            NA         XXX
                                    w/dye.
71552.......  26......  A          Mri chest w/o &        2.26        0.65          0.72         0.65          0.72        0.10        3.01          3.08         3.01          3.08         XXX
                                    w/dye.
71555.......  ........  R          Mri angio chest        1.81       14.67         12.52           NA            NA        0.67       17.15         15.00           NA            NA         XXX
                                    w or w/o dye.
71555.......  TC......  R          Mri angio chest        0.00       14.11         11.93           NA            NA        0.59       14.70         12.52           NA            NA         XXX
                                    w or w/o dye.
71555.......  26......  R          Mri angio chest        1.81        0.56          0.59         0.56          0.59        0.08        2.45          2.48         2.45          2.48         XXX
                                    w or w/o dye.
72010.......  ........  A          X-ray exam of          0.45        1.40          1.23           NA            NA        0.08        1.93          1.76           NA            NA         XXX
                                    spine.
72010.......  TC......  A          X-ray exam of          0.00        1.28          1.09           NA            NA        0.06        1.34          1.15           NA            NA         XXX
                                    spine.
72010.......  26......  A          X-ray exam of          0.45        0.12          0.14         0.12          0.14        0.02        0.59          0.61         0.59          0.61         XXX
                                    spine.
72020.......  ........  A          X-ray exam of          0.15        0.43          0.46           NA            NA        0.03        0.61          0.64           NA            NA         XXX
                                    spine.
72020.......  TC......  A          X-ray exam of          0.00        0.39          0.41           NA            NA        0.02        0.41          0.43           NA            NA         XXX
                                    spine.
72020.......  26......  A          X-ray exam of          0.15        0.04          0.05         0.04          0.05        0.01        0.20          0.21         0.20          0.21         XXX
                                    spine.
72040.......  ........  A          X-ray exam of          0.22        0.73          0.69           NA            NA        0.05        1.00          0.96           NA            NA         XXX
                                    neck spine.
72040.......  TC......  A          X-ray exam of          0.00        0.67          0.62           NA            NA        0.04        0.71          0.66           NA            NA         XXX
                                    neck spine.
72040.......  26......  A          X-ray exam of          0.22        0.06          0.07         0.06          0.07        0.01        0.29          0.30         0.29          0.30         XXX
                                    neck spine.
72050.......  ........  A          X-ray exam of          0.31        1.01          1.00           NA            NA        0.07        1.39          1.38           NA            NA         XXX
                                    neck spine.
72050.......  TC......  A          X-ray exam of          0.00        0.92          0.90           NA            NA        0.06        0.98          0.96           NA            NA         XXX
                                    neck spine.
72050.......  26......  A          X-ray exam of          0.31        0.09          0.10         0.09          0.10        0.01        0.41          0.42         0.41          0.42         XXX
                                    neck spine.
72052.......  ........  A          X-ray exam of          0.36        1.31          1.27           NA            NA        0.08        1.75          1.71           NA            NA         XXX
                                    neck spine.
72052.......  TC......  A          X-ray exam of          0.00        1.21          1.15           NA            NA        0.06        1.27          1.21           NA            NA         XXX
                                    neck spine.
72052.......  26......  A          X-ray exam of          0.36        0.10          0.12         0.10          0.12        0.02        0.48          0.50         0.48          0.50         XXX
                                    neck spine.
72069.......  ........  A          X-ray exam of          0.22        0.73          0.61           NA            NA        0.03        0.98          0.86           NA            NA         XXX
                                    trunk spine.
72069.......  TC......  A          X-ray exam of          0.00        0.66          0.53           NA            NA        0.02        0.68          0.55           NA            NA         XXX
                                    trunk spine.
72069.......  26......  A          X-ray exam of          0.22        0.07          0.08         0.07          0.08        0.01        0.30          0.31         0.30          0.31         XXX
                                    trunk spine.
72070.......  ........  A          X-ray exam of          0.22        0.60          0.69           NA            NA        0.05        0.87          0.96           NA            NA         XXX
                                    thoracic spine.
72070.......  TC......  A          X-ray exam of          0.00        0.54          0.62           NA            NA        0.04        0.58          0.66           NA            NA         XXX
                                    thoracic spine.
72070.......  26......  A          X-ray exam of          0.22        0.06          0.07         0.06          0.07        0.01        0.29          0.30         0.29          0.30         XXX
                                    thoracic spine.
72072.......  ........  A          X-ray exam of          0.22        0.72          0.78           NA            NA        0.06        1.00          1.06           NA            NA         XXX
                                    thoracic spine.
72072.......  TC......  A          X-ray exam of          0.00        0.66          0.71           NA            NA        0.05        0.71          0.76           NA            NA         XXX
                                    thoracic spine.
72072.......  26......  A          X-ray exam of          0.22        0.06          0.07         0.06          0.07        0.01        0.29          0.30         0.29          0.30         XXX
                                    thoracic spine.
72074.......  ........  A          X-ray exam of          0.22        0.89          0.96           NA            NA        0.07        1.18          1.25           NA            NA         XXX
                                    thoracic spine.
72074.......  TC......  A          X-ray exam of          0.00        0.83          0.89           NA            NA        0.06        0.89          0.95           NA            NA         XXX
                                    thoracic spine.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69927]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
72074.......  26......  A          X-ray exam of          0.22        0.06          0.07         0.06          0.07        0.01        0.29          0.30         0.29          0.30         XXX
                                    thoracic spine.
72080.......  ........  A          X-ray exam of          0.22        0.67          0.72           NA            NA        0.05        0.94          0.99           NA            NA         XXX
                                    trunk spine.
72080.......  TC......  A          X-ray exam of          0.00        0.60          0.65           NA            NA        0.04        0.64          0.69           NA            NA         XXX
                                    trunk spine.
72080.......  26......  A          X-ray exam of          0.22        0.07          0.07         0.07          0.07        0.01        0.30          0.30         0.30          0.30         XXX
                                    trunk spine.
72090.......  ........  A          X-ray exam of          0.28        0.97          0.81           NA            NA        0.05        1.30          1.14           NA            NA         XXX
                                    trunk spine.
72090.......  TC......  A          X-ray exam of          0.00        0.88          0.72           NA            NA        0.04        0.92          0.76           NA            NA         XXX
                                    trunk spine.
72090.......  26......  A          X-ray exam of          0.28        0.09          0.09         0.09          0.09        0.01        0.38          0.38         0.38          0.38         XXX
                                    trunk spine.
72100.......  ........  A          X-ray exam of          0.22        0.78          0.75           NA            NA        0.05        1.05          1.02           NA            NA         XXX
                                    lower spine.
72100.......  TC......  A          X-ray exam of          0.00        0.71          0.68           NA            NA        0.04        0.75          0.72           NA            NA         XXX
                                    lower spine.
72100.......  26......  A          X-ray exam of          0.22        0.07          0.07         0.07          0.07        0.01        0.30          0.30         0.30          0.30         XXX
                                    lower spine.
72110.......  ........  A          X-ray exam of          0.31        1.08          1.03           NA            NA        0.07        1.46          1.41           NA            NA         XXX
                                    lower spine.
72110.......  TC......  A          X-ray exam of          0.00        0.99          0.93           NA            NA        0.06        1.05          0.99           NA            NA         XXX
                                    lower spine.
72110.......  26......  A          X-ray exam of          0.31        0.09          0.10         0.09          0.10        0.01        0.41          0.42         0.41          0.42         XXX
                                    lower spine.
72114.......  ........  A          X-ray exam of          0.36        1.49          1.36           NA            NA        0.08        1.93          1.80           NA            NA         XXX
                                    lower spine.
72114.......  TC......  A          X-ray exam of          0.00        1.38          1.24           NA            NA        0.06        1.44          1.30           NA            NA         XXX
                                    lower spine.
72114.......  26......  A          X-ray exam of          0.36        0.11          0.12         0.11          0.12        0.02        0.49          0.50         0.49          0.50         XXX
                                    lower spine.
72120.......  ........  A          X-ray exam of          0.22        1.03          0.98           NA            NA        0.07        1.32          1.27           NA            NA         XXX
                                    lower spine.
72120.......  TC......  A          X-ray exam of          0.00        0.96          0.91           NA            NA        0.06        1.02          0.97           NA            NA         XXX
                                    lower spine.
72120.......  26......  A          X-ray exam of          0.22        0.07          0.07         0.07          0.07        0.01        0.30          0.30         0.30          0.30         XXX
                                    lower spine.
72125.......  ........  A          Ct neck spine w/       1.16        6.08          6.24           NA            NA        0.36        7.60          7.76           NA            NA         XXX
                                    o dye.
72125.......  TC......  A          Ct neck spine w/       0.00        5.75          5.87           NA            NA        0.31        6.06          6.18           NA            NA         XXX
                                    o dye.
72125.......  26......  A          Ct neck spine w/       1.16        0.33          0.37         0.33          0.37        0.05        1.54          1.58         1.54          1.58         XXX
                                    o dye.
72126.......  ........  A          Ct neck spine w/       1.22        7.54          7.49           NA            NA        0.42        9.18          9.13           NA            NA         XXX
                                    dye.
72126.......  TC......  A          Ct neck spine w/       0.00        7.19          7.10           NA            NA        0.37        7.56          7.47           NA            NA         XXX
                                    dye.
72126.......  26......  A          Ct neck spine w/       1.22        0.35          0.39         0.35          0.39        0.05        1.62          1.66         1.62          1.66         XXX
                                    dye.
72127.......  ........  A          Ct neck spine w/       1.27        9.36          9.30           NA            NA        0.52       11.15         11.09           NA            NA         XXX
                                    o & w/dye.
72127.......  TC......  A          Ct neck spine w/       0.00        9.00          8.89           NA            NA        0.46        9.46          9.35           NA            NA         XXX
                                    o & w/dye.
72127.......  26......  A          Ct neck spine w/       1.27        0.36          0.41         0.36          0.41        0.06        1.69          1.74         1.69          1.74         XXX
                                    o & w/dye.
72128.......  ........  A          Ct chest spine w/      1.16        6.08          6.24           NA            NA        0.36        7.60          7.76           NA            NA         XXX
                                    o dye.
72128.......  TC......  A          Ct chest spine w/      0.00        5.75          5.87           NA            NA        0.31        6.06          6.18           NA            NA         XXX
                                    o dye.
72128.......  26......  A          Ct chest spine w/      1.16        0.33          0.37         0.33          0.37        0.05        1.54          1.58         1.54          1.58         XXX
                                    o dye.
72129.......  ........  A          Ct chest spine w/      1.22        7.54          7.49           NA            NA        0.42        9.18          9.13           NA            NA         XXX
                                    dye.
72129.......  TC......  A          Ct chest spine w/      0.00        7.19          7.10           NA            NA        0.37        7.56          7.47           NA            NA         XXX
                                    dye.
72129.......  26......  A          Ct chest spine w/      1.22        0.35          0.39         0.35          0.39        0.05        1.62          1.66         1.62          1.66         XXX
                                    dye.
72130.......  ........  A          Ct chest spine w/      1.27        9.31          9.29           NA            NA        0.52       11.10         11.08           NA            NA         XXX
                                    o & w/dye.
72130.......  TC......  A          Ct chest spine w/      0.00        8.95          8.88           NA            NA        0.46        9.41          9.34           NA            NA         XXX
                                    o & w/dye.
72130.......  26......  A          Ct chest spine w/      1.27        0.36          0.41         0.36          0.41        0.06        1.69          1.74         1.69          1.74         XXX
                                    o & w/dye.
72131.......  ........  A          Ct lumbar spine        1.16        6.07          6.24           NA            NA        0.36        7.59          7.76           NA            NA         XXX
                                    w/o dye.
72131.......  TC......  A          Ct lumbar spine        0.00        5.74          5.87           NA            NA        0.31        6.05          6.18           NA            NA         XXX
                                    w/o dye.
72131.......  26......  A          Ct lumbar spine        1.16        0.33          0.37         0.33          0.37        0.05        1.54          1.58         1.54          1.58         XXX
                                    w/o dye.
72132.......  ........  A          Ct lumbar spine        1.22        7.52          7.49           NA            NA        0.42        9.16          9.13           NA            NA         XXX
                                    w/dye.
72132.......  TC......  A          Ct lumbar spine        0.00        7.17          7.10           NA            NA        0.37        7.54          7.47           NA            NA         XXX
                                    w/dye.
72132.......  26......  A          Ct lumbar spine        1.22        0.35          0.39         0.35          0.39        0.05        1.62          1.66         1.62          1.66         XXX
                                    w/dye.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69928]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
72133.......  ........  A          Ct lumbar spine        1.27        9.54          9.34           NA            NA        0.52       11.33         11.13           NA            NA         XXX
                                    w/o & w/dye.
72133.......  TC......  A          Ct lumbar spine        0.00        9.18          8.93           NA            NA        0.46        9.64          9.39           NA            NA         XXX
                                    w/o & w/dye.
72133.......  26......  A          Ct lumbar spine        1.27        0.36          0.41         0.36          0.41        0.06        1.69          1.74         1.69          1.74         XXX
                                    w/o & w/dye.
72141.......  ........  A          Mri neck spine w/      1.60       11.86         11.76           NA            NA        0.66       14.12         14.02           NA            NA         XXX
                                    o dye.
72141.......  TC......  A          Mri neck spine w/      0.00       11.40         11.25           NA            NA        0.59       11.99         11.84           NA            NA         XXX
                                    o dye.
72141.......  26......  A          Mri neck spine w/      1.60        0.46          0.51         0.46          0.51        0.07        2.13          2.18         2.13          2.18         XXX
                                    o dye.
72142.......  ........  A          Mri neck spine w/      1.92       14.80         14.26           NA            NA        0.79       17.51         16.97           NA            NA         XXX
                                    dye.
72142.......  TC......  A          Mri neck spine w/      0.00       14.25         13.64           NA            NA        0.70       14.95         14.34           NA            NA         XXX
                                    dye.
72142.......  26......  A          Mri neck spine w/      1.92        0.55          0.62         0.55          0.62        0.09        2.56          2.63         2.56          2.63         XXX
                                    dye.
72146.......  ........  A          Mri chest spine        1.60       11.87         12.69           NA            NA        0.71       14.18         15.00           NA            NA         XXX
                                    w/o dye.
72146.......  TC......  A          Mri chest spine        0.00       11.41         12.18           NA            NA        0.64       12.05         12.82           NA            NA         XXX
                                    w/o dye.
72146.......  26......  A          Mri chest spine        1.60        0.46          0.51         0.46          0.51        0.07        2.13          2.18         2.13          2.18         XXX
                                    w/o dye.
72147.......  ........  A          Mri chest spine        1.92       12.81         13.76           NA            NA        0.79       15.52         16.47           NA            NA         XXX
                                    w/dye.
72147.......  TC......  A          Mri chest spine        0.00       12.27         13.15           NA            NA        0.70       12.97         13.85           NA            NA         XXX
                                    w/dye.
72147.......  26......  A          Mri chest spine        1.92        0.54          0.61         0.54          0.61        0.09        2.55          2.62         2.55          2.62         XXX
                                    w/dye.
72148.......  ........  A          Mri lumbar spine       1.48       11.84         12.66           NA            NA        0.71       14.03         14.85           NA            NA         XXX
                                    w/o dye.
72148.......  TC......  A          Mri lumbar spine       0.00       11.41         12.18           NA            NA        0.64       12.05         12.82           NA            NA         XXX
                                    w/o dye.
72148.......  26......  A          Mri lumbar spine       1.48        0.43          0.48         0.43          0.48        0.07        1.98          2.03         1.98          2.03         XXX
                                    w/o dye.
72149.......  ........  A          Mri lumbar spine       1.78       14.77         14.23           NA            NA        0.78       17.33         16.79           NA            NA         XXX
                                    w/dye.
72149.......  TC......  A          Mri lumbar spine       0.00       14.26         13.65           NA            NA        0.70       14.96         14.35           NA            NA         XXX
                                    w/dye.
72149.......  26......  A          Mri lumbar spine       1.78        0.51          0.58         0.51          0.58        0.08        2.37          2.44         2.37          2.44         XXX
                                    w/dye.
72156.......  ........  A          Mri neck spine w/      2.57       16.87         23.52           NA            NA        1.42       20.86         27.51           NA            NA         XXX
                                    o & w/dye.
72156.......  TC......  A          Mri neck spine w/      0.00       16.14         22.70           NA            NA        1.31       17.45         24.01           NA            NA         XXX
                                    o & w/dye.
72156.......  26......  A          Mri neck spine w/      2.57        0.73          0.82         0.73          0.82        0.11        3.41          3.50         3.41          3.50         XXX
                                    o & w/dye.
72157.......  ........  A          Mri chest spine        2.57       15.34         23.12           NA            NA        1.42       19.33         27.11           NA            NA         XXX
                                    w/o & w/dye.
72157.......  TC......  A          Mri chest spine        0.00       14.61         22.31           NA            NA        1.31       15.92         23.62           NA            NA         XXX
                                    w/o & w/dye.
72157.......  26......  A          Mri chest spine        2.57        0.73          0.81         0.73          0.81        0.11        3.41          3.49         3.41          3.49         XXX
                                    w/o & w/dye.
72158.......  ........  A          Mri lumbar spine       2.36       16.81         23.45           NA            NA        1.41       20.58         27.22           NA            NA         XXX
                                    w/o & w/dye.
72158.......  TC......  A          Mri lumbar spine       0.00       16.14         22.70           NA            NA        1.31       17.45         24.01           NA            NA         XXX
                                    w/o & w/dye.
72158.......  26......  A          Mri lumbar spine       2.36        0.67          0.75         0.67          0.75        0.10        3.13          3.21         3.13          3.21         XXX
                                    w/o & w/dye.
72159.......  ........  N          Mr angio spine w/      1.80       14.49         13.31           NA            NA        0.74       17.03         15.85           NA            NA         XXX
                                    o&w/dye.
72159.......  TC......  N          Mr angio spine w/      0.00       14.07         12.69           NA            NA        0.64       14.71         13.33           NA            NA         XXX
                                    o&w/dye.
72159.......  26......  N          Mr angio spine w/      1.80        0.42          0.62         0.42          0.62        0.10        2.32          2.52         2.32          2.52         XXX
                                    o&w/dye.
72170.......  ........  A          X-ray exam of          0.17        0.47          0.56           NA            NA        0.03        0.67          0.76           NA            NA         XXX
                                    pelvis.
72170.......  TC......  A          X-ray exam of          0.00        0.42          0.50           NA            NA        0.02        0.44          0.52           NA            NA         XXX
                                    pelvis.
72170.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    pelvis.
72190.......  ........  A          X-ray exam of          0.21        0.81          0.76           NA            NA        0.05        1.07          1.02           NA            NA         XXX
                                    pelvis.
72190.......  TC......  A          X-ray exam of          0.00        0.74          0.69           NA            NA        0.04        0.78          0.73           NA            NA         XXX
                                    pelvis.
72190.......  26......  A          X-ray exam of          0.21        0.07          0.07         0.07          0.07        0.01        0.29          0.29         0.29          0.29         XXX
                                    pelvis.
72191.......  ........  A          Ct angiograph          1.81       10.72         12.15           NA            NA        0.47       13.00         14.43           NA            NA         XXX
                                    pelv w/o&w/dye.
72191.......  TC......  A          Ct angiograph          0.00       10.19         11.57           NA            NA        0.39       10.58         11.96           NA            NA         XXX
                                    pelv w/o&w/dye.
72191.......  26......  A          Ct angiograph          1.81        0.53          0.58         0.53          0.58        0.08        2.42          2.47         2.42          2.47         XXX
                                    pelv w/o&w/dye.
72192.......  ........  A          Ct pelvis w/o          1.09        5.67          6.12           NA            NA        0.36        7.12          7.57           NA            NA         XXX
                                    dye.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69929]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
72192.......  TC......  A          Ct pelvis w/o          0.00        5.36          5.77           NA            NA        0.31        5.67          6.08           NA            NA         XXX
                                    dye.
72192.......  26......  A          Ct pelvis w/o          1.09        0.31          0.35         0.31          0.35        0.05        1.45          1.49         1.45          1.49         XXX
                                    dye.
72193.......  ........  A          Ct pelvis w/dye.       1.16        7.11          7.20           NA            NA        0.41        8.68          8.77           NA            NA         XXX
72193.......  TC......  A          Ct pelvis w/dye.       0.00        6.78          6.83           NA            NA        0.36        7.14          7.19           NA            NA         XXX
72193.......  26......  A          Ct pelvis w/dye.       1.16        0.33          0.37         0.33          0.37        0.05        1.54          1.58         1.54          1.58         XXX
72194.......  ........  A          Ct pelvis w/o &        1.22        9.56          9.06           NA            NA        0.48       11.26         10.76           NA            NA         XXX
                                    w/dye.
72194.......  TC......  A          Ct pelvis w/o &        0.00        9.21          8.67           NA            NA        0.43        9.64          9.10           NA            NA         XXX
                                    w/dye.
72194.......  26......  A          Ct pelvis w/o &        1.22        0.35          0.39         0.35          0.39        0.05        1.62          1.66         1.62          1.66         XXX
                                    w/dye.
72195.......  ........  A          Mri pelvis w/o         1.46       13.71         12.19           NA            NA        0.51       15.68         14.16           NA            NA         XXX
                                    dye.
72195.......  TC......  A          Mri pelvis w/o         0.00       13.29         11.72           NA            NA        0.45       13.74         12.17           NA            NA         XXX
                                    dye.
72195.......  26......  A          Mri pelvis w/o         1.46        0.42          0.47         0.42          0.47        0.06        1.94          1.99         1.94          1.99         XXX
                                    dye.
72196.......  ........  A          Mri pelvis w/dye       1.73       14.67         14.18           NA            NA        0.60       17.00         16.51           NA            NA         XXX
72196.......  TC......  A          Mri pelvis w/dye       0.00       14.18         13.63           NA            NA        0.52       14.70         14.15           NA            NA         XXX
72196.......  26......  A          Mri pelvis w/dye       1.73        0.49          0.55         0.49          0.55        0.08        2.30          2.36         2.30          2.36         XXX
72197.......  ........  A          Mri pelvis w/o &       2.26       17.96         23.71           NA            NA        1.02       21.24         26.99           NA            NA         XXX
                                    w/dye.
72197.......  TC......  A          Mri pelvis w/o &       0.00       17.32         22.99           NA            NA        0.92       18.24         23.91           NA            NA         XXX
                                    w/dye.
72197.......  26......  A          Mri pelvis w/o &       2.26        0.64          0.72         0.64          0.72        0.10        3.00          3.08         3.00          3.08         XXX
                                    w/dye.
72198.......  ........  A          Mr angio pelvis        1.80       14.29         12.41           NA            NA        0.67       16.76         14.88           NA            NA         XXX
                                    w/o & w/dye.
72198.......  TC......  A          Mr angio pelvis        0.00       13.77         11.84           NA            NA        0.59       14.36         12.43           NA            NA         XXX
                                    w/o & w/dye.
72198.......  26......  A          Mr angio pelvis        1.80        0.52          0.57         0.52          0.57        0.08        2.40          2.45         2.40          2.45         XXX
                                    w/o & w/dye.
72200.......  ........  A          X-ray exam             0.17        0.57          0.58           NA            NA        0.03        0.77          0.78           NA            NA         XXX
                                    sacroiliac
                                    joints.
72200.......  TC......  A          X-ray exam             0.00        0.52          0.52           NA            NA        0.02        0.54          0.54           NA            NA         XXX
                                    sacroiliac
                                    joints.
72200.......  26......  A          X-ray exam             0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    sacroiliac
                                    joints.
72202.......  ........  A          X-ray exam             0.19        0.69          0.69           NA            NA        0.05        0.93          0.93           NA            NA         XXX
                                    sacroiliac
                                    joints.
72202.......  TC......  A          X-ray exam             0.00        0.64          0.63           NA            NA        0.04        0.68          0.67           NA            NA         XXX
                                    sacroiliac
                                    joints.
72202.......  26......  A          X-ray exam             0.19        0.05          0.06         0.05          0.06        0.01        0.25          0.26         0.25          0.26         XXX
                                    sacroiliac
                                    joints.
72220.......  ........  A          X-ray exam of          0.17        0.54          0.61           NA            NA        0.05        0.76          0.83           NA            NA         XXX
                                    tailbone.
72220.......  TC......  A          X-ray exam of          0.00        0.50          0.55           NA            NA        0.04        0.54          0.59           NA            NA         XXX
                                    tailbone.
72220.......  26......  A          X-ray exam of          0.17        0.04          0.06         0.04          0.06        0.01        0.22          0.24         0.22          0.24         XXX
                                    tailbone.
72240.......  ........  A          Contrast x-ray         0.91        2.37          4.37           NA            NA        0.29        3.57          5.57           NA            NA         XXX
                                    of neck spine.
72240.......  TC......  A          Contrast x-ray         0.00        2.12          4.09           NA            NA        0.25        2.37          4.34           NA            NA         XXX
                                    of neck spine.
72240.......  26......  A          Contrast x-ray         0.91        0.25          0.28         0.25          0.28        0.04        1.20          1.23         1.20          1.23         XXX
                                    of neck spine.
72255.......  ........  A          Contrast x-ray,        0.91        2.13          3.98           NA            NA        0.26        3.30          5.15           NA            NA         XXX
                                    thorax spine.
72255.......  TC......  A          Contrast x-ray,        0.00        1.89          3.72           NA            NA        0.22        2.11          3.94           NA            NA         XXX
                                    thorax spine.
72255.......  26......  A          Contrast x-ray,        0.91        0.24          0.26         0.24          0.26        0.04        1.19          1.21         1.19          1.21         XXX
                                    thorax spine.
72265.......  ........  A          Contrast x-ray,        0.83        2.34          3.83           NA            NA        0.26        3.43          4.92           NA            NA         XXX
                                    lower spine.
72265.......  TC......  A          Contrast x-ray,        0.00        2.11          3.58           NA            NA        0.22        2.33          3.80           NA            NA         XXX
                                    lower spine.
72265.......  26......  A          Contrast x-ray,        0.83        0.23          0.25         0.23          0.25        0.04        1.10          1.12         1.10          1.12         XXX
                                    lower spine.
72270.......  ........  A          Contrast x-ray,        1.33        3.69          5.81           NA            NA        0.39        5.41          7.53           NA            NA         XXX
                                    spine.
72270.......  TC......  A          Contrast x-ray,        0.00        3.31          5.40           NA            NA        0.33        3.64          5.73           NA            NA         XXX
                                    spine.
72270.......  26......  A          Contrast x-ray,        1.33        0.38          0.41         0.38          0.41        0.06        1.77          1.80         1.77          1.80         XXX
                                    spine.
72275.......  ........  A          Epidurography...       0.76        1.67          2.15           NA            NA        0.26        2.69          3.17           NA            NA         XXX
72275.......  TC......  A          Epidurography...       0.00        1.48          1.95           NA            NA        0.22        1.70          2.17           NA            NA         XXX
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69930]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
72275.......  26......  A          Epidurography...       0.76        0.19          0.20         0.19          0.20        0.04        0.99          1.00         0.99          1.00         XXX
72285.......  ........  A          X-ray c/t spine        1.16        1.36          6.90           NA            NA        0.50        3.02          8.56           NA            NA         XXX
                                    disk.
72285.......  TC......  A          X-ray c/t spine        0.00        1.09          6.56           NA            NA        0.43        1.52          6.99           NA            NA         XXX
                                    disk.
72285.......  26......  A          X-ray c/t spine        1.16        0.27          0.34         0.27          0.34        0.07        1.50          1.57         1.50          1.57         XXX
                                    disk.
72291.......  ........  C          Perq                   0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vertebroplasty,
                                    fluor.
72291.......  TC......  C          Perq                   0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vertebroplasty,
                                    fluor.
72291.......  26......  A          Perq                   1.31        0.41          0.46         0.41          0.46        0.10        1.82          1.87         1.82          1.87         XXX
                                    vertebroplasty,
                                    fluor.
72292.......  ........  C          Perq                   0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vertebroplasty,
                                    ct.
72292.......  TC......  C          Perq                   0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vertebroplasty,
                                    ct.
72292.......  26......  A          Perq                   1.38        0.41          0.46         0.41          0.46        0.07        1.86          1.91         1.86          1.91         XXX
                                    vertebroplasty,
                                    ct.
72295.......  ........  A          X-ray of lower         0.83        1.36          6.44           NA            NA        0.46        2.65          7.73           NA            NA         XXX
                                    spine disk.
72295.......  TC......  A          X-ray of lower         0.00        1.14          6.18           NA            NA        0.40        1.54          6.58           NA            NA         XXX
                                    spine disk.
72295.......  26......  A          X-ray of lower         0.83        0.22          0.26         0.22          0.26        0.06        1.11          1.15         1.11          1.15         XXX
                                    spine disk.
73000.......  ........  A          X-ray exam of          0.16        0.53          0.56           NA            NA        0.03        0.72          0.75           NA            NA         XXX
                                    collar bone.
73000.......  TC......  A          X-ray exam of          0.00        0.48          0.51           NA            NA        0.02        0.50          0.53           NA            NA         XXX
                                    collar bone.
73000.......  26......  A          X-ray exam of          0.16        0.05          0.05         0.05          0.05        0.01        0.22          0.22         0.22          0.22         XXX
                                    collar bone.
73010.......  ........  A          X-ray exam of          0.17        0.56          0.58           NA            NA        0.03        0.76          0.78           NA            NA         XXX
                                    shoulder blade.
73010.......  TC......  A          X-ray exam of          0.00        0.51          0.52           NA            NA        0.02        0.53          0.54           NA            NA         XXX
                                    shoulder blade.
73010.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    shoulder blade.
73020.......  ........  A          X-ray exam of          0.15        0.43          0.50           NA            NA        0.03        0.61          0.68           NA            NA         XXX
                                    shoulder.
73020.......  TC......  A          X-ray exam of          0.00        0.38          0.45           NA            NA        0.02        0.40          0.47           NA            NA         XXX
                                    shoulder.
73020.......  26......  A          X-ray exam of          0.15        0.05          0.05         0.05          0.05        0.01        0.21          0.21         0.21          0.21         XXX
                                    shoulder.
73030.......  ........  A          X-ray exam of          0.18        0.55          0.61           NA            NA        0.05        0.78          0.84           NA            NA         XXX
                                    shoulder.
73030.......  TC......  A          X-ray exam of          0.00        0.49          0.55           NA            NA        0.04        0.53          0.59           NA            NA         XXX
                                    shoulder.
73030.......  26......  A          X-ray exam of          0.18        0.06          0.06         0.06          0.06        0.01        0.25          0.25         0.25          0.25         XXX
                                    shoulder.
73040.......  ........  A          Contrast x-ray         0.54        2.11          2.24           NA            NA        0.14        2.79          2.92           NA            NA         XXX
                                    of shoulder.
73040.......  TC......  A          Contrast x-ray         0.00        1.95          2.06           NA            NA        0.12        2.07          2.18           NA            NA         XXX
                                    of shoulder.
73040.......  26......  A          Contrast x-ray         0.54        0.16          0.18         0.16          0.18        0.02        0.72          0.74         0.72          0.74         XXX
                                    of shoulder.
73050.......  ........  A          X-ray exam of          0.20        0.71          0.73           NA            NA        0.05        0.96          0.98           NA            NA         XXX
                                    shoulders.
73050.......  TC......  A          X-ray exam of          0.00        0.64          0.66           NA            NA        0.04        0.68          0.70           NA            NA         XXX
                                    shoulders.
73050.......  26......  A          X-ray exam of          0.20        0.07          0.07         0.07          0.07        0.01        0.28          0.28         0.28          0.28         XXX
                                    shoulders.
73060.......  ........  A          X-ray exam of          0.17        0.55          0.61           NA            NA        0.05        0.77          0.83           NA            NA         XXX
                                    humerus.
73060.......  TC......  A          X-ray exam of          0.00        0.50          0.55           NA            NA        0.04        0.54          0.59           NA            NA         XXX
                                    humerus.
73060.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    humerus.
73070.......  ........  A          X-ray exam of          0.15        0.54          0.56           NA            NA        0.03        0.72          0.74           NA            NA         XXX
                                    elbow.
73070.......  TC......  A          X-ray exam of          0.00        0.49          0.51           NA            NA        0.02        0.51          0.53           NA            NA         XXX
                                    elbow.
73070.......  26......  A          X-ray exam of          0.15        0.05          0.05         0.05          0.05        0.01        0.21          0.21         0.21          0.21         XXX
                                    elbow.
73080.......  ........  A          X-ray exam of          0.17        0.72          0.66           NA            NA        0.05        0.94          0.88           NA            NA         XXX
                                    elbow.
73080.......  TC......  A          X-ray exam of          0.00        0.67          0.60           NA            NA        0.04        0.71          0.64           NA            NA         XXX
                                    elbow.
73080.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    elbow.
73085.......  ........  A          Contrast x-ray         0.54        1.74          2.15           NA            NA        0.14        2.42          2.83           NA            NA         XXX
                                    of elbow.
73085.......  TC......  A          Contrast x-ray         0.00        1.58          1.97           NA            NA        0.12        1.70          2.09           NA            NA         XXX
                                    of elbow.
73085.......  26......  A          Contrast x-ray         0.54        0.16          0.18         0.16          0.18        0.02        0.72          0.74         0.72          0.74         XXX
                                    of elbow.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69931]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
73090.......  ........  A          X-ray exam of          0.16        0.52          0.56           NA            NA        0.03        0.71          0.75           NA            NA         XXX
                                    forearm.
73090.......  TC......  A          X-ray exam of          0.00        0.48          0.51           NA            NA        0.02        0.50          0.53           NA            NA         XXX
                                    forearm.
73090.......  26......  A          X-ray exam of          0.16        0.04          0.05         0.04          0.05        0.01        0.21          0.22         0.21          0.22         XXX
                                    forearm.
73092.......  ........  A          X-ray exam of          0.16        0.55          0.55           NA            NA        0.03        0.74          0.74           NA            NA         XXX
                                    arm, infant.
73092.......  TC......  A          X-ray exam of          0.00        0.51          0.50           NA            NA        0.02        0.53          0.52           NA            NA         XXX
                                    arm, infant.
73092.......  26......  A          X-ray exam of          0.16        0.04          0.05         0.04          0.05        0.01        0.21          0.22         0.21          0.22         XXX
                                    arm, infant.
73100.......  ........  A          X-ray exam of          0.16        0.59          0.55           NA            NA        0.03        0.78          0.74           NA            NA         XXX
                                    wrist.
73100.......  TC......  A          X-ray exam of          0.00        0.54          0.50           NA            NA        0.02        0.56          0.52           NA            NA         XXX
                                    wrist.
73100.......  26......  A          X-ray exam of          0.16        0.05          0.05         0.05          0.05        0.01        0.22          0.22         0.22          0.22         XXX
                                    wrist.
73110.......  ........  A          X-ray exam of          0.17        0.74          0.63           NA            NA        0.03        0.94          0.83           NA            NA         XXX
                                    wrist.
73110.......  TC......  A          X-ray exam of          0.00        0.69          0.57           NA            NA        0.02        0.71          0.59           NA            NA         XXX
                                    wrist.
73110.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    wrist.
73115.......  ........  A          Contrast x-ray         0.54        2.28          1.89           NA            NA        0.12        2.94          2.55           NA            NA         XXX
                                    of wrist.
73115.......  TC......  A          Contrast x-ray         0.00        2.11          1.71           NA            NA        0.10        2.21          1.81           NA            NA         XXX
                                    of wrist.
73115.......  26......  A          Contrast x-ray         0.54        0.17          0.18         0.17          0.18        0.02        0.73          0.74         0.73          0.74         XXX
                                    of wrist.
73120.......  ........  A          X-ray exam of          0.16        0.54          0.54           NA            NA        0.03        0.73          0.73           NA            NA         XXX
                                    hand.
73120.......  TC......  A          X-ray exam of          0.00        0.49          0.49           NA            NA        0.02        0.51          0.51           NA            NA         XXX
                                    hand.
73120.......  26......  A          X-ray exam of          0.16        0.05          0.05         0.05          0.05        0.01        0.22          0.22         0.22          0.22         XXX
                                    hand.
73130.......  ........  A          X-ray exam of          0.17        0.63          0.60           NA            NA        0.03        0.83          0.80           NA            NA         XXX
                                    hand.
73130.......  TC......  A          X-ray exam of          0.00        0.58          0.54           NA            NA        0.02        0.60          0.56           NA            NA         XXX
                                    hand.
73130.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    hand.
73140.......  ........  A          X-ray exam of          0.13        0.65          0.51           NA            NA        0.03        0.81          0.67           NA            NA         XXX
                                    finger(s).
73140.......  TC......  A          X-ray exam of          0.00        0.61          0.47           NA            NA        0.02        0.63          0.49           NA            NA         XXX
                                    finger(s).
73140.......  26......  A          X-ray exam of          0.13        0.04          0.04         0.04          0.04        0.01        0.18          0.18         0.18          0.18         XXX
                                    finger(s).
73200.......  ........  A          Ct upper               1.09        6.03          5.50           NA            NA        0.30        7.42          6.89           NA            NA         XXX
                                    extremity w/o
                                    dye.
73200.......  TC......  A          Ct upper               0.00        5.72          5.15           NA            NA        0.25        5.97          5.40           NA            NA         XXX
                                    extremity w/o
                                    dye.
73200.......  26......  A          Ct upper               1.09        0.31          0.35         0.31          0.35        0.05        1.45          1.49         1.45          1.49         XXX
                                    extremity w/o
                                    dye.
73201.......  ........  A          Ct upper               1.16        7.45          6.58           NA            NA        0.36        8.97          8.10           NA            NA         XXX
                                    extremity w/dye.
73201.......  TC......  A          Ct upper               0.00        7.12          6.21           NA            NA        0.31        7.43          6.52           NA            NA         XXX
                                    extremity w/dye.
73201.......  26......  A          Ct upper               1.16        0.33          0.37         0.33          0.37        0.05        1.54          1.58         1.54          1.58         XXX
                                    extremity w/dye.
73202.......  ........  A          Ct uppr                1.22       10.06          8.38           NA            NA        0.44       11.72         10.04           NA            NA         XXX
                                    extremity w/o&w/
                                    dye.
73202.......  TC......  A          Ct uppr                0.00        9.71          7.99           NA            NA        0.39       10.10          8.38           NA            NA         XXX
                                    extremity w/o&w/
                                    dye.
73202.......  26......  A          Ct uppr                1.22        0.35          0.39         0.35          0.39        0.05        1.62          1.66         1.62          1.66         XXX
                                    extremity w/o&w/
                                    dye.
73206.......  ........  A          Ct angio upr           1.81       10.21         11.22           NA            NA        0.47       12.49         13.50           NA            NA         XXX
                                    extrm w/o&w/dye.
73206.......  TC......  A          Ct angio upr           0.00        9.67         10.64           NA            NA        0.39       10.06         11.03           NA            NA         XXX
                                    extrm w/o&w/dye.
73206.......  26......  A          Ct angio upr           1.81        0.54          0.58         0.54          0.58        0.08        2.43          2.47         2.43          2.47         XXX
                                    extrm w/o&w/dye.
73218.......  ........  A          Mri upper              1.35       14.04         12.24           NA            NA        0.45       15.84         14.04           NA            NA         XXX
                                    extremity w/o
                                    dye.
73218.......  TC......  A          Mri upper              0.00       13.65         11.81           NA            NA        0.39       14.04         12.20           NA            NA         XXX
                                    extremity w/o
                                    dye.
73218.......  26......  A          Mri upper              1.35        0.39          0.43         0.39          0.43        0.06        1.80          1.84         1.80          1.84         XXX
                                    extremity w/o
                                    dye.
73219.......  ........  A          Mri upper              1.62       14.65         14.15           NA            NA        0.54       16.81         16.31           NA            NA         XXX
                                    extremity w/dye.
73219.......  TC......  A          Mri upper              0.00       14.18         13.63           NA            NA        0.47       14.65         14.10           NA            NA         XXX
                                    extremity w/dye.
73219.......  26......  A          Mri upper              1.62        0.47          0.52         0.47          0.52        0.07        2.16          2.21         2.16          2.21         XXX
                                    extremity w/dye.
73220.......  ........  A          Mri uppr               2.15       18.09         23.72           NA            NA        0.94       21.18         26.81           NA            NA         XXX
                                    extremity w/o&w/
                                    dye.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69932]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
73220.......  TC......  A          Mri uppr               0.00       17.48         23.03           NA            NA        0.84       18.32         23.87           NA            NA         XXX
                                    extremity w/o&w/
                                    dye.
73220.......  26......  A          Mri uppr               2.15        0.61          0.69         0.61          0.69        0.10        2.86          2.94         2.86          2.94         XXX
                                    extremity w/o&w/
                                    dye.
73221.......  ........  A          Mri joint upr          1.35       12.98         11.98           NA            NA        0.45       14.78         13.78           NA            NA         XXX
                                    extrem w/o dye.
73221.......  TC......  A          Mri joint upr          0.00       12.58         11.55           NA            NA        0.39       12.97         11.94           NA            NA         XXX
                                    extrem w/o dye.
73221.......  26......  A          Mri joint upr          1.35        0.40          0.43         0.40          0.43        0.06        1.81          1.84         1.81          1.84         XXX
                                    extrem w/o dye.
73222.......  ........  A          Mri joint upr          1.62       13.63         13.89           NA            NA        0.54       15.79         16.05           NA            NA         XXX
                                    extrem w/dye.
73222.......  TC......  A          Mri joint upr          0.00       13.16         13.37           NA            NA        0.47       13.63         13.84           NA            NA         XXX
                                    extrem w/dye.
73222.......  26......  A          Mri joint upr          1.62        0.47          0.52         0.47          0.52        0.07        2.16          2.21         2.16          2.21         XXX
                                    extrem w/dye.
73223.......  ........  A          Mri joint upr          2.15       16.13         23.40           NA            NA        0.94       19.22         26.49           NA            NA         XXX
                                    extr w/o&w/dye.
73223.......  TC......  A          Mri joint upr          0.00       16.13         22.69           NA            NA        0.84       16.97         23.53           NA            NA         XXX
                                    extr w/o&w/dye.
73223.......  26......  A          Mri joint upr          2.15        0.00          0.71         0.00          0.71        0.10        2.25          2.96         2.25          2.96         XXX
                                    extr w/o&w/dye.
73225.......  ........  N          Mr angio upr           1.73       14.47         12.38           NA            NA        0.69       16.89         14.80           NA            NA         XXX
                                    extr w/o&w/dye.
73225.......  TC......  N          Mr angio upr           0.00       14.07         11.78           NA            NA        0.59       14.66         12.37           NA            NA         XXX
                                    extr w/o&w/dye.
73225.......  26......  N          Mr angio upr           1.73        0.40          0.60         0.40          0.60        0.10        2.23          2.43         2.23          2.43         XXX
                                    extr w/o&w/dye.
73500.......  ........  A          X-ray exam of          0.17        0.46          0.52           NA            NA        0.03        0.66          0.72           NA            NA         XXX
                                    hip.
73500.......  TC......  A          X-ray exam of          0.00        0.41          0.46           NA            NA        0.02        0.43          0.48           NA            NA         XXX
                                    hip.
73500.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    hip.
73510.......  ........  A          X-ray exam of          0.21        0.74          0.67           NA            NA        0.05        1.00          0.93           NA            NA         XXX
                                    hip.
73510.......  TC......  A          X-ray exam of          0.00        0.68          0.60           NA            NA        0.04        0.72          0.64           NA            NA         XXX
                                    hip.
73510.......  26......  A          X-ray exam of          0.21        0.06          0.07         0.06          0.07        0.01        0.28          0.29         0.28          0.29         XXX
                                    hip.
73520.......  ........  A          X-ray exam of          0.26        0.75          0.76           NA            NA        0.05        1.06          1.07           NA            NA         XXX
                                    hips.
73520.......  TC......  A          X-ray exam of          0.00        0.67          0.67           NA            NA        0.04        0.71          0.71           NA            NA         XXX
                                    hips.
73520.......  26......  A          X-ray exam of          0.26        0.08          0.09         0.08          0.09        0.01        0.35          0.36         0.35          0.36         XXX
                                    hips.
73525.......  ........  A          Contrast x-ray         0.54        1.72          2.15           NA            NA        0.15        2.41          2.84           NA            NA         XXX
                                    of hip.
73525.......  TC......  A          Contrast x-ray         0.00        1.56          1.97           NA            NA        0.12        1.68          2.09           NA            NA         XXX
                                    of hip.
73525.......  26......  A          Contrast x-ray         0.54        0.16          0.18         0.16          0.18        0.03        0.73          0.75         0.73          0.75         XXX
                                    of hip.
73530.......  ........  C          X-ray exam of          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    hip.
73530.......  TC......  C          X-ray exam of          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    hip.
73530.......  26......  A          X-ray exam of          0.29        0.08          0.10         0.08          0.10        0.01        0.38          0.40         0.38          0.40         XXX
                                    hip.
73540.......  ........  A          X-ray exam of          0.20        0.78          0.68           NA            NA        0.05        1.03          0.93           NA            NA         XXX
                                    pelvis & hips.
73540.......  TC......  A          X-ray exam of          0.00        0.71          0.61           NA            NA        0.04        0.75          0.65           NA            NA         XXX
                                    pelvis & hips.
73540.......  26......  A          X-ray exam of          0.20        0.07          0.07         0.07          0.07        0.01        0.28          0.28         0.28          0.28         XXX
                                    pelvis & hips.
73542.......  ........  A          X-ray exam,            0.59        1.10          1.98           NA            NA        0.15        1.84          2.72           NA            NA         XXX
                                    sacroiliac
                                    joint.
73542.......  TC......  A          X-ray exam,            0.00        0.96          1.82           NA            NA        0.12        1.08          1.94           NA            NA         XXX
                                    sacroiliac
                                    joint.
73542.......  26......  A          X-ray exam,            0.59        0.14          0.16         0.14          0.16        0.03        0.76          0.78         0.76          0.78         XXX
                                    sacroiliac
                                    joint.
73550.......  ........  A          X-ray exam of          0.17        0.52          0.61           NA            NA        0.05        0.74          0.83           NA            NA         XXX
                                    thigh.
73550.......  TC......  A          X-ray exam of          0.00        0.47          0.55           NA            NA        0.04        0.51          0.59           NA            NA         XXX
                                    thigh.
73550.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    thigh.
73560.......  ........  A          X-ray exam of          0.17        0.56          0.58           NA            NA        0.03        0.76          0.78           NA            NA         XXX
                                    knee, 1 or 2.
73560.......  TC......  A          X-ray exam of          0.00        0.51          0.52           NA            NA        0.02        0.53          0.54           NA            NA         XXX
                                    knee, 1 or 2.
73560.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    knee, 1 or 2.
73562.......  ........  A          X-ray exam of          0.18        0.71          0.65           NA            NA        0.05        0.94          0.88           NA            NA         XXX
                                    knee, 3.
73562.......  TC......  A          X-ray exam of          0.00        0.65          0.59           NA            NA        0.04        0.69          0.63           NA            NA         XXX
                                    knee, 3.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69933]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
73562.......  26......  A          X-ray exam of          0.18        0.06          0.06         0.06          0.06        0.01        0.25          0.25         0.25          0.25         XXX
                                    knee, 3.
73564.......  ........  A          X-ray exam,            0.22        0.83          0.73           NA            NA        0.05        1.10          1.00           NA            NA         XXX
                                    knee, 4 or more.
73564.......  TC......  A          X-ray exam,            0.00        0.76          0.66           NA            NA        0.04        0.80          0.70           NA            NA         XXX
                                    knee, 4 or more.
73564.......  26......  A          X-ray exam,            0.22        0.07          0.07         0.07          0.07        0.01        0.30          0.30         0.30          0.30         XXX
                                    knee, 4 or more.
73565.......  ........  A          X-ray exam of          0.17        0.64          0.57           NA            NA        0.03        0.84          0.77           NA            NA         XXX
                                    knees.
73565.......  TC......  A          X-ray exam of          0.00        0.58          0.51           NA            NA        0.02        0.60          0.53           NA            NA         XXX
                                    knees.
73565.......  26......  A          X-ray exam of          0.17        0.06          0.06         0.06          0.06        0.01        0.24          0.24         0.24          0.24         XXX
                                    knees.
73580.......  ........  A          Contrast x-ray         0.54        2.32          2.67           NA            NA        0.17        3.03          3.38           NA            NA         XXX
                                    of knee joint.
73580.......  TC......  A          Contrast x-ray         0.00        2.15          2.50           NA            NA        0.14        2.29          2.64           NA            NA         XXX
                                    of knee joint.
73580.......  26......  A          Contrast x-ray         0.54        0.17          0.17         0.17          0.17        0.03        0.74          0.74         0.74          0.74         XXX
                                    of knee joint.
73590.......  ........  A          X-ray exam of          0.17        0.51          0.57           NA            NA        0.03        0.71          0.77           NA            NA         XXX
                                    lower leg.
73590.......  TC......  A          X-ray exam of          0.00        0.46          0.51           NA            NA        0.02        0.48          0.53           NA            NA         XXX
                                    lower leg.
73590.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    lower leg.
73592.......  ........  A          X-ray exam of          0.16        0.57          0.55           NA            NA        0.03        0.76          0.74           NA            NA         XXX
                                    leg, infant.
73592.......  TC......  A          X-ray exam of          0.00        0.53          0.50           NA            NA        0.02        0.55          0.52           NA            NA         XXX
                                    leg, infant.
73592.......  26......  A          X-ray exam of          0.16        0.04          0.05         0.04          0.05        0.01        0.21          0.22         0.21          0.22         XXX
                                    leg, infant.
73600.......  ........  A          X-ray exam of          0.16        0.55          0.54           NA            NA        0.03        0.74          0.73           NA            NA         XXX
                                    ankle.
73600.......  TC......  A          X-ray exam of          0.00        0.50          0.49           NA            NA        0.02        0.52          0.51           NA            NA         XXX
                                    ankle.
73600.......  26......  A          X-ray exam of          0.16        0.05          0.05         0.05          0.05        0.01        0.22          0.22         0.22          0.22         XXX
                                    ankle.
73610.......  ........  A          X-ray exam of          0.17        0.64          0.61           NA            NA        0.03        0.84          0.81           NA            NA         XXX
                                    ankle.
73610.......  TC......  A          X-ray exam of          0.00        0.59          0.55           NA            NA        0.02        0.61          0.57           NA            NA         XXX
                                    ankle.
73610.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    ankle.
73615.......  ........  A          Contrast x-ray         0.54        1.83          2.17           NA            NA        0.15        2.52          2.86           NA            NA         XXX
                                    of ankle.
73615.......  TC......  A          Contrast x-ray         0.00        1.67          1.99           NA            NA        0.12        1.79          2.11           NA            NA         XXX
                                    of ankle.
73615.......  26......  A          Contrast x-ray         0.54        0.16          0.18         0.16          0.18        0.03        0.73          0.75         0.73          0.75         XXX
                                    of ankle.
73620.......  ........  A          X-ray exam of          0.16        0.52          0.54           NA            NA        0.03        0.71          0.73           NA            NA         XXX
                                    foot.
73620.......  TC......  A          X-ray exam of          0.00        0.48          0.49           NA            NA        0.02        0.50          0.51           NA            NA         XXX
                                    foot.
73620.......  26......  A          X-ray exam of          0.16        0.04          0.05         0.04          0.05        0.01        0.21          0.22         0.21          0.22         XXX
                                    foot.
73630.......  ........  A          X-ray exam of          0.17        0.63          0.60           NA            NA        0.03        0.83          0.80           NA            NA         XXX
                                    foot.
73630.......  TC......  A          X-ray exam of          0.00        0.58          0.54           NA            NA        0.02        0.60          0.56           NA            NA         XXX
                                    foot.
73630.......  26......  A          X-ray exam of          0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    foot.
73650.......  ........  A          X-ray exam of          0.16        0.54          0.53           NA            NA        0.03        0.73          0.72           NA            NA         XXX
                                    heel.
73650.......  TC......  A          X-ray exam of          0.00        0.49          0.48           NA            NA        0.02        0.51          0.50           NA            NA         XXX
                                    heel.
73650.......  26......  A          X-ray exam of          0.16        0.05          0.05         0.05          0.05        0.01        0.22          0.22         0.22          0.22         XXX
                                    heel.
73660.......  ........  A          X-ray exam of          0.13        0.62          0.50           NA            NA        0.03        0.78          0.66           NA            NA         XXX
                                    toe(s).
73660.......  TC......  A          X-ray exam of          0.00        0.58          0.46           NA            NA        0.02        0.60          0.48           NA            NA         XXX
                                    toe(s).
73660.......  26......  A          X-ray exam of          0.13        0.04          0.04         0.04          0.04        0.01        0.18          0.18         0.18          0.18         XXX
                                    toe(s).
73700.......  ........  A          Ct lower               1.09        6.04          5.50           NA            NA        0.30        7.43          6.89           NA            NA         XXX
                                    extremity w/o
                                    dye.
73700.......  TC......  A          Ct lower               0.00        5.73          5.15           NA            NA        0.25        5.98          5.40           NA            NA         XXX
                                    extremity w/o
                                    dye.
73700.......  26......  A          Ct lower               1.09        0.31          0.35         0.31          0.35        0.05        1.45          1.49         1.45          1.49         XXX
                                    extremity w/o
                                    dye.
73701.......  ........  A          Ct lower               1.16        7.50          6.60           NA            NA        0.36        9.02          8.12           NA            NA         XXX
                                    extremity w/dye.
73701.......  TC......  A          Ct lower               0.00        7.17          6.23           NA            NA        0.31        7.48          6.54           NA            NA         XXX
                                    extremity w/dye.
73701.......  26......  A          Ct lower               1.16        0.33          0.37         0.33          0.37        0.05        1.54          1.58         1.54          1.58         XXX
                                    extremity w/dye.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69934]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
73702.......  ........  A          Ct lwr extremity       1.22       10.14          8.40           NA            NA        0.44       11.80         10.06           NA            NA         XXX
                                    w/o&w/dye.
73702.......  TC......  A          Ct lwr extremity       0.00        9.78          8.01           NA            NA        0.39       10.17          8.40           NA            NA         XXX
                                    w/o&w/dye.
73702.......  26......  A          Ct lwr extremity       1.22        0.36          0.39         0.36          0.39        0.05        1.63          1.66         1.63          1.66         XXX
                                    w/o&w/dye.
73706.......  ........  A          Ct angio lwr           1.90       11.69         11.61           NA            NA        0.47       14.06         13.98           NA            NA         XXX
                                    extr w/o&w/dye.
73706.......  TC......  A          Ct angio lwr           0.00       11.09         10.99           NA            NA        0.39       11.48         11.38           NA            NA         XXX
                                    extr w/o&w/dye.
73706.......  26......  A          Ct angio lwr           1.90        0.60          0.62         0.60          0.62        0.08        2.58          2.60         2.58          2.60         XXX
                                    extr w/o&w/dye.
73718.......  ........  A          Mri lower              1.35       13.64         12.14           NA            NA        0.45       15.44         13.94           NA            NA         XXX
                                    extremity w/o
                                    dye.
73718.......  TC......  A          Mri lower              0.00       13.25         11.71           NA            NA        0.39       13.64         12.10           NA            NA         XXX
                                    extremity w/o
                                    dye.
73718.......  26......  A          Mri lower              1.35        0.39          0.43         0.39          0.43        0.06        1.80          1.84         1.80          1.84         XXX
                                    extremity w/o
                                    dye.
73719.......  ........  A          Mri lower              1.62       14.58         14.12           NA            NA        0.54       16.74         16.28           NA            NA         XXX
                                    extremity w/dye.
73719.......  TC......  A          Mri lower              0.00       14.12         13.61           NA            NA        0.47       14.59         14.08           NA            NA         XXX
                                    extremity w/dye.
73719.......  26......  A          Mri lower              1.62        0.46          0.51         0.46          0.51        0.07        2.15          2.20         2.15          2.20         XXX
                                    extremity w/dye.
73720.......  ........  A          Mri lwr                2.15       18.05         23.70           NA            NA        0.94       21.14         26.79           NA            NA         XXX
                                    extremity w/o&w/
                                    dye.
73720.......  TC......  A          Mri lwr                0.00       17.44         23.02           NA            NA        0.84       18.28         23.86           NA            NA         XXX
                                    extremity w/o&w/
                                    dye.
73720.......  26......  A          Mri lwr                2.15        0.61          0.68         0.61          0.68        0.10        2.86          2.93         2.86          2.93         XXX
                                    extremity w/o&w/
                                    dye.
73721.......  ........  A          Mri jnt of lwr         1.35       13.26         12.05           NA            NA        0.45       15.06         13.85           NA            NA         XXX
                                    extre w/o dye.
73721.......  TC......  A          Mri jnt of lwr         0.00       12.86         11.62           NA            NA        0.39       13.25         12.01           NA            NA         XXX
                                    extre w/o dye.
73721.......  26......  A          Mri jnt of lwr         1.35        0.40          0.43         0.40          0.43        0.06        1.81          1.84         1.81          1.84         XXX
                                    extre w/o dye.
73722.......  ........  A          Mri joint of lwr       1.62       13.88         13.95           NA            NA        0.54       16.04         16.11           NA            NA         XXX
                                    extr w/dye.
73722.......  TC......  A          Mri joint of lwr       0.00       13.40         13.43           NA            NA        0.47       13.87         13.90           NA            NA         XXX
                                    extr w/dye.
73722.......  26......  A          Mri joint of lwr       1.62        0.48          0.52         0.48          0.52        0.07        2.17          2.21         2.17          2.21         XXX
                                    extr w/dye.
73723.......  ........  A          Mri joint lwr          2.15       16.70         23.37           NA            NA        0.94       19.79         26.46           NA            NA         XXX
                                    extr w/o&w/dye.
73723.......  TC......  A          Mri joint lwr          0.00       16.09         22.68           NA            NA        0.84       16.93         23.52           NA            NA         XXX
                                    extr w/o&w/dye.
73723.......  26......  A          Mri joint lwr          2.15        0.61          0.69         0.61          0.69        0.10        2.86          2.94         2.86          2.94         XXX
                                    extr w/o&w/dye.
73725.......  ........  R          Mr ang lwr ext w       1.82       14.34         12.44           NA            NA        0.67       16.83         14.93           NA            NA         XXX
                                    or w/o dye.
73725.......  TC......  R          Mr ang lwr ext w       0.00       13.82         11.86           NA            NA        0.59       14.41         12.45           NA            NA         XXX
                                    or w/o dye.
73725.......  26......  R          Mr ang lwr ext w       1.82        0.52          0.58         0.52          0.58        0.08        2.42          2.48         2.42          2.48         XXX
                                    or w/o dye.
74000.......  ........  A          X-ray exam of          0.18        0.43          0.55           NA            NA        0.03        0.64          0.76           NA            NA         XXX
                                    abdomen.
74000.......  TC......  A          X-ray exam of          0.00        0.38          0.49           NA            NA        0.02        0.40          0.51           NA            NA         XXX
                                    abdomen.
74000.......  26......  A          X-ray exam of          0.18        0.05          0.06         0.05          0.06        0.01        0.24          0.25         0.24          0.25         XXX
                                    abdomen.
74010.......  ........  A          X-ray exam of          0.23        0.74          0.68           NA            NA        0.05        1.02          0.96           NA            NA         XXX
                                    abdomen.
74010.......  TC......  A          X-ray exam of          0.00        0.68          0.60           NA            NA        0.04        0.72          0.64           NA            NA         XXX
                                    abdomen.
74010.......  26......  A          X-ray exam of          0.23        0.06          0.08         0.06          0.08        0.01        0.30          0.32         0.30          0.32         XXX
                                    abdomen.
74020.......  ........  A          X-ray exam of          0.27        0.74          0.72           NA            NA        0.05        1.06          1.04           NA            NA         XXX
                                    abdomen.
74020.......  TC......  A          X-ray exam of          0.00        0.67          0.63           NA            NA        0.04        0.71          0.67           NA            NA         XXX
                                    abdomen.
74020.......  26......  A          X-ray exam of          0.27        0.07          0.09         0.07          0.09        0.01        0.35          0.37         0.35          0.37         XXX
                                    abdomen.
74022.......  ........  A          X-ray exam             0.32        0.91          0.85           NA            NA        0.06        1.29          1.23           NA            NA         XXX
                                    series, abdomen.
74022.......  TC......  A          X-ray exam             0.00        0.82          0.75           NA            NA        0.05        0.87          0.80           NA            NA         XXX
                                    series, abdomen.
74022.......  26......  A          X-ray exam             0.32        0.09          0.10         0.09          0.10        0.01        0.42          0.43         0.42          0.43         XXX
                                    series, abdomen.
74150.......  ........  A          Ct abdomen w/o         1.19        5.70          5.97           NA            NA        0.35        7.24          7.51           NA            NA         XXX
                                    dye.
74150.......  TC......  A          Ct abdomen w/o         0.00        5.36          5.59           NA            NA        0.30        5.66          5.89           NA            NA         XXX
                                    dye.
74150.......  26......  A          Ct abdomen w/o         1.19        0.34          0.38         0.34          0.38        0.05        1.58          1.62         1.58          1.62         XXX
                                    dye.
74160.......  ........  A          Ct abdomen w/dye       1.27        8.32          7.53           NA            NA        0.42       10.01          9.22           NA            NA         XXX
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69935]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
74160.......  TC......  A          Ct abdomen w/dye       0.00        7.96          7.12           NA            NA        0.36        8.32          7.48           NA            NA         XXX
74160.......  26......  A          Ct abdomen w/dye       1.27        0.36          0.41         0.36          0.41        0.06        1.69          1.74         1.69          1.74         XXX
74170.......  ........  A          Ct abdomen w/o &       1.40       11.54          9.60           NA            NA        0.49       13.43         11.49           NA            NA         XXX
                                    w/dye.
74170.......  TC......  A          Ct abdomen w/o &       0.00       11.14          9.15           NA            NA        0.43       11.57          9.58           NA            NA         XXX
                                    w/dye.
74170.......  26......  A          Ct abdomen w/o &       1.40        0.40          0.45         0.40          0.45        0.06        1.86          1.91         1.86          1.91         XXX
                                    w/dye.
74175.......  ........  A          Ct angio abdom w/      1.90       11.60         12.39           NA            NA        0.47       13.97         14.76           NA            NA         XXX
                                    o & w/dye.
74175.......  TC......  A          Ct angio abdom w/      0.00       11.04         11.78           NA            NA        0.39       11.43         12.17           NA            NA         XXX
                                    o & w/dye.
74175.......  26......  A          Ct angio abdom w/      1.90        0.56          0.61         0.56          0.61        0.08        2.54          2.59         2.54          2.59         XXX
                                    o & w/dye.
74181.......  ........  A          Mri abdomen w/o        1.46       11.79         11.71           NA            NA        0.51       13.76         13.68           NA            NA         XXX
                                    dye.
74181.......  TC......  A          Mri abdomen w/o        0.00       11.38         11.25           NA            NA        0.45       11.83         11.70           NA            NA         XXX
                                    dye.
74181.......  26......  A          Mri abdomen w/o        1.46        0.41          0.46         0.41          0.46        0.06        1.93          1.98         1.93          1.98         XXX
                                    dye.
74182.......  ........  A          Mri abdomen w/         1.73       16.49         14.63           NA            NA        0.60       18.82         16.96           NA            NA         XXX
                                    dye.
74182.......  TC......  A          Mri abdomen w/         0.00       16.00         14.08           NA            NA        0.52       16.52         14.60           NA            NA         XXX
                                    dye.
74182.......  26......  A          Mri abdomen w/         1.73        0.49          0.55         0.49          0.55        0.08        2.30          2.36         2.30          2.36         XXX
                                    dye.
74183.......  ........  A          Mri abdomen w/o        2.26       18.00         23.72           NA            NA        1.02       21.28         27.00           NA            NA         XXX
                                    & w/dye.
74183.......  TC......  A          Mri abdomen w/o        0.00       17.36         23.00           NA            NA        0.92       18.28         23.92           NA            NA         XXX
                                    & w/dye.
74183.......  26......  A          Mri abdomen w/o        2.26        0.64          0.72         0.64          0.72        0.10        3.00          3.08         3.00          3.08         XXX
                                    & w/dye.
74185.......  ........  R          Mri angio, abdom       1.80       14.30         12.42           NA            NA        0.67       16.77         14.89           NA            NA         XXX
                                    w orw/o dye.
74185.......  TC......  R          Mri angio, abdom       0.00       13.78         11.85           NA            NA        0.59       14.37         12.44           NA            NA         XXX
                                    w orw/o dye.
74185.......  26......  R          Mri angio, abdom       1.80        0.52          0.57         0.52          0.57        0.08        2.40          2.45         2.40          2.45         XXX
                                    w orw/o dye.
74190.......  ........  C          X-ray exam of          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    peritoneum.
74190.......  TC......  C          X-ray exam of          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    peritoneum.
74190.......  26......  A          X-ray exam of          0.48        0.14          0.16         0.14          0.16        0.02        0.64          0.66         0.64          0.66         XXX
                                    peritoneum.
74210.......  ........  A          Contrst x-ray          0.36        1.65          1.40           NA            NA        0.08        2.09          1.84           NA            NA         XXX
                                    exam of throat.
74210.......  TC......  A          Contrst x-ray          0.00        1.55          1.28           NA            NA        0.06        1.61          1.34           NA            NA         XXX
                                    exam of throat.
74210.......  26......  A          Contrst x-ray          0.36        0.10          0.12         0.10          0.12        0.02        0.48          0.50         0.48          0.50         XXX
                                    exam of throat.
74220.......  ........  A          Contrast x-ray,        0.46        1.89          1.48           NA            NA        0.08        2.43          2.02           NA            NA         XXX
                                    esophagus.
74220.......  TC......  A          Contrast x-ray,        0.00        1.76          1.33           NA            NA        0.06        1.82          1.39           NA            NA         XXX
                                    esophagus.
74220.......  26......  A          Contrast x-ray,        0.46        0.13          0.15         0.13          0.15        0.02        0.61          0.63         0.61          0.63         XXX
                                    esophagus.
74230.......  ........  A          Cine/vid x-ray,        0.53        1.81          1.57           NA            NA        0.09        2.43          2.19           NA            NA         XXX
                                    throat/esoph.
74230.......  TC......  A          Cine/vid x-ray,        0.00        1.66          1.40           NA            NA        0.07        1.73          1.47           NA            NA         XXX
                                    throat/esoph.
74230.......  26......  A          Cine/vid x-ray,        0.53        0.15          0.17         0.15          0.17        0.02        0.70          0.72         0.70          0.72         XXX
                                    throat/esoph.
74235.......  ........  C          Remove esophagus       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    obstruction.
74235.......  TC......  C          Remove esophagus       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    obstruction.
74235.......  26......  A          Remove esophagus       1.19        0.38          0.39         0.38          0.39        0.05        1.62          1.63         1.62          1.63         XXX
                                    obstruction.
74240.......  ........  A          X-ray exam,            0.69        2.14          1.80           NA            NA        0.11        2.94          2.60           NA            NA         XXX
                                    upper gi tract.
74240.......  TC......  A          X-ray exam,            0.00        1.95          1.58           NA            NA        0.08        2.03          1.66           NA            NA         XXX
                                    upper gi tract.
74240.......  26......  A          X-ray exam,            0.69        0.19          0.22         0.19          0.22        0.03        0.91          0.94         0.91          0.94         XXX
                                    upper gi tract.
74241.......  ........  A          X-ray exam,            0.69        2.40          1.89           NA            NA        0.11        3.20          2.69           NA            NA         XXX
                                    upper gi tract.
74241.......  TC......  A          X-ray exam,            0.00        2.21          1.67           NA            NA        0.08        2.29          1.75           NA            NA         XXX
                                    upper gi tract.
74241.......  26......  A          X-ray exam,            0.69        0.19          0.22         0.19          0.22        0.03        0.91          0.94         0.91          0.94         XXX
                                    upper gi tract.
74245.......  ........  A          X-ray exam,            0.91        3.70          2.94           NA            NA        0.17        4.78          4.02           NA            NA         XXX
                                    upper gi tract.
74245.......  TC......  A          X-ray exam,            0.00        3.44          2.65           NA            NA        0.13        3.57          2.78           NA            NA         XXX
                                    upper gi tract.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69936]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
74245.......  26......  A          X-ray exam,            0.91        0.26          0.29         0.26          0.29        0.04        1.21          1.24         1.21          1.24         XXX
                                    upper gi tract.
74246.......  ........  A          Contrst x-ray          0.69        2.62          2.06           NA            NA        0.13        3.44          2.88           NA            NA         XXX
                                    uppr gi tract.
74246.......  TC......  A          Contrst x-ray          0.00        2.42          1.84           NA            NA        0.10        2.52          1.94           NA            NA         XXX
                                    uppr gi tract.
74246.......  26......  A          Contrst x-ray          0.69        0.20          0.22         0.20          0.22        0.03        0.92          0.94         0.92          0.94         XXX
                                    uppr gi tract.
74247.......  ........  A          Contrst x-ray          0.69        3.00          2.18           NA            NA        0.14        3.83          3.01           NA            NA         XXX
                                    uppr gi tract.
74247.......  TC......  A          Contrst x-ray          0.00        2.81          1.96           NA            NA        0.11        2.92          2.07           NA            NA         XXX
                                    uppr gi tract.
74247.......  26......  A          Contrst x-ray          0.69        0.19          0.22         0.19          0.22        0.03        0.91          0.94         0.91          0.94         XXX
                                    uppr gi tract.
74249.......  ........  A          Contrst x-ray          0.91        4.07          3.17           NA            NA        0.18        5.16          4.26           NA            NA         XXX
                                    uppr gi tract.
74249.......  TC......  A          Contrst x-ray          0.00        3.81          2.88           NA            NA        0.14        3.95          3.02           NA            NA         XXX
                                    uppr gi tract.
74249.......  26......  A          Contrst x-ray          0.91        0.26          0.29         0.26          0.29        0.04        1.21          1.24         1.21          1.24         XXX
                                    uppr gi tract.
74250.......  ........  A          X-ray exam of          0.47        2.33          1.68           NA            NA        0.09        2.89          2.24           NA            NA         XXX
                                    small bowel.
74250.......  TC......  A          X-ray exam of          0.00        2.20          1.53           NA            NA        0.07        2.27          1.60           NA            NA         XXX
                                    small bowel.
74250.......  26......  A          X-ray exam of          0.47        0.13          0.15         0.13          0.15        0.02        0.62          0.64         0.62          0.64         XXX
                                    small bowel.
74251.......  ........  A          X-ray exam of          0.69        9.46          3.52           NA            NA        0.10       10.25          4.31           NA            NA         XXX
                                    small bowel.
74251.......  TC......  A          X-ray exam of          0.00        9.27          3.30           NA            NA        0.07        9.34          3.37           NA            NA         XXX
                                    small bowel.
74251.......  26......  A          X-ray exam of          0.69        0.19          0.22         0.19          0.22        0.03        0.91          0.94         0.91          0.94         XXX
                                    small bowel.
74260.......  ........  A          X-ray exam of          0.50        7.87          3.21           NA            NA        0.10        8.47          3.81           NA            NA         XXX
                                    small bowel.
74260.......  TC......  A          X-ray exam of          0.00        7.73          3.05           NA            NA        0.08        7.81          3.13           NA            NA         XXX
                                    small bowel.
74260.......  26......  A          X-ray exam of          0.50        0.14          0.16         0.14          0.16        0.02        0.66          0.68         0.66          0.68         XXX
                                    small bowel.
74270.......  ........  A          Contrast x-ray         0.69        3.35          2.29           NA            NA        0.14        4.18          3.12           NA            NA         XXX
                                    exam of colon.
74270.......  TC......  A          Contrast x-ray         0.00        3.16          2.07           NA            NA        0.11        3.27          2.18           NA            NA         XXX
                                    exam of colon.
74270.......  26......  A          Contrast x-ray         0.69        0.19          0.22         0.19          0.22        0.03        0.91          0.94         0.91          0.94         XXX
                                    exam of colon.
74280.......  ........  A          Contrast x-ray         0.99        4.64          3.07           NA            NA        0.17        5.80          4.23           NA            NA         XXX
                                    exam of colon.
74280.......  TC......  A          Contrast x-ray         0.00        4.36          2.76           NA            NA        0.13        4.49          2.89           NA            NA         XXX
                                    exam of colon.
74280.......  26......  A          Contrast x-ray         0.99        0.28          0.31         0.28          0.31        0.04        1.31          1.34         1.31          1.34         XXX
                                    exam of colon.
74283.......  ........  A          Contrast x-ray         2.02        3.22          3.23           NA            NA        0.23        5.47          5.48           NA            NA         XXX
                                    exam of colon.
74283.......  TC......  A          Contrast x-ray         0.00        2.66          2.59           NA            NA        0.14        2.80          2.73           NA            NA         XXX
                                    exam of colon.
74283.......  26......  A          Contrast x-ray         2.02        0.56          0.64         0.56          0.64        0.09        2.67          2.75         2.67          2.75         XXX
                                    exam of colon.
74290.......  ........  A          Contrast x-ray,        0.32        1.47          0.99           NA            NA        0.06        1.85          1.37           NA            NA         XXX
                                    gallbladder.
74290.......  TC......  A          Contrast x-ray,        0.00        1.38          0.89           NA            NA        0.05        1.43          0.94           NA            NA         XXX
                                    gallbladder.
74290.......  26......  A          Contrast x-ray,        0.32        0.09          0.10         0.09          0.10        0.01        0.42          0.43         0.42          0.43         XXX
                                    gallbladder.
74291.......  ........  A          Contrast x-rays,       0.20        1.55          0.76           NA            NA        0.03        1.78          0.99           NA            NA         XXX
                                    gallbladder.
74291.......  TC......  A          Contrast x-rays,       0.00        1.49          0.69           NA            NA        0.02        1.51          0.71           NA            NA         XXX
                                    gallbladder.
74291.......  26......  A          Contrast x-rays,       0.20        0.06          0.07         0.06          0.07        0.01        0.27          0.28         0.27          0.28         XXX
                                    gallbladder.
74300.......  ........  C          X-ray bile ducts/      0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pancreas.
74300.......  TC......  C          X-ray bile ducts/      0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pancreas.
74300.......  26......  A          X-ray bile ducts/      0.36        0.10          0.12         0.10          0.12        0.02        0.48          0.50         0.48          0.50         XXX
                                    pancreas.
74301.......  ........  C          X-rays at              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    surgery add-on.
74301.......  TC......  C          X-rays at              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    surgery add-on.
74301.......  26......  A          X-rays at              0.21        0.06          0.07         0.06          0.07        0.01        0.28          0.29         0.28          0.29         ZZZ
                                    surgery add-on.
74305.......  ........  C          X-ray bile ducts/      0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    pancreas.
74305.......  TC......  C          X-ray bile ducts/      0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    pancreas.
74305.......  26......  A          X-ray bile ducts/      0.42        0.12          0.14         0.12          0.14        0.02        0.56          0.58         0.56          0.58         XXX
                                    pancreas.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69937]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
74320.......  ........  A          Contrast x-ray         0.54        2.00          3.00           NA            NA        0.19        2.73          3.73           NA            NA         XXX
                                    of bile ducts.
74320.......  TC......  A          Contrast x-ray         0.00        1.84          2.82           NA            NA        0.17        2.01          2.99           NA            NA         XXX
                                    of bile ducts.
74320.......  26......  A          Contrast x-ray         0.54        0.16          0.18         0.16          0.18        0.02        0.72          0.74         0.72          0.74         XXX
                                    of bile ducts.
74327.......  ........  A          X-ray bile stone       0.70        2.78          2.19           NA            NA        0.14        3.62          3.03           NA            NA         XXX
                                    removal.
74327.......  TC......  A          X-ray bile stone       0.00        2.58          1.97           NA            NA        0.11        2.69          2.08           NA            NA         XXX
                                    removal.
74327.......  26......  A          X-ray bile stone       0.70        0.20          0.22         0.20          0.22        0.03        0.93          0.95         0.93          0.95         XXX
                                    removal.
74328.......  ........  C          X-ray bile duct        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    endoscopy.
74328.......  TC......  C          X-ray bile duct        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    endoscopy.
74328.......  26......  A          X-ray bile duct        0.70        0.22          0.23         0.22          0.23        0.03        0.95          0.96         0.95          0.96         XXX
                                    endoscopy.
74329.......  ........  C          X-ray for              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pancreas
                                    endoscopy.
74329.......  TC......  C          X-ray for              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pancreas
                                    endoscopy.
74329.......  26......  A          X-ray for              0.70        0.22          0.23         0.22          0.23        0.03        0.95          0.96         0.95          0.96         XXX
                                    pancreas
                                    endoscopy.
74330.......  ........  C          X-ray bile/panc        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    endoscopy.
74330.......  TC......  C          X-ray bile/panc        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    endoscopy.
74330.......  26......  A          X-ray bile/panc        0.90        0.27          0.29         0.27          0.29        0.04        1.21          1.23         1.21          1.23         XXX
                                    endoscopy.
74340.......  ........  C          X-ray guide for        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    GI tube.
74340.......  TC......  C          X-ray guide for        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    GI tube.
74340.......  26......  A          X-ray guide for        0.54        0.16          0.18         0.16          0.18        0.02        0.72          0.74         0.72          0.74         XXX
                                    GI tube.
74350.......  ........  A          X-ray guide,           0.76        2.07          3.07           NA            NA        0.20        3.03          4.03           NA            NA         XXX
                                    stomach tube.
74350.......  TC......  A          X-ray guide,           0.00        1.85          2.83           NA            NA        0.17        2.02          3.00           NA            NA         XXX
                                    stomach tube.
74350.......  26......  A          X-ray guide,           0.76        0.22          0.24         0.22          0.24        0.03        1.01          1.03         1.01          1.03         XXX
                                    stomach tube.
74355.......  ........  C          X-ray guide,           0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    intestinal tube.
74355.......  TC......  C          X-ray guide,           0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    intestinal tube.
74355.......  26......  A          X-ray guide,           0.76        0.22          0.24         0.22          0.24        0.03        1.01          1.03         1.01          1.03         XXX
                                    intestinal tube.
74360.......  ........  C          X-ray guide, GI        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    dilation.
74360.......  TC......  C          X-ray guide, GI        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    dilation.
74360.......  26......  A          X-ray guide, GI        0.54        0.24          0.20         0.24          0.20        0.02        0.80          0.76         0.80          0.76         XXX
                                    dilation.
74363.......  ........  C          X-ray, bile duct       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    dilation.
74363.......  TC......  C          X-ray, bile duct       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    dilation.
74363.......  26......  A          X-ray, bile duct       0.88        0.26          0.28         0.26          0.28        0.04        1.18          1.20         1.18          1.20         XXX
                                    dilation.
74400.......  ........  A          Contrst x-ray,         0.49        2.45          2.00           NA            NA        0.13        3.07          2.62           NA            NA         XXX
                                    urinary tract.
74400.......  TC......  A          Contrst x-ray,         0.00        2.31          1.84           NA            NA        0.11        2.42          1.95           NA            NA         XXX
                                    urinary tract.
74400.......  26......  A          Contrst x-ray,         0.49        0.14          0.16         0.14          0.16        0.02        0.65          0.67         0.65          0.67         XXX
                                    urinary tract.
74410.......  ........  A          Contrst x-ray,         0.49        2.59          2.23           NA            NA        0.13        3.21          2.85           NA            NA         XXX
                                    urinary tract.
74410.......  TC......  A          Contrst x-ray,         0.00        2.43          2.07           NA            NA        0.11        2.54          2.18           NA            NA         XXX
                                    urinary tract.
74410.......  26......  A          Contrst x-ray,         0.49        0.16          0.16         0.16          0.16        0.02        0.67          0.67         0.67          0.67         XXX
                                    urinary tract.
74415.......  ........  A          Contrst x-ray,         0.49        3.09          2.49           NA            NA        0.14        3.72          3.12           NA            NA         XXX
                                    urinary tract.
74415.......  TC......  A          Contrst x-ray,         0.00        2.95          2.33           NA            NA        0.12        3.07          2.45           NA            NA         XXX
                                    urinary tract.
74415.......  26......  A          Contrst x-ray,         0.49        0.14          0.16         0.14          0.16        0.02        0.65          0.67         0.65          0.67         XXX
                                    urinary tract.
74420.......  ........  C          Contrst x-ray,         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    urinary tract.
74420.......  TC......  C          Contrst x-ray,         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    urinary tract.
74420.......  26......  A          Contrst x-ray,         0.36        0.12          0.12         0.12          0.12        0.02        0.50          0.50         0.50          0.50         XXX
                                    urinary tract.
74425.......  ........  C          Contrst x-ray,         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    urinary tract.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69938]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
74425.......  TC......  C          Contrst x-ray,         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    urinary tract.
74425.......  26......  A          Contrst x-ray,         0.36        0.10          0.12         0.10          0.12        0.02        0.48          0.50         0.48          0.50         XXX
                                    urinary tract.
74430.......  ........  A          Contrast x-ray,        0.32        1.87          1.33           NA            NA        0.08        2.27          1.73           NA            NA         XXX
                                    bladder.
74430.......  TC......  A          Contrast x-ray,        0.00        1.77          1.23           NA            NA        0.06        1.83          1.29           NA            NA         XXX
                                    bladder.
74430.......  26......  A          Contrast x-ray,        0.32        0.10          0.10         0.10          0.10        0.02        0.44          0.44         0.44          0.44         XXX
                                    bladder.
74440.......  ........  A          X-ray, male            0.38        2.17          1.48           NA            NA        0.08        2.63          1.94           NA            NA         XXX
                                    genital tract.
74440.......  TC......  A          X-ray, male            0.00        2.02          1.35           NA            NA        0.06        2.08          1.41           NA            NA         XXX
                                    genital tract.
74440.......  26......  A          X-ray, male            0.38        0.15          0.13         0.15          0.13        0.02        0.55          0.53         0.55          0.53         XXX
                                    genital tract.
74445.......  ........  C          X-ray exam of          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    penis.
74445.......  TC......  C          X-ray exam of          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    penis.
74445.......  26......  A          X-ray exam of          1.14        0.43          0.39         0.43          0.39        0.07        1.64          1.60         1.64          1.60         XXX
                                    penis.
74450.......  ........  C          X-ray, urethra/        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    bladder.
74450.......  TC......  C          X-ray, urethra/        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    bladder.
74450.......  26......  A          X-ray, urethra/        0.33        0.11          0.11         0.11          0.11        0.02        0.46          0.46         0.46          0.46         XXX
                                    bladder.
74455.......  ........  A          X-ray, urethra/        0.33        2.11          1.79           NA            NA        0.12        2.56          2.24           NA            NA         XXX
                                    bladder.
74455.......  TC......  A          X-ray, urethra/        0.00        1.99          1.68           NA            NA        0.10        2.09          1.78           NA            NA         XXX
                                    bladder.
74455.......  26......  A          X-ray, urethra/        0.33        0.12          0.11         0.12          0.11        0.02        0.47          0.46         0.47          0.46         XXX
                                    bladder.
74470.......  ........  C          X-ray exam of          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    kidney lesion.
74470.......  TC......  C          X-ray exam of          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    kidney lesion.
74470.......  26......  A          X-ray exam of          0.54        0.15          0.17         0.15          0.17        0.02        0.71          0.73         0.71          0.73         XXX
                                    kidney lesion.
74475.......  ........  A          X-ray control,         0.54        1.99          3.69           NA            NA        0.24        2.77          4.47           NA            NA         XXX
                                    cath insert.
74475.......  TC......  A          X-ray control,         0.00        1.83          3.51           NA            NA        0.22        2.05          3.73           NA            NA         XXX
                                    cath insert.
74475.......  26......  A          X-ray control,         0.54        0.16          0.18         0.16          0.18        0.02        0.72          0.74         0.72          0.74         XXX
                                    cath insert.
74480.......  ........  A          X-ray control,         0.54        2.00          3.69           NA            NA        0.24        2.78          4.47           NA            NA         XXX
                                    cath insert.
74480.......  TC......  A          X-ray control,         0.00        1.84          3.51           NA            NA        0.22        2.06          3.73           NA            NA         XXX
                                    cath insert.
74480.......  26......  A          X-ray control,         0.54        0.16          0.18         0.16          0.18        0.02        0.72          0.74         0.72          0.74         XXX
                                    cath insert.
74485.......  ........  A          X-ray guide, GU        0.54        2.18          3.03           NA            NA        0.20        2.92          3.77           NA            NA         XXX
                                    dilation.
74485.......  TC......  A          X-ray guide, GU        0.00        2.00          2.86           NA            NA        0.17        2.17          3.03           NA            NA         XXX
                                    dilation.
74485.......  26......  A          X-ray guide, GU        0.54        0.18          0.17         0.18          0.17        0.03        0.75          0.74         0.75          0.74         XXX
                                    dilation.
74710.......  ........  A          X-ray                  0.34        0.61          1.03           NA            NA        0.08        1.03          1.45           NA            NA         XXX
                                    measurement of
                                    pelvis.
74710.......  TC......  A          X-ray                  0.00        0.51          0.92           NA            NA        0.06        0.57          0.98           NA            NA         XXX
                                    measurement of
                                    pelvis.
74710.......  26......  A          X-ray                  0.34        0.10          0.11         0.10          0.11        0.02        0.46          0.47         0.46          0.47         XXX
                                    measurement of
                                    pelvis.
74740.......  ........  A          X-ray, female          0.38        1.67          1.50           NA            NA        0.09        2.14          1.97           NA            NA         XXX
                                    genital tract.
74740.......  TC......  A          X-ray, female          0.00        1.56          1.37           NA            NA        0.07        1.63          1.44           NA            NA         XXX
                                    genital tract.
74740.......  26......  A          X-ray, female          0.38        0.11          0.13         0.11          0.13        0.02        0.51          0.53         0.51          0.53         XXX
                                    genital tract.
74742.......  ........  C          X-ray, fallopian       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    tube.
74742.......  TC......  C          X-ray, fallopian       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    tube.
74742.......  26......  A          X-ray, fallopian       0.61        0.15          0.19         0.15          0.19        0.03        0.79          0.83         0.79          0.83         XXX
                                    tube.
74775.......  ........  C          X-ray exam of          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    perineum.
74775.......  TC......  C          X-ray exam of          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    perineum.
74775.......  26......  A          X-ray exam of          0.62        0.17          0.20         0.17          0.20        0.03        0.82          0.85         0.82          0.85         XXX
                                    perineum.
75552.......  ........  A          Heart mri for          1.60       18.32         13.38           NA            NA        0.66       20.58         15.64           NA            NA         XXX
                                    morph w/o dye.
75552.......  TC......  A          Heart mri for          0.00       17.80         12.85           NA            NA        0.59       18.39         13.44           NA            NA         XXX
                                    morph w/o dye.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69939]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
75552.......  26......  A          Heart mri for          1.60        0.52          0.53         0.52          0.53        0.07        2.19          2.20         2.19          2.20         XXX
                                    morph w/o dye.
75553.......  ........  A          Heart mri for          2.00       23.65         14.80           NA            NA        0.66       26.31         17.46           NA            NA         XXX
                                    morph w/dye.
75553.......  TC......  A          Heart mri for          0.00       22.72         14.08           NA            NA        0.59       23.31         14.67           NA            NA         XXX
                                    morph w/dye.
75553.......  26......  A          Heart mri for          2.00        0.93          0.72         0.93          0.72        0.07        3.00          2.79         3.00          2.79         XXX
                                    morph w/dye.
75554.......  ........  A          Cardiac MRI/           1.83       26.45         15.50           NA            NA        0.66       28.94         17.99           NA            NA         XXX
                                    function.
75554.......  TC......  A          Cardiac MRI/           0.00       25.67         14.82           NA            NA        0.59       26.26         15.41           NA            NA         XXX
                                    function.
75554.......  26......  A          Cardiac MRI/           1.83        0.78          0.68         0.78          0.68        0.07        2.68          2.58         2.68          2.58         XXX
                                    function.
75555.......  ........  A          Cardiac MRI/           1.74       27.01         15.64           NA            NA        0.66       29.41         18.04           NA            NA         XXX
                                    limited study.
75555.......  TC......  A          Cardiac MRI/           0.00       26.18         14.95           NA            NA        0.59       26.77         15.54           NA            NA         XXX
                                    limited study.
75555.......  26......  A          Cardiac MRI/           1.74        0.83          0.69         0.83          0.69        0.07        2.64          2.50         2.64          2.50         XXX
                                    limited study.
75556.......  ........  N          Cardiac MRI/flow       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    mapping.
75600.......  ........  A          Contrast x-ray         0.49        6.39         11.20           NA            NA        0.67        7.55         12.36           NA            NA         XXX
                                    exam of aorta.
75600.......  TC......  A          Contrast x-ray         0.00        6.14         10.99           NA            NA        0.65        6.79         11.64           NA            NA         XXX
                                    exam of aorta.
75600.......  26......  A          Contrast x-ray         0.49        0.25          0.21         0.25          0.21        0.02        0.76          0.72         0.76          0.72         XXX
                                    exam of aorta.
75605.......  ........  A          Contrast x-ray         1.14        3.52         10.63           NA            NA        0.70        5.36         12.47           NA            NA         XXX
                                    exam of aorta.
75605.......  TC......  A          Contrast x-ray         0.00        3.03         10.21           NA            NA        0.65        3.68         10.86           NA            NA         XXX
                                    exam of aorta.
75605.......  26......  A          Contrast x-ray         1.14        0.49          0.42         0.49          0.42        0.05        1.68          1.61         1.68          1.61         XXX
                                    exam of aorta.
75625.......  ........  A          Contrast x-ray         1.14        3.25         10.55           NA            NA        0.71        5.10         12.40           NA            NA         XXX
                                    exam of aorta.
75625.......  TC......  A          Contrast x-ray         0.00        2.85         10.16           NA            NA        0.65        3.50         10.81           NA            NA         XXX
                                    exam of aorta.
75625.......  26......  A          Contrast x-ray         1.14        0.40          0.39         0.40          0.39        0.06        1.60          1.59         1.60          1.59         XXX
                                    exam of aorta.
75630.......  ........  A          X-ray aorta, leg       1.79        3.72         11.24           NA            NA        0.80        6.31         13.83           NA            NA         XXX
                                    arteries.
75630.......  TC......  A          X-ray aorta, leg       0.00        3.01         10.60           NA            NA        0.69        3.70         11.29           NA            NA         XXX
                                    arteries.
75630.......  26......  A          X-ray aorta, leg       1.79        0.71          0.64         0.71          0.64        0.11        2.61          2.54         2.61          2.54         XXX
                                    arteries.
75635.......  ........  A          Ct angio               2.40       12.15         15.56           NA            NA        0.50       15.05         18.46           NA            NA         XXX
                                    abdominal
                                    arteries.
75635.......  TC......  A          Ct angio               0.00       11.40         14.78           NA            NA        0.39       11.79         15.17           NA            NA         XXX
                                    abdominal
                                    arteries.
75635.......  26......  A          Ct angio               2.40        0.75          0.78         0.75          0.78        0.11        3.26          3.29         3.26          3.29         XXX
                                    abdominal
                                    arteries.
75650.......  ........  A          Artery x-rays,         1.49        3.37         10.66           NA            NA        0.72        5.58         12.87           NA            NA         XXX
                                    head & neck.
75650.......  TC......  A          Artery x-rays,         0.00        2.85         10.16           NA            NA        0.65        3.50         10.81           NA            NA         XXX
                                    head & neck.
75650.......  26......  A          Artery x-rays,         1.49        0.52          0.50         0.52          0.50        0.07        2.08          2.06         2.08          2.06         XXX
                                    head & neck.
75658.......  ........  A          Artery x-rays,         1.31        3.73         10.74           NA            NA        0.72        5.76         12.77           NA            NA         XXX
                                    arm.
75658.......  TC......  A          Artery x-rays,         0.00        3.26         10.27           NA            NA        0.65        3.91         10.92           NA            NA         XXX
                                    arm.
75658.......  26......  A          Artery x-rays,         1.31        0.47          0.47         0.47          0.47        0.07        1.85          1.85         1.85          1.85         XXX
                                    arm.
75660.......  ........  A          Artery x-rays,         1.31        3.78         10.73           NA            NA        0.71        5.80         12.75           NA            NA         XXX
                                    head & neck.
75660.......  TC......  A          Artery x-rays,         0.00        3.31         10.28           NA            NA        0.65        3.96         10.93           NA            NA         XXX
                                    head & neck.
75660.......  26......  A          Artery x-rays,         1.31        0.47          0.45         0.47          0.45        0.06        1.84          1.82         1.84          1.82         XXX
                                    head & neck.
75662.......  ........  A          Artery x-rays,         1.66        4.96         11.14           NA            NA        0.71        7.33         13.51           NA            NA         XXX
                                    head & neck.
75662.......  TC......  A          Artery x-rays,         0.00        4.26         10.52           NA            NA        0.65        4.91         11.17           NA            NA         XXX
                                    head & neck.
75662.......  26......  A          Artery x-rays,         1.66        0.70          0.62         0.70          0.62        0.06        2.42          2.34         2.42          2.34         XXX
                                    head & neck.
75665.......  ........  A          Artery x-rays,         1.31        3.92         10.76           NA            NA        0.74        5.97         12.81           NA            NA         XXX
                                    head & neck.
75665.......  TC......  A          Artery x-rays,         0.00        3.48         10.32           NA            NA        0.65        4.13         10.97           NA            NA         XXX
                                    head & neck.
75665.......  26......  A          Artery x-rays,         1.31        0.44          0.44         0.44          0.44        0.09        1.84          1.84         1.84          1.84         XXX
                                    head & neck.
75671.......  ........  A          Artery x-rays,         1.66        4.84         11.08           NA            NA        0.72        7.22         13.46           NA            NA         XXX
                                    head & neck.
75671.......  TC......  A          Artery x-rays,         0.00        4.27         10.52           NA            NA        0.65        4.92         11.17           NA            NA         XXX
                                    head & neck.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69940]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
75671.......  26......  A          Artery x-rays,         1.66        0.57          0.56         0.57          0.56        0.07        2.30          2.29         2.30          2.29         XXX
                                    head & neck.
75676.......  ........  A          Artery x-rays,         1.31        3.71         10.71           NA            NA        0.72        5.74         12.74           NA            NA         XXX
                                    neck.
75676.......  TC......  A          Artery x-rays,         0.00        3.26         10.27           NA            NA        0.65        3.91         10.92           NA            NA         XXX
                                    neck.
75676.......  26......  A          Artery x-rays,         1.31        0.45          0.44         0.45          0.44        0.07        1.83          1.82         1.83          1.82         XXX
                                    neck.
75680.......  ........  A          Artery x-rays,         1.66        4.41         10.96           NA            NA        0.72        6.79         13.34           NA            NA         XXX
                                    neck.
75680.......  TC......  A          Artery x-rays,         0.00        3.81         10.40           NA            NA        0.65        4.46         11.05           NA            NA         XXX
                                    neck.
75680.......  26......  A          Artery x-rays,         1.66        0.60          0.56         0.60          0.56        0.07        2.33          2.29         2.33          2.29         XXX
                                    neck.
75685.......  ........  A          Artery x-rays,         1.31        3.71         10.70           NA            NA        0.71        5.73         12.72           NA            NA         XXX
                                    spine.
75685.......  TC......  A          Artery x-rays,         0.00        3.25         10.26           NA            NA        0.65        3.90         10.91           NA            NA         XXX
                                    spine.
75685.......  26......  A          Artery x-rays,         1.31        0.46          0.44         0.46          0.44        0.06        1.83          1.81         1.83          1.81         XXX
                                    spine.
75705.......  ........  A          Artery x-rays,         2.18        3.81         10.95           NA            NA        0.78        6.77         13.91           NA            NA         XXX
                                    spine.
75705.......  TC......  A          Artery x-rays,         0.00        3.15         10.24           NA            NA        0.65        3.80         10.89           NA            NA         XXX
                                    spine.
75705.......  26......  A          Artery x-rays,         2.18        0.66          0.71         0.66          0.71        0.13        2.97          3.02         2.97          3.02         XXX
                                    spine.
75710.......  ........  A          Artery x-rays,         1.14        3.87         10.72           NA            NA        0.72        5.73         12.58           NA            NA         XXX
                                    arm/leg.
75710.......  TC......  A          Artery x-rays,         0.00        3.46         10.32           NA            NA        0.65        4.11         10.97           NA            NA         XXX
                                    arm/leg.
75710.......  26......  A          Artery x-rays,         1.14        0.41          0.40         0.41          0.40        0.07        1.62          1.61         1.62          1.61         XXX
                                    arm/leg.
75716.......  ........  A          Artery x-rays,         1.31        4.75         10.96           NA            NA        0.72        6.78         12.99           NA            NA         XXX
                                    arms/legs.
75716.......  TC......  A          Artery x-rays,         0.00        4.28         10.52           NA            NA        0.65        4.93         11.17           NA            NA         XXX
                                    arms/legs.
75716.......  26......  A          Artery x-rays,         1.31        0.47          0.44         0.47          0.44        0.07        1.85          1.82         1.85          1.82         XXX
                                    arms/legs.
75722.......  ........  A          Artery x-rays,         1.14        3.78         10.70           NA            NA        0.70        5.62         12.54           NA            NA         XXX
                                    kidney.
75722.......  TC......  A          Artery x-rays,         0.00        3.32         10.28           NA            NA        0.65        3.97         10.93           NA            NA         XXX
                                    kidney.
75722.......  26......  A          Artery x-rays,         1.14        0.46          0.42         0.46          0.42        0.05        1.65          1.61         1.65          1.61         XXX
                                    kidney.
75724.......  ........  A          Artery x-rays,         1.49        5.13         11.15           NA            NA        0.70        7.32         13.34           NA            NA         XXX
                                    kidneys.
75724.......  TC......  A          Artery x-rays,         0.00        4.37         10.54           NA            NA        0.65        5.02         11.19           NA            NA         XXX
                                    kidneys.
75724.......  26......  A          Artery x-rays,         1.49        0.76          0.61         0.76          0.61        0.05        2.30          2.15         2.30          2.15         XXX
                                    kidneys.
75726.......  ........  A          Artery x-rays,         1.14        3.51         10.61           NA            NA        0.70        5.35         12.45           NA            NA         XXX
                                    abdomen.
75726.......  TC......  A          Artery x-rays,         0.00        3.16         10.24           NA            NA        0.65        3.81         10.89           NA            NA         XXX
                                    abdomen.
75726.......  26......  A          Artery x-rays,         1.14        0.35          0.37         0.35          0.37        0.05        1.54          1.56         1.54          1.56         XXX
                                    abdomen.
75731.......  ........  A          Artery x-rays,         1.14        3.72         10.66           NA            NA        0.71        5.57         12.51           NA            NA         XXX
                                    adrenal gland.
75731.......  TC......  A          Artery x-rays,         0.00        3.32         10.28           NA            NA        0.65        3.97         10.93           NA            NA         XXX
                                    adrenal gland.
75731.......  26......  A          Artery x-rays,         1.14        0.40          0.38         0.40          0.38        0.06        1.60          1.58         1.60          1.58         XXX
                                    adrenal gland.
75733.......  ........  A          Artery x-rays,         1.31        5.11         11.06           NA            NA        0.71        7.13         13.08           NA            NA         XXX
                                    adrenals.
75733.......  TC......  A          Artery x-rays,         0.00        4.53         10.58           NA            NA        0.65        5.18         11.23           NA            NA         XXX
                                    adrenals.
75733.......  26......  A          Artery x-rays,         1.31        0.58          0.48         0.58          0.48        0.06        1.95          1.85         1.95          1.85         XXX
                                    adrenals.
75736.......  ........  A          Artery x-rays,         1.14        3.69         10.66           NA            NA        0.71        5.54         12.51           NA            NA         XXX
                                    pelvis.
75736.......  TC......  A          Artery x-rays,         0.00        3.30         10.28           NA            NA        0.65        3.95         10.93           NA            NA         XXX
                                    pelvis.
75736.......  26......  A          Artery x-rays,         1.14        0.39          0.38         0.39          0.38        0.06        1.59          1.58         1.59          1.58         XXX
                                    pelvis.
75741.......  ........  A          Artery x-rays,         1.31        2.96         10.52           NA            NA        0.71        4.98         12.54           NA            NA         XXX
                                    lung.
75741.......  TC......  A          Artery x-rays,         0.00        2.55         10.09           NA            NA        0.65        3.20         10.74           NA            NA         XXX
                                    lung.
75741.......  26......  A          Artery x-rays,         1.31        0.41          0.43         0.41          0.43        0.06        1.78          1.80         1.78          1.80         XXX
                                    lung.
75743.......  ........  A          Artery x-rays,         1.66        3.30         10.68           NA            NA        0.72        5.68         13.06           NA            NA         XXX
                                    lungs.
75743.......  TC......  A          Artery x-rays,         0.00        2.79         10.15           NA            NA        0.65        3.44         10.80           NA            NA         XXX
                                    lungs.
75743.......  26......  A          Artery x-rays,         1.66        0.51          0.53         0.51          0.53        0.07        2.24          2.26         2.24          2.26         XXX
                                    lungs.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69941]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
75746.......  ........  A          Artery x-rays,         1.14        3.30         10.56           NA            NA        0.70        5.14         12.40           NA            NA         XXX
                                    lung.
75746.......  TC......  A          Artery x-rays,         0.00        2.96         10.19           NA            NA        0.65        3.61         10.84           NA            NA         XXX
                                    lung.
75746.......  26......  A          Artery x-rays,         1.14        0.34          0.37         0.34          0.37        0.05        1.53          1.56         1.53          1.56         XXX
                                    lung.
75756.......  ........  A          Artery x-rays,         1.14        4.38         10.88           NA            NA        0.69        6.21         12.71           NA            NA         XXX
                                    chest.
75756.......  TC......  A          Artery x-rays,         0.00        3.77         10.39           NA            NA        0.65        4.42         11.04           NA            NA         XXX
                                    chest.
75756.......  26......  A          Artery x-rays,         1.14        0.61          0.49         0.61          0.49        0.04        1.79          1.67         1.79          1.67         XXX
                                    chest.
75774.......  ........  A          Artery x-ray,          0.36        2.43         10.15         2.43         10.15        0.67        3.46         11.18         3.46         11.18         ZZZ
                                    each vessel.
75774.......  TC......  A          Artery x-ray,          0.00        2.31         10.03         2.31         10.03        0.65        2.96         10.68         2.96         10.68         ZZZ
                                    each vessel.
75774.......  26......  A          Artery x-ray,          0.36        0.12          0.12         0.12          0.12        0.02        0.50          0.50         0.50          0.50         ZZZ
                                    each vessel.
75790.......  ........  A          Visualize A-V          1.84        2.94          2.20           NA            NA        0.17        4.95          4.21           NA            NA         XXX
                                    shunt.
75790.......  TC......  A          Visualize A-V          0.00        2.42          1.62           NA            NA        0.08        2.50          1.70           NA            NA         XXX
                                    shunt.
75790.......  26......  A          Visualize A-V          1.84        0.52          0.58         0.52          0.58        0.09        2.45          2.51         2.45          2.51         XXX
                                    shunt.
75801.......  ........  C          Lymph vessel x-        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ray, arm/leg.
75801.......  TC......  C          Lymph vessel x-        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ray, arm/leg.
75801.......  26......  A          Lymph vessel x-        0.81        0.22          0.26         0.22          0.26        0.08        1.11          1.15         1.11          1.15         XXX
                                    ray, arm/leg.
75803.......  ........  C          Lymph vessel x-        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ray,arms/legs.
75803.......  TC......  C          Lymph vessel x-        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ray,arms/legs.
75803.......  26......  A          Lymph vessel x-        1.17        0.31          0.36         0.31          0.36        0.05        1.53          1.58         1.53          1.58         XXX
                                    ray,arms/legs.
75805.......  ........  C          Lymph vessel x-        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ray, trunk.
75805.......  TC......  C          Lymph vessel x-        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ray, trunk.
75805.......  26......  A          Lymph vessel x-        0.81        0.22          0.26         0.22          0.26        0.05        1.08          1.12         1.08          1.12         XXX
                                    ray, trunk.
75807.......  ........  C          Lymph vessel x-        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ray, trunk.
75807.......  TC......  C          Lymph vessel x-        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ray, trunk.
75807.......  26......  A          Lymph vessel x-        1.17        0.34          0.37         0.34          0.37        0.05        1.56          1.59         1.56          1.59         XXX
                                    ray, trunk.
75809.......  ........  A          Nonvascular            0.47        2.05          1.22           NA            NA        0.07        2.59          1.76           NA            NA         XXX
                                    shunt, x-ray.
75809.......  TC......  A          Nonvascular            0.00        1.92          1.07           NA            NA        0.05        1.97          1.12           NA            NA         XXX
                                    shunt, x-ray.
75809.......  26......  A          Nonvascular            0.47        0.13          0.15         0.13          0.15        0.02        0.62          0.64         0.62          0.64         XXX
                                    shunt, x-ray.
75810.......  ........  C          Vein x-ray,            0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    spleen/liver.
75810.......  TC......  C          Vein x-ray,            0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    spleen/liver.
75810.......  26......  A          Vein x-ray,            1.14        0.34          0.36         0.34          0.36        0.05        1.53          1.55         1.53          1.55         XXX
                                    spleen/liver.
75820.......  ........  A          Vein x-ray, arm/       0.70        2.92          1.62           NA            NA        0.09        3.71          2.41           NA            NA         XXX
                                    leg.
75820.......  TC......  A          Vein x-ray, arm/       0.00        2.65          1.38           NA            NA        0.06        2.71          1.44           NA            NA         XXX
                                    leg.
75820.......  26......  A          Vein x-ray, arm/       0.70        0.27          0.24         0.27          0.24        0.03        1.00          0.97         1.00          0.97         XXX
                                    leg.
75822.......  ........  A          Vein x-ray, arms/      1.06        3.00          2.12           NA            NA        0.13        4.19          3.31           NA            NA         XXX
                                    legs.
75822.......  TC......  A          Vein x-ray, arms/      0.00        2.68          1.78           NA            NA        0.08        2.76          1.86           NA            NA         XXX
                                    legs.
75822.......  26......  A          Vein x-ray, arms/      1.06        0.32          0.34         0.32          0.34        0.05        1.43          1.45         1.43          1.45         XXX
                                    legs.
75825.......  ........  A          Vein x-ray,            1.14        2.77         10.42           NA            NA        0.72        4.63         12.28           NA            NA         XXX
                                    trunk.
75825.......  TC......  A          Vein x-ray,            0.00        2.44         10.06           NA            NA        0.65        3.09         10.71           NA            NA         XXX
                                    trunk.
75825.......  26......  A          Vein x-ray,            1.14        0.33          0.36         0.33          0.36        0.07        1.54          1.57         1.54          1.57         XXX
                                    trunk.
75827.......  ........  A          Vein x-ray,            1.14        2.81         10.43           NA            NA        0.70        4.65         12.27           NA            NA         XXX
                                    chest.
75827.......  TC......  A          Vein x-ray,            0.00        2.48         10.07           NA            NA        0.65        3.13         10.72           NA            NA         XXX
                                    chest.
75827.......  26......  A          Vein x-ray,            1.14        0.33          0.36         0.33          0.36        0.05        1.52          1.55         1.52          1.55         XXX
                                    chest.
75831.......  ........  A          Vein x-ray,            1.14        2.88         10.45           NA            NA        0.71        4.73         12.30           NA            NA         XXX
                                    kidney.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69942]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
75831.......  TC......  A          Vein x-ray,            0.00        2.55         10.09           NA            NA        0.65        3.20         10.74           NA            NA         XXX
                                    kidney.
75831.......  26......  A          Vein x-ray,            1.14        0.33          0.36         0.33          0.36        0.06        1.53          1.56         1.53          1.56         XXX
                                    kidney.
75833.......  ........  A          Vein x-ray,            1.49        3.50         10.70           NA            NA        0.74        5.73         12.93           NA            NA         XXX
                                    kidneys.
75833.......  TC......  A          Vein x-ray,            0.00        3.06         10.22           NA            NA        0.65        3.71         10.87           NA            NA         XXX
                                    kidneys.
75833.......  26......  A          Vein x-ray,            1.49        0.44          0.48         0.44          0.48        0.09        2.02          2.06         2.02          2.06         XXX
                                    kidneys.
75840.......  ........  A          Vein x-ray,            1.14        3.17         10.53           NA            NA        0.72        5.03         12.39           NA            NA         XXX
                                    adrenal gland.
75840.......  TC......  A          Vein x-ray,            0.00        2.74         10.14           NA            NA        0.65        3.39         10.79           NA            NA         XXX
                                    adrenal gland.
75840.......  26......  A          Vein x-ray,            1.14        0.43          0.39         0.43          0.39        0.07        1.64          1.60         1.64          1.60         XXX
                                    adrenal gland.
75842.......  ........  A          Vein x-ray,            1.49        3.44         10.67           NA            NA        0.72        5.65         12.88           NA            NA         XXX
                                    adrenal glands.
75842.......  TC......  A          Vein x-ray,            0.00        3.00         10.20           NA            NA        0.65        3.65         10.85           NA            NA         XXX
                                    adrenal glands.
75842.......  26......  A          Vein x-ray,            1.49        0.44          0.47         0.44          0.47        0.07        2.00          2.03         2.00          2.03         XXX
                                    adrenal glands.
75860.......  ........  A          Vein x-ray, neck       1.14        3.37         10.59           NA            NA        0.69        5.20         12.42           NA            NA         XXX
75860.......  TC......  A          Vein x-ray, neck       0.00        2.88         10.17           NA            NA        0.65        3.53         10.82           NA            NA         XXX
75860.......  26......  A          Vein x-ray, neck       1.14        0.49          0.42         0.49          0.42        0.04        1.67          1.60         1.67          1.60         XXX
75870.......  ........  A          Vein x-ray,            1.14        3.11         10.52           NA            NA        0.70        4.95         12.36           NA            NA         XXX
                                    skull.
75870.......  TC......  A          Vein x-ray,            0.00        2.73         10.13           NA            NA        0.65        3.38         10.78           NA            NA         XXX
                                    skull.
75870.......  26......  A          Vein x-ray,            1.14        0.38          0.39         0.38          0.39        0.05        1.57          1.58         1.57          1.58         XXX
                                    skull.
75872.......  ........  A          Vein x-ray,            1.14        3.85         10.70           NA            NA        0.79        5.78         12.63           NA            NA         XXX
                                    skull.
75872.......  TC......  A          Vein x-ray,            0.00        3.42         10.31           NA            NA        0.65        4.07         10.96           NA            NA         XXX
                                    skull.
75872.......  26......  A          Vein x-ray,            1.14        0.43          0.39         0.43          0.39        0.14        1.71          1.67         1.71          1.67         XXX
                                    skull.
75880.......  ........  A          Vein x-ray, eye        0.70        2.87          1.61           NA            NA        0.09        3.66          2.40           NA            NA         XXX
                                    socket.
75880.......  TC......  A          Vein x-ray, eye        0.00        2.65          1.38           NA            NA        0.06        2.71          1.44           NA            NA         XXX
                                    socket.
75880.......  26......  A          Vein x-ray, eye        0.70        0.22          0.23         0.22          0.23        0.03        0.95          0.96         0.95          0.96         XXX
                                    socket.
75885.......  ........  A          Vein x-ray,            1.44        2.95         10.54           NA            NA        0.71        5.10         12.69           NA            NA         XXX
                                    liver.
75885.......  TC......  A          Vein x-ray,            0.00        2.53         10.08           NA            NA        0.65        3.18         10.73           NA            NA         XXX
                                    liver.
75885.......  26......  A          Vein x-ray,            1.44        0.42          0.46         0.42          0.46        0.06        1.92          1.96         1.92          1.96         XXX
                                    liver.
75887.......  ........  A          Vein x-ray,            1.44        3.17         10.60           NA            NA        0.71        5.32         12.75           NA            NA         XXX
                                    liver.
75887.......  TC......  A          Vein x-ray,            0.00        2.70         10.13           NA            NA        0.65        3.35         10.78           NA            NA         XXX
                                    liver.
75887.......  26......  A          Vein x-ray,            1.44        0.47          0.47         0.47          0.47        0.06        1.97          1.97         1.97          1.97         XXX
                                    liver.
75889.......  ........  A          Vein x-ray,            1.14        2.87         10.44           NA            NA        0.70        4.71         12.28           NA            NA         XXX
                                    liver.
75889.......  TC......  A          Vein x-ray,            0.00        2.53         10.08           NA            NA        0.65        3.18         10.73           NA            NA         XXX
                                    liver.
75889.......  26......  A          Vein x-ray,            1.14        0.34          0.36         0.34          0.36        0.05        1.53          1.55         1.53          1.55         XXX
                                    liver.
75891.......  ........  A          Vein x-ray,            1.14        2.84         10.44           NA            NA        0.70        4.68         12.28           NA            NA         XXX
                                    liver.
75891.......  TC......  A          Vein x-ray,            0.00        2.51         10.08           NA            NA        0.65        3.16         10.73           NA            NA         XXX
                                    liver.
75891.......  26......  A          Vein x-ray,            1.14        0.33          0.36         0.33          0.36        0.05        1.52          1.55         1.52          1.55         XXX
                                    liver.
75893.......  ........  A          Venous sampling        0.54        2.71         10.27           NA            NA        0.67        3.92         11.48           NA            NA         XXX
                                    by catheter.
75893.......  TC......  A          Venous sampling        0.00        2.55         10.09           NA            NA        0.65        3.20         10.74           NA            NA         XXX
                                    by catheter.
75893.......  26......  A          Venous sampling        0.54        0.16          0.18         0.16          0.18        0.02        0.72          0.74         0.72          0.74         XXX
                                    by catheter.
75894.......  ........  C          X-rays,                0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    transcath
                                    therapy.
75894.......  TC......  C          X-rays,                0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    transcath
                                    therapy.
75894.......  26......  A          X-rays,                1.31        0.39          0.42         0.39          0.42        0.08        1.78          1.81         1.78          1.81         XXX
                                    transcath
                                    therapy.
75896.......  ........  C          X-rays,                0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    transcath
                                    therapy.
75896.......  TC......  C          X-rays,                0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    transcath
                                    therapy.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69943]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
75896.......  26......  A          X-rays,                1.31        0.49          0.46         0.49          0.46        0.05        1.85          1.82         1.85          1.82         XXX
                                    transcath
                                    therapy.
75898.......  ........  C          Follow-up              0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    angiography.
75898.......  TC......  C          Follow-up              0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    angiography.
75898.......  26......  A          Follow-up              1.65        0.56          0.55         0.56          0.55        0.07        2.28          2.27         2.28          2.27         XXX
                                    angiography.
75900.......  ........  C          Intravascular          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cath exchange.
75900.......  TC......  C          Intravascular          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cath exchange.
75900.......  26......  A          Intravascular          0.49        0.15          0.16         0.15          0.16        0.03        0.67          0.68         0.67          0.68         XXX
                                    cath exchange.
75901.......  ........  A          Remove cva             0.49        3.94          2.09           NA            NA        0.85        5.28          3.43           NA            NA         XXX
                                    device obstruct.
75901.......  TC......  A          Remove cva             0.00        3.80          1.93           NA            NA        0.83        4.63          2.76           NA            NA         XXX
                                    device obstruct.
75901.......  26......  A          Remove cva             0.49        0.14          0.16         0.14          0.16        0.02        0.65          0.67         0.65          0.67         XXX
                                    device obstruct.
75902.......  ........  A          Remove cva lumen       0.39        1.54          1.47           NA            NA        0.85        2.78          2.71           NA            NA         XXX
                                    obstruct.
75902.......  TC......  A          Remove cva lumen       0.00        1.43          1.34           NA            NA        0.83        2.26          2.17           NA            NA         XXX
                                    obstruct.
75902.......  26......  A          Remove cva lumen       0.39        0.11          0.13         0.11          0.13        0.02        0.52          0.54         0.52          0.54         XXX
                                    obstruct.
75940.......  ........  C          X-ray placement,       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    vein filter.
75940.......  TC......  C          X-ray placement,       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    vein filter.
75940.......  26......  A          X-ray placement,       0.54        0.16          0.18         0.16          0.18        0.04        0.74          0.76         0.74          0.76         XXX
                                    vein filter.
75945.......  ........  C          Intravascular us       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
75945.......  TC......  C          Intravascular us       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
75945.......  26......  A          Intravascular us       0.40        0.15          0.14         0.15          0.14        0.04        0.59          0.58         0.59          0.58         XXX
75946.......  ........  C          Intravascular us       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    add-on.
75946.......  TC......  C          Intravascular us       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    add-on.
75946.......  26......  A          Intravascular us       0.40        0.13          0.14         0.13          0.14        0.05        0.58          0.59         0.58          0.59         ZZZ
                                    add-on.
75952.......  ........  C          Endovasc repair        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    abdom aorta.
75952.......  TC......  C          Endovasc repair        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    abdom aorta.
75952.......  26......  A          Endovasc repair        4.49        1.27          1.44         1.27          1.44        0.43        6.19          6.36         6.19          6.36         XXX
                                    abdom aorta.
75953.......  ........  C          Abdom aneurysm         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    endovas rpr.
75953.......  TC......  C          Abdom aneurysm         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    endovas rpr.
75953.......  26......  A          Abdom aneurysm         1.36        0.39          0.44         0.39          0.44        0.13        1.88          1.93         1.88          1.93         XXX
                                    endovas rpr.
75954.......  ........  C          Iliac aneurysm         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    endovas rpr.
75954.......  TC......  C          Iliac aneurysm         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    endovas rpr.
75954.......  26......  A          Iliac aneurysm         2.25        0.64          0.75         0.64          0.75        0.15        3.04          3.15         3.04          3.15         XXX
                                    endovas rpr.
75956.......  ........  C          Xray, endovasc         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    thor ao repr.
75956.......  TC......  C          Xray, endovasc         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    thor ao repr.
75956.......  26......  A          Xray, endovasc         7.00        1.78          2.47         1.78          2.47        0.69        9.47         10.16         9.47         10.16         XXX
                                    thor ao repr.
75957.......  ........  C          Xray, endovasc         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    thor ao repr.
75957.......  TC......  C          Xray, endovasc         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    thor ao repr.
75957.......  26......  A          Xray, endovasc         6.00        1.56          2.12         1.56          2.12        0.59        8.15          8.71         8.15          8.71         XXX
                                    thor ao repr.
75958.......  ........  C          Xray, place prox       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ext thor ao.
75958.......  TC......  C          Xray, place prox       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ext thor ao.
75958.......  26......  A          Xray, place prox       4.00        0.98          1.41         0.98          1.41        0.39        5.37          5.80         5.37          5.80         XXX
                                    ext thor ao.
75959.......  ........  C          Xray, place dist       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ext thor ao.
75959.......  TC......  C          Xray, place dist       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ext thor ao.
75959.......  26......  A          Xray, place dist       3.50        0.86          1.24         0.86          1.24        0.34        4.70          5.08         4.70          5.08         XXX
                                    ext thor ao.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69944]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
75960.......  ........  C          Transcath iv           0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    stent rs&i.
75960.......  TC......  C          Transcath iv           0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    stent rs&i.
75960.......  26......  A          Transcath iv           0.82        0.31          0.29         0.31          0.29        0.05        1.18          1.16         1.18          1.16         XXX
                                    stent rs&i.
75961.......  ........  A          Retrieval,             4.24        4.30          9.99           NA            NA        0.73        9.27         14.96           NA            NA         XXX
                                    broken catheter.
75961.......  TC......  A          Retrieval,             0.00        3.03          8.63           NA            NA        0.55        3.58          9.18           NA            NA         XXX
                                    broken catheter.
75961.......  26......  A          Retrieval,             4.24        1.27          1.36         1.27          1.36        0.18        5.69          5.78         5.69          5.78         XXX
                                    broken catheter.
75962.......  ........  A          Repair arterial        0.54        3.43         12.80           NA            NA        0.86        4.83         14.20           NA            NA         XXX
                                    blockage.
75962.......  TC......  A          Repair arterial        0.00        3.24         12.62           NA            NA        0.83        4.07         13.45           NA            NA         XXX
                                    blockage.
75962.......  26......  A          Repair arterial        0.54        0.19          0.18         0.19          0.18        0.03        0.76          0.75         0.76          0.75         XXX
                                    blockage.
75964.......  ........  A          Repair artery          0.36        2.31          6.96         2.31          6.96        0.46        3.13          7.78         3.13          7.78         ZZZ
                                    blockage, each.
75964.......  TC......  A          Repair artery          0.00        2.19          6.84         2.19          6.84        0.43        2.62          7.27         2.62          7.27         ZZZ
                                    blockage, each.
75964.......  26......  A          Repair artery          0.36        0.12          0.12         0.12          0.12        0.03        0.51          0.51         0.51          0.51         ZZZ
                                    blockage, each.
75966.......  ........  A          Repair arterial        1.31        4.12         13.18           NA            NA        0.89        6.32         15.38           NA            NA         XXX
                                    blockage.
75966.......  TC......  A          Repair arterial        0.00        3.55         12.69           NA            NA        0.83        4.38         13.52           NA            NA         XXX
                                    blockage.
75966.......  26......  A          Repair arterial        1.31        0.57          0.49         0.57          0.49        0.06        1.94          1.86         1.94          1.86         XXX
                                    blockage.
75968.......  ........  A          Repair artery          0.36        2.38          6.99         2.38          6.99        0.45        3.19          7.80         3.19          7.80         ZZZ
                                    blockage, each.
75968.......  TC......  A          Repair artery          0.00        2.23          6.85         2.23          6.85        0.43        2.66          7.28         2.66          7.28         ZZZ
                                    blockage, each.
75968.......  26......  A          Repair artery          0.36        0.15          0.14         0.15          0.14        0.02        0.53          0.52         0.53          0.52         ZZZ
                                    blockage, each.
75970.......  ........  C          Vascular biopsy.       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
75970.......  TC......  C          Vascular biopsy.       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
75970.......  26......  A          Vascular biopsy.       0.83        0.26          0.28         0.26          0.28        0.04        1.13          1.15         1.13          1.15         XXX
75978.......  ........  A          Repair venous          0.54        3.11         12.72           NA            NA        0.85        4.50         14.11           NA            NA         XXX
                                    blockage.
75978.......  TC......  A          Repair venous          0.00        2.95         12.54           NA            NA        0.83        3.78         13.37           NA            NA         XXX
                                    blockage.
75978.......  26......  A          Repair venous          0.54        0.16          0.18         0.16          0.18        0.02        0.72          0.74         0.72          0.74         XXX
                                    blockage.
75980.......  ........  C          Contrast xray          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    exam bile duct.
75980.......  TC......  C          Contrast xray          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    exam bile duct.
75980.......  26......  A          Contrast xray          1.44        0.42          0.46         0.42          0.46        0.06        1.92          1.96         1.92          1.96         XXX
                                    exam bile duct.
75982.......  ........  C          Contrast xray          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    exam bile duct.
75982.......  TC......  C          Contrast xray          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    exam bile duct.
75982.......  26......  A          Contrast xray          1.44        0.42          0.46         0.42          0.46        0.06        1.92          1.96         1.92          1.96         XXX
                                    exam bile duct.
75984.......  ........  A          Xray control           0.72        2.16          2.18           NA            NA        0.14        3.02          3.04           NA            NA         XXX
                                    catheter change.
75984.......  TC......  A          Xray control           0.00        1.95          1.95           NA            NA        0.11        2.06          2.06           NA            NA         XXX
                                    catheter change.
75984.......  26......  A          Xray control           0.72        0.21          0.23         0.21          0.23        0.03        0.96          0.98         0.96          0.98         XXX
                                    catheter change.
75989.......  ........  A          Abscess drainage       1.19        2.07          3.18           NA            NA        0.22        3.48          4.59           NA            NA         XXX
                                    under x-ray.
75989.......  TC......  A          Abscess drainage       0.00        1.73          2.80           NA            NA        0.17        1.90          2.97           NA            NA         XXX
                                    under x-ray.
75989.......  26......  A          Abscess drainage       1.19        0.34          0.38         0.34          0.38        0.05        1.58          1.62         1.58          1.62         XXX
                                    under x-ray.
75992.......  ........  C          Atherectomy, x-        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ray exam.
75992.......  TC......  C          Atherectomy, x-        0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ray exam.
75992.......  26......  A          Atherectomy, x-        0.54        0.23          0.20         0.23          0.20        0.03        0.80          0.77         0.80          0.77         XXX
                                    ray exam.
75993.......  ........  C          Atherectomy, x-        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    ray exam.
75993.......  TC......  C          Atherectomy, x-        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    ray exam.
75993.......  26......  A          Atherectomy, x-        0.36        0.15          0.14         0.15          0.14        0.02        0.53          0.52         0.53          0.52         ZZZ
                                    ray exam.
75994.......  ........  C          Atherectomy, x-        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ray exam.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69945]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
75994.......  TC......  C          Atherectomy, x-        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ray exam.
75994.......  26......  A          Atherectomy, x-        1.31        0.62          0.50         0.62          0.50        0.07        2.00          1.88         2.00          1.88         XXX
                                    ray exam.
75995.......  ........  C          Atherectomy, x-        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ray exam.
75995.......  TC......  C          Atherectomy, x-        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ray exam.
75995.......  26......  A          Atherectomy, x-        1.31        0.50          0.48         0.50          0.48        0.05        1.86          1.84         1.86          1.84         XXX
                                    ray exam.
75996.......  ........  C          Atherectomy, x-        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    ray exam.
75996.......  TC......  C          Atherectomy, x-        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    ray exam.
75996.......  26......  A          Atherectomy, x-        0.36        0.14          0.13         0.14          0.13        0.02        0.52          0.51         0.52          0.51         ZZZ
                                    ray exam.
76000.......  ........  A          Fluoroscope            0.17        2.64          1.68           NA            NA        0.08        2.89          1.93           NA            NA         XXX
                                    examination.
76000.......  TC......  A          Fluoroscope            0.00        2.59          1.63           NA            NA        0.07        2.66          1.70           NA            NA         XXX
                                    examination.
76000.......  26......  A          Fluoroscope            0.17        0.05          0.05         0.05          0.05        0.01        0.23          0.23         0.23          0.23         XXX
                                    examination.
76001.......  ........  C          Fluoroscope            0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    exam, extensive.
76001.......  TC......  C          Fluoroscope            0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    exam, extensive.
76001.......  26......  A          Fluoroscope            0.67        0.21          0.22         0.21          0.22        0.05        0.93          0.94         0.93          0.94         XXX
                                    exam, extensive.
76010.......  ........  A          X-ray, nose to         0.18        0.51          0.57           NA            NA        0.03        0.72          0.78           NA            NA         XXX
                                    rectum.
76010.......  TC......  A          X-ray, nose to         0.00        0.46          0.51           NA            NA        0.02        0.48          0.53           NA            NA         XXX
                                    rectum.
76010.......  26......  A          X-ray, nose to         0.18        0.05          0.06         0.05          0.06        0.01        0.24          0.25         0.24          0.25         XXX
                                    rectum.
76080.......  ........  A          X-ray exam of          0.54        1.01          1.18           NA            NA        0.08        1.63          1.80           NA            NA         XXX
                                    fistula.
76080.......  TC......  A          X-ray exam of          0.00        0.85          1.00           NA            NA        0.06        0.91          1.06           NA            NA         XXX
                                    fistula.
76080.......  26......  A          X-ray exam of          0.54        0.16          0.18         0.16          0.18        0.02        0.72          0.74         0.72          0.74         XXX
                                    fistula.
76098.......  ........  A          X-ray exam,            0.16        0.29          0.43           NA            NA        0.03        0.48          0.62           NA            NA         XXX
                                    breast specimen.
76098.......  TC......  A          X-ray exam,            0.00        0.25          0.38           NA            NA        0.02        0.27          0.40           NA            NA         XXX
                                    breast specimen.
76098.......  26......  A          X-ray exam,            0.16        0.04          0.05         0.04          0.05        0.01        0.21          0.22         0.21          0.22         XXX
                                    breast specimen.
76100.......  ........  A          X-ray exam of          0.58        3.41          1.93           NA            NA        0.10        4.09          2.61           NA            NA         XXX
                                    body section.
76100.......  TC......  A          X-ray exam of          0.00        3.22          1.74           NA            NA        0.07        3.29          1.81           NA            NA         XXX
                                    body section.
76100.......  26......  A          X-ray exam of          0.58        0.19          0.19         0.19          0.19        0.03        0.80          0.80         0.80          0.80         XXX
                                    body section.
76101.......  ........  A          Complex body           0.58        5.17          2.50           NA            NA        0.11        5.86          3.19           NA            NA         XXX
                                    section x-ray.
76101.......  TC......  A          Complex body           0.00        4.99          2.31           NA            NA        0.08        5.07          2.39           NA            NA         XXX
                                    section x-ray.
76101.......  26......  A          Complex body           0.58        0.18          0.19         0.18          0.19        0.03        0.79          0.80         0.79          0.80         XXX
                                    section x-ray.
76102.......  ........  A          Complex body           0.58        7.61          3.35           NA            NA        0.14        8.33          4.07           NA            NA         XXX
                                    section x-rays.
76102.......  TC......  A          Complex body           0.00        7.43          3.16           NA            NA        0.11        7.54          3.27           NA            NA         XXX
                                    section x-rays.
76102.......  26......  A          Complex body           0.58        0.18          0.19         0.18          0.19        0.03        0.79          0.80         0.79          0.80         XXX
                                    section x-rays.
76120.......  ........  A          Cine/video x-          0.38        1.83          1.34           NA            NA        0.08        2.29          1.80           NA            NA         XXX
                                    rays.
76120.......  TC......  A          Cine/video x-          0.00        1.70          1.21           NA            NA        0.06        1.76          1.27           NA            NA         XXX
                                    rays.
76120.......  26......  A          Cine/video x-          0.38        0.13          0.13         0.13          0.13        0.02        0.53          0.53         0.53          0.53         XXX
                                    rays.
76125.......  ........  C          Cine/video x-          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         ZZZ
                                    rays add-on.
76125.......  TC......  C          Cine/video x-          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         ZZZ
                                    rays add-on.
76125.......  26......  A          Cine/video x-          0.27        0.10          0.09         0.10          0.09        0.01        0.38          0.37         0.38          0.37         ZZZ
                                    rays add-on.
76140.......  ........  I          X-ray                  0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    consultation.
76150.......  ........  A          X-ray exam, dry        0.00        0.67          0.48           NA            NA        0.02        0.69          0.50           NA            NA         XXX
                                    process.
76350.......  ........  C          Special x-ray          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    contrast study.
76376.......  ........  A          3d render w/o          0.20        1.32          2.95           NA            NA        0.10        1.62          3.25           NA            NA         XXX
                                    postprocess.
76376.......  TC......  A          3d render w/o          0.00        1.26          2.88           NA            NA        0.08        1.34          2.96           NA            NA         XXX
                                    postprocess.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69946]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
76376.......  26......  A          3d render w/o          0.20        0.06          0.07         0.06          0.07        0.02        0.28          0.29         0.28          0.29         XXX
                                    postprocess.
76377.......  ........  A          3d rendering w/        0.79        1.28          3.09           NA            NA        0.39        2.46          4.27           NA            NA         XXX
                                    postprocess.
76377.......  TC......  A          3d rendering w/        0.00        1.05          2.83           NA            NA        0.31        1.36          3.14           NA            NA         XXX
                                    postprocess.
76377.......  26......  A          3d rendering w/        0.79        0.23          0.26         0.23          0.26        0.08        1.10          1.13         1.10          1.13         XXX
                                    postprocess.
76380.......  ........  A          CAT scan follow-       0.98        4.45          3.98           NA            NA        0.22        5.65          5.18           NA            NA         XXX
                                    up study.
76380.......  TC......  A          CAT scan follow-       0.00        4.17          3.67           NA            NA        0.18        4.35          3.85           NA            NA         XXX
                                    up study.
76380.......  26......  A          CAT scan follow-       0.98        0.28          0.31         0.28          0.31        0.04        1.30          1.33         1.30          1.33         XXX
                                    up study.
76390.......  ........  N          Mr spectroscopy.       1.40        9.31         10.94           NA            NA        0.66       11.37         13.00           NA            NA         XXX
76390.......  TC......  N          Mr spectroscopy.       0.00        8.99         10.51           NA            NA        0.59        9.58         11.10           NA            NA         XXX
76390.......  26......  N          Mr spectroscopy.       1.40        0.32          0.43         0.32          0.43        0.07        1.79          1.90         1.79          1.90         XXX
76496.......  ........  C          Fluoroscopic           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
76496.......  TC......  C          Fluoroscopic           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
76496.......  26......  C          Fluoroscopic           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
76497.......  ........  C          Ct procedure....       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
76497.......  TC......  C          Ct procedure....       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
76497.......  26......  C          Ct procedure....       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
76498.......  ........  C          Mri procedure...       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
76498.......  TC......  C          Mri procedure...       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
76498.......  26......  C          Mri procedure...       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
76499.......  ........  C          Radiographic           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
76499.......  TC......  C          Radiographic           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
76499.......  26......  C          Radiographic           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
76506.......  ........  A          Echo exam of           0.63        2.70          1.92           NA            NA        0.14        3.47          2.69           NA            NA         XXX
                                    head.
76506.......  TC......  A          Echo exam of           0.00        2.51          1.69           NA            NA        0.08        2.59          1.77           NA            NA         XXX
                                    head.
76506.......  26......  A          Echo exam of           0.63        0.19          0.23         0.19          0.23        0.06        0.88          0.92         0.88          0.92         XXX
                                    head.
76510.......  ........  A          Ophth us, b &          1.55        2.31          2.73           NA            NA        0.10        3.96          4.38           NA            NA         XXX
                                    quant a.
76510.......  TC......  A          Ophth us, b &          0.00        1.72          2.07           NA            NA        0.07        1.79          2.14           NA            NA         XXX
                                    quant a.
76510.......  26......  A          Ophth us, b &          1.55        0.59          0.66         0.59          0.66        0.03        2.17          2.24         2.17          2.24         XXX
                                    quant a.
76511.......  ........  A          Ophth us, quant        0.94        1.40          2.17           NA            NA        0.10        2.44          3.21           NA            NA         XXX
                                    a only.
76511.......  TC......  A          Ophth us, quant        0.00        1.04          1.78           NA            NA        0.07        1.11          1.85           NA            NA         XXX
                                    a only.
76511.......  26......  A          Ophth us, quant        0.94        0.36          0.39         0.36          0.39        0.03        1.33          1.36         1.33          1.36         XXX
                                    a only.
76512.......  ........  A          Ophth us, b w/         0.94        1.19          1.97           NA            NA        0.12        2.25          3.03           NA            NA         XXX
                                    non-quant a.
76512.......  TC......  A          Ophth us, b w/         0.00        0.84          1.57           NA            NA        0.10        0.94          1.67           NA            NA         XXX
                                    non-quant a.
76512.......  26......  A          Ophth us, b w/         0.94        0.35          0.40         0.35          0.40        0.02        1.31          1.36         1.31          1.36         XXX
                                    non-quant a.
76513.......  ........  A          Echo exam of           0.66        1.57          1.75           NA            NA        0.12        2.35          2.53           NA            NA         XXX
                                    eye, water bath.
76513.......  TC......  A          Echo exam of           0.00        1.32          1.47           NA            NA        0.10        1.42          1.57           NA            NA         XXX
                                    eye, water bath.
76513.......  26......  A          Echo exam of           0.66        0.25          0.28         0.25          0.28        0.02        0.93          0.96         0.93          0.96         XXX
                                    eye, water bath.
76514.......  ........  A          Echo exam of           0.17        0.17          0.15           NA            NA        0.02        0.36          0.34           NA            NA         XXX
                                    eye, thickness.
76514.......  TC......  A          Echo exam of           0.00        0.11          0.07           NA            NA        0.01        0.12          0.08           NA            NA         XXX
                                    eye, thickness.
76514.......  26......  A          Echo exam of           0.17        0.06          0.08         0.06          0.08        0.01        0.24          0.26         0.24          0.26         XXX
                                    eye, thickness.
76516.......  ........  A          Echo exam of eye       0.54        1.19          1.39           NA            NA        0.08        1.81          2.01           NA            NA         XXX
76516.......  TC......  A          Echo exam of eye       0.00        0.99          1.16           NA            NA        0.07        1.06          1.23           NA            NA         XXX
76516.......  26......  A          Echo exam of eye       0.54        0.20          0.23         0.20          0.23        0.01        0.75          0.78         0.75          0.78         XXX
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69947]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
76519.......  ........  A          Echo exam of eye       0.54        1.32          1.49           NA            NA        0.08        1.94          2.11           NA            NA         XXX
76519.......  TC......  A          Echo exam of eye       0.00        1.11          1.26           NA            NA        0.07        1.18          1.33           NA            NA         XXX
76519.......  26......  A          Echo exam of eye       0.54        0.21          0.23         0.21          0.23        0.01        0.76          0.78         0.76          0.78         XXX
76529.......  ........  A          Echo exam of eye       0.57        1.17          1.32           NA            NA        0.10        1.84          1.99           NA            NA         XXX
76529.......  TC......  A          Echo exam of eye       0.00        0.96          1.09           NA            NA        0.08        1.04          1.17           NA            NA         XXX
76529.......  26......  A          Echo exam of eye       0.57        0.21          0.23         0.21          0.23        0.02        0.80          0.82         0.80          0.82         XXX
76536.......  ........  A          Us exam of head        0.56        2.53          1.83           NA            NA        0.10        3.19          2.49           NA            NA         XXX
                                    and neck.
76536.......  TC......  A          Us exam of head        0.00        2.38          1.66           NA            NA        0.08        2.46          1.74           NA            NA         XXX
                                    and neck.
76536.......  26......  A          Us exam of head        0.56        0.15          0.17         0.15          0.17        0.02        0.73          0.75         0.73          0.75         XXX
                                    and neck.
76604.......  ........  A          Us exam, chest..       0.55        1.70          1.54           NA            NA        0.09        2.34          2.18           NA            NA         XXX
76604.......  TC......  A          Us exam, chest..       0.00        1.55          1.37           NA            NA        0.07        1.62          1.44           NA            NA         XXX
76604.......  26......  A          Us exam, chest..       0.55        0.15          0.17         0.15          0.17        0.02        0.72          0.74         0.72          0.74         XXX
76645.......  ........  A          Us exam,               0.54        1.97          1.41           NA            NA        0.08        2.59          2.03           NA            NA         XXX
                                    breast(s).
76645.......  TC......  A          Us exam,               0.00        1.82          1.24           NA            NA        0.06        1.88          1.30           NA            NA         XXX
                                    breast(s).
76645.......  26......  A          Us exam,               0.54        0.15          0.17         0.15          0.17        0.02        0.71          0.73         0.71          0.73         XXX
                                    breast(s).
76700.......  ........  A          Us exam, abdom,        0.81        2.84          2.39           NA            NA        0.15        3.80          3.35           NA            NA         XXX
                                    complete.
76700.......  TC......  A          Us exam, abdom,        0.00        2.61          2.13           NA            NA        0.11        2.72          2.24           NA            NA         XXX
                                    complete.
76700.......  26......  A          Us exam, abdom,        0.81        0.23          0.26         0.23          0.26        0.04        1.08          1.11         1.08          1.11         XXX
                                    complete.
76705.......  ........  A          Echo exam of           0.59        2.21          1.77           NA            NA        0.11        2.91          2.47           NA            NA         XXX
                                    abdomen.
76705.......  TC......  A          Echo exam of           0.00        2.04          1.58           NA            NA        0.08        2.12          1.66           NA            NA         XXX
                                    abdomen.
76705.......  26......  A          Echo exam of           0.59        0.17          0.19         0.17          0.19        0.03        0.79          0.81         0.79          0.81         XXX
                                    abdomen.
76770.......  ........  A          Us exam abdo           0.74        2.77          2.36           NA            NA        0.14        3.65          3.24           NA            NA         XXX
                                    back wall, comp.
76770.......  TC......  A          Us exam abdo           0.00        2.55          2.12           NA            NA        0.11        2.66          2.23           NA            NA         XXX
                                    back wall, comp.
76770.......  26......  A          Us exam abdo           0.74        0.22          0.24         0.22          0.24        0.03        0.99          1.01         0.99          1.01         XXX
                                    back wall, comp.
76775.......  ........  A          Us exam abdo           0.58        0.00          1.61           NA            NA        0.11        0.69          2.30           NA            NA         XXX
                                    back wall, lim.
76775.......  TC......  A          Us exam abdo           0.00        0.00          1.42           NA            NA        0.08        0.08          1.50           NA            NA         XXX
                                    back wall, lim.
76775.......  26......  A          Us exam abdo           0.58        0.00          0.19         0.00          0.19        0.03        0.61          0.80         0.61          0.80         XXX
                                    back wall, lim.
76776.......  ........  A          Us exam k              0.76        3.19          2.45           NA            NA        0.14        4.09          3.35           NA            NA         XXX
                                    transpl w/
                                    doppler.
76776.......  TC......  A          Us exam k              0.00        2.98          2.22           NA            NA        0.11        3.09          2.33           NA            NA         XXX
                                    transpl w/
                                    doppler.
76776.......  26......  A          Us exam k              0.76        0.21          0.23         0.21          0.23        0.03        1.00          1.02         1.00          1.02         XXX
                                    transpl w/
                                    doppler.
76800.......  ........  A          Us exam, spinal        1.13        2.26          1.89           NA            NA        0.13        3.52          3.15           NA            NA         XXX
                                    canal.
76800.......  TC......  A          Us exam, spinal        0.00        1.97          1.56           NA            NA        0.08        2.05          1.64           NA            NA         XXX
                                    canal.
76800.......  26......  A          Us exam, spinal        1.13        0.29          0.33         0.29          0.33        0.05        1.47          1.51         1.47          1.51         XXX
                                    canal.
76801.......  ........  A          Ob us < 14 wks,        0.99        2.36          2.43           NA            NA        0.16        3.51          3.58           NA            NA         XXX
                                    single fetus.
76801.......  TC......  A          Ob us < 14 wks,        0.00        2.08          2.10           NA            NA        0.12        2.20          2.22           NA            NA         XXX
                                    single fetus.
76801.......  26......  A          Ob us < 14 wks,        0.99        0.28          0.33         0.28          0.33        0.04        1.31          1.36         1.31          1.36         XXX
                                    single fetus.
76802.......  ........  A          Ob us < 14 wks,        0.83        0.93          1.24         0.93          1.24        0.16        1.92          2.23         1.92          2.23         ZZZ
                                    add[AElig]l
                                    fetus.
76802.......  TC......  A          Ob us < 14 wks,        0.00        0.69          0.96         0.69          0.96        0.12        0.81          1.08         0.81          1.08         ZZZ
                                    add[AElig]l
                                    fetus.
76802.......  26......  A          Ob us < 14 wks,        0.83        0.24          0.28         0.24          0.28        0.04        1.11          1.15         1.11          1.15         ZZZ
                                    add[AElig]l
                                    fetus.
76805.......  ........  A          Ob us >/= 14           0.99        2.91          2.56           NA            NA        0.16        4.06          3.71           NA            NA         XXX
                                    wks, sngl fetus.
76805.......  TC......  A          Ob us >/= 14           0.00        2.63          2.23           NA            NA        0.12        2.75          2.35           NA            NA         XXX
                                    wks, sngl fetus.
76805.......  26......  A          Ob us >/= 14           0.99        0.28          0.33         0.28          0.33        0.04        1.31          1.36         1.31          1.36         XXX
                                    wks, sngl fetus.
76810.......  ........  A          Ob us >/= 14           0.98        1.59          1.44         1.59          1.44        0.26        2.83          2.68         2.83          2.68         ZZZ
                                    wks, addl fetus.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69948]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
76810.......  TC......  A          Ob us >/= 14           0.00        1.32          1.12         1.32          1.12        0.22        1.54          1.34         1.54          1.34         ZZZ
                                    wks, addl fetus.
76810.......  26......  A          Ob us >/= 14           0.98        0.27          0.32         0.27          0.32        0.04        1.29          1.34         1.29          1.34         ZZZ
                                    wks, addl fetus.
76811.......  ........  A          Ob us, detailed,       1.90        2.98          3.93           NA            NA        0.52        5.40          6.35           NA            NA         XXX
                                    sngl fetus.
76811.......  TC......  A          Ob us, detailed,       0.00        2.45          3.26           NA            NA        0.43        2.88          3.69           NA            NA         XXX
                                    sngl fetus.
76811.......  26......  A          Ob us, detailed,       1.90        0.53          0.67         0.53          0.67        0.09        2.52          2.66         2.52          2.66         XXX
                                    sngl fetus.
76812.......  ........  A          Ob us, detailed,       1.78        3.87          2.25         3.87          2.25        0.49        6.14          4.52         6.14          4.52         ZZZ
                                    addl fetus.
76812.......  TC......  A          Ob us, detailed,       0.00        3.37          1.63         3.37          1.63        0.41        3.78          2.04         3.78          2.04         ZZZ
                                    addl fetus.
76812.......  26......  A          Ob us, detailed,       1.78        0.50          0.62         0.50          0.62        0.08        2.36          2.48         2.36          2.48         ZZZ
                                    addl fetus.
76813.......  ........  A          Ob us nuchal           1.18        2.06          2.06           NA            NA        0.19        3.43          3.43           NA            NA         XXX
                                    meas, 1 gest.
76813.......  TC......  A          Ob us nuchal           0.00        1.73          1.73           NA            NA        0.14        1.87          1.87           NA            NA         XXX
                                    meas, 1 gest.
76813.......  26......  A          Ob us nuchal           1.18        0.33          0.33         0.33          0.33        0.05        1.56          1.56         1.56          1.56         XXX
                                    meas, 1 gest.
76814.......  ........  A          Ob us nuchal           0.99        1.11          1.11           NA            NA        0.19        2.29          2.29           NA            NA         XXX
                                    meas, add-on.
76814.......  TC......  A          Ob us nuchal           0.00        0.84          0.84           NA            NA        0.14        0.98          0.98           NA            NA         XXX
                                    meas, add-on.
76814.......  26......  A          Ob us nuchal           0.99        0.27          0.27         0.27          0.27        0.05        1.31          1.31         1.31          1.31         XXX
                                    meas, add-on.
76815.......  ........  A          Ob us, limited,        0.65        1.73          1.67           NA            NA        0.11        2.49          2.43           NA            NA         XXX
                                    fetus(s).
76815.......  TC......  A          Ob us, limited,        0.00        1.55          1.45           NA            NA        0.08        1.63          1.53           NA            NA         XXX
                                    fetus(s).
76815.......  26......  A          Ob us, limited,        0.65        0.18          0.22         0.18          0.22        0.03        0.86          0.90         0.86          0.90         XXX
                                    fetus(s).
76816.......  ........  A          Ob us, follow-         0.85        2.33          1.66           NA            NA        0.10        3.28          2.61           NA            NA         XXX
                                    up, per fetus.
76816.......  TC......  A          Ob us, follow-         0.00        2.09          1.36           NA            NA        0.06        2.15          1.42           NA            NA         XXX
                                    up, per fetus.
76816.......  26......  A          Ob us, follow-         0.85        0.24          0.30         0.24          0.30        0.04        1.13          1.19         1.13          1.19         XXX
                                    up, per fetus.
76817.......  ........  A          Transvaginal us,       0.75        1.94          1.82           NA            NA        0.09        2.78          2.66           NA            NA         XXX
                                    obstetric.
76817.......  TC......  A          Transvaginal us,       0.00        1.73          1.57           NA            NA        0.06        1.79          1.63           NA            NA         XXX
                                    obstetric.
76817.......  26......  A          Transvaginal us,       0.75        0.21          0.25         0.21          0.25        0.03        0.99          1.03         0.99          1.03         XXX
                                    obstetric.
76818.......  ........  A          Fetal biophys          1.05        2.15          2.04           NA            NA        0.15        3.35          3.24           NA            NA         XXX
                                    profile w/nst.
76818.......  TC......  A          Fetal biophys          0.00        1.86          1.67           NA            NA        0.10        1.96          1.77           NA            NA         XXX
                                    profile w/nst.
76818.......  26......  A          Fetal biophys          1.05        0.29          0.37         0.29          0.37        0.05        1.39          1.47         1.39          1.47         XXX
                                    profile w/nst.
76819.......  ........  A          Fetal biophys          0.77        1.57          1.81           NA            NA        0.13        2.47          2.71           NA            NA         XXX
                                    profil w/o nst.
76819.......  TC......  A          Fetal biophys          0.00        1.36          1.55           NA            NA        0.10        1.46          1.65           NA            NA         XXX
                                    profil w/o nst.
76819.......  26......  A          Fetal biophys          0.77        0.21          0.26         0.21          0.26        0.03        1.01          1.06         1.01          1.06         XXX
                                    profil w/o nst.
76820.......  ........  A          Umbilical artery       0.50        0.55          1.49           NA            NA        0.15        1.20          2.14           NA            NA         XXX
                                    echo.
76820.......  TC......  A          Umbilical artery       0.00        0.41          1.31           NA            NA        0.12        0.53          1.43           NA            NA         XXX
                                    echo.
76820.......  26......  A          Umbilical artery       0.50        0.14          0.18         0.14          0.18        0.03        0.67          0.71         0.67          0.71         XXX
                                    echo.
76821.......  ........  A          Middle cerebral        0.70        1.83          1.87           NA            NA        0.15        2.68          2.72           NA            NA         XXX
                                    artery echo.
76821.......  TC......  A          Middle cerebral        0.00        1.63          1.62           NA            NA        0.12        1.75          1.74           NA            NA         XXX
                                    artery echo.
76821.......  26......  A          Middle cerebral        0.70        0.20          0.25         0.20          0.25        0.03        0.93          0.98         0.93          0.98         XXX
                                    artery echo.
76825.......  ........  A          Echo exam of           1.67        4.29          3.00           NA            NA        0.18        6.14          4.85           NA            NA         XXX
                                    fetal heart.
76825.......  TC......  A          Echo exam of           0.00        3.80          2.43           NA            NA        0.11        3.91          2.54           NA            NA         XXX
                                    fetal heart.
76825.......  26......  A          Echo exam of           1.67        0.49          0.57         0.49          0.57        0.07        2.23          2.31         2.23          2.31         XXX
                                    fetal heart.
76826.......  ........  A          Echo exam of           0.83        2.71          1.43           NA            NA        0.08        3.62          2.34           NA            NA         XXX
                                    fetal heart.
76826.......  TC......  A          Echo exam of           0.00        2.47          1.15           NA            NA        0.05        2.52          1.20           NA            NA         XXX
                                    fetal heart.
76826.......  26......  A          Echo exam of           0.83        0.24          0.28         0.24          0.28        0.03        1.10          1.14         1.10          1.14         XXX
                                    fetal heart.
76827.......  ........  A          Echo exam of           0.58        1.04          1.71           NA            NA        0.14        1.76          2.43           NA            NA         XXX
                                    fetal heart.
76827.......  TC......  A          Echo exam of           0.00        0.87          1.51           NA            NA        0.12        0.99          1.63           NA            NA         XXX
                                    fetal heart.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69949]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
76827.......  26......  A          Echo exam of           0.58        0.17          0.20         0.17          0.20        0.02        0.77          0.80         0.77          0.80         XXX
                                    fetal heart.
76828.......  ........  A          Echo exam of           0.56        0.63          1.16           NA            NA        0.11        1.30          1.83           NA            NA         XXX
                                    fetal heart.
76828.......  TC......  A          Echo exam of           0.00        0.47          0.95           NA            NA        0.08        0.55          1.03           NA            NA         XXX
                                    fetal heart.
76828.......  26......  A          Echo exam of           0.56        0.16          0.21         0.16          0.21        0.03        0.75          0.80         0.75          0.80         XXX
                                    fetal heart.
76830.......  ........  A          Transvaginal us,       0.69        2.62          1.97           NA            NA        0.13        3.44          2.79           NA            NA         XXX
                                    non-ob.
76830.......  TC......  A          Transvaginal us,       0.00        2.43          1.75           NA            NA        0.10        2.53          1.85           NA            NA         XXX
                                    non-ob.
76830.......  26......  A          Transvaginal us,       0.69        0.19          0.22         0.19          0.22        0.03        0.91          0.94         0.91          0.94         XXX
                                    non-ob.
76831.......  ........  A          Echo exam,             0.72        2.67          2.00           NA            NA        0.13        3.52          2.85           NA            NA         XXX
                                    uterus.
76831.......  TC......  A          Echo exam,             0.00        2.47          1.76           NA            NA        0.10        2.57          1.86           NA            NA         XXX
                                    uterus.
76831.......  26......  A          Echo exam,             0.72        0.20          0.24         0.20          0.24        0.03        0.95          0.99         0.95          0.99         XXX
                                    uterus.
76856.......  ........  A          Us exam, pelvic,       0.69        2.67          1.99           NA            NA        0.13        3.49          2.81           NA            NA         XXX
                                    complete.
76856.......  TC......  A          Us exam, pelvic,       0.00        2.46          1.76           NA            NA        0.10        2.56          1.86           NA            NA         XXX
                                    complete.
76856.......  26......  A          Us exam, pelvic,       0.69        0.21          0.23         0.21          0.23        0.03        0.93          0.95         0.93          0.95         XXX
                                    complete.
76857.......  ........  A          Us exam, pelvic,       0.38        2.46          1.99           NA            NA        0.08        2.92          2.45           NA            NA         XXX
                                    limited.
76857.......  TC......  A          Us exam, pelvic,       0.00        2.32          1.86           NA            NA        0.06        2.38          1.92           NA            NA         XXX
                                    limited.
76857.......  26......  A          Us exam, pelvic,       0.38        0.14          0.13         0.14          0.13        0.02        0.54          0.53         0.54          0.53         XXX
                                    limited.
76870.......  ........  A          Us exam, scrotum       0.64        2.67          1.97           NA            NA        0.13        3.44          2.74           NA            NA         XXX
76870.......  TC......  A          Us exam, scrotum       0.00        2.48          1.76           NA            NA        0.10        2.58          1.86           NA            NA         XXX
76870.......  26......  A          Us exam, scrotum       0.64        0.19          0.21         0.19          0.21        0.03        0.86          0.88         0.86          0.88         XXX
76872.......  ........  A          Us, transrectal.       0.69        3.37          2.52           NA            NA        0.14        4.20          3.35           NA            NA         XXX
76872.......  TC......  A          Us, transrectal.       0.00        3.10          2.29           NA            NA        0.10        3.20          2.39           NA            NA         XXX
76872.......  26......  A          Us, transrectal.       0.69        0.27          0.23         0.27          0.23        0.04        1.00          0.96         1.00          0.96         XXX
76873.......  ........  A          Echograp trans         1.55        3.43          2.81           NA            NA        0.25        5.23          4.61           NA            NA         XXX
                                    r, pros study.
76873.......  TC......  A          Echograp trans         0.00        2.87          2.29           NA            NA        0.16        3.03          2.45           NA            NA         XXX
                                    r, pros study.
76873.......  26......  A          Echograp trans         1.55        0.56          0.52         0.56          0.52        0.09        2.20          2.16         2.20          2.16         XXX
                                    r, pros study.
76880.......  ........  A          Us exam,               0.59        3.05          1.97           NA            NA        0.11        3.75          2.67           NA            NA         XXX
                                    extremity.
76880.......  TC......  A          Us exam,               0.00        2.89          1.79           NA            NA        0.08        2.97          1.87           NA            NA         XXX
                                    extremity.
76880.......  26......  A          Us exam,               0.59        0.16          0.18         0.16          0.18        0.03        0.78          0.80         0.78          0.80         XXX
                                    extremity.
76885.......  ........  A          Us exam infant         0.74        3.03          2.08           NA            NA        0.13        3.90          2.95           NA            NA         XXX
                                    hips, dynamic.
76885.......  TC......  A          Us exam infant         0.00        2.83          1.85           NA            NA        0.10        2.93          1.95           NA            NA         XXX
                                    hips, dynamic.
76885.......  26......  A          Us exam infant         0.74        0.20          0.23         0.20          0.23        0.03        0.97          1.00         0.97          1.00         XXX
                                    hips, dynamic.
76886.......  ........  A          Us exam infant         0.62        2.20          1.76           NA            NA        0.11        2.93          2.49           NA            NA         XXX
                                    hips, static.
76886.......  TC......  A          Us exam infant         0.00        2.03          1.57           NA            NA        0.08        2.11          1.65           NA            NA         XXX
                                    hips, static.
76886.......  26......  A          Us exam infant         0.62        0.17          0.19         0.17          0.19        0.03        0.82          0.84         0.82          0.84         XXX
                                    hips, static.
76930.......  ........  A          Echo guide,            0.67        2.08          1.85           NA            NA        0.12        2.87          2.64           NA            NA         XXX
                                    cardiocentesis.
76930.......  TC......  A          Echo guide,            0.00        1.74          1.58           NA            NA        0.10        1.84          1.68           NA            NA         XXX
                                    cardiocentesis.
76930.......  26......  A          Echo guide,            0.67        0.34          0.27         0.34          0.27        0.02        1.03          0.96         1.03          0.96         XXX
                                    cardiocentesis.
76932.......  ........  C          Echo guide for         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    heart biopsy.
76932.......  TC......  C          Echo guide for         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    heart biopsy.
76932.......  26......  A          Echo guide for         0.67        0.35          0.28         0.35          0.28        0.02        1.04          0.97         1.04          0.97         XXX
                                    heart biopsy.
76936.......  ........  A          Echo guide for         1.99        5.81          6.67           NA            NA        0.47        8.27          9.13           NA            NA         XXX
                                    artery repair.
76936.......  TC......  A          Echo guide for         0.00        5.17          6.01           NA            NA        0.34        5.51          6.35           NA            NA         XXX
                                    artery repair.
76936.......  26......  A          Echo guide for         1.99        0.64          0.66         0.64          0.66        0.13        2.76          2.78         2.76          2.78         XXX
                                    artery repair.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69950]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
76937.......  ........  A          Us guide,              0.30        0.58          0.51         0.58          0.51        0.13        1.01          0.94         1.01          0.94         ZZZ
                                    vascular access.
76937.......  TC......  A          Us guide,              0.00        0.49          0.41         0.49          0.41        0.10        0.59          0.51         0.59          0.51         ZZZ
                                    vascular access.
76937.......  26......  A          Us guide,              0.30        0.09          0.10         0.09          0.10        0.03        0.42          0.43         0.42          0.43         ZZZ
                                    vascular access.
76940.......  ........  C          Us guide, tissue       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ablation.
76940.......  TC......  C          Us guide, tissue       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ablation.
76940.......  26......  A          Us guide, tissue       2.00        0.58          0.63         0.58          0.63        0.31        2.89          2.94         2.89          2.94         XXX
                                    ablation.
76941.......  ........  C          Echo guide for         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    transfusion.
76941.......  TC......  C          Echo guide for         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    transfusion.
76941.......  26......  A          Echo guide for         1.34        0.43          0.46         0.43          0.46        0.07        1.84          1.87         1.84          1.87         XXX
                                    transfusion.
76942.......  ........  A          Echo guide for         0.67        4.64          3.43           NA            NA        0.13        5.44          4.23           NA            NA         XXX
                                    biopsy.
76942.......  TC......  A          Echo guide for         0.00        4.42          3.21           NA            NA        0.10        4.52          3.31           NA            NA         XXX
                                    biopsy.
76942.......  26......  A          Echo guide for         0.67        0.22          0.22         0.22          0.22        0.03        0.92          0.92         0.92          0.92         XXX
                                    biopsy.
76945.......  ........  C          Echo guide,            0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    villus sampling.
76945.......  TC......  C          Echo guide,            0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    villus sampling.
76945.......  26......  A          Echo guide,            0.67        0.20          0.22         0.20          0.22        0.03        0.90          0.92         0.90          0.92         XXX
                                    villus sampling.
76946.......  ........  A          Echo guide for         0.38        0.44          1.35           NA            NA        0.12        0.94          1.85           NA            NA         XXX
                                    amniocentesis.
76946.......  TC......  A          Echo guide for         0.00        0.33          1.22           NA            NA        0.10        0.43          1.32           NA            NA         XXX
                                    amniocentesis.
76946.......  26......  A          Echo guide for         0.38        0.11          0.13         0.11          0.13        0.02        0.51          0.53         0.51          0.53         XXX
                                    amniocentesis.
76948.......  ........  A          Echo guide, ova        0.38        0.43          1.34           NA            NA        0.12        0.93          1.84           NA            NA         XXX
                                    aspiration.
76948.......  TC......  A          Echo guide, ova        0.00        0.33          1.22           NA            NA        0.10        0.43          1.32           NA            NA         XXX
                                    aspiration.
76948.......  26......  A          Echo guide, ova        0.38        0.10          0.12         0.10          0.12        0.02        0.50          0.52         0.50          0.52         XXX
                                    aspiration.
76950.......  ........  A          Echo guidance          0.58        1.22          1.43           NA            NA        0.10        1.90          2.11           NA            NA         XXX
                                    radiotherapy.
76950.......  TC......  A          Echo guidance          0.00        1.02          1.24           NA            NA        0.07        1.09          1.31           NA            NA         XXX
                                    radiotherapy.
76950.......  26......  A          Echo guidance          0.58        0.20          0.19         0.20          0.19        0.03        0.81          0.80         0.81          0.80         XXX
                                    radiotherapy.
76965.......  ........  A          Echo guidance          1.34        1.22          4.80           NA            NA        0.37        2.93          6.51           NA            NA         XXX
                                    radiotherapy.
76965.......  TC......  A          Echo guidance          0.00        0.70          4.35           NA            NA        0.29        0.99          4.64           NA            NA         XXX
                                    radiotherapy.
76965.......  26......  A          Echo guidance          1.34        0.52          0.45         0.52          0.45        0.08        1.94          1.87         1.94          1.87         XXX
                                    radiotherapy.
76970.......  ........  A          Ultrasound exam        0.40        2.07          1.41           NA            NA        0.08        2.55          1.89           NA            NA         XXX
                                    follow-up.
76970.......  TC......  A          Ultrasound exam        0.00        1.96          1.28           NA            NA        0.06        2.02          1.34           NA            NA         XXX
                                    follow-up.
76970.......  26......  A          Ultrasound exam        0.40        0.11          0.13         0.11          0.13        0.02        0.53          0.55         0.53          0.55         XXX
                                    follow-up.
76975.......  ........  C          GI endoscopic          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ultrasound.
76975.......  TC......  C          GI endoscopic          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ultrasound.
76975.......  26......  A          GI endoscopic          0.81        0.29          0.28         0.29          0.28        0.04        1.14          1.13         1.14          1.13         XXX
                                    ultrasound.
76977.......  ........  A          Us bone density        0.05        0.10          0.66           NA            NA        0.06        0.21          0.77           NA            NA         XXX
                                    measure.
76977.......  TC......  A          Us bone density        0.00        0.09          0.64           NA            NA        0.05        0.14          0.69           NA            NA         XXX
                                    measure.
76977.......  26......  A          Us bone density        0.05        0.01          0.02         0.01          0.02        0.01        0.07          0.08         0.07          0.08         XXX
                                    measure.
76998.......  ........  C          Us guide,              0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    intraop.
76998.......  TC......  C          Us guide,              0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    intraop.
76998.......  26......  A          Us guide,              1.20        0.34          0.39         0.34          0.39        0.13        1.67          1.72         1.67          1.72         XXX
                                    intraop.
76999.......  ........  C          Echo examination       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
76999.......  TC......  C          Echo examination       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
76999.......  26......  C          Echo examination       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
77001.......  ........  A          Fluoroguide for        0.38        2.58          1.73           NA            NA        0.11        3.07          2.22           NA            NA         ZZZ
                                    vein device.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69951]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
77001.......  TC......  A          Fluoroguide for        0.00        2.47          1.60           NA            NA        0.10        2.57          1.70           NA            NA         ZZZ
                                    vein device.
77001.......  26......  A          Fluoroguide for        0.38        0.11          0.13         0.11          0.13        0.01        0.50          0.52         0.50          0.52         ZZZ
                                    vein device.
77002.......  ........  A          Needle                 0.54        1.15          1.40           NA            NA        0.09        1.78          2.03           NA            NA         XXX
                                    localization by
                                    xray.
77002.......  TC......  A          Needle                 0.00        1.01          1.24           NA            NA        0.07        1.08          1.31           NA            NA         XXX
                                    localization by
                                    xray.
77002.......  26......  A          Needle                 0.54        0.14          0.16         0.14          0.16        0.02        0.70          0.72         0.70          0.72         XXX
                                    localization by
                                    xray.
77003.......  ........  A          Fluoroguide for        0.60        0.74          1.28           NA            NA        0.10        1.44          1.98           NA            NA         XXX
                                    spine inject.
77003.......  TC......  A          Fluoroguide for        0.00        0.60          1.13           NA            NA        0.07        0.67          1.20           NA            NA         XXX
                                    spine inject.
77003.......  26......  A          Fluoroguide for        0.60        0.14          0.15         0.14          0.15        0.03        0.77          0.78         0.77          0.78         XXX
                                    spine inject.
77011.......  ........  A          Ct scan for            1.21       19.50         11.38           NA            NA        0.47       21.18         13.06           NA            NA         XXX
                                    localization.
77011.......  TC......  A          Ct scan for            0.00       19.16         10.99           NA            NA        0.42       19.58         11.41           NA            NA         XXX
                                    localization.
77011.......  26......  A          Ct scan for            1.21        0.34          0.39         0.34          0.39        0.05        1.60          1.65         1.60          1.65         XXX
                                    localization.
77012.......  ........  A          Ct scan for            1.16        2.14          7.02           NA            NA        0.47        3.77          8.65           NA            NA         XXX
                                    needle biopsy.
77012.......  TC......  A          Ct scan for            0.00        1.81          6.65           NA            NA        0.42        2.23          7.07           NA            NA         XXX
                                    needle biopsy.
77012.......  26......  A          Ct scan for            1.16        0.33          0.37         0.33          0.37        0.05        1.54          1.58         1.54          1.58         XXX
                                    needle biopsy.
77013.......  ........  C          Ct guide for           0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    tissue ablation.
77013.......  TC......  C          Ct guide for           0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    tissue ablation.
77013.......  26......  A          Ct guide for           3.99        1.19          1.27         1.19          1.27        0.18        5.36          5.44         5.36          5.44         XXX
                                    tissue ablation.
77014.......  ........  A          Ct scan for            0.85        4.43          3.53           NA            NA        0.20        5.48          4.58           NA            NA         XXX
                                    therapy guide.
77014.......  TC......  A          Ct scan for            0.00        4.16          3.25           NA            NA        0.16        4.32          3.41           NA            NA         XXX
                                    therapy guide.
77014.......  26......  A          Ct scan for            0.85        0.27          0.28         0.27          0.28        0.04        1.16          1.17         1.16          1.17         XXX
                                    therapy guide.
77021.......  ........  A          Mr guidance for        1.50        9.20         11.08           NA            NA        0.64       11.34         13.22           NA            NA         XXX
                                    needle place.
77021.......  TC......  A          Mr guidance for        0.00        8.76         10.59           NA            NA        0.55        9.31         11.14           NA            NA         XXX
                                    needle place.
77021.......  26......  A          Mr guidance for        1.50        0.44          0.49         0.44          0.49        0.09        2.03          2.08         2.03          2.08         XXX
                                    needle place.
77022.......  ........  C          Mri for tissue         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ablation.
77022.......  TC......  C          Mri for tissue         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    ablation.
77022.......  26......  A          Mri for tissue         4.24        1.22          1.34         1.22          1.34        0.24        5.70          5.82         5.70          5.82         XXX
                                    ablation.
77031.......  ........  A          Stereotact guide       1.59        1.71          6.19           NA            NA        0.46        3.76          8.24           NA            NA         XXX
                                    for brst bx.
77031.......  TC......  A          Stereotact guide       0.00        1.27          5.69           NA            NA        0.37        1.64          6.06           NA            NA         XXX
                                    for brst bx.
77031.......  26......  A          Stereotact guide       1.59        0.44          0.50         0.44          0.50        0.09        2.12          2.18         2.12          2.18         XXX
                                    for brst bx.
77032.......  ........  A          Guidance for           0.56        0.56          1.26           NA            NA        0.09        1.21          1.91           NA            NA         XXX
                                    needle, breast.
77032.......  TC......  A          Guidance for           0.00        0.40          1.08           NA            NA        0.07        0.47          1.15           NA            NA         XXX
                                    needle, breast.
77032.......  26......  A          Guidance for           0.56        0.16          0.18         0.16          0.18        0.02        0.74          0.76         0.74          0.76         XXX
                                    needle, breast.
77051.......  ........  A          Computer dx            0.06        0.19          0.38         0.19          0.38        0.02        0.27          0.46         0.27          0.46         ZZZ
                                    mammogram add-
                                    on.
77051.......  TC......  A          Computer dx            0.00        0.17          0.36         0.17          0.36        0.01        0.18          0.37         0.18          0.37         ZZZ
                                    mammogram add-
                                    on.
77051.......  26......  A          Computer dx            0.06        0.02          0.02         0.02          0.02        0.01        0.09          0.09         0.09          0.09         ZZZ
                                    mammogram add-
                                    on.
77052.......  ........  A          Comp screen            0.06        0.19          0.38         0.19          0.38        0.02        0.27          0.46         0.27          0.46         ZZZ
                                    mammogram add-
                                    on.
77052.......  TC......  A          Comp screen            0.00        0.17          0.36         0.17          0.36        0.01        0.18          0.37         0.18          0.37         ZZZ
                                    mammogram add-
                                    on.
77052.......  26......  A          Comp screen            0.06        0.02          0.02         0.02          0.02        0.01        0.09          0.09         0.09          0.09         ZZZ
                                    mammogram add-
                                    on.
77053.......  ........  A          X-ray of mammary       0.36        0.59          2.21           NA            NA        0.16        1.11          2.73           NA            NA         XXX
                                    duct.
77053.......  TC......  A          X-ray of mammary       0.00        0.49          2.09           NA            NA        0.14        0.63          2.23           NA            NA         XXX
                                    duct.
77053.......  26......  A          X-ray of mammary       0.36        0.10          0.12         0.10          0.12        0.02        0.48          0.50         0.48          0.50         XXX
                                    duct.
77054.......  ........  A          X-ray of mammary       0.45        1.56          3.25           NA            NA        0.21        2.22          3.91           NA            NA         XXX
                                    ducts.
77054.......  TC......  A          X-ray of mammary       0.00        1.43          3.10           NA            NA        0.19        1.62          3.29           NA            NA         XXX
                                    ducts.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69952]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
77054.......  26......  A          X-ray of mammary       0.45        0.13          0.15         0.13          0.15        0.02        0.60          0.62         0.60          0.62         XXX
                                    ducts.
77055.......  ........  A          Mammogram, one         0.70        1.51          1.34           NA            NA        0.09        2.30          2.13           NA            NA         XXX
                                    breast.
77055.......  TC......  A          Mammogram, one         0.00        1.31          1.12           NA            NA        0.06        1.37          1.18           NA            NA         XXX
                                    breast.
77055.......  26......  A          Mammogram, one         0.70        0.20          0.22         0.20          0.22        0.03        0.93          0.95         0.93          0.95         XXX
                                    breast.
77056.......  ........  A          Mammogram, both        0.87        1.93          1.68           NA            NA        0.11        2.91          2.66           NA            NA         XXX
                                    breasts.
77056.......  TC......  A          Mammogram, both        0.00        1.69          1.41           NA            NA        0.07        1.76          1.48           NA            NA         XXX
                                    breasts.
77056.......  26......  A          Mammogram, both        0.87        0.24          0.27         0.24          0.27        0.04        1.15          1.18         1.15          1.18         XXX
                                    breasts.
77057.......  ........  A          Mammogram,             0.70        1.33          1.43           NA            NA        0.10        2.13          2.23           NA            NA         XXX
                                    screening.
77057.......  TC......  A          Mammogram,             0.00        1.13          1.21           NA            NA        0.07        1.20          1.28           NA            NA         XXX
                                    screening.
77057.......  26......  A          Mammogram,             0.70        0.20          0.22         0.20          0.22        0.03        0.93          0.95         0.93          0.95         XXX
                                    screening.
77058.......  ........  A          Mri, one breast.       1.63       20.61         18.76           NA            NA        0.99       23.23         21.38           NA            NA         XXX
77058.......  TC......  A          Mri, one breast.       0.00       20.15         18.25           NA            NA        0.92       21.07         19.17           NA            NA         XXX
77058.......  26......  A          Mri, one breast.       1.63        0.46          0.51         0.46          0.51        0.07        2.16          2.21         2.16          2.21         XXX
77059.......  ........  A          Mri, both              1.63       20.51         23.46           NA            NA        1.31       23.45         26.40           NA            NA         XXX
                                    breasts.
77059.......  TC......  A          Mri, both              0.00       20.05         22.95           NA            NA        1.24       21.29         24.19           NA            NA         XXX
                                    breasts.
77059.......  26......  A          Mri, both              1.63        0.46          0.51         0.46          0.51        0.07        2.16          2.21         2.16          2.21         XXX
                                    breasts.
77071.......  ........  A          X-ray stress           0.41        0.76          0.33         0.76          0.33        0.06        1.23          0.80         1.23          0.80         XXX
                                    view.
77072.......  ........  A          X-rays for bone        0.19        0.39          0.39           NA            NA        0.03        0.61          0.61           NA            NA         XXX
                                    age.
77072.......  TC......  A          X-rays for bone        0.00        0.34          0.34           NA            NA        0.02        0.36          0.36           NA            NA         XXX
                                    age.
77072.......  26......  A          X-rays for bone        0.19        0.05          0.05         0.05          0.05        0.01        0.25          0.25         0.25          0.25         XXX
                                    age.
77073.......  ........  A          X-rays, bone           0.27        0.64          0.81           NA            NA        0.06        0.97          1.14           NA            NA         XXX
                                    length studies.
77073.......  TC......  A          X-rays, bone           0.00        0.55          0.72           NA            NA        0.05        0.60          0.77           NA            NA         XXX
                                    length studies.
77073.......  26......  A          X-rays, bone           0.27        0.09          0.09         0.09          0.09        0.01        0.37          0.37         0.37          0.37         XXX
                                    length studies.
77074.......  ........  A          X-rays, bone           0.45        1.34          1.20           NA            NA        0.08        1.87          1.73           NA            NA         XXX
                                    survey, limited.
77074.......  TC......  A          X-rays, bone           0.00        1.21          1.05           NA            NA        0.06        1.27          1.11           NA            NA         XXX
                                    survey, limited.
77074.......  26......  A          X-rays, bone           0.45        0.13          0.15         0.13          0.15        0.02        0.60          0.62         0.60          0.62         XXX
                                    survey, limited.
77075.......  ........  A          X-rays, bone           0.54        2.14          1.76           NA            NA        0.10        2.78          2.40           NA            NA         XXX
                                    survey complete.
77075.......  TC......  A          X-rays, bone           0.00        1.98          1.58           NA            NA        0.08        2.06          1.66           NA            NA         XXX
                                    survey complete.
77075.......  26......  A          X-rays, bone           0.54        0.16          0.18         0.16          0.18        0.02        0.72          0.74         0.72          0.74         XXX
                                    survey complete.
77076.......  ........  A          X-rays, bone           0.70        1.91          1.20           NA            NA        0.08        2.69          1.98           NA            NA         XXX
                                    survey, infant.
77076.......  TC......  A          X-rays, bone           0.00        1.73          0.98           NA            NA        0.05        1.78          1.03           NA            NA         XXX
                                    survey, infant.
77076.......  26......  A          X-rays, bone           0.70        0.18          0.22         0.18          0.22        0.03        0.91          0.95         0.91          0.95         XXX
                                    survey, infant.
77077.......  ........  A          Joint survey,          0.31        0.64          1.07           NA            NA        0.08        1.03          1.46           NA            NA         XXX
                                    single view.
77077.......  TC......  A          Joint survey,          0.00        0.53          0.97           NA            NA        0.06        0.59          1.03           NA            NA         XXX
                                    single view.
77077.......  26......  A          Joint survey,          0.31        0.11          0.10         0.11          0.10        0.02        0.44          0.43         0.44          0.43         XXX
                                    single view.
77078.......  ........  A          Ct bone density,       0.25        4.52          3.41           NA            NA        0.17        4.94          3.83           NA            NA         XXX
                                    axial.
77078.......  TC......  A          Ct bone density,       0.00        4.45          3.33           NA            NA        0.16        4.61          3.49           NA            NA         XXX
                                    axial.
77078.......  26......  A          Ct bone density,       0.25        0.07          0.08         0.07          0.08        0.01        0.33          0.34         0.33          0.34         XXX
                                    axial.
77079.......  ........  A          Ct bone density,       0.22        0.72          2.45           NA            NA        0.06        1.00          2.73           NA            NA         XXX
                                    peripheral.
77079.......  TC......  A          Ct bone density,       0.00        0.66          2.38           NA            NA        0.05        0.71          2.43           NA            NA         XXX
                                    peripheral.
77079.......  26......  A          Ct bone density,       0.22        0.06          0.07         0.06          0.07        0.01        0.29          0.30         0.29          0.30         XXX
                                    peripheral.
77080.......  ........  A          Dxa bone               0.20        0.79          2.59           NA            NA        0.18        1.17          2.97           NA            NA         XXX
                                    density, axial.
77080.......  TC......  A          Dxa bone               0.00        0.73          2.50           NA            NA        0.17        0.90          2.67           NA            NA         XXX
                                    density, axial.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69953]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
77080.......  26......  A          Dxa bone               0.20        0.06          0.09         0.06          0.09        0.01        0.27          0.30         0.27          0.30         XXX
                                    density, axial.
77081.......  ........  A          Dxa bone density/      0.22        0.69          0.80           NA            NA        0.06        0.97          1.08           NA            NA         XXX
                                    peripheral.
77081.......  TC......  A          Dxa bone density/      0.00        0.63          0.72           NA            NA        0.05        0.68          0.77           NA            NA         XXX
                                    peripheral.
77081.......  26......  A          Dxa bone density/      0.22        0.06          0.08         0.06          0.08        0.01        0.29          0.31         0.29          0.31         XXX
                                    peripheral.
77082.......  ........  A          Dxa bone               0.17        0.41          0.71           NA            NA        0.06        0.64          0.94           NA            NA         XXX
                                    density, vert
                                    fx.
77082.......  TC......  A          Dxa bone               0.00        0.36          0.65           NA            NA        0.05        0.41          0.70           NA            NA         XXX
                                    density, vert
                                    fx.
77082.......  26......  A          Dxa bone               0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
                                    density, vert
                                    fx.
77083.......  ........  A          Radiographic           0.20        0.37          0.71           NA            NA        0.06        0.63          0.97           NA            NA         XXX
                                    absorptiometry.
77083.......  TC......  A          Radiographic           0.00        0.32          0.64           NA            NA        0.05        0.37          0.69           NA            NA         XXX
                                    absorptiometry.
77083.......  26......  A          Radiographic           0.20        0.05          0.07         0.05          0.07        0.01        0.26          0.28         0.26          0.28         XXX
                                    absorptiometry.
77084.......  ........  A          Magnetic image,        1.60       13.81         12.24           NA            NA        0.66       16.07         14.50           NA            NA         XXX
                                    bone marrow.
77084.......  TC......  A          Magnetic image,        0.00       13.33         11.73           NA            NA        0.59       13.92         12.32           NA            NA         XXX
                                    bone marrow.
77084.......  26......  A          Magnetic image,        1.60        0.48          0.51         0.48          0.51        0.07        2.15          2.18         2.15          2.18         XXX
                                    bone marrow.
77261.......  ........  A          Radiation              1.39        0.49          0.51         0.49          0.51        0.07        1.95          1.97         1.95          1.97         XXX
                                    therapy
                                    planning.
77262.......  ........  A          Radiation              2.11        0.71          0.74         0.71          0.74        0.11        2.93          2.96         2.93          2.96         XXX
                                    therapy
                                    planning.
77263.......  ........  A          Radiation              3.14        1.06          1.10         1.06          1.10        0.16        4.36          4.40         4.36          4.40         XXX
                                    therapy
                                    planning.
77280.......  ........  A          Set radiation          0.70        4.45          3.89           NA            NA        0.22        5.37          4.81           NA            NA         XXX
                                    therapy field.
77280.......  TC......  A          Set radiation          0.00        4.21          3.66           NA            NA        0.18        4.39          3.84           NA            NA         XXX
                                    therapy field.
77280.......  26......  A          Set radiation          0.70        0.24          0.23         0.24          0.23        0.04        0.98          0.97         0.98          0.97         XXX
                                    therapy field.
77285.......  ........  A          Set radiation          1.05        8.06          6.45           NA            NA        0.35        9.46          7.85           NA            NA         XXX
                                    therapy field.
77285.......  TC......  A          Set radiation          0.00        7.71          6.11           NA            NA        0.30        8.01          6.41           NA            NA         XXX
                                    therapy field.
77285.......  26......  A          Set radiation          1.05        0.35          0.34         0.35          0.34        0.05        1.45          1.44         1.45          1.44         XXX
                                    therapy field.
77290.......  ........  A          Set radiation          1.56       13.47          8.63           NA            NA        0.43       15.46         10.62           NA            NA         XXX
                                    therapy field.
77290.......  TC......  A          Set radiation          0.00       12.94          8.12           NA            NA        0.35       13.29          8.47           NA            NA         XXX
                                    therapy field.
77290.......  26......  A          Set radiation          1.56        0.53          0.51         0.53          0.51        0.08        2.17          2.15         2.17          2.15         XXX
                                    therapy field.
77295.......  ........  A          Set radiation          4.56        7.51         23.92           NA            NA        1.71       13.78         30.19           NA            NA         XXX
                                    therapy field.
77295.......  TC......  A          Set radiation          0.00        5.96         22.44           NA            NA        1.48        7.44         23.92           NA            NA         XXX
                                    therapy field.
77295.......  26......  A          Set radiation          4.56        1.55          1.48         1.55          1.48        0.23        6.34          6.27         6.34          6.27         XXX
                                    therapy field.
77299.......  ........  C          Radiation              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    therapy
                                    planning.
77299.......  TC......  C          Radiation              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    therapy
                                    planning.
77299.......  26......  C          Radiation              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    therapy
                                    planning.
77300.......  ........  A          Radiation              0.62        1.19          1.45           NA            NA        0.10        1.91          2.17           NA            NA         XXX
                                    therapy dose
                                    plan.
77300.......  TC......  A          Radiation              0.00        0.98          1.25           NA            NA        0.07        1.05          1.32           NA            NA         XXX
                                    therapy dose
                                    plan.
77300.......  26......  A          Radiation              0.62        0.21          0.20         0.21          0.20        0.03        0.86          0.85         0.86          0.85         XXX
                                    therapy dose
                                    plan.
77301.......  ........  A          Radiotherapy           7.99       57.55         37.25           NA            NA        1.88       67.42         47.12           NA            NA         XXX
                                    dose plan, imrt.
77301.......  TC......  A          Radiotherapy           0.00       54.86         34.66           NA            NA        1.48       56.34         36.14           NA            NA         XXX
                                    dose plan, imrt.
77301.......  26......  A          Radiotherapy           7.99        2.69          2.59         2.69          2.59        0.40       11.08         10.98        11.08         10.98         XXX
                                    dose plan, imrt.
77305.......  ........  A          Teletx isodose         0.70        0.91          1.79           NA            NA        0.15        1.76          2.64           NA            NA         XXX
                                    plan simple.
77305.......  TC......  A          Teletx isodose         0.00        0.67          1.56           NA            NA        0.11        0.78          1.67           NA            NA         XXX
                                    plan simple.
77305.......  26......  A          Teletx isodose         0.70        0.24          0.23         0.24          0.23        0.04        0.98          0.97         0.98          0.97         XXX
                                    plan simple.
77310.......  ........  A          Teletx isodose         1.05        1.26          2.32           NA            NA        0.18        2.49          3.55           NA            NA         XXX
                                    plan intermed.
77310.......  TC......  A          Teletx isodose         0.00        0.91          1.98           NA            NA        0.13        1.04          2.11           NA            NA         XXX
                                    plan intermed.
77310.......  26......  A          Teletx isodose         1.05        0.35          0.34         0.35          0.34        0.05        1.45          1.44         1.45          1.44         XXX
                                    plan intermed.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69954]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
77315.......  ........  A          Teletx isodose         1.56        2.11          2.90           NA            NA        0.22        3.89          4.68           NA            NA         XXX
                                    plan complex.
77315.......  TC......  A          Teletx isodose         0.00        1.58          2.39           NA            NA        0.14        1.72          2.53           NA            NA         XXX
                                    plan complex.
77315.......  26......  A          Teletx isodose         1.56        0.53          0.51         0.53          0.51        0.08        2.17          2.15         2.17          2.15         XXX
                                    plan complex.
77321.......  ........  A          Special teletx         0.95        1.52          3.64           NA            NA        0.26        2.73          4.85           NA            NA         XXX
                                    port plan.
77321.......  TC......  A          Special teletx         0.00        1.20          3.33           NA            NA        0.21        1.41          3.54           NA            NA         XXX
                                    port plan.
77321.......  26......  A          Special teletx         0.95        0.32          0.31         0.32          0.31        0.05        1.32          1.31         1.32          1.31         XXX
                                    port plan.
77326.......  ........  A          Brachytx isodose       0.93        3.01          2.75           NA            NA        0.18        4.12          3.86           NA            NA         XXX
                                    calc simp.
77326.......  TC......  A          Brachytx isodose       0.00        2.69          2.44           NA            NA        0.13        2.82          2.57           NA            NA         XXX
                                    calc simp.
77326.......  26......  A          Brachytx isodose       0.93        0.32          0.31         0.32          0.31        0.05        1.30          1.29         1.30          1.29         XXX
                                    calc simp.
77327.......  ........  A          Brachytx isodose       1.39        4.12          3.97           NA            NA        0.25        5.76          5.61           NA            NA         XXX
                                    calc interm.
77327.......  TC......  A          Brachytx isodose       0.00        3.65          3.52           NA            NA        0.18        3.83          3.70           NA            NA         XXX
                                    calc interm.
77327.......  26......  A          Brachytx isodose       1.39        0.47          0.45         0.47          0.45        0.07        1.93          1.91         1.93          1.91         XXX
                                    calc interm.
77328.......  ........  A          Brachytx isodose       2.09        5.28          5.54           NA            NA        0.36        7.73          7.99           NA            NA         XXX
                                    plan compl.
77328.......  TC......  A          Brachytx isodose       0.00        4.57          4.86           NA            NA        0.25        4.82          5.11           NA            NA         XXX
                                    plan compl.
77328.......  26......  A          Brachytx isodose       2.09        0.71          0.68         0.71          0.68        0.11        2.91          2.88         2.91          2.88         XXX
                                    plan compl.
77331.......  ........  A          Special                0.87        0.81          0.79           NA            NA        0.06        1.74          1.72           NA            NA         XXX
                                    radiation
                                    dosimetry.
77331.......  TC......  A          Special                0.00        0.52          0.51           NA            NA        0.02        0.54          0.53           NA            NA         XXX
                                    radiation
                                    dosimetry.
77331.......  26......  A          Special                0.87        0.29          0.28         0.29          0.28        0.04        1.20          1.19         1.20          1.19         XXX
                                    radiation
                                    dosimetry.
77332.......  ........  A          Radiation              0.54        1.57          1.53           NA            NA        0.10        2.21          2.17           NA            NA         XXX
                                    treatment
                                    aid(s).
77332.......  TC......  A          Radiation              0.00        1.38          1.35           NA            NA        0.07        1.45          1.42           NA            NA         XXX
                                    treatment
                                    aid(s).
77332.......  26......  A          Radiation              0.54        0.19          0.18         0.19          0.18        0.03        0.76          0.75         0.76          0.75         XXX
                                    treatment
                                    aid(s).
77333.......  ........  A          Radiation              0.84        0.52          1.75           NA            NA        0.15        1.51          2.74           NA            NA         XXX
                                    treatment
                                    aid(s).
77333.......  TC......  A          Radiation              0.00        0.24          1.48           NA            NA        0.11        0.35          1.59           NA            NA         XXX
                                    treatment
                                    aid(s).
77333.......  26......  A          Radiation              0.84        0.28          0.27         0.28          0.27        0.04        1.16          1.15         1.16          1.15         XXX
                                    treatment
                                    aid(s).
77334.......  ........  A          Radiation              1.24        2.74          3.43           NA            NA        0.23        4.21          4.90           NA            NA         XXX
                                    treatment
                                    aid(s).
77334.......  TC......  A          Radiation              0.00        2.32          3.02           NA            NA        0.17        2.49          3.19           NA            NA         XXX
                                    treatment
                                    aid(s).
77334.......  26......  A          Radiation              1.24        0.42          0.41         0.42          0.41        0.06        1.72          1.71         1.72          1.71         XXX
                                    treatment
                                    aid(s).
77336.......  ........  A          Radiation              0.00        1.14          2.52           NA            NA        0.16        1.30          2.68           NA            NA         XXX
                                    physics consult.
77370.......  ........  A          Radiation              0.00        3.05          3.38           NA            NA        0.18        3.23          3.56           NA            NA         XXX
                                    physics consult.
77371.......  ........  A          Srs, multisource       0.00       30.25         30.25           NA            NA        0.13       30.38         30.38           NA            NA         XXX
77372.......  ........  A          Srs, linear            0.00       22.93         22.93           NA            NA        0.13       23.06         23.06           NA            NA         XXX
                                    based.
77373.......  ........  A          Sbrt delivery...       0.00       42.87         42.87           NA            NA        0.13       43.00         43.00           NA            NA         XXX
77399.......  ........  C          External               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    radiation
                                    dosimetry.
77399.......  TC......  C          External               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    radiation
                                    dosimetry.
77399.......  26......  C          External               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    radiation
                                    dosimetry.
77401.......  ........  A          Radiation              0.00        0.50          1.45           NA            NA        0.11        0.61          1.56           NA            NA         XXX
                                    treatment
                                    delivery.
77402.......  ........  A          Radiation              0.00        4.18          2.37           NA            NA        0.11        4.29          2.48           NA            NA         XXX
                                    treatment
                                    delivery.
77403.......  ........  A          Radiation              0.00        3.76          2.27           NA            NA        0.11        3.87          2.38           NA            NA         XXX
                                    treatment
                                    delivery.
77404.......  ........  A          Radiation              0.00        4.22          2.38           NA            NA        0.11        4.33          2.49           NA            NA         XXX
                                    treatment
                                    delivery.
77406.......  ........  A          Radiation              0.00        4.21          2.38           NA            NA        0.11        4.32          2.49           NA            NA         XXX
                                    treatment
                                    delivery.
77407.......  ........  A          Radiation              0.00        5.43          2.93           NA            NA        0.12        5.55          3.05           NA            NA         XXX
                                    treatment
                                    delivery.
77408.......  ........  A          Radiation              0.00        5.21          2.87           NA            NA        0.12        5.33          2.99           NA            NA         XXX
                                    treatment
                                    delivery.
77409.......  ........  A          Radiation              0.00        5.82          3.02           NA            NA        0.12        5.94          3.14           NA            NA         XXX
                                    treatment
                                    delivery.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69955]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
77411.......  ........  A          Radiation              0.00        5.76          3.01           NA            NA        0.12        5.88          3.13           NA            NA         XXX
                                    treatment
                                    delivery.
77412.......  ........  A          Radiation              0.00        6.84          3.46           NA            NA        0.13        6.97          3.59           NA            NA         XXX
                                    treatment
                                    delivery.
77413.......  ........  A          Radiation              0.00        6.86          3.46           NA            NA        0.13        6.99          3.59           NA            NA         XXX
                                    treatment
                                    delivery.
77414.......  ........  A          Radiation              0.00        7.72          3.68           NA            NA        0.13        7.85          3.81           NA            NA         XXX
                                    treatment
                                    delivery.
77416.......  ........  A          Radiation              0.00        7.71          3.68           NA            NA        0.13        7.84          3.81           NA            NA         XXX
                                    treatment
                                    delivery.
77417.......  ........  A          Radiology port         0.00        0.36          0.53           NA            NA        0.04        0.40          0.57           NA            NA         XXX
                                    film(s).
77418.......  ........  A          Radiation tx           0.00       13.15         16.80           NA            NA        0.13       13.28         16.93           NA            NA         XXX
                                    delivery, imrt.
77421.......  ........  A          Stereoscopic x-        0.39        2.00          3.11           NA            NA        0.12        2.51          3.62           NA            NA         XXX
                                    ray guidance.
77421.......  TC......  A          Stereoscopic x-        0.00        1.87          2.98           NA            NA        0.10        1.97          3.08           NA            NA         XXX
                                    ray guidance.
77421.......  26......  A          Stereoscopic x-        0.39        0.13          0.13         0.13          0.13        0.02        0.54          0.54         0.54          0.54         XXX
                                    ray guidance.
77422.......  ........  A          Neutron beam tx,       0.00       13.19          4.58           NA            NA        0.13       13.32          4.71           NA            NA         XXX
                                    simple.
77423.......  ........  A          Neutron beam tx,       0.00        8.59          3.84           NA            NA        0.13        8.72          3.97           NA            NA         XXX
                                    complex.
77427.......  ........  A          Radiation tx           3.70        1.43          1.15         1.43          1.15        0.17        5.30          5.02         5.30          5.02         XXX
                                    management, x5.
77431.......  ........  A          Radiation              1.81        0.80          0.71         0.80          0.71        0.09        2.70          2.61         2.70          2.61         XXX
                                    therapy
                                    management.
77432.......  ........  A          Stereotactic           7.92        2.71          2.85         2.71          2.85        0.41       11.04         11.18        11.04         11.18         XXX
                                    radiation trmt.
77435.......  ........  A          Sbrt management.      13.00        4.63          4.63           NA            NA        0.67       18.30         18.30           NA            NA         XXX
77470.......  ........  A          Special                2.09        1.95          9.35           NA            NA        0.70        4.74         12.14           NA            NA         XXX
                                    radiation
                                    treatment.
77470.......  TC......  A          Special                0.00        1.24          8.67           NA            NA        0.59        1.83          9.26           NA            NA         XXX
                                    radiation
                                    treatment.
77470.......  26......  A          Special                2.09        0.71          0.68         0.71          0.68        0.11        2.91          2.88         2.91          2.88         XXX
                                    radiation
                                    treatment.
77499.......  ........  C          Radiation              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    therapy
                                    management.
77499.......  TC......  C          Radiation              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    therapy
                                    management.
77499.......  26......  C          Radiation              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    therapy
                                    management.
77520.......  ........  C          Proton trmt,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    simple w/o comp.
77522.......  ........  C          Proton trmt,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    simple w/comp.
77523.......  ........  C          Proton trmt,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    intermediate.
77525.......  ........  C          Proton                 0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    treatment,
                                    complex.
77600.......  ........  R          Hyperthermia           1.56        9.71          5.09           NA            NA        0.24       11.51          6.89           NA            NA         XXX
                                    treatment.
77600.......  TC......  R          Hyperthermia           0.00        9.28          4.61           NA            NA        0.16        9.44          4.77           NA            NA         XXX
                                    treatment.
77600.......  26......  R          Hyperthermia           1.56        0.43          0.48         0.43          0.48        0.08        2.07          2.12         2.07          2.12         XXX
                                    treatment.
77605.......  ........  R          Hyperthermia           2.09       17.34          7.87           NA            NA        0.38       19.81         10.34           NA            NA         XXX
                                    treatment.
77605.......  TC......  R          Hyperthermia           0.00       16.71          7.22           NA            NA        0.22       16.93          7.44           NA            NA         XXX
                                    treatment.
77605.......  26......  R          Hyperthermia           2.09        0.63          0.65         0.63          0.65        0.16        2.88          2.90         2.88          2.90         XXX
                                    treatment.
77610.......  ........  R          Hyperthermia           1.56       17.04          6.93           NA            NA        0.24       18.84          8.73           NA            NA         XXX
                                    treatment.
77610.......  TC......  R          Hyperthermia           0.00       16.52          6.42           NA            NA        0.16       16.68          6.58           NA            NA         XXX
                                    treatment.
77610.......  26......  R          Hyperthermia           1.56        0.52          0.51         0.52          0.51        0.08        2.16          2.15         2.16          2.15         XXX
                                    treatment.
77615.......  ........  R          Hyperthermia           2.09       25.91         10.02           NA            NA        0.33       28.33         12.44           NA            NA         XXX
                                    treatment.
77615.......  TC......  R          Hyperthermia           0.00       25.21          9.35           NA            NA        0.22       25.43          9.57           NA            NA         XXX
                                    treatment.
77615.......  26......  R          Hyperthermia           2.09        0.70          0.67         0.70          0.67        0.11        2.90          2.87         2.90          2.87         XXX
                                    treatment.
77620.......  ........  R          Hyperthermia           1.56        9.46          5.05           NA            NA        0.36       11.38          6.97           NA            NA         XXX
                                    treatment.
77620.......  TC......  R          Hyperthermia           0.00        9.07          4.56           NA            NA        0.16        9.23          4.72           NA            NA         XXX
                                    treatment.
77620.......  26......  R          Hyperthermia           1.56        0.39          0.49         0.39          0.49        0.20        2.15          2.25         2.15          2.25         XXX
                                    treatment.
77750.......  ........  A          Infuse                 4.94        4.61          3.33         4.61          3.33        0.32        9.87          8.59         9.87          8.59         090
                                    radioactive
                                    materials.
77750.......  TC......  A          Infuse                 0.00        2.94          1.73         2.94          1.73        0.07        3.01          1.80         3.01          1.80         090
                                    radioactive
                                    materials.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69956]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
77750.......  26......  A          Infuse                 4.94        1.67          1.60         1.67          1.60        0.25        6.86          6.79         6.86          6.79         090
                                    radioactive
                                    materials.
77761.......  ........  A          Apply intrcav          3.82        6.32          4.27         6.32          4.27        0.33       10.47          8.42        10.47          8.42         090
                                    radiat simple.
77761.......  TC......  A          Apply intrcav          0.00        5.06          3.14         5.06          3.14        0.14        5.20          3.28         5.20          3.28         090
                                    radiat simple.
77761.......  26......  A          Apply intrcav          3.82        1.26          1.13         1.26          1.13        0.19        5.27          5.14         5.27          5.14         090
                                    radiat simple.
77762.......  ........  A          Apply intrcav          5.73        7.70          6.01         7.70          6.01        0.48       13.91         12.22        13.91         12.22         090
                                    radiat interm.
77762.......  TC......  A          Apply intrcav          0.00        5.76          4.15         5.76          4.15        0.19        5.95          4.34         5.95          4.34         090
                                    radiat interm.
77762.......  26......  A          Apply intrcav          5.73        1.94          1.86         1.94          1.86        0.29        7.96          7.88         7.96          7.88         090
                                    radiat interm.
77763.......  ........  A          Apply intrcav          8.60       10.39          8.03        10.39          8.03        0.66       19.65         17.29        19.65         17.29         090
                                    radiat compl.
77763.......  TC......  A          Apply intrcav          0.00        7.51          5.25         7.51          5.25        0.23        7.74          5.48         7.74          5.48         090
                                    radiat compl.
77763.......  26......  A          Apply intrcav          8.60        2.88          2.78         2.88          2.78        0.43       11.91         11.81        11.91         11.81         090
                                    radiat compl.
77776.......  ........  A          Apply interstit        4.67        7.51          4.23         7.51          4.23        0.57       12.75          9.47        12.75          9.47         090
                                    radiat simpl.
77776.......  TC......  A          Apply interstit        0.00        5.80          3.09         5.80          3.09        0.13        5.93          3.22         5.93          3.22         090
                                    radiat simpl.
77776.......  26......  A          Apply interstit        4.67        1.71          1.14         1.71          1.14        0.44        6.82          6.25         6.82          6.25         090
                                    radiat simpl.
77777.......  ........  A          Apply interstit        7.49        7.90          6.92         7.90          6.92        0.61       16.00         15.02        16.00         15.02         090
                                    radiat inter.
77777.......  TC......  A          Apply interstit        0.00        5.40          4.52         5.40          4.52        0.22        5.62          4.74         5.62          4.74         090
                                    radiat inter.
77777.......  26......  A          Apply interstit        7.49        2.50          2.40         2.50          2.40        0.39       10.38         10.28        10.38         10.28         090
                                    radiat inter.
77778.......  ........  A          Apply interstit       11.23       11.43          9.38        11.43          9.38        0.84       23.50         21.45        23.50         21.45         090
                                    radiat compl.
77778.......  TC......  A          Apply interstit        0.00        7.62          5.75         7.62          5.75        0.27        7.89          6.02         7.89          6.02         090
                                    radiat compl.
77778.......  26......  A          Apply interstit       11.23        3.81          3.63         3.81          3.63        0.57       15.61         15.43        15.61         15.43         090
                                    radiat compl.
77781.......  ........  A          High intensity         1.21        4.43         16.73           NA            NA        1.14        6.78         19.08           NA            NA         XXX
                                    brachytherapy.
77781.......  TC......  A          High intensity         0.00        4.02         16.23           NA            NA        1.06        5.08         17.29           NA            NA         XXX
                                    brachytherapy.
77781.......  26......  A          High intensity         1.21        0.41          0.50         0.41          0.50        0.08        1.70          1.79         1.70          1.79         XXX
                                    brachytherapy.
77782.......  ........  A          High intensity         2.04       12.47         18.94           NA            NA        1.19       15.70         22.17           NA            NA         XXX
                                    brachytherapy.
77782.......  TC......  A          High intensity         0.00       11.78         18.17           NA            NA        1.06       12.84         19.23           NA            NA         XXX
                                    brachytherapy.
77782.......  26......  A          High intensity         2.04        0.69          0.77         0.69          0.77        0.13        2.86          2.94         2.86          2.94         XXX
                                    brachytherapy.
77783.......  ........  A          High intensity         3.27       24.34         22.20           NA            NA        1.25       28.86         26.72           NA            NA         XXX
                                    brachytherapy.
77783.......  TC......  A          High intensity         0.00       23.23         21.03           NA            NA        1.06       24.29         22.09           NA            NA         XXX
                                    brachytherapy.
77783.......  26......  A          High intensity         3.27        1.11          1.17         1.11          1.17        0.19        4.57          4.63         4.57          4.63         XXX
                                    brachytherapy.
77784.......  ........  A          High intensity         5.15       45.87         28.04           NA            NA        1.35       52.37         34.54           NA            NA         XXX
                                    brachytherapy.
77784.......  TC......  A          High intensity         0.00       44.12         26.26           NA            NA        1.06       45.18         27.32           NA            NA         XXX
                                    brachytherapy.
77784.......  26......  A          High intensity         5.15        1.75          1.78         1.75          1.78        0.29        7.19          7.22         7.19          7.22         XXX
                                    brachytherapy.
77789.......  ........  A          Apply surface          1.14        2.07          1.14         2.07          1.14        0.08        3.29          2.36         3.29          2.36         000
                                    radiation.
77789.......  TC......  A          Apply surface          0.00        1.67          0.76         1.67          0.76        0.02        1.69          0.78         1.69          0.78         000
                                    radiation.
77789.......  26......  A          Apply surface          1.14        0.40          0.38         0.40          0.38        0.06        1.60          1.58         1.60          1.58         000
                                    radiation.
77790.......  ........  A          Radiation              1.05        1.47          1.00           NA            NA        0.07        2.59          2.12           NA            NA         XXX
                                    handling.
77790.......  TC......  A          Radiation              0.00        1.12          0.66           NA            NA        0.02        1.14          0.68           NA            NA         XXX
                                    handling.
77790.......  26......  A          Radiation              1.05        0.35          0.34         0.35          0.34        0.05        1.45          1.44         1.45          1.44         XXX
                                    handling.
77799.......  ........  C          Radium/                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    radioisotope
                                    therapy.
77799.......  TC......  C          Radium/                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    radioisotope
                                    therapy.
77799.......  26......  C          Radium/                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    radioisotope
                                    therapy.
78000.......  ........  A          Thyroid, single        0.19        1.72          1.21           NA            NA        0.07        1.98          1.47           NA            NA         XXX
                                    uptake.
78000.......  TC......  A          Thyroid, single        0.00        1.67          1.15           NA            NA        0.06        1.73          1.21           NA            NA         XXX
                                    uptake.
78000.......  26......  A          Thyroid, single        0.19        0.05          0.06         0.05          0.06        0.01        0.25          0.26         0.25          0.26         XXX
                                    uptake.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69957]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
78001.......  ........  A          Thyroid,               0.26        2.12          1.59           NA            NA        0.08        2.46          1.93           NA            NA         XXX
                                    multiple
                                    uptakes.
78001.......  TC......  A          Thyroid,               0.00        2.05          1.50           NA            NA        0.07        2.12          1.57           NA            NA         XXX
                                    multiple
                                    uptakes.
78001.......  26......  A          Thyroid,               0.26        0.07          0.09         0.07          0.09        0.01        0.34          0.36         0.34          0.36         XXX
                                    multiple
                                    uptakes.
78003.......  ........  A          Thyroid suppress/      0.33        1.76          1.26           NA            NA        0.07        2.16          1.66           NA            NA         XXX
                                    stimul.
78003.......  TC......  A          Thyroid suppress/      0.00        1.67          1.15           NA            NA        0.06        1.73          1.21           NA            NA         XXX
                                    stimul.
78003.......  26......  A          Thyroid suppress/      0.33        0.09          0.11         0.09          0.11        0.01        0.43          0.45         0.43          0.45         XXX
                                    stimul.
78006.......  ........  A          Thyroid imaging        0.49        5.86          3.38           NA            NA        0.15        6.50          4.02           NA            NA         XXX
                                    with uptake.
78006.......  TC......  A          Thyroid imaging        0.00        5.72          3.22           NA            NA        0.13        5.85          3.35           NA            NA         XXX
                                    with uptake.
78006.......  26......  A          Thyroid imaging        0.49        0.14          0.16         0.14          0.16        0.02        0.65          0.67         0.65          0.67         XXX
                                    with uptake.
78007.......  ........  A          Thyroid image,         0.50        2.81          2.76           NA            NA        0.16        3.47          3.42           NA            NA         XXX
                                    mult uptakes.
78007.......  TC......  A          Thyroid image,         0.00        2.67          2.60           NA            NA        0.14        2.81          2.74           NA            NA         XXX
                                    mult uptakes.
78007.......  26......  A          Thyroid image,         0.50        0.14          0.16         0.14          0.16        0.02        0.66          0.68         0.66          0.68         XXX
                                    mult uptakes.
78010.......  ........  A          Thyroid imaging.       0.39        3.94          2.45           NA            NA        0.13        4.46          2.97           NA            NA         XXX
78010.......  TC......  A          Thyroid imaging.       0.00        3.83          2.32           NA            NA        0.11        3.94          2.43           NA            NA         XXX
78010.......  26......  A          Thyroid imaging.       0.39        0.11          0.13         0.11          0.13        0.02        0.52          0.54         0.52          0.54         XXX
78011.......  ........  A          Thyroid imaging        0.45        4.27          2.99           NA            NA        0.15        4.87          3.59           NA            NA         XXX
                                    with flow.
78011.......  TC......  A          Thyroid imaging        0.00        4.14          2.84           NA            NA        0.13        4.27          2.97           NA            NA         XXX
                                    with flow.
78011.......  26......  A          Thyroid imaging        0.45        0.13          0.15         0.13          0.15        0.02        0.60          0.62         0.60          0.62         XXX
                                    with flow.
78015.......  ........  A          Thyroid met            0.67        5.10          3.38           NA            NA        0.17        5.94          4.22           NA            NA         XXX
                                    imaging.
78015.......  TC......  A          Thyroid met            0.00        4.91          3.16           NA            NA        0.14        5.05          3.30           NA            NA         XXX
                                    imaging.
78015.......  26......  A          Thyroid met            0.67        0.19          0.22         0.19          0.22        0.03        0.89          0.92         0.89          0.92         XXX
                                    imaging.
78016.......  ........  A          Thyroid met            0.82        8.12          4.85           NA            NA        0.21        9.15          5.88           NA            NA         XXX
                                    imaging/studies.
78016.......  TC......  A          Thyroid met            0.00        7.89          4.58           NA            NA        0.18        8.07          4.76           NA            NA         XXX
                                    imaging/studies.
78016.......  26......  A          Thyroid met            0.82        0.23          0.27         0.23          0.27        0.03        1.08          1.12         1.08          1.12         XXX
                                    imaging/studies.
78018.......  ........  A          Thyroid met            0.86        7.47          6.16           NA            NA        0.33        8.66          7.35           NA            NA         XXX
                                    imaging, body.
78018.......  TC......  A          Thyroid met            0.00        7.23          5.87           NA            NA        0.29        7.52          6.16           NA            NA         XXX
                                    imaging, body.
78018.......  26......  A          Thyroid met            0.86        0.24          0.29         0.24          0.29        0.04        1.14          1.19         1.14          1.19         XXX
                                    imaging, body.
78020.......  ........  A          Thyroid met            0.60        1.68          1.56         1.68          1.56        0.16        2.44          2.32         2.44          2.32         ZZZ
                                    uptake.
78020.......  TC......  A          Thyroid met            0.00        1.51          1.36         1.51          1.36        0.14        1.65          1.50         1.65          1.50         ZZZ
                                    uptake.
78020.......  26......  A          Thyroid met            0.60        0.17          0.20         0.17          0.20        0.02        0.79          0.82         0.79          0.82         ZZZ
                                    uptake.
78070.......  ........  A          Parathyroid            0.82        3.19          4.21           NA            NA        0.15        4.16          5.18           NA            NA         XXX
                                    nuclear imaging.
78070.......  TC......  A          Parathyroid            0.00        2.96          3.94           NA            NA        0.11        3.07          4.05           NA            NA         XXX
                                    nuclear imaging.
78070.......  26......  A          Parathyroid            0.82        0.23          0.27         0.23          0.27        0.04        1.09          1.13         1.09          1.13         XXX
                                    nuclear imaging.
78075.......  ........  A          Adrenal nuclear        0.74       11.04          7.02           NA            NA        0.32       12.10          8.08           NA            NA         XXX
                                    imaging.
78075.......  TC......  A          Adrenal nuclear        0.00       10.83          6.77           NA            NA        0.29       11.12          7.06           NA            NA         XXX
                                    imaging.
78075.......  26......  A          Adrenal nuclear        0.74        0.21          0.25         0.21          0.25        0.03        0.98          1.02         0.98          1.02         XXX
                                    imaging.
78099.......  ........  C          Endocrine              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear
                                    procedure.
78099.......  TC......  C          Endocrine              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear
                                    procedure.
78099.......  26......  C          Endocrine              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear
                                    procedure.
78102.......  ........  A          Bone marrow            0.55        3.91          2.65           NA            NA        0.14        4.60          3.34           NA            NA         XXX
                                    imaging, ltd.
78102.......  TC......  A          Bone marrow            0.00        3.76          2.47           NA            NA        0.12        3.88          2.59           NA            NA         XXX
                                    imaging, ltd.
78102.......  26......  A          Bone marrow            0.55        0.15          0.18         0.15          0.18        0.02        0.72          0.75         0.72          0.75         XXX
                                    imaging, ltd.
78103.......  ........  A          Bone marrow            0.75        5.09          3.85           NA            NA        0.20        6.04          4.80           NA            NA         XXX
                                    imaging, mult.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69958]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
78103.......  TC......  A          Bone marrow            0.00        4.88          3.60           NA            NA        0.17        5.05          3.77           NA            NA         XXX
                                    imaging, mult.
78103.......  26......  A          Bone marrow            0.75        0.21          0.25         0.21          0.25        0.03        0.99          1.03         0.99          1.03         XXX
                                    imaging, mult.
78104.......  ........  A          Bone marrow            0.80        5.96          4.75           NA            NA        0.25        7.01          5.80           NA            NA         XXX
                                    imaging, body.
78104.......  TC......  A          Bone marrow            0.00        5.71          4.48           NA            NA        0.22        5.93          4.70           NA            NA         XXX
                                    imaging, body.
78104.......  26......  A          Bone marrow            0.80        0.25          0.27         0.25          0.27        0.03        1.08          1.10         1.08          1.10         XXX
                                    imaging, body.
78110.......  ........  A          Plasma volume,         0.19        2.03          1.28           NA            NA        0.07        2.29          1.54           NA            NA         XXX
                                    single.
78110.......  TC......  A          Plasma volume,         0.00        1.98          1.21           NA            NA        0.06        2.04          1.27           NA            NA         XXX
                                    single.
78110.......  26......  A          Plasma volume,         0.19        0.05          0.07         0.05          0.07        0.01        0.25          0.27         0.25          0.27         XXX
                                    single.
78111.......  ........  A          Plasma volume,         0.22        2.02          2.50           NA            NA        0.15        2.39          2.87           NA            NA         XXX
                                    multiple.
78111.......  TC......  A          Plasma volume,         0.00        1.96          2.42           NA            NA        0.14        2.10          2.56           NA            NA         XXX
                                    multiple.
78111.......  26......  A          Plasma volume,         0.22        0.06          0.08         0.06          0.08        0.01        0.29          0.31         0.29          0.31         XXX
                                    multiple.
78120.......  ........  A          Red cell mass,         0.23        1.96          1.85           NA            NA        0.12        2.31          2.20           NA            NA         XXX
                                    single.
78120.......  TC......  A          Red cell mass,         0.00        1.89          1.77           NA            NA        0.11        2.00          1.88           NA            NA         XXX
                                    single.
78120.......  26......  A          Red cell mass,         0.23        0.07          0.08         0.07          0.08        0.01        0.31          0.32         0.31          0.32         XXX
                                    single.
78121.......  ........  A          Red cell mass,         0.32        2.06          2.79           NA            NA        0.15        2.53          3.26           NA            NA         XXX
                                    multiple.
78121.......  TC......  A          Red cell mass,         0.00        1.97          2.68           NA            NA        0.14        2.11          2.82           NA            NA         XXX
                                    multiple.
78121.......  26......  A          Red cell mass,         0.32        0.09          0.11         0.09          0.11        0.01        0.42          0.44         0.42          0.44         XXX
                                    multiple.
78122.......  ........  A          Blood volume....       0.45        2.09          4.09           NA            NA        0.26        2.80          4.80           NA            NA         XXX
78122.......  TC......  A          Blood volume....       0.00        1.97          3.94           NA            NA        0.24        2.21          4.18           NA            NA         XXX
78122.......  26......  A          Blood volume....       0.45        0.12          0.15         0.12          0.15        0.02        0.59          0.62         0.59          0.62         XXX
78130.......  ........  A          Red cell               0.61        3.32          3.12           NA            NA        0.17        4.10          3.90           NA            NA         XXX
                                    survival study.
78130.......  TC......  A          Red cell               0.00        3.14          2.92           NA            NA        0.14        3.28          3.06           NA            NA         XXX
                                    survival study.
78130.......  26......  A          Red cell               0.61        0.18          0.20         0.18          0.20        0.03        0.82          0.84         0.82          0.84         XXX
                                    survival study.
78135.......  ........  A          Red cell               0.64        8.09          5.84           NA            NA        0.28        9.01          6.76           NA            NA         XXX
                                    survival
                                    kinetics.
78135.......  TC......  A          Red cell               0.00        7.91          5.63           NA            NA        0.25        8.16          5.88           NA            NA         XXX
                                    survival
                                    kinetics.
78135.......  26......  A          Red cell               0.64        0.18          0.21         0.18          0.21        0.03        0.85          0.88         0.85          0.88         XXX
                                    survival
                                    kinetics.
78140.......  ........  A          Red cell               0.61        2.68          3.77           NA            NA        0.24        3.53          4.62           NA            NA         XXX
                                    sequestration.
78140.......  TC......  A          Red cell               0.00        2.51          3.58           NA            NA        0.21        2.72          3.79           NA            NA         XXX
                                    sequestration.
78140.......  26......  A          Red cell               0.61        0.17          0.19         0.17          0.19        0.03        0.81          0.83         0.81          0.83         XXX
                                    sequestration.
78185.......  ........  A          Spleen imaging..       0.40        4.90          3.10           NA            NA        0.15        5.45          3.65           NA            NA         XXX
78185.......  TC......  A          Spleen imaging..       0.00        4.79          2.97           NA            NA        0.13        4.92          3.10           NA            NA         XXX
78185.......  26......  A          Spleen imaging..       0.40        0.11          0.13         0.11          0.13        0.02        0.53          0.55         0.53          0.55         XXX
78190.......  ........  A          Platelet               1.09        8.77          6.77           NA            NA        0.38       10.24          8.24           NA            NA         XXX
                                    survival,
                                    kinetics.
78190.......  TC......  A          Platelet               0.00        8.44          6.39           NA            NA        0.30        8.74          6.69           NA            NA         XXX
                                    survival,
                                    kinetics.
78190.......  26......  A          Platelet               1.09        0.33          0.38         0.33          0.38        0.08        1.50          1.55         1.50          1.55         XXX
                                    survival,
                                    kinetics.
78191.......  ........  A          Platelet               0.61        3.21          6.46           NA            NA        0.40        4.22          7.47           NA            NA         XXX
                                    survival.
78191.......  TC......  A          Platelet               0.00        3.04          6.27           NA            NA        0.37        3.41          6.64           NA            NA         XXX
                                    survival.
78191.......  26......  A          Platelet               0.61        0.17          0.19         0.17          0.19        0.03        0.81          0.83         0.81          0.83         XXX
                                    survival.
78195.......  ........  A          Lymph system           1.20        8.15          5.40           NA            NA        0.28        9.63          6.88           NA            NA         XXX
                                    imaging.
78195.......  TC......  A          Lymph system           0.00        7.82          5.01           NA            NA        0.22        8.04          5.23           NA            NA         XXX
                                    imaging.
78195.......  26......  A          Lymph system           1.20        0.33          0.39         0.33          0.39        0.06        1.59          1.65         1.59          1.65         XXX
                                    imaging.
78199.......  ........  C          Blood/lymph            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78199.......  TC......  C          Blood/lymph            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69959]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
78199.......  26......  C          Blood/lymph            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78201.......  ........  A          Liver imaging...       0.44        4.48          3.00           NA            NA        0.15        5.07          3.59           NA            NA         XXX
78201.......  TC......  A          Liver imaging...       0.00        4.36          2.86           NA            NA        0.13        4.49          2.99           NA            NA         XXX
78201.......  26......  A          Liver imaging...       0.44        0.12          0.14         0.12          0.14        0.02        0.58          0.60         0.58          0.60         XXX
78202.......  ........  A          Liver imaging          0.51        5.06          3.55           NA            NA        0.16        5.73          4.22           NA            NA         XXX
                                    with flow.
78202.......  TC......  A          Liver imaging          0.00        4.92          3.39           NA            NA        0.14        5.06          3.53           NA            NA         XXX
                                    with flow.
78202.......  26......  A          Liver imaging          0.51        0.14          0.16         0.14          0.16        0.02        0.67          0.69         0.67          0.69         XXX
                                    with flow.
78205.......  ........  A          Liver imaging          0.71        4.93          5.85           NA            NA        0.34        5.98          6.90           NA            NA         XXX
                                    (3D).
78205.......  TC......  A          Liver imaging          0.00        4.73          5.62           NA            NA        0.31        5.04          5.93           NA            NA         XXX
                                    (3D).
78205.......  26......  A          Liver imaging          0.71        0.20          0.23         0.20          0.23        0.03        0.94          0.97         0.94          0.97         XXX
                                    (3D).
78206.......  ........  A          Liver image (3d)       0.96       13.75          8.12           NA            NA        0.15       14.86          9.23           NA            NA         XXX
                                    with flow.
78206.......  TC......  A          Liver image (3d)       0.00       13.48          7.80           NA            NA        0.11       13.59          7.91           NA            NA         XXX
                                    with flow.
78206.......  26......  A          Liver image (3d)       0.96        0.27          0.32         0.27          0.32        0.04        1.27          1.32         1.27          1.32         XXX
                                    with flow.
78215.......  ........  A          Liver and spleen       0.49        4.52          3.46           NA            NA        0.16        5.17          4.11           NA            NA         XXX
                                    imaging.
78215.......  TC......  A          Liver and spleen       0.00        4.38          3.30           NA            NA        0.14        4.52          3.44           NA            NA         XXX
                                    imaging.
78215.......  26......  A          Liver and spleen       0.49        0.14          0.16         0.14          0.16        0.02        0.65          0.67         0.65          0.67         XXX
                                    imaging.
78216.......  ........  A          Liver & spleen         0.57        2.63          3.41           NA            NA        0.20        3.40          4.18           NA            NA         XXX
                                    image/flow.
78216.......  TC......  A          Liver & spleen         0.00        2.47          3.23           NA            NA        0.18        2.65          3.41           NA            NA         XXX
                                    image/flow.
78216.......  26......  A          Liver & spleen         0.57        0.16          0.18         0.16          0.18        0.02        0.75          0.77         0.75          0.77         XXX
                                    image/flow.
78220.......  ........  A          Liver function         0.49        2.84          3.63           NA            NA        0.21        3.54          4.33           NA            NA         XXX
                                    study.
78220.......  TC......  A          Liver function         0.00        2.70          3.47           NA            NA        0.19        2.89          3.66           NA            NA         XXX
                                    study.
78220.......  26......  A          Liver function         0.49        0.14          0.16         0.14          0.16        0.02        0.65          0.67         0.65          0.67         XXX
                                    study.
78223.......  ........  A          Hepatobiliary          0.84        7.99          4.95           NA            NA        0.23        9.06          6.02           NA            NA         XXX
                                    imaging.
78223.......  TC......  A          Hepatobiliary          0.00        7.75          4.68           NA            NA        0.19        7.94          4.87           NA            NA         XXX
                                    imaging.
78223.......  26......  A          Hepatobiliary          0.84        0.24          0.27         0.24          0.27        0.04        1.12          1.15         1.12          1.15         XXX
                                    imaging.
78230.......  ........  A          Salivary gland         0.45        3.91          2.72           NA            NA        0.15        4.51          3.32           NA            NA         XXX
                                    imaging.
78230.......  TC......  A          Salivary gland         0.00        3.79          2.58           NA            NA        0.13        3.92          2.71           NA            NA         XXX
                                    imaging.
78230.......  26......  A          Salivary gland         0.45        0.12          0.14         0.12          0.14        0.02        0.59          0.61         0.59          0.61         XXX
                                    imaging.
78231.......  ........  A          Serial salivary        0.52        2.63          3.17           NA            NA        0.19        3.34          3.88           NA            NA         XXX
                                    imaging.
78231.......  TC......  A          Serial salivary        0.00        2.48          3.00           NA            NA        0.17        2.65          3.17           NA            NA         XXX
                                    imaging.
78231.......  26......  A          Serial salivary        0.52        0.15          0.17         0.15          0.17        0.02        0.69          0.71         0.69          0.71         XXX
                                    imaging.
78232.......  ........  A          Salivary gland         0.47        2.60          3.42           NA            NA        0.20        3.27          4.09           NA            NA         XXX
                                    function exam.
78232.......  TC......  A          Salivary gland         0.00        2.47          3.27           NA            NA        0.18        2.65          3.45           NA            NA         XXX
                                    function exam.
78232.......  26......  A          Salivary gland         0.47        0.13          0.15         0.13          0.15        0.02        0.62          0.64         0.62          0.64         XXX
                                    function exam.
78258.......  ........  A          Esophageal             0.74        5.57          3.74           NA            NA        0.17        6.48          4.65           NA            NA         XXX
                                    motility study.
78258.......  TC......  A          Esophageal             0.00        5.32          3.49           NA            NA        0.14        5.46          3.63           NA            NA         XXX
                                    motility study.
78258.......  26......  A          Esophageal             0.74        0.25          0.25         0.25          0.25        0.03        1.02          1.02         1.02          1.02         XXX
                                    motility study.
78261.......  ........  A          Gastric mucosa         0.69        5.69          4.68           NA            NA        0.25        6.63          5.62           NA            NA         XXX
                                    imaging.
78261.......  TC......  A          Gastric mucosa         0.00        5.50          4.45           NA            NA        0.22        5.72          4.67           NA            NA         XXX
                                    imaging.
78261.......  26......  A          Gastric mucosa         0.69        0.19          0.23         0.19          0.23        0.03        0.91          0.95         0.91          0.95         XXX
                                    imaging.
78262.......  ........  A          Gastroesophageal       0.68        5.65          4.77           NA            NA        0.25        6.58          5.70           NA            NA         XXX
                                    reflux exam.
78262.......  TC......  A          Gastroesophageal       0.00        5.46          4.55           NA            NA        0.22        5.68          4.77           NA            NA         XXX
                                    reflux exam.
78262.......  26......  A          Gastroesophageal       0.68        0.19          0.22         0.19          0.22        0.03        0.90          0.93         0.90          0.93         XXX
                                    reflux exam.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69960]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
78264.......  ........  A          Gastric emptying       0.78        6.73          4.98           NA            NA        0.25        7.76          6.01           NA            NA         XXX
                                    study.
78264.......  TC......  A          Gastric emptying       0.00        6.51          4.73           NA            NA        0.22        6.73          4.95           NA            NA         XXX
                                    study.
78264.......  26......  A          Gastric emptying       0.78        0.22          0.25         0.22          0.25        0.03        1.03          1.06         1.03          1.06         XXX
                                    study.
78267.......  ........  X          Breath tst             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    attain/anal c-
                                    14.
78268.......  ........  X          Breath test            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    analysis, c-14.
78270.......  ........  A          Vit B-12               0.20        1.81          1.67           NA            NA        0.11        2.12          1.98           NA            NA         XXX
                                    absorption exam.
78270.......  TC......  A          Vit B-12               0.00        1.76          1.60           NA            NA        0.10        1.86          1.70           NA            NA         XXX
                                    absorption exam.
78270.......  26......  A          Vit B-12               0.20        0.05          0.07         0.05          0.07        0.01        0.26          0.28         0.26          0.28         XXX
                                    absorption exam.
78271.......  ........  A          Vit b-12 absrp         0.20        1.83          1.75           NA            NA        0.11        2.14          2.06           NA            NA         XXX
                                    exam, int fac.
78271.......  TC......  A          Vit b-12 absrp         0.00        1.78          1.68           NA            NA        0.10        1.88          1.78           NA            NA         XXX
                                    exam, int fac.
78271.......  26......  A          Vit b-12 absrp         0.20        0.05          0.07         0.05          0.07        0.01        0.26          0.28         0.26          0.28         XXX
                                    exam, int fac.
78272.......  ........  A          Vit B-12 absorp,       0.27        1.95          2.30           NA            NA        0.14        2.36          2.71           NA            NA         XXX
                                    combined.
78272.......  TC......  A          Vit B-12 absorp,       0.00        1.88          2.21           NA            NA        0.13        2.01          2.34           NA            NA         XXX
                                    combined.
78272.......  26......  A          Vit B-12 absorp,       0.27        0.07          0.09         0.07          0.09        0.01        0.35          0.37         0.35          0.37         XXX
                                    combined.
78278.......  ........  A          Acute GI blood         0.99        8.06          5.92           NA            NA        0.29        9.34          7.20           NA            NA         XXX
                                    loss imaging.
78278.......  TC......  A          Acute GI blood         0.00        7.78          5.60           NA            NA        0.25        8.03          5.85           NA            NA         XXX
                                    loss imaging.
78278.......  26......  A          Acute GI blood         0.99        0.28          0.32         0.28          0.32        0.04        1.31          1.35         1.31          1.35         XXX
                                    loss imaging.
78282.......  ........  C          GI protein loss        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    exam.
78282.......  TC......  C          GI protein loss        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    exam.
78282.......  26......  A          GI protein loss        0.38        0.10          0.12         0.10          0.12        0.02        0.50          0.52         0.50          0.52         XXX
                                    exam.
78290.......  ........  A          Meckel[AElig]s         0.68        7.97          4.45           NA            NA        0.19        8.84          5.32           NA            NA         XXX
                                    divert exam.
78290.......  TC......  A          Meckel[AElig]s         0.00        7.78          4.23           NA            NA        0.16        7.94          4.39           NA            NA         XXX
                                    divert exam.
78290.......  26......  A          Meckel[AElig]s         0.68        0.19          0.22         0.19          0.22        0.03        0.90          0.93         0.90          0.93         XXX
                                    divert exam.
78291.......  ........  A          Leveen/shunt           0.88        5.82          3.98           NA            NA        0.20        6.90          5.06           NA            NA         XXX
                                    patency exam.
78291.......  TC......  A          Leveen/shunt           0.00        5.57          3.69           NA            NA        0.16        5.73          3.85           NA            NA         XXX
                                    patency exam.
78291.......  26......  A          Leveen/shunt           0.88        0.25          0.29         0.25          0.29        0.04        1.17          1.21         1.17          1.21         XXX
                                    patency exam.
78299.......  ........  C          GI nuclear             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
78299.......  TC......  C          GI nuclear             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
78299.......  26......  C          GI nuclear             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
78300.......  ........  A          Bone imaging,          0.62        3.94          3.00           NA            NA        0.17        4.73          3.79           NA            NA         XXX
                                    limited area.
78300.......  TC......  A          Bone imaging,          0.00        3.76          2.80           NA            NA        0.14        3.90          2.94           NA            NA         XXX
                                    limited area.
78300.......  26......  A          Bone imaging,          0.62        0.18          0.20         0.18          0.20        0.03        0.83          0.85         0.83          0.85         XXX
                                    limited area.
78305.......  ........  A          Bone imaging,          0.83        5.13          4.24           NA            NA        0.23        6.19          5.30           NA            NA         XXX
                                    multiple areas.
78305.......  TC......  A          Bone imaging,          0.00        4.90          3.97           NA            NA        0.19        5.09          4.16           NA            NA         XXX
                                    multiple areas.
78305.......  26......  A          Bone imaging,          0.83        0.23          0.27         0.23          0.27        0.04        1.10          1.14         1.10          1.14         XXX
                                    multiple areas.
78306.......  ........  A          Bone imaging,          0.86        5.68          4.84           NA            NA        0.26        6.80          5.96           NA            NA         XXX
                                    whole body.
78306.......  TC......  A          Bone imaging,          0.00        5.44          4.56           NA            NA        0.22        5.66          4.78           NA            NA         XXX
                                    whole body.
78306.......  26......  A          Bone imaging,          0.86        0.24          0.28         0.24          0.28        0.04        1.14          1.18         1.14          1.18         XXX
                                    whole body.
78315.......  ........  A          Bone imaging, 3        1.02        8.07          5.86           NA            NA        0.29        9.38          7.17           NA            NA         XXX
                                    phase.
78315.......  TC......  A          Bone imaging, 3        0.00        7.78          5.53           NA            NA        0.25        8.03          5.78           NA            NA         XXX
                                    phase.
78315.......  26......  A          Bone imaging, 3        1.02        0.29          0.33         0.29          0.33        0.04        1.35          1.39         1.35          1.39         XXX
                                    phase.
78320.......  ........  A          Bone imaging           1.04        5.00          5.95           NA            NA        0.35        6.39          7.34           NA            NA         XXX
                                    (3D).
78320.......  TC......  A          Bone imaging           0.00        4.71          5.61           NA            NA        0.31        5.02          5.92           NA            NA         XXX
                                    (3D).
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69961]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
78320.......  26......  A          Bone imaging           1.04        0.29          0.34         0.29          0.34        0.04        1.37          1.42         1.37          1.42         XXX
                                    (3D).
78350.......  ........  N          Bone mineral,          0.22        0.00          0.82           NA            NA        0.06        0.28          1.10           NA            NA         XXX
                                    single photon.
78350.......  TC......  N          Bone mineral,          0.00        0.00          0.75           NA            NA        0.05        0.05          0.80           NA            NA         XXX
                                    single photon.
78350.......  26......  N          Bone mineral,          0.22        0.00          0.07         0.00          0.07        0.01        0.23          0.30         0.23          0.30         XXX
                                    single photon.
78351.......  ........  N          Bone mineral,          0.30          NA            NA         0.07          0.11        0.01          NA            NA         0.38          0.42         XXX
                                    dual photon.
78399.......  ........  C          Musculoskeletal        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78399.......  TC......  C          Musculoskeletal        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78399.......  26......  C          Musculoskeletal        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78414.......  ........  C          Non-imaging            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    heart function.
78414.......  TC......  C          Non-imaging            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    heart function.
78414.......  26......  A          Non-imaging            0.45        0.14          0.16         0.14          0.16        0.02        0.61          0.63         0.61          0.63         XXX
                                    heart function.
78428.......  ........  A          Cardiac shunt          0.78        5.26          3.22           NA            NA        0.16        6.20          4.16           NA            NA         XXX
                                    imaging.
78428.......  TC......  A          Cardiac shunt          0.00        4.88          2.91           NA            NA        0.13        5.01          3.04           NA            NA         XXX
                                    imaging.
78428.......  26......  A          Cardiac shunt          0.78        0.38          0.31         0.38          0.31        0.03        1.19          1.12         1.19          1.12         XXX
                                    imaging.
78445.......  ........  A          Vascular flow          0.49        4.34          2.61           NA            NA        0.13        4.96          3.23           NA            NA         XXX
                                    imaging.
78445.......  TC......  A          Vascular flow          0.00        4.18          2.44           NA            NA        0.11        4.29          2.55           NA            NA         XXX
                                    imaging.
78445.......  26......  A          Vascular flow          0.49        0.16          0.17         0.16          0.17        0.02        0.67          0.68         0.67          0.68         XXX
                                    imaging.
78456.......  ........  A          Acute venous           1.00        9.86          5.71           NA            NA        0.33       11.19          7.04           NA            NA         XXX
                                    thrombus image.
78456.......  TC......  A          Acute venous           0.00        9.36          5.33           NA            NA        0.29        9.65          5.62           NA            NA         XXX
                                    thrombus image.
78456.......  26......  A          Acute venous           1.00        0.50          0.38         0.50          0.38        0.04        1.54          1.42         1.54          1.42         XXX
                                    thrombus image.
78457.......  ........  A          Venous                 0.77        4.53          3.32           NA            NA        0.17        5.47          4.26           NA            NA         XXX
                                    thrombosis
                                    imaging.
78457.......  TC......  A          Venous                 0.00        4.31          3.07           NA            NA        0.14        4.45          3.21           NA            NA         XXX
                                    thrombosis
                                    imaging.
78457.......  26......  A          Venous                 0.77        0.22          0.25         0.22          0.25        0.03        1.02          1.05         1.02          1.05         XXX
                                    thrombosis
                                    imaging.
78458.......  ........  A          Ven thrombosis         0.90        4.30          4.33           NA            NA        0.25        5.45          5.48           NA            NA         XXX
                                    images, bilat.
78458.......  TC......  A          Ven thrombosis         0.00        4.05          4.03           NA            NA        0.21        4.26          4.24           NA            NA         XXX
                                    images, bilat.
78458.......  26......  A          Ven thrombosis         0.90        0.25          0.30         0.25          0.30        0.04        1.19          1.24         1.19          1.24         XXX
                                    images, bilat.
78459.......  ........  C          Heart muscle           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    imaging (PET).
78459.......  TC......  C          Heart muscle           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    imaging (PET).
78459.......  26......  A          Heart muscle           1.50        0.54          0.56         0.54          0.56        0.05        2.09          2.11         2.09          2.11         XXX
                                    imaging (PET).
78460.......  ........  A          Heart muscle           0.86        4.44          3.10           NA            NA        0.17        5.47          4.13           NA            NA         XXX
                                    blood, single.
78460.......  TC......  A          Heart muscle           0.00        4.17          2.81           NA            NA        0.13        4.30          2.94           NA            NA         XXX
                                    blood, single.
78460.......  26......  A          Heart muscle           0.86        0.27          0.29         0.27          0.29        0.04        1.17          1.19         1.17          1.19         XXX
                                    blood, single.
78461.......  ........  A          Heart muscle           1.23        3.79          4.81           NA            NA        0.30        5.32          6.34           NA            NA         XXX
                                    blood, multiple.
78461.......  TC......  A          Heart muscle           0.00        3.40          4.39           NA            NA        0.25        3.65          4.64           NA            NA         XXX
                                    blood, multiple.
78461.......  26......  A          Heart muscle           1.23        0.39          0.42         0.39          0.42        0.05        1.67          1.70         1.67          1.70         XXX
                                    blood, multiple.
78464.......  ........  A          Heart image            1.09        5.75          7.03           NA            NA        0.41        7.25          8.53           NA            NA         XXX
                                    (3d), single.
78464.......  TC......  A          Heart image            0.00        5.27          6.62           NA            NA        0.37        5.64          6.99           NA            NA         XXX
                                    (3d), single.
78464.......  26......  A          Heart image            1.09        0.48          0.41         0.48          0.41        0.04        1.61          1.54         1.61          1.54         XXX
                                    (3d), single.
78465.......  ........  A          Heart image            1.46       11.36         12.08           NA            NA        0.67       13.49         14.21           NA            NA         XXX
                                    (3d), multiple.
78465.......  TC......  A          Heart image            0.00       10.66         11.51           NA            NA        0.62       11.28         12.13           NA            NA         XXX
                                    (3d), multiple.
78465.......  26......  A          Heart image            1.46        0.70          0.57         0.70          0.57        0.05        2.21          2.08         2.21          2.08         XXX
                                    (3d), multiple.
78466.......  ........  A          Heart infarct          0.69        4.34          3.23           NA            NA        0.17        5.20          4.09           NA            NA         XXX
                                    image.
78466.......  TC......  A          Heart infarct          0.00        4.10          2.99           NA            NA        0.14        4.24          3.13           NA            NA         XXX
                                    image.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69962]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
78466.......  26......  A          Heart infarct          0.69        0.24          0.24         0.24          0.24        0.03        0.96          0.96         0.96          0.96         XXX
                                    image.
78468.......  ........  A          Heart infarct          0.80        5.98          4.45           NA            NA        0.22        7.00          5.47           NA            NA         XXX
                                    image (ef).
78468.......  TC......  A          Heart infarct          0.00        5.56          4.14           NA            NA        0.19        5.75          4.33           NA            NA         XXX
                                    image (ef).
78468.......  26......  A          Heart infarct          0.80        0.42          0.31         0.42          0.31        0.03        1.25          1.14         1.25          1.14         XXX
                                    image (ef).
78469.......  ........  A          Heart infarct          0.92        6.21          5.70           NA            NA        0.31        7.44          6.93           NA            NA         XXX
                                    image (3D).
78469.......  TC......  A          Heart infarct          0.00        5.77          5.36           NA            NA        0.28        6.05          5.64           NA            NA         XXX
                                    image (3D).
78469.......  26......  A          Heart infarct          0.92        0.44          0.34         0.44          0.34        0.03        1.39          1.29         1.39          1.29         XXX
                                    image (3D).
78472.......  ........  A          Gated heart,           0.98        5.95          5.87           NA            NA        0.34        7.27          7.19           NA            NA         XXX
                                    planar, single.
78472.......  TC......  A          Gated heart,           0.00        5.56          5.52           NA            NA        0.30        5.86          5.82           NA            NA         XXX
                                    planar, single.
78472.......  26......  A          Gated heart,           0.98        0.39          0.35         0.39          0.35        0.04        1.41          1.37         1.41          1.37         XXX
                                    planar, single.
78473.......  ........  A          Gated heart,           1.47        7.54          8.46           NA            NA        0.48        9.49         10.41           NA            NA         XXX
                                    multiple.
78473.......  TC......  A          Gated heart,           0.00        6.94          7.93           NA            NA        0.42        7.36          8.35           NA            NA         XXX
                                    multiple.
78473.......  26......  A          Gated heart,           1.47        0.60          0.53         0.60          0.53        0.06        2.13          2.06         2.13          2.06         XXX
                                    multiple.
78478.......  ........  A          Heart wall             0.50        0.80          1.54           NA            NA        0.12        1.42          2.16           NA            NA         XXX
                                    motion add-on.
78478.......  TC......  A          Heart wall             0.00        0.56          1.31           NA            NA        0.10        0.66          1.41           NA            NA         XXX
                                    motion add-on.
78478.......  26......  A          Heart wall             0.50        0.24          0.23         0.24          0.23        0.02        0.76          0.75         0.76          0.75         XXX
                                    motion add-on.
78480.......  ........  A          Heart function         0.30        0.70          1.51           NA            NA        0.12        1.12          1.93           NA            NA         XXX
                                    add-on.
78480.......  TC......  A          Heart function         0.00        0.55          1.31           NA            NA        0.10        0.65          1.41           NA            NA         XXX
                                    add-on.
78480.......  26......  A          Heart function         0.30        0.15          0.20         0.15          0.20        0.02        0.47          0.52         0.47          0.52         XXX
                                    add-on.
78481.......  ........  A          Heart first            0.98        5.07          5.46           NA            NA        0.31        6.36          6.75           NA            NA         XXX
                                    pass, single.
78481.......  TC......  A          Heart first            0.00        4.57          5.06           NA            NA        0.28        4.85          5.34           NA            NA         XXX
                                    pass, single.
78481.......  26......  A          Heart first            0.98        0.50          0.40         0.50          0.40        0.03        1.51          1.41         1.51          1.41         XXX
                                    pass, single.
78483.......  ........  A          Heart first            1.47        6.86          8.02           NA            NA        0.46        8.79          9.95           NA            NA         XXX
                                    pass, multiple.
78483.......  TC......  A          Heart first            0.00        6.07          7.42           NA            NA        0.41        6.48          7.83           NA            NA         XXX
                                    pass, multiple.
78483.......  26......  A          Heart first            1.47        0.79          0.60         0.79          0.60        0.05        2.31          2.12         2.31          2.12         XXX
                                    pass, multiple.
78491.......  ........  C          Heart image            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (pet), single.
78491.......  TC......  C          Heart image            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (pet), single.
78491.......  26......  A          Heart image            1.50        0.60          0.59         0.60          0.59        0.06        2.16          2.15         2.16          2.15         XXX
                                    (pet), single.
78492.......  ........  C          Heart image            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (pet), multiple.
78492.......  TC......  C          Heart image            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (pet), multiple.
78492.......  26......  A          Heart image            1.87        0.91          0.78         0.91          0.78        0.07        2.85          2.72         2.85          2.72         XXX
                                    (pet), multiple.
78494.......  ........  A          Heart image,           1.19        6.19          7.17           NA            NA        0.35        7.73          8.71           NA            NA         XXX
                                    spect.
78494.......  TC......  A          Heart image,           0.00        5.65          6.72           NA            NA        0.30        5.95          7.02           NA            NA         XXX
                                    spect.
78494.......  26......  A          Heart image,           1.19        0.54          0.45         0.54          0.45        0.05        1.78          1.69         1.78          1.69         XXX
                                    spect.
78496.......  ........  A          Heart first pass       0.50        0.92          5.67         0.92          5.67        0.32        1.74          6.49         1.74          6.49         ZZZ
                                    add-on.
78496.......  TC......  A          Heart first pass       0.00        0.67          5.47         0.67          5.47        0.30        0.97          5.77         0.97          5.77         ZZZ
                                    add-on.
78496.......  26......  A          Heart first pass       0.50        0.25          0.20         0.25          0.20        0.02        0.77          0.72         0.77          0.72         ZZZ
                                    add-on.
78499.......  ........  C          Cardiovascular         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78499.......  TC......  C          Cardiovascular         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78499.......  26......  C          Cardiovascular         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78580.......  ........  A          Lung perfusion         0.74        4.83          3.97           NA            NA        0.21        5.78          4.92           NA            NA         XXX
                                    imaging.
78580.......  TC......  A          Lung perfusion         0.00        4.61          3.73           NA            NA        0.18        4.79          3.91           NA            NA         XXX
                                    imaging.
78580.......  26......  A          Lung perfusion         0.74        0.22          0.24         0.22          0.24        0.03        0.99          1.01         0.99          1.01         XXX
                                    imaging.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69963]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
78584.......  ........  A          Lung V/Q image         0.99        2.74          3.34           NA            NA        0.21        3.94          4.54           NA            NA         XXX
                                    single breath.
78584.......  TC......  A          Lung V/Q image         0.00        2.46          3.02           NA            NA        0.17        2.63          3.19           NA            NA         XXX
                                    single breath.
78584.......  26......  A          Lung V/Q image         0.99        0.28          0.32         0.28          0.32        0.04        1.31          1.35         1.31          1.35         XXX
                                    single breath.
78585.......  ........  A          Lung V/Q imaging       1.09        8.09          6.53           NA            NA        0.35        9.53          7.97           NA            NA         XXX
78585.......  TC......  A          Lung V/Q imaging       0.00        7.78          6.18           NA            NA        0.30        8.08          6.48           NA            NA         XXX
78585.......  26......  A          Lung V/Q imaging       1.09        0.31          0.35         0.31          0.35        0.05        1.45          1.49         1.45          1.49         XXX
78586.......  ........  A          Aerosol lung           0.40        3.89          3.02           NA            NA        0.16        4.45          3.58           NA            NA         XXX
                                    image, single.
78586.......  TC......  A          Aerosol lung           0.00        3.78          2.89           NA            NA        0.14        3.92          3.03           NA            NA         XXX
                                    image, single.
78586.......  26......  A          Aerosol lung           0.40        0.11          0.13         0.11          0.13        0.02        0.53          0.55         0.53          0.55         XXX
                                    image, single.
78587.......  ........  A          Aerosol lung           0.49        5.12          3.51           NA            NA        0.16        5.77          4.16           NA            NA         XXX
                                    image, multiple.
78587.......  TC......  A          Aerosol lung           0.00        4.98          3.35           NA            NA        0.14        5.12          3.49           NA            NA         XXX
                                    image, multiple.
78587.......  26......  A          Aerosol lung           0.49        0.14          0.16         0.14          0.16        0.02        0.65          0.67         0.65          0.67         XXX
                                    image, multiple.
78588.......  ........  A          Perfusion lung         1.09        8.11          4.70           NA            NA        0.23        9.43          6.02           NA            NA         XXX
                                    image.
78588.......  TC......  A          Perfusion lung         0.00        7.81          4.35           NA            NA        0.18        7.99          4.53           NA            NA         XXX
                                    image.
78588.......  26......  A          Perfusion lung         1.09        0.30          0.35         0.30          0.35        0.05        1.44          1.49         1.44          1.49         XXX
                                    image.
78591.......  ........  A          Vent image, 1          0.40        3.87          3.21           NA            NA        0.16        4.43          3.77           NA            NA         XXX
                                    breath, 1 proj.
78591.......  TC......  A          Vent image, 1          0.00        3.76          3.08           NA            NA        0.14        3.90          3.22           NA            NA         XXX
                                    breath, 1 proj.
78591.......  26......  A          Vent image, 1          0.40        0.11          0.13         0.11          0.13        0.02        0.53          0.55         0.53          0.55         XXX
                                    breath, 1 proj.
78593.......  ........  A          Vent image, 1          0.49        4.51          3.84           NA            NA        0.20        5.20          4.53           NA            NA         XXX
                                    proj, gas.
78593.......  TC......  A          Vent image, 1          0.00        4.37          3.68           NA            NA        0.18        4.55          3.86           NA            NA         XXX
                                    proj, gas.
78593.......  26......  A          Vent image, 1          0.49        0.14          0.16         0.14          0.16        0.02        0.65          0.67         0.65          0.67         XXX
                                    proj, gas.
78594.......  ........  A          Vent image, mult       0.53        4.99          5.12           NA            NA        0.27        5.79          5.92           NA            NA         XXX
                                    proj, gas.
78594.......  TC......  A          Vent image, mult       0.00        4.84          4.95           NA            NA        0.25        5.09          5.20           NA            NA         XXX
                                    proj, gas.
78594.......  26......  A          Vent image, mult       0.53        0.15          0.17         0.15          0.17        0.02        0.70          0.72         0.70          0.72         XXX
                                    proj, gas.
78596.......  ........  A          Lung                   1.27        8.33          7.70           NA            NA        0.42       10.02          9.39           NA            NA         XXX
                                    differential
                                    function.
78596.......  TC......  A          Lung                   0.00        7.98          7.30           NA            NA        0.37        8.35          7.67           NA            NA         XXX
                                    differential
                                    function.
78596.......  26......  A          Lung                   1.27        0.35          0.40         0.35          0.40        0.05        1.67          1.72         1.67          1.72         XXX
                                    differential
                                    function.
78599.......  ........  C          Respiratory            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78599.......  TC......  C          Respiratory            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78599.......  26......  C          Respiratory            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78600.......  ........  A          Brain imaging,         0.44        6.83          3.98           NA            NA        0.16        7.43          4.58           NA            NA         XXX
                                    ltd static.
78600.......  TC......  A          Brain imaging,         0.00        6.71          3.84           NA            NA        0.14        6.85          3.98           NA            NA         XXX
                                    ltd static.
78600.......  26......  A          Brain imaging,         0.44        0.12          0.14         0.12          0.14        0.02        0.58          0.60         0.58          0.60         XXX
                                    ltd static.
78601.......  ........  A          Brain imaging,         0.51        5.02          3.93           NA            NA        0.20        5.73          4.64           NA            NA         XXX
                                    ltd w/flow.
78601.......  TC......  A          Brain imaging,         0.00        4.88          3.77           NA            NA        0.18        5.06          3.95           NA            NA         XXX
                                    ltd w/flow.
78601.......  26......  A          Brain imaging,         0.51        0.14          0.16         0.14          0.16        0.02        0.67          0.69         0.67          0.69         XXX
                                    ltd w/flow.
78605.......  ........  A          Brain imaging,         0.53        4.46          3.80           NA            NA        0.20        5.19          4.53           NA            NA         XXX
                                    complete.
78605.......  TC......  A          Brain imaging,         0.00        4.31          3.63           NA            NA        0.18        4.49          3.81           NA            NA         XXX
                                    complete.
78605.......  26......  A          Brain imaging,         0.53        0.15          0.17         0.15          0.17        0.02        0.70          0.72         0.70          0.72         XXX
                                    complete.
78606.......  ........  A          Brain imaging,         0.64        8.07          5.08           NA            NA        0.24        8.95          5.96           NA            NA         XXX
                                    compl w/flow.
78606.......  TC......  A          Brain imaging,         0.00        7.89          4.88           NA            NA        0.21        8.10          5.09           NA            NA         XXX
                                    compl w/flow.
78606.......  26......  A          Brain imaging,         0.64        0.18          0.20         0.18          0.20        0.03        0.85          0.87         0.85          0.87         XXX
                                    compl w/flow.
78607.......  ........  A          Brain imaging          1.23       14.39          8.83           NA            NA        0.40       16.02         10.46           NA            NA         XXX
                                    (3D).
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69964]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
78607.......  TC......  A          Brain imaging          0.00       14.04          8.42           NA            NA        0.35       14.39          8.77           NA            NA         XXX
                                    (3D).
78607.......  26......  A          Brain imaging          1.23        0.35          0.41         0.35          0.41        0.05        1.63          1.69         1.63          1.69         XXX
                                    (3D).
78608.......  ........  C          Brain imaging          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (PET).
78608.......  TC......  C          Brain imaging          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (PET).
78608.......  26......  A          Brain imaging          1.50        0.43          0.49         0.43          0.49        0.06        1.99          2.05         1.99          2.05         XXX
                                    (PET).
78609.......  ........  C          Brain imaging          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (PET).
78609.......  TC......  C          Brain imaging          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (PET).
78609.......  26......  A          Brain imaging          1.50        0.43          0.49         0.43          0.49        0.06        1.99          2.05         1.99          2.05         XXX
                                    (PET).
78610.......  ........  A          Brain flow             0.30        4.19          2.32           NA            NA        0.11        4.60          2.73           NA            NA         XXX
                                    imaging only.
78610.......  TC......  A          Brain flow             0.00        4.10          2.21           NA            NA        0.10        4.20          2.31           NA            NA         XXX
                                    imaging only.
78610.......  26......  A          Brain flow             0.30        0.09          0.11         0.09          0.11        0.01        0.40          0.42         0.40          0.42         XXX
                                    imaging only.
78615.......  ........  A          Cerebral               0.42        5.06          4.26           NA            NA        0.23        5.71          4.91           NA            NA         XXX
                                    vascular flow
                                    image.
78615.......  TC......  A          Cerebral               0.00        4.94          4.12           NA            NA        0.21        5.15          4.33           NA            NA         XXX
                                    vascular flow
                                    image.
78615.......  26......  A          Cerebral               0.42        0.12          0.14         0.12          0.14        0.02        0.56          0.58         0.56          0.58         XXX
                                    vascular flow
                                    image.
78630.......  ........  A          Cerebrospinal          0.68        8.11          5.98           NA            NA        0.30        9.09          6.96           NA            NA         XXX
                                    fluid scan.
78630.......  TC......  A          Cerebrospinal          0.00        7.92          5.76           NA            NA        0.27        8.19          6.03           NA            NA         XXX
                                    fluid scan.
78630.......  26......  A          Cerebrospinal          0.68        0.19          0.22         0.19          0.22        0.03        0.90          0.93         0.90          0.93         XXX
                                    fluid scan.
78635.......  ........  A          CSF                    0.61        8.05          4.10           NA            NA        0.16        8.82          4.87           NA            NA         XXX
                                    ventriculograph
                                    y.
78635.......  TC......  A          CSF                    0.00        7.88          3.88           NA            NA        0.14        8.02          4.02           NA            NA         XXX
                                    ventriculograph
                                    y.
78635.......  26......  A          CSF                    0.61        0.17          0.22         0.17          0.22        0.02        0.80          0.85         0.80          0.85         XXX
                                    ventriculograph
                                    y.
78645.......  ........  A          CSF shunt              0.57        7.97          4.71           NA            NA        0.20        8.74          5.48           NA            NA         XXX
                                    evaluation.
78645.......  TC......  A          CSF shunt              0.00        7.81          4.53           NA            NA        0.18        7.99          4.71           NA            NA         XXX
                                    evaluation.
78645.......  26......  A          CSF shunt              0.57        0.16          0.18         0.16          0.18        0.02        0.75          0.77         0.75          0.77         XXX
                                    evaluation.
78647.......  ........  A          Cerebrospinal          0.90       13.60          8.06           NA            NA        0.35       14.85          9.31           NA            NA         XXX
                                    fluid scan.
78647.......  TC......  A          Cerebrospinal          0.00       13.36          7.77           NA            NA        0.31       13.67          8.08           NA            NA         XXX
                                    fluid scan.
78647.......  26......  A          Cerebrospinal          0.90        0.24          0.29         0.24          0.29        0.04        1.18          1.23         1.18          1.23         XXX
                                    fluid scan.
78650.......  ........  A          CSF leakage            0.61        8.17          5.68           NA            NA        0.27        9.05          6.56           NA            NA         XXX
                                    imaging.
78650.......  TC......  A          CSF leakage            0.00        7.99          5.48           NA            NA        0.24        8.23          5.72           NA            NA         XXX
                                    imaging.
78650.......  26......  A          CSF leakage            0.61        0.18          0.20         0.18          0.20        0.03        0.82          0.84         0.82          0.84         XXX
                                    imaging.
78660.......  ........  A          Nuclear exam of        0.53        4.03          2.74           NA            NA        0.14        4.70          3.41           NA            NA         XXX
                                    tear flow.
78660.......  TC......  A          Nuclear exam of        0.00        3.87          2.56           NA            NA        0.12        3.99          2.68           NA            NA         XXX
                                    tear flow.
78660.......  26......  A          Nuclear exam of        0.53        0.16          0.18         0.16          0.18        0.02        0.71          0.73         0.71          0.73         XXX
                                    tear flow.
78699.......  ........  C          Nervous system         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78699.......  TC......  C          Nervous system         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78699.......  26......  C          Nervous system         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78700.......  ........  A          Kidney imaging,        0.45        4.26          3.47           NA            NA        0.18        4.89          4.10           NA            NA         XXX
                                    morphol.
78700.......  TC......  A          Kidney imaging,        0.00        4.12          3.32           NA            NA        0.16        4.28          3.48           NA            NA         XXX
                                    morphol.
78700.......  26......  A          Kidney imaging,        0.45        0.14          0.15         0.14          0.15        0.02        0.61          0.62         0.61          0.62         XXX
                                    morphol.
78701.......  ........  A          Kidney imaging         0.49        5.04          4.06           NA            NA        0.20        5.73          4.75           NA            NA         XXX
                                    with flow.
78701.......  TC......  A          Kidney imaging         0.00        4.90          3.90           NA            NA        0.18        5.08          4.08           NA            NA         XXX
                                    with flow.
78701.......  26......  A          Kidney imaging         0.49        0.14          0.16         0.14          0.16        0.02        0.65          0.67         0.65          0.67         XXX
                                    with flow.
78707.......  ........  A          K flow/funct           0.96        5.15          4.88           NA            NA        0.27        6.38          6.11           NA            NA         XXX
                                    image w/o drug.
78707.......  TC......  A          K flow/funct           0.00        4.88          4.57           NA            NA        0.23        5.11          4.80           NA            NA         XXX
                                    image w/o drug.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69965]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
78707.......  26......  A          K flow/funct           0.96        0.27          0.31         0.27          0.31        0.04        1.27          1.31         1.27          1.31         XXX
                                    image w/o drug.
78708.......  ........  A          K flow/funct           1.21        3.17          4.45           NA            NA        0.28        4.66          5.94           NA            NA         XXX
                                    image w/drug.
78708.......  TC......  A          K flow/funct           0.00        2.83          4.06           NA            NA        0.23        3.06          4.29           NA            NA         XXX
                                    image w/drug.
78708.......  26......  A          K flow/funct           1.21        0.34          0.39         0.34          0.39        0.05        1.60          1.65         1.60          1.65         XXX
                                    image w/drug.
78709.......  ........  A          K flow/funct           1.41        8.35          5.79           NA            NA        0.29       10.05          7.49           NA            NA         XXX
                                    image, multiple.
78709.......  TC......  A          K flow/funct           0.00        7.95          5.34           NA            NA        0.23        8.18          5.57           NA            NA         XXX
                                    image, multiple.
78709.......  26......  A          K flow/funct           1.41        0.40          0.45         0.40          0.45        0.06        1.87          1.92         1.87          1.92         XXX
                                    image, multiple.
78710.......  ........  A          Kidney imaging         0.66        5.02          5.85           NA            NA        0.34        6.02          6.85           NA            NA         XXX
                                    (3D).
78710.......  TC......  A          Kidney imaging         0.00        4.83          5.64           NA            NA        0.31        5.14          5.95           NA            NA         XXX
                                    (3D).
78710.......  26......  A          Kidney imaging         0.66        0.19          0.21         0.19          0.21        0.03        0.88          0.90         0.88          0.90         XXX
                                    (3D).
78725.......  ........  A          Kidney function        0.38        2.26          2.00           NA            NA        0.13        2.77          2.51           NA            NA         XXX
                                    study.
78725.......  TC......  A          Kidney function        0.00        2.15          1.87           NA            NA        0.11        2.26          1.98           NA            NA         XXX
                                    study.
78725.......  26......  A          Kidney function        0.38        0.11          0.13         0.11          0.13        0.02        0.51          0.53         0.51          0.53         XXX
                                    study.
78730.......  ........  A          Urinary bladder        0.15        1.97          1.68           NA            NA        0.10        2.22          1.93           NA            NA         ZZZ
                                    retention.
78730.......  TC......  A          Urinary bladder        0.00        1.91          1.57           NA            NA        0.08        1.99          1.65           NA            NA         ZZZ
                                    retention.
78730.......  26......  A          Urinary bladder        0.15        0.06          0.11         0.06          0.11        0.02        0.23          0.28         0.23          0.28         ZZZ
                                    retention.
78740.......  ........  A          Ureteral reflux        0.57        5.17          3.02           NA            NA        0.15        5.89          3.74           NA            NA         XXX
                                    study.
78740.......  TC......  A          Ureteral reflux        0.00        5.01          2.84           NA            NA        0.12        5.13          2.96           NA            NA         XXX
                                    study.
78740.......  26......  A          Ureteral reflux        0.57        0.16          0.18         0.16          0.18        0.03        0.76          0.78         0.76          0.78         XXX
                                    study.
78761.......  ........  A          Testicular             0.71        4.58          3.73           NA            NA        0.20        5.49          4.64           NA            NA         XXX
                                    imaging w/flow.
78761.......  TC......  A          Testicular             0.00        4.38          3.50           NA            NA        0.17        4.55          3.67           NA            NA         XXX
                                    imaging w/flow.
78761.......  26......  A          Testicular             0.71        0.20          0.23         0.20          0.23        0.03        0.94          0.97         0.94          0.97         XXX
                                    imaging w/flow.
78799.......  ........  C          Genitourinary          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78799.......  TC......  C          Genitourinary          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78799.......  26......  C          Genitourinary          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nuclear exam.
78800.......  ........  A          Tumor imaging,         0.66        4.06          3.73           NA            NA        0.22        4.94          4.61           NA            NA         XXX
                                    limited area.
78800.......  TC......  A          Tumor imaging,         0.00        3.88          3.52           NA            NA        0.18        4.06          3.70           NA            NA         XXX
                                    limited area.
78800.......  26......  A          Tumor imaging,         0.66        0.18          0.21         0.18          0.21        0.04        0.88          0.91         0.88          0.91         XXX
                                    limited area.
78801.......  ........  A          Tumor imaging,         0.79        5.75          4.81           NA            NA        0.27        6.81          5.87           NA            NA         XXX
                                    mult areas.
78801.......  TC......  A          Tumor imaging,         0.00        5.53          4.55           NA            NA        0.22        5.75          4.77           NA            NA         XXX
                                    mult areas.
78801.......  26......  A          Tumor imaging,         0.79        0.22          0.26         0.22          0.26        0.05        1.06          1.10         1.06          1.10         XXX
                                    mult areas.
78802.......  ........  A          Tumor imaging,         0.86        7.68          6.29           NA            NA        0.34        8.88          7.49           NA            NA         XXX
                                    whole body.
78802.......  TC......  A          Tumor imaging,         0.00        7.44          6.01           NA            NA        0.30        7.74          6.31           NA            NA         XXX
                                    whole body.
78802.......  26......  A          Tumor imaging,         0.86        0.24          0.28         0.24          0.28        0.04        1.14          1.18         1.14          1.18         XXX
                                    whole body.
78803.......  ........  A          Tumor imaging          1.09       14.15          8.73           NA            NA        0.40       15.64         10.22           NA            NA         XXX
                                    (3D).
78803.......  TC......  A          Tumor imaging          0.00       13.84          8.37           NA            NA        0.35       14.19          8.72           NA            NA         XXX
                                    (3D).
78803.......  26......  A          Tumor imaging          1.09        0.31          0.36         0.31          0.36        0.05        1.45          1.50         1.45          1.50         XXX
                                    (3D).
78804.......  ........  A          Tumor imaging,         1.07       14.02         12.08           NA            NA        0.34       15.43         13.49           NA            NA         XXX
                                    whole body.
78804.......  TC......  A          Tumor imaging,         0.00       13.72         11.73           NA            NA        0.30       14.02         12.03           NA            NA         XXX
                                    whole body.
78804.......  26......  A          Tumor imaging,         1.07        0.30          0.35         0.30          0.35        0.04        1.41          1.46         1.41          1.46         XXX
                                    whole body.
78805.......  ........  A          Abscess imaging,       0.73        3.94          3.73           NA            NA        0.21        4.88          4.67           NA            NA         XXX
                                    ltd area.
78805.......  TC......  A          Abscess imaging,       0.00        3.74          3.49           NA            NA        0.18        3.92          3.67           NA            NA         XXX
                                    ltd area.
78805.......  26......  A          Abscess imaging,       0.73        0.20          0.24         0.20          0.24        0.03        0.96          1.00         0.96          1.00         XXX
                                    ltd area.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69966]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
78806.......  ........  A          Abscess imaging,       0.86        7.85          7.01           NA            NA        0.39        9.10          8.26           NA            NA         XXX
                                    whole body.
78806.......  TC......  A          Abscess imaging,       0.00        7.61          6.73           NA            NA        0.35        7.96          7.08           NA            NA         XXX
                                    whole body.
78806.......  26......  A          Abscess imaging,       0.86        0.24          0.28         0.24          0.28        0.04        1.14          1.18         1.14          1.18         XXX
                                    whole body.
78807.......  ........  A          Nuclear                1.09       13.41          8.56           NA            NA        0.39       14.89         10.04           NA            NA         XXX
                                    localization/
                                    abscess.
78807.......  TC......  A          Nuclear                0.00       13.11          8.19           NA            NA        0.35       13.46          8.54           NA            NA         XXX
                                    localization/
                                    abscess.
78807.......  26......  A          Nuclear                1.09        0.30          0.37         0.30          0.37        0.04        1.43          1.50         1.43          1.50         XXX
                                    localization/
                                    abscess.
78811.......  ........  C          Tumor imaging          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (pet), limited.
78811.......  TC......  C          Tumor imaging          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (pet), limited.
78811.......  26......  A          Tumor imaging          1.54        0.44          0.51         0.44          0.51        0.11        2.09          2.16         2.09          2.16         XXX
                                    (pet), limited.
78812.......  ........  C          Tumor image            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (pet)/skul-
                                    thigh.
78812.......  TC......  C          Tumor image            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (pet)/skul-
                                    thigh.
78812.......  26......  A          Tumor image            1.93        0.56          0.64         0.56          0.64        0.11        2.60          2.68         2.60          2.68         XXX
                                    (pet)/skul-
                                    thigh.
78813.......  ........  C          Tumor image            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (pet) full body.
78813.......  TC......  C          Tumor image            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    (pet) full body.
78813.......  26......  A          Tumor image            2.00        0.58          0.66         0.58          0.66        0.11        2.69          2.77         2.69          2.77         XXX
                                    (pet) full body.
78814.......  ........  C          Tumor image pet/       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ct, limited.
78814.......  TC......  C          Tumor image pet/       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ct, limited.
78814.......  26......  A          Tumor image pet/       2.20        0.62          0.73         0.62          0.73        0.11        2.93          3.04         2.93          3.04         XXX
                                    ct, limited.
78815.......  ........  C          Tumorimage pet/        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ct skul-thigh.
78815.......  TC......  C          Tumorimage pet/        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ct skul-thigh.
78815.......  26......  A          Tumorimage pet/        2.44        0.70          0.81         0.70          0.81        0.11        3.25          3.36         3.25          3.36         XXX
                                    ct skul-thigh.
78816.......  ........  C          Tumor image pet/       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ct full body.
78816.......  TC......  C          Tumor image pet/       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ct full body.
78816.......  26......  A          Tumor image pet/       2.50        0.72          0.83         0.72          0.83        0.11        3.33          3.44         3.33          3.44         XXX
                                    ct full body.
78890.......  ........  B          Nuclear medicine       0.05        0.38          1.10           NA            NA        0.07        0.50          1.22           NA            NA         XXX
                                    data proc.
78890.......  TC......  B          Nuclear medicine       0.00        0.37          1.08           NA            NA        0.06        0.43          1.14           NA            NA         XXX
                                    data proc.
78890.......  26......  B          Nuclear medicine       0.05        0.01          0.02         0.01          0.02        0.01        0.07          0.08         0.07          0.08         XXX
                                    data proc.
78891.......  ........  B          Nuclear med data       0.10        0.86          2.22           NA            NA        0.14        1.10          2.46           NA            NA         XXX
                                    proc.
78891.......  TC......  B          Nuclear med data       0.00        0.84          2.18           NA            NA        0.13        0.97          2.31           NA            NA         XXX
                                    proc.
78891.......  26......  B          Nuclear med data       0.10        0.02          0.04         0.02          0.04        0.01        0.13          0.15         0.13          0.15         XXX
                                    proc.
78999.......  ........  C          Nuclear                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    diagnostic exam.
78999.......  TC......  C          Nuclear                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    diagnostic exam.
78999.......  26......  C          Nuclear                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    diagnostic exam.
79005.......  ........  A          Nuclear rx, oral       1.80        1.70          2.85           NA            NA        0.22        3.72          4.87           NA            NA         XXX
                                    admin.
79005.......  TC......  A          Nuclear rx, oral       0.00        1.20          2.27           NA            NA        0.14        1.34          2.41           NA            NA         XXX
                                    admin.
79005.......  26......  A          Nuclear rx, oral       1.80        0.50          0.58         0.50          0.58        0.08        2.38          2.46         2.38          2.46         XXX
                                    admin.
79101.......  ........  A          Nuclear rx, iv         1.96        2.04          2.98           NA            NA        0.22        4.22          5.16           NA            NA         XXX
                                    admin.
79101.......  TC......  A          Nuclear rx, iv         0.00        1.37          2.31           NA            NA        0.14        1.51          2.45           NA            NA         XXX
                                    admin.
79101.......  26......  A          Nuclear rx, iv         1.96        0.67          0.67         0.67          0.67        0.08        2.71          2.71         2.71          2.71         XXX
                                    admin.
79200.......  ........  A          Nuclear rx,            1.99        2.13          3.01           NA            NA        0.23        4.35          5.23           NA            NA         XXX
                                    intracav admin.
79200.......  TC......  A          Nuclear rx,            0.00        1.55          2.35           NA            NA        0.14        1.69          2.49           NA            NA         XXX
                                    intracav admin.
79200.......  26......  A          Nuclear rx,            1.99        0.58          0.66         0.58          0.66        0.09        2.66          2.74         2.66          2.74         XXX
                                    intracav admin.
79300.......  ........  C          Nuclr rx,              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    interstit
                                    colloid.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69967]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
79300.......  TC......  C          Nuclr rx,              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    interstit
                                    colloid.
79300.......  26......  A          Nuclr rx,              1.60        0.55          0.56         0.55          0.56        0.13        2.28          2.29         2.28          2.29         XXX
                                    interstit
                                    colloid.
79403.......  ........  A          Hematopoietic          2.25        2.77          4.57           NA            NA        0.24        5.26          7.06           NA            NA         XXX
                                    nuclear tx.
79403.......  TC......  A          Hematopoietic          0.00        2.09          3.73           NA            NA        0.14        2.23          3.87           NA            NA         XXX
                                    nuclear tx.
79403.......  26......  A          Hematopoietic          2.25        0.68          0.84         0.68          0.84        0.10        3.03          3.19         3.03          3.19         XXX
                                    nuclear tx.
79440.......  ........  A          Nuclear rx,            1.99        1.65          2.92           NA            NA        0.22        3.86          5.13           NA            NA         XXX
                                    intra-articular.
79440.......  TC......  A          Nuclear rx,            0.00        1.09          2.24           NA            NA        0.14        1.23          2.38           NA            NA         XXX
                                    intra-articular.
79440.......  26......  A          Nuclear rx,            1.99        0.56          0.68         0.56          0.68        0.08        2.63          2.75         2.63          2.75         XXX
                                    intra-articular.
79445.......  ........  C          Nuclear rx,            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    intra-arterial.
79445.......  TC......  C          Nuclear rx,            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    intra-arterial.
79445.......  26......  A          Nuclear rx,            2.40        0.70          0.79         0.70          0.79        0.12        3.22          3.31         3.22          3.31         XXX
                                    intra-arterial.
79999.......  ........  C          Nuclear medicine       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    therapy.
79999.......  TC......  C          Nuclear medicine       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    therapy.
79999.......  26......  C          Nuclear medicine       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    therapy.
80500.......  ........  A          Lab pathology          0.37        0.19          0.21         0.11          0.15        0.01        0.57          0.59         0.49          0.53         XXX
                                    consultation.
80502.......  ........  A          Lab pathology          1.33        0.30          0.48         0.24          0.47        0.04        1.67          1.85         1.61          1.84         XXX
                                    consultation.
83020.......  26......  A          Hemoglobin             0.37        0.12          0.14         0.12          0.14        0.01        0.50          0.52         0.50          0.52         XXX
                                    electrophoresis.
83912.......  26......  A          Genetic                0.37        0.11          0.12         0.11          0.12        0.01        0.49          0.50         0.49          0.50         XXX
                                    examination.
84165.......  26......  A          Protein e-             0.37        0.11          0.13         0.11          0.13        0.01        0.49          0.51         0.49          0.51         XXX
                                    phoresis, serum.
84166.......  26......  A          Protein e-             0.37        0.11          0.13         0.11          0.13        0.01        0.49          0.51         0.49          0.51         XXX
                                    phoresis/urine/
                                    csf.
84181.......  26......  A          Western blot           0.37        0.12          0.14         0.12          0.14        0.01        0.50          0.52         0.50          0.52         XXX
                                    test.
84182.......  26......  A          Protein, western       0.37        0.12          0.15         0.12          0.15        0.02        0.51          0.54         0.51          0.54         XXX
                                    blot test.
85060.......  ........  A          Blood smear            0.45        0.14          0.17         0.14          0.17        0.02        0.61          0.64         0.61          0.64         XXX
                                    interpretation.
85097.......  ........  A          Bone marrow            0.94        1.29          1.76         0.28          0.38        0.04        2.27          2.74         1.26          1.36         XXX
                                    interpretation.
85390.......  26......  A          Fibrinolysins          0.37        0.12          0.13         0.12          0.13        0.01        0.50          0.51         0.50          0.51         XXX
                                    screen.
85396.......  ........  A          Clotting assay,        0.37          NA            NA         0.05          0.13        0.04          NA            NA         0.46          0.54         XXX
                                    whole blood.
85576.......  26......  A          Blood platelet         0.37        0.12          0.15         0.12          0.15        0.01        0.50          0.53         0.50          0.53         XXX
                                    aggregation.
86077.......  ........  A          Physician blood        0.94        0.38          0.39         0.30          0.37        0.03        1.35          1.36         1.27          1.34         XXX
                                    bank service.
86078.......  ........  A          Physician blood        0.94        0.38          0.44         0.30          0.38        0.03        1.35          1.41         1.27          1.35         XXX
                                    bank service.
86079.......  ........  A          Physician blood        0.94        0.38          0.43         0.30          0.38        0.03        1.35          1.40         1.27          1.35         XXX
                                    bank service.
86255.......  26......  A          Fluorescent            0.37        0.12          0.14         0.12          0.14        0.01        0.50          0.52         0.50          0.52         XXX
                                    antibody,
                                    screen.
86256.......  26......  A          Fluorescent            0.37        0.12          0.14         0.12          0.14        0.01        0.50          0.52         0.50          0.52         XXX
                                    antibody, titer.
86320.......  26......  A          Serum                  0.37        0.12          0.14         0.12          0.14        0.01        0.50          0.52         0.50          0.52         XXX
                                    immunoelectroph
                                    oresis.
86325.......  26......  A          Other                  0.37        0.11          0.13         0.11          0.13        0.01        0.49          0.51         0.49          0.51         XXX
                                    immunoelectroph
                                    oresis.
86327.......  26......  A          Immunoelectropho       0.42        0.13          0.17         0.13          0.17        0.02        0.57          0.61         0.57          0.61         XXX
                                    resis assay.
86334.......  26......  A          Immunofix e-           0.37        0.12          0.14         0.12          0.14        0.01        0.50          0.52         0.50          0.52         XXX
                                    phoresis, serum.
86335.......  26......  A          Immunfix e-            0.37        0.12          0.14         0.12          0.14        0.01        0.50          0.52         0.50          0.52         XXX
                                    phorsis/urine/
                                    csf.
86485.......  ........  C          Skin test,             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    candida.
86490.......  ........  A          Coccidioidomycos       0.00        0.12          0.25           NA            NA        0.02        0.14          0.27           NA            NA         XXX
                                    is skin test.
86510.......  ........  A          Histoplasmosis         0.00        0.14          0.28           NA            NA        0.02        0.16          0.30           NA            NA         XXX
                                    skin test.
86580.......  ........  A          TB intradermal         0.00        0.16          0.23           NA            NA        0.02        0.18          0.25           NA            NA         XXX
                                    test.
87164.......  26......  A          Dark field             0.37        0.12          0.12         0.12          0.12        0.01        0.50          0.50         0.50          0.50         XXX
                                    examination.
87207.......  26......  A          Smear, special         0.37        0.11          0.15         0.11          0.15        0.01        0.49          0.53         0.49          0.53         XXX
                                    stain.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69968]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
88104.......  ........  A          Cytopath fl            0.56        1.14          0.93           NA            NA        0.04        1.74          1.53           NA            NA         XXX
                                    nongyn, smears.
88104.......  TC......  A          Cytopath fl            0.00        0.99          0.71           NA            NA        0.02        1.01          0.73           NA            NA         XXX
                                    nongyn, smears.
88104.......  26......  A          Cytopath fl            0.56        0.15          0.22         0.15          0.22        0.02        0.73          0.80         0.73          0.80         XXX
                                    nongyn, smears.
88106.......  ........  A          Cytopath fl            0.56        1.48          1.39           NA            NA        0.04        2.08          1.99           NA            NA         XXX
                                    nongyn, filter.
88106.......  TC......  A          Cytopath fl            0.00        1.33          1.17           NA            NA        0.02        1.35          1.19           NA            NA         XXX
                                    nongyn, filter.
88106.......  26......  A          Cytopath fl            0.56        0.15          0.22         0.15          0.22        0.02        0.73          0.80         0.73          0.80         XXX
                                    nongyn, filter.
88107.......  ........  A          Cytopath fl            0.76        1.98          1.66           NA            NA        0.05        2.79          2.47           NA            NA         XXX
                                    nongyn, sm/fltr.
88107.......  TC......  A          Cytopath fl            0.00        1.75          1.35           NA            NA        0.02        1.77          1.37           NA            NA         XXX
                                    nongyn, sm/fltr.
88107.......  26......  A          Cytopath fl            0.76        0.23          0.31         0.23          0.31        0.03        1.02          1.10         1.02          1.10         XXX
                                    nongyn, sm/fltr.
88108.......  ........  A          Cytopath,              0.56        1.45          1.27           NA            NA        0.04        2.05          1.87           NA            NA         XXX
                                    concentrate
                                    tech.
88108.......  TC......  A          Cytopath,              0.00        1.30          1.05           NA            NA        0.02        1.32          1.07           NA            NA         XXX
                                    concentrate
                                    tech.
88108.......  26......  A          Cytopath,              0.56        0.15          0.22         0.15          0.22        0.02        0.73          0.80         0.73          0.80         XXX
                                    concentrate
                                    tech.
88112.......  ........  A          Cytopath, cell         1.18        1.49          1.85           NA            NA        0.04        2.71          3.07           NA            NA         XXX
                                    enhance tech.
88112.......  TC......  A          Cytopath, cell         0.00        1.19          1.39           NA            NA        0.02        1.21          1.41           NA            NA         XXX
                                    enhance tech.
88112.......  26......  A          Cytopath, cell         1.18        0.30          0.46         0.30          0.46        0.02        1.50          1.66         1.50          1.66         XXX
                                    enhance tech.
88125.......  ........  A          Forensic               0.26        0.25          0.27           NA            NA        0.02        0.53          0.55           NA            NA         XXX
                                    cytopathology.
88125.......  TC......  A          Forensic               0.00        0.19          0.17           NA            NA        0.01        0.20          0.18           NA            NA         XXX
                                    cytopathology.
88125.......  26......  A          Forensic               0.26        0.06          0.10         0.06          0.10        0.01        0.33          0.37         0.33          0.37         XXX
                                    cytopathology.
88141.......  ........  A          Cytopath, c/v,         0.42        0.37          0.21         0.37          0.21        0.02        0.81          0.65         0.81          0.65         XXX
                                    interpret.
88160.......  ........  A          Cytopath smear,        0.50        0.89          0.85           NA            NA        0.04        1.43          1.39           NA            NA         XXX
                                    other source.
88160.......  TC......  A          Cytopath smear,        0.00        0.76          0.66           NA            NA        0.02        0.78          0.68           NA            NA         XXX
                                    other source.
88160.......  26......  A          Cytopath smear,        0.50        0.13          0.19         0.13          0.19        0.02        0.65          0.71         0.65          0.71         XXX
                                    other source.
88161.......  ........  A          Cytopath smear,        0.50        1.11          0.99           NA            NA        0.04        1.65          1.53           NA            NA         XXX
                                    other source.
88161.......  TC......  A          Cytopath smear,        0.00        0.96          0.79           NA            NA        0.02        0.98          0.81           NA            NA         XXX
                                    other source.
88161.......  26......  A          Cytopath smear,        0.50        0.15          0.20         0.15          0.20        0.02        0.67          0.72         0.67          0.72         XXX
                                    other source.
88162.......  ........  A          Cytopath smear,        0.76        1.15          1.05           NA            NA        0.05        1.96          1.86           NA            NA         XXX
                                    other source.
88162.......  TC......  A          Cytopath smear,        0.00        0.98          0.76           NA            NA        0.02        1.00          0.78           NA            NA         XXX
                                    other source.
88162.......  26......  A          Cytopath smear,        0.76        0.17          0.29         0.17          0.29        0.03        0.96          1.08         0.96          1.08         XXX
                                    other source.
88172.......  ........  A          Cytopathology          0.60        0.85          0.76           NA            NA        0.04        1.49          1.40           NA            NA         XXX
                                    eval of fna.
88172.......  TC......  A          Cytopathology          0.00        0.67          0.52           NA            NA        0.02        0.69          0.54           NA            NA         XXX
                                    eval of fna.
88172.......  26......  A          Cytopathology          0.60        0.18          0.24         0.18          0.24        0.02        0.80          0.86         0.80          0.86         XXX
                                    eval of fna.
88173.......  ........  A          Cytopath eval,         1.39        2.29          2.18           NA            NA        0.07        3.75          3.64           NA            NA         XXX
                                    fna, report.
88173.......  TC......  A          Cytopath eval,         0.00        1.89          1.64           NA            NA        0.02        1.91          1.66           NA            NA         XXX
                                    fna, report.
88173.......  26......  A          Cytopath eval,         1.39        0.40          0.54         0.40          0.54        0.05        1.84          1.98         1.84          1.98         XXX
                                    fna, report.
88182.......  ........  A          Cell marker            0.77        1.91          1.97           NA            NA        0.07        2.75          2.81           NA            NA         XXX
                                    study.
88182.......  TC......  A          Cell marker            0.00        1.79          1.69           NA            NA        0.04        1.83          1.73           NA            NA         XXX
                                    study.
88182.......  26......  A          Cell marker            0.77        0.12          0.28         0.12          0.28        0.03        0.92          1.08         0.92          1.08         XXX
                                    study.
88184.......  ........  A          Flowcytometry/         0.00        2.44          1.60           NA            NA        0.02        2.46          1.62           NA            NA         XXX
                                    tc, 1 marker.
88185.......  ........  A          Flowcytometry/         0.00        1.48          0.85           NA            NA        0.02        1.50          0.87           NA            NA         ZZZ
                                    tc, add-on.
88187.......  ........  A          Flowcytometry/         1.36        0.39          0.44         0.39          0.44        0.01        1.76          1.81         1.76          1.81         XXX
                                    read, 2-8.
88188.......  ........  A          Flowcytometry/         1.69        0.44          0.54         0.44          0.54        0.01        2.14          2.24         2.14          2.24         XXX
                                    read, 9-15.
88189.......  ........  A          Flowcytometry/         2.23        0.48          0.68         0.48          0.68        0.01        2.72          2.92         2.72          2.92         XXX
                                    read, 16 & >.
88199.......  ........  C          Cytopathology          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69969]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
88199.......  TC......  C          Cytopathology          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
88199.......  26......  C          Cytopathology          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
88291.......  ........  A          Cyto/molecular         0.52        0.27          0.20         0.27          0.20        0.02        0.81          0.74         0.81          0.74         XXX
                                    report.
88299.......  ........  C          Cytogenetic            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    study.
88300.......  ........  A          Surgical path,         0.08        0.58          0.49           NA            NA        0.02        0.68          0.59           NA            NA         XXX
                                    gross.
88300.......  TC......  A          Surgical path,         0.00        0.56          0.46           NA            NA        0.01        0.57          0.47           NA            NA         XXX
                                    gross.
88300.......  26......  A          Surgical path,         0.08        0.02          0.03         0.02          0.03        0.01        0.11          0.12         0.11          0.12         XXX
                                    gross.
88302.......  ........  A          Tissue exam by         0.13        1.28          1.10           NA            NA        0.03        1.44          1.26           NA            NA         XXX
                                    pathologist.
88302.......  TC......  A          Tissue exam by         0.00        1.24          1.04           NA            NA        0.02        1.26          1.06           NA            NA         XXX
                                    pathologist.
88302.......  26......  A          Tissue exam by         0.13        0.04          0.06         0.04          0.06        0.01        0.18          0.20         0.18          0.20         XXX
                                    pathologist.
88304.......  ........  A          Tissue exam by         0.22        1.53          1.37           NA            NA        0.03        1.78          1.62           NA            NA         XXX
                                    pathologist.
88304.......  TC......  A          Tissue exam by         0.00        1.47          1.29           NA            NA        0.02        1.49          1.31           NA            NA         XXX
                                    pathologist.
88304.......  26......  A          Tissue exam by         0.22        0.06          0.08         0.06          0.08        0.01        0.29          0.31         0.29          0.31         XXX
                                    pathologist.
88305.......  ........  A          Tissue exam by         0.75        2.16          1.97           NA            NA        0.07        2.98          2.79           NA            NA         XXX
                                    pathologist.
88305.......  TC......  A          Tissue exam by         0.00        1.95          1.67           NA            NA        0.04        1.99          1.71           NA            NA         XXX
                                    pathologist.
88305.......  26......  A          Tissue exam by         0.75        0.21          0.30         0.21          0.30        0.03        0.99          1.08         0.99          1.08         XXX
                                    pathologist.
88307.......  ........  A          Tissue exam by         1.59        4.46          3.48           NA            NA        0.12        6.17          5.19           NA            NA         XXX
                                    pathologist.
88307.......  TC......  A          Tissue exam by         0.00        3.98          2.85           NA            NA        0.06        4.04          2.91           NA            NA         XXX
                                    pathologist.
88307.......  26......  A          Tissue exam by         1.59        0.48          0.63         0.48          0.63        0.06        2.13          2.28         2.13          2.28         XXX
                                    pathologist.
88309.......  ........  A          Tissue exam by         2.80        6.25          4.86           NA            NA        0.14        9.19          7.80           NA            NA         XXX
                                    pathologist.
88309.......  TC......  A          Tissue exam by         0.00        5.41          3.92           NA            NA        0.06        5.47          3.98           NA            NA         XXX
                                    pathologist.
88309.......  26......  A          Tissue exam by         2.80        0.84          0.94         0.84          0.94        0.08        3.72          3.82         3.72          3.82         XXX
                                    pathologist.
88311.......  ........  A          Decalcify tissue       0.24        0.25          0.23           NA            NA        0.02        0.51          0.49           NA            NA         XXX
88311.......  TC......  A          Decalcify tissue       0.00        0.18          0.14           NA            NA        0.01        0.19          0.15           NA            NA         XXX
88311.......  26......  A          Decalcify tissue       0.24        0.07          0.09         0.07          0.09        0.01        0.32          0.34         0.32          0.34         XXX
88312.......  ........  A          Special stains..       0.54        2.46          1.76           NA            NA        0.03        3.03          2.33           NA            NA         XXX
88312.......  TC......  A          Special stains..       0.00        2.31          1.55           NA            NA        0.01        2.32          1.56           NA            NA         XXX
88312.......  26......  A          Special stains..       0.54        0.15          0.21         0.15          0.21        0.02        0.71          0.77         0.71          0.77         XXX
88313.......  ........  A          Special stains..       0.24        1.91          1.42           NA            NA        0.02        2.17          1.68           NA            NA         XXX
88313.......  TC......  A          Special stains..       0.00        1.85          1.33           NA            NA        0.01        1.86          1.34           NA            NA         XXX
88313.......  26......  A          Special stains..       0.24        0.06          0.09         0.06          0.09        0.01        0.31          0.34         0.31          0.34         XXX
88314.......  ........  A          Histochemical          0.45        1.97          2.04           NA            NA        0.04        2.46          2.53           NA            NA         XXX
                                    stain.
88314.......  TC......  A          Histochemical          0.00        1.83          1.86           NA            NA        0.02        1.85          1.88           NA            NA         XXX
                                    stain.
88314.......  26......  A          Histochemical          0.45        0.14          0.18         0.14          0.18        0.02        0.61          0.65         0.61          0.65         XXX
                                    stain.
88318.......  ........  A          Chemical               0.42        2.96          1.98           NA            NA        0.03        3.41          2.43           NA            NA         XXX
                                    histochemistry.
88318.......  TC......  A          Chemical               0.00        2.83          1.81           NA            NA        0.01        2.84          1.82           NA            NA         XXX
                                    histochemistry.
88318.......  26......  A          Chemical               0.42        0.13          0.17         0.13          0.17        0.02        0.57          0.61         0.57          0.61         XXX
                                    histochemistry.
88319.......  ........  A          Enzyme                 0.53        3.22          3.36           NA            NA        0.04        3.79          3.93           NA            NA         XXX
                                    histochemistry.
88319.......  TC......  A          Enzyme                 0.00        3.07          3.16           NA            NA        0.02        3.09          3.18           NA            NA         XXX
                                    histochemistry.
88319.......  26......  A          Enzyme                 0.53        0.15          0.20         0.15          0.20        0.02        0.70          0.75         0.70          0.75         XXX
                                    histochemistry.
88321.......  ........  A          Microslide             1.63        0.74          0.78         0.49          0.54        0.05        2.42          2.46         2.17          2.22         XXX
                                    consultation.
88323.......  ........  A          Microslide             1.83        2.19          1.88           NA            NA        0.07        4.09          3.78           NA            NA         XXX
                                    consultation.
88323.......  TC......  A          Microslide             0.00        1.73          1.34           NA            NA        0.02        1.75          1.36           NA            NA         XXX
                                    consultation.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69970]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
88323.......  26......  A          Microslide             1.83        0.46          0.54         0.46          0.54        0.05        2.34          2.42         2.34          2.42         XXX
                                    consultation.
88325.......  ........  A          Comprehensive          2.50        2.24          2.76         0.63          0.87        0.07        4.81          5.33         3.20          3.44         XXX
                                    review of data.
88329.......  ........  A          Path consult           0.67        0.68          0.66         0.20          0.27        0.02        1.37          1.35         0.89          0.96         XXX
                                    introp.
88331.......  ........  A          Path consult           1.19        1.24          1.14           NA            NA        0.08        2.51          2.41           NA            NA         XXX
                                    intraop, 1 bloc.
88331.......  TC......  A          Path consult           0.00        0.86          0.66           NA            NA        0.04        0.90          0.70           NA            NA         XXX
                                    intraop, 1 bloc.
88331.......  26......  A          Path consult           1.19        0.38          0.48         0.38          0.48        0.04        1.61          1.71         1.61          1.71         XXX
                                    intraop, 1 bloc.
88332.......  ........  A          Path consult           0.59        0.47          0.46           NA            NA        0.04        1.10          1.09           NA            NA         XXX
                                    intraop,
                                    add[AElig]l.
88332.......  TC......  A          Path consult           0.00        0.29          0.23           NA            NA        0.02        0.31          0.25           NA            NA         XXX
                                    intraop,
                                    add[AElig]l.
88332.......  26......  A          Path consult           0.59        0.18          0.23         0.18          0.23        0.02        0.79          0.84         0.79          0.84         XXX
                                    intraop,
                                    add[AElig]l.
88333.......  ........  A          Intraop cyto           1.20        1.35          1.15           NA            NA        0.08        2.63          2.43           NA            NA         XXX
                                    path consult, 1.
88333.......  TC......  A          Intraop cyto           0.00        0.97          0.66           NA            NA        0.04        1.01          0.70           NA            NA         XXX
                                    path consult, 1.
88333.......  26......  A          Intraop cyto           1.20        0.38          0.49         0.38          0.49        0.04        1.62          1.73         1.62          1.73         XXX
                                    path consult, 1.
88334.......  ........  A          Intraop cyto           0.73        0.78          0.65           NA            NA        0.04        1.55          1.42           NA            NA         XXX
                                    path consult, 2.
88334.......  TC......  A          Intraop cyto           0.00        0.56          0.40           NA            NA        0.02        0.58          0.42           NA            NA         XXX
                                    path consult, 2.
88334.......  26......  A          Intraop cyto           0.73        0.22          0.25         0.22          0.25        0.02        0.97          1.00         0.97          1.00         XXX
                                    path consult, 2.
88342.......  ........  A          Immunohistochemi       0.85        2.01          1.60           NA            NA        0.05        2.91          2.50           NA            NA         XXX
                                    stry.
88342.......  TC......  A          Immunohistochemi       0.00        1.78          1.27           NA            NA        0.02        1.80          1.29           NA            NA         XXX
                                    stry.
88342.......  26......  A          Immunohistochemi       0.85        0.23          0.33         0.23          0.33        0.03        1.11          1.21         1.11          1.21         XXX
                                    stry.
88346.......  ........  A          Immunofluorescen       0.86        1.94          1.67           NA            NA        0.05        2.85          2.58           NA            NA         XXX
                                    t study.
88346.......  TC......  A          Immunofluorescen       0.00        1.71          1.34           NA            NA        0.02        1.73          1.36           NA            NA         XXX
                                    t study.
88346.......  26......  A          Immunofluorescen       0.86        0.23          0.33         0.23          0.33        0.03        1.12          1.22         1.12          1.22         XXX
                                    t study.
88347.......  ........  A          Immunofluorescen       0.86        1.33          1.28           NA            NA        0.05        2.24          2.19           NA            NA         XXX
                                    t study.
88347.......  TC......  A          Immunofluorescen       0.00        1.14          0.97           NA            NA        0.02        1.16          0.99           NA            NA         XXX
                                    t study.
88347.......  26......  A          Immunofluorescen       0.86        0.19          0.31         0.19          0.31        0.03        1.08          1.20         1.08          1.20         XXX
                                    t study.
88348.......  ........  A          Electron               1.51       17.88         11.48           NA            NA        0.13       19.52         13.12           NA            NA         XXX
                                    microscopy.
88348.......  TC......  A          Electron               0.00       17.47         10.90           NA            NA        0.07       17.54         10.97           NA            NA         XXX
                                    microscopy.
88348.......  26......  A          Electron               1.51        0.41          0.58         0.41          0.58        0.06        1.98          2.15         1.98          2.15         XXX
                                    microscopy.
88349.......  ........  A          Scanning               0.76        8.84          4.88           NA            NA        0.09        9.69          5.73           NA            NA         XXX
                                    electron
                                    microscopy.
88349.......  TC......  A          Scanning               0.00        8.62          4.58           NA            NA        0.06        8.68          4.64           NA            NA         XXX
                                    electron
                                    microscopy.
88349.......  26......  A          Scanning               0.76        0.22          0.30         0.22          0.30        0.03        1.01          1.09         1.01          1.09         XXX
                                    electron
                                    microscopy.
88355.......  ........  A          Analysis,              1.85        3.31          7.41           NA            NA        0.13        5.29          9.39           NA            NA         XXX
                                    skeletal muscle.
88355.......  TC......  A          Analysis,              0.00        2.92          6.72           NA            NA        0.06        2.98          6.78           NA            NA         XXX
                                    skeletal muscle.
88355.......  26......  A          Analysis,              1.85        0.39          0.69         0.39          0.69        0.07        2.31          2.61         2.31          2.61         XXX
                                    skeletal muscle.
88356.......  ........  A          Analysis, nerve.       3.02        6.63          4.79           NA            NA        0.19        9.84          8.00           NA            NA         XXX
88356.......  TC......  A          Analysis, nerve.       0.00        5.84          3.65           NA            NA        0.07        5.91          3.72           NA            NA         XXX
88356.......  26......  A          Analysis, nerve.       3.02        0.79          1.14         0.79          1.14        0.12        3.93          4.28         3.93          4.28         XXX
88358.......  ........  A          Analysis, tumor.       0.95        1.10          0.91           NA            NA        0.17        2.22          2.03           NA            NA         XXX
88358.......  TC......  A          Analysis, tumor.       0.00        0.94          0.57           NA            NA        0.07        1.01          0.64           NA            NA         XXX
88358.......  26......  A          Analysis, tumor.       0.95        0.16          0.34         0.16          0.34        0.10        1.21          1.39         1.21          1.39         XXX
88360.......  ........  A          Tumor                  1.10        2.28          1.87           NA            NA        0.08        3.46          3.05           NA            NA         XXX
                                    immunohistochem/
                                    manual.
88360.......  TC......  A          Tumor                  0.00        2.00          1.45           NA            NA        0.02        2.02          1.47           NA            NA         XXX
                                    immunohistochem/
                                    manual.
88360.......  26......  A          Tumor                  1.10        0.28          0.42         0.28          0.42        0.06        1.44          1.58         1.44          1.58         XXX
                                    immunohistochem/
                                    manual.
88361.......  ........  A          Tumor                  1.18        2.72          2.94           NA            NA        0.17        4.07          4.29           NA            NA         XXX
                                    immunohistochem/
                                    comput.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69971]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
88361.......  TC......  A          Tumor                  0.00        2.46          2.51           NA            NA        0.07        2.53          2.58           NA            NA         XXX
                                    immunohistochem/
                                    comput.
88361.......  26......  A          Tumor                  1.18        0.26          0.43         0.26          0.43        0.10        1.54          1.71         1.54          1.71         XXX
                                    immunohistochem/
                                    comput.
88362.......  ........  A          Nerve teasing          2.17        5.24          4.83           NA            NA        0.15        7.56          7.15           NA            NA         XXX
                                    preparations.
88362.......  TC......  A          Nerve teasing          0.00        4.63          3.99           NA            NA        0.06        4.69          4.05           NA            NA         XXX
                                    preparations.
88362.......  26......  A          Nerve teasing          2.17        0.61          0.84         0.61          0.84        0.09        2.87          3.10         2.87          3.10         XXX
                                    preparations.
88365.......  ........  A          Insitu                 1.20        2.90          2.32           NA            NA        0.05        4.15          3.57           NA            NA         XXX
                                    hybridization
                                    (fish).
88365.......  TC......  A          Insitu                 0.00        2.66          1.88           NA            NA        0.02        2.68          1.90           NA            NA         XXX
                                    hybridization
                                    (fish).
88365.......  26......  A          Insitu                 1.20        0.24          0.44         0.24          0.44        0.03        1.47          1.67         1.47          1.67         XXX
                                    hybridization
                                    (fish).
88367.......  ........  A          Insitu                 1.30        5.16          4.31           NA            NA        0.12        6.58          5.73           NA            NA         XXX
                                    hybridization,
                                    auto.
88367.......  TC......  A          Insitu                 0.00        4.94          3.85           NA            NA        0.06        5.00          3.91           NA            NA         XXX
                                    hybridization,
                                    auto.
88367.......  26......  A          Insitu                 1.30        0.22          0.46         0.22          0.46        0.06        1.58          1.82         1.58          1.82         XXX
                                    hybridization,
                                    auto.
88368.......  ........  A          Insitu                 1.40        4.69          2.96           NA            NA        0.12        6.21          4.48           NA            NA         XXX
                                    hybridization,
                                    manual.
88368.......  TC......  A          Insitu                 0.00        4.48          2.46           NA            NA        0.06        4.54          2.52           NA            NA         XXX
                                    hybridization,
                                    manual.
88368.......  26......  A          Insitu                 1.40        0.21          0.50         0.21          0.50        0.06        1.67          1.96         1.67          1.96         XXX
                                    hybridization,
                                    manual.
88371.......  26......  A          Protein, western       0.37        0.10          0.12         0.10          0.12        0.01        0.48          0.50         0.48          0.50         XXX
                                    blot tissue.
88372.......  26......  A          Protein analysis       0.37        0.11          0.15         0.11          0.15        0.01        0.49          0.53         0.49          0.53         XXX
                                    w/probe.
88380.......  ........  C          Microdissection.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
88380.......  TC......  C          Microdissection.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
88380.......  26......  C          Microdissection.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
88384.......  ........  C          Eval molecular         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    probes, 11-50.
88384.......  TC......  C          Eval molecular         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    probes, 11-50.
88384.......  26......  C          Eval molecular         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    probes, 11-50.
88385.......  ........  A          Eval molecul           1.50       14.35          8.90           NA            NA        0.12       15.97         10.52           NA            NA         XXX
                                    probes, 51-250.
88385.......  TC......  A          Eval molecul           0.00       14.13          8.36           NA            NA        0.06       14.19          8.42           NA            NA         XXX
                                    probes, 51-250.
88385.......  26......  A          Eval molecul           1.50        0.22          0.54         0.22          0.54        0.06        1.78          2.10         1.78          2.10         XXX
                                    probes, 51-250.
88386.......  ........  A          Eval molecul           1.88       14.25          8.84           NA            NA        0.16       16.29         10.88           NA            NA         XXX
                                    probes, 251-500.
88386.......  TC......  A          Eval molecul           0.00       13.97          8.15           NA            NA        0.08       14.05          8.23           NA            NA         XXX
                                    probes, 251-500.
88386.......  26......  A          Eval molecul           1.88        0.28          0.69         0.28          0.69        0.08        2.24          2.65         2.24          2.65         XXX
                                    probes, 251-500.
88399.......  ........  C          Surgical               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pathology
                                    procedure.
88399.......  TC......  C          Surgical               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pathology
                                    procedure.
88399.......  26......  C          Surgical               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pathology
                                    procedure.
89049.......  ........  A          Chct for mal           1.40        3.69          3.59         0.22          0.26        0.06        5.15          5.05         1.68          1.72         XXX
                                    hyperthermia.
89060.......  26......  A          Exam,synovial          0.37        0.12          0.15         0.12          0.15        0.01        0.50          0.53         0.50          0.53         XXX
                                    fluid crystals.
89100.......  ........  A          Sample                 0.60        8.84          3.58         0.60          0.31        0.03        9.47          4.21         1.23          0.94         XXX
                                    intestinal
                                    contents.
89105.......  ........  A          Sample                 0.50        7.57          3.56         0.45          0.24        0.02        8.09          4.08         0.97          0.76         XXX
                                    intestinal
                                    contents.
89130.......  ........  A          Sample stomach         0.45        6.86          3.02         0.39          0.20        0.02        7.33          3.49         0.86          0.67         XXX
                                    contents.
89132.......  ........  A          Sample stomach         0.19        6.46          2.78         0.29          0.12        0.01        6.66          2.98         0.49          0.32         XXX
                                    contents.
89135.......  ........  A          Sample stomach         0.79        8.84          3.63         0.68          0.36        0.04        9.67          4.46         1.51          1.19         XXX
                                    contents.
89136.......  ........  A          Sample stomach         0.21        6.99          3.05         0.32          0.15        0.01        7.21          3.27         0.54          0.37         XXX
                                    contents.
89140.......  ........  A          Sample stomach         0.94        6.75          3.25         0.49          0.33        0.04        7.73          4.23         1.47          1.31         XXX
                                    contents.
89141.......  ........  A          Sample stomach         0.85        5.34          3.43         0.38          0.34        0.03        6.22          4.31         1.26          1.22         XXX
                                    contents.
89220.......  ........  A          Sputum specimen        0.00        0.36          0.41           NA            NA        0.02        0.38          0.43           NA            NA         XXX
                                    collection.
89230.......  ........  A          Collect sweat          0.00        0.08          0.10           NA            NA        0.02        0.10          0.12           NA            NA         XXX
                                    for test.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69972]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
89240.......  ........  C          Pathology lab          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
90281.......  ........  I          Human ig, im....       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90283.......  ........  I          Human ig, iv....       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90287.......  ........  I          Botulinum              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    antitoxin.
90288.......  ........  I          Botulism ig, iv.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90291.......  ........  I          Cmv ig, iv......       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90296.......  ........  E          Diphtheria             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    antitoxin.
90371.......  ........  E          Hep b ig, im....       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90375.......  ........  E          Rabies ig, im/sc       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90376.......  ........  E          Rabies ig, heat        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    treated.
90378.......  ........  X          Rsv ig, im, 50mg       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90379.......  ........  I          Rsv ig, iv......       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90384.......  ........  I          Rh ig, full-           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    dose, im.
90385.......  ........  E          Rh ig, minidose,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    im.
90386.......  ........  I          Rh ig, iv.......       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90389.......  ........  I          Tetanus ig, im..       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90393.......  ........  E          Vaccina ig, im..       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90396.......  ........  E          Varicella-zoster       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ig, im.
90399.......  ........  I          Immune globulin.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90465.......  ........  A          Immune admin 1         0.17        0.45          0.35           NA            NA        0.01        0.63          0.53           NA            NA         XXX
                                    inj, < 8 yrs.
90466.......  ........  A          Immune admin           0.15        0.12          0.13         0.04          0.11        0.01        0.28          0.29         0.20          0.27         ZZZ
                                    addl inj, < 8 y.
90467.......  ........  R          Immune admin o         0.17        0.17          0.17         0.07          0.09        0.01        0.35          0.35         0.25          0.27         XXX
                                    or n, < 8 yrs.
90468.......  ........  R          Immune admin o/        0.15        0.10          0.11         0.03          0.05        0.01        0.26          0.27         0.19          0.21         ZZZ
                                    n, addl < 8 y.
90471.......  ........  A          Immunization           0.17        0.45          0.35           NA            NA        0.01        0.63          0.53           NA            NA         XXX
                                    admin.
90472.......  ........  A          Immunization           0.15        0.12          0.13         0.04          0.11        0.01        0.28          0.29         0.20          0.27         ZZZ
                                    admin, each add.
90473.......  ........  R          Immune admin           0.17        0.16          0.18         0.04          0.06        0.01        0.34          0.36         0.22          0.24         XXX
                                    oral/nasal.
90474.......  ........  R          Immune admin           0.15        0.07          0.09         0.03          0.05        0.01        0.23          0.25         0.19          0.21         ZZZ
                                    oral/nasal addl.
90476.......  ........  E          Adenovirus             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, type 4.
90477.......  ........  E          Adenovirus             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, type 7.
90581.......  ........  E          Anthrax vaccine,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sc.
90585.......  ........  E          Bcg vaccine,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    percut.
90586.......  ........  E          Bcg vaccine,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    intravesical.
90632.......  ........  E          Hep a vaccine,         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    adult im.
90633.......  ........  E          Hep a vacc, ped/       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    adol, 2 dose.
90634.......  ........  E          Hep a vacc, ped/       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    adol, 3 dose.
90636.......  ........  E          Hep a/hep b            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vacc, adult im.
90645.......  ........  E          Hib vaccine,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    hboc, im.
90646.......  ........  E          Hib vaccine, prp-      0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    d, im.
90647.......  ........  E          Hib vaccine, prp-      0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    omp, im.
90648.......  ........  E          Hib vaccine, prp-      0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    t, im.
90649.......  ........  E          H papilloma vacc       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    3 dose im.
90655.......  ........  X          Flu vaccine no         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    preserv 6-35m.
90656.......  ........  X          Flu vaccine no         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    preserv 3 & >.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69973]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
90657.......  ........  X          Flu vaccine, 3         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    yrs, im.
90658.......  ........  X          Flu vaccine, 3         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    yrs & >, im.
90660.......  ........  X          Flu vaccine,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nasal.
90665.......  ........  E          Lyme disease           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, im.
90669.......  ........  N          Pneumococcal           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vacc, ped <5.
90675.......  ........  E          Rabies vaccine,        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    im.
90676.......  ........  E          Rabies vaccine,        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    id.
90680.......  ........  E          Rotovirus vacc 3       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    dose, oral.
90690.......  ........  E          Typhoid vaccine,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    oral.
90691.......  ........  E          Typhoid vaccine,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    im.
90692.......  ........  E          Typhoid vaccine,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    h-p, sc/id.
90693.......  ........  E          Typhoid vaccine,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    akd, sc.
90698.......  ........  E          Dtap-hib-ip            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, im.
90700.......  ........  E          Dtap vaccine, <        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    7 yrs, im.
90701.......  ........  E          Dtp vaccine, im.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90702.......  ........  E          Dt vaccine < 7,        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    im.
90703.......  ........  E          Tetanus vaccine,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    im.
90704.......  ........  E          Mumps vaccine,         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sc.
90705.......  ........  E          Measles vaccine,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sc.
90706.......  ........  E          Rubella vaccine,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sc.
90707.......  ........  E          Mmr vaccine, sc.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90708.......  ........  E          Measles-rubella        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, sc.
90710.......  ........  E          Mmrv vaccine, sc       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90712.......  ........  E          Oral poliovirus        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine.
90713.......  ........  E          Poliovirus, ipv,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sc/im.
90714.......  ........  E          Td vaccine no          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    prsrv >/= 7 im.
90715.......  ........  E          Tdap vaccine >7        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    im.
90716.......  ........  E          Chicken pox            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, sc.
90717.......  ........  E          Yellow fever           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, sc.
90718.......  ........  E          Td vaccine > 7,        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    im.
90719.......  ........  E          Diphtheria             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, im.
90720.......  ........  E          Dtp/hib vaccine,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    im.
90721.......  ........  E          Dtap/hib               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, im.
90723.......  ........  I          Dtap-hep b-ipv         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, im.
90725.......  ........  E          Cholera vaccine,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    injectable.
90727.......  ........  E          Plague vaccine,        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    im.
90732.......  ........  X          Pneumococcal           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine.
90733.......  ........  E          Meningococcal          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, sc.
90734.......  ........  E          Meningococcal          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, im.
90735.......  ........  E          Encephalitis           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, sc.
90736.......  ........  E          Zoster vacc, sc.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90740.......  ........  X          Hepb vacc, ill         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pat 3 dose im.
90743.......  ........  X          Hep b vacc,            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    adol, 2 dose,
                                    im.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69974]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
90744.......  ........  X          Hepb vacc ped/         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    adol 3 dose im.
90746.......  ........  X          Hep b vaccine,         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    adult, im.
90747.......  ........  X          Hepb vacc, ill         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pat 4 dose im.
90748.......  ........  I          Hep b/hib              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vaccine, im.
90749.......  ........  E          Vaccine toxoid..       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
90760.......  ........  A          Hydration iv           0.17        1.30          1.40           NA            NA        0.07        1.54          1.64           NA            NA         XXX
                                    infusion, init.
90761.......  ........  A          Hydrate iv             0.09        0.31          0.38           NA            NA        0.04        0.44          0.51           NA            NA         ZZZ
                                    infusion, add-
                                    on.
90765.......  ........  A          Ther/proph/diag        0.21        1.61          1.72           NA            NA        0.07        1.89          2.00           NA            NA         XXX
                                    iv inf, init.
90766.......  ........  A          Ther/proph/dg iv       0.18        0.37          0.44           NA            NA        0.04        0.59          0.66           NA            NA         ZZZ
                                    inf, add-on.
90767.......  ........  A          Tx/proph/dg addl       0.19        0.68          0.84           NA            NA        0.04        0.91          1.07           NA            NA         ZZZ
                                    seq iv inf.
90768.......  ........  A          Ther/diag              0.17        0.33          0.41           NA            NA        0.04        0.54          0.62           NA            NA         ZZZ
                                    concurrent inf.
90772.......  ........  A          Ther/proph/diag        0.17        0.45          0.35           NA            NA        0.01        0.63          0.53           NA            NA         XXX
                                    inj, sc/im.
90773.......  ........  A          Ther/proph/diag        0.17        0.30          0.31           NA            NA        0.02        0.49          0.50           NA            NA         XXX
                                    inj, ia.
90774.......  ........  A          Ther/proph/diag        0.18        1.33          1.31           NA            NA        0.04        1.55          1.53           NA            NA         XXX
                                    inj, iv push.
90775.......  ........  A          Ther/proph/diag        0.10        0.51          0.56           NA            NA        0.04        0.65          0.70           NA            NA         ZZZ
                                    inj add-on.
90779.......  ........  C          Ther/prop/diag         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    inj/inf proc.
90801.......  ........  A          Psy dx interview       2.80        1.49          1.25         0.60          0.85        0.06        4.35          4.11         3.46          3.71         XXX
90802.......  ........  A          Intac psy dx           3.01        1.51          1.28         0.66          0.90        0.07        4.59          4.36         3.74          3.98         XXX
                                    interview.
90804.......  ........  A          Psytx, office,         1.21        0.55          0.51         0.22          0.34        0.03        1.79          1.75         1.46          1.58         XXX
                                    20-30 min.
90805.......  ........  A          Psytx, off, 20-        1.37        0.60          0.53         0.24          0.38        0.03        2.00          1.93         1.64          1.78         XXX
                                    30 min w/e&m.
90806.......  ........  A          Psytx, off, 45-        1.86        0.52          0.66         0.33          0.53        0.04        2.42          2.56         2.23          2.43         XXX
                                    50 min.
90807.......  ........  A          Psytx, off, 45-        2.02        0.71          0.70         0.36          0.56        0.05        2.78          2.77         2.43          2.63         XXX
                                    50 min w/e&m.
90808.......  ........  A          Psytx, office,         2.79        0.68          0.94         0.49          0.80        0.06        3.53          3.79         3.34          3.65         XXX
                                    75-80 min.
90809.......  ........  A          Psytx, off, 75-        2.95        0.87          0.97         0.53          0.82        0.07        3.89          3.99         3.55          3.84         XXX
                                    80, w/e&m.
90810.......  ........  A          Intac psytx,           1.32        0.52          0.51         0.24          0.38        0.04        1.88          1.87         1.60          1.74         XXX
                                    off, 20-30 min.
90811.......  ........  A          Intac psytx, 20-       1.48        0.72          0.61         0.26          0.41        0.04        2.24          2.13         1.78          1.93         XXX
                                    30, w/e&m.
90812.......  ........  A          Intac psytx,           1.97        0.64          0.75         0.35          0.57        0.04        2.65          2.76         2.36          2.58         XXX
                                    off, 45-50 min.
90813.......  ........  A          Intac psytx, 45-       2.13        0.84          0.79         0.38          0.60        0.05        3.02          2.97         2.56          2.78         XXX
                                    50 min w/e&m.
90814.......  ........  A          Intac psytx,           2.90        0.79          1.02         0.52          0.87        0.06        3.75          3.98         3.48          3.83         XXX
                                    off, 75-80 min.
90815.......  ........  A          Intac psytx, 75-       3.06        1.00          1.04         0.54          0.85        0.07        4.13          4.17         3.67          3.98         XXX
                                    80 w/e&m.
90816.......  ........  A          Psytx, hosp, 20-       1.25          NA            NA         0.32          0.43        0.03          NA            NA         1.60          1.71         XXX
                                    30 min.
90817.......  ........  A          Psytx, hosp, 20-       1.41          NA            NA         0.36          0.44        0.03          NA            NA         1.80          1.88         XXX
                                    30 min w/e&m.
90818.......  ........  A          Psytx, hosp, 45-       1.89          NA            NA         0.43          0.63        0.04          NA            NA         2.36          2.56         XXX
                                    50 min.
90819.......  ........  A          Psytx, hosp, 45-       2.05          NA            NA         0.47          0.61        0.05          NA            NA         2.57          2.71         XXX
                                    50 min w/e&m.
90821.......  ........  A          Psytx, hosp, 75-       2.83          NA            NA         0.60          0.91        0.06          NA            NA         3.49          3.80         XXX
                                    80 min.
90822.......  ........  A          Psytx, hosp, 75-       2.99          NA            NA         0.64          0.87        0.08          NA            NA         3.71          3.94         XXX
                                    80 min w/e&m.
90823.......  ........  A          Intac psytx,           1.36          NA            NA         0.34          0.45        0.03          NA            NA         1.73          1.84         XXX
                                    hosp, 20-30 min.
90824.......  ........  A          Intac psytx, hsp       1.52          NA            NA         0.38          0.46        0.04          NA            NA         1.94          2.02         XXX
                                    20-30 w/e&m.
90826.......  ........  A          Intac psytx,           2.01          NA            NA         0.46          0.66        0.05          NA            NA         2.52          2.72         XXX
                                    hosp, 45-50 min.
90827.......  ........  A          Intac psytx, hsp       2.16          NA            NA         0.49          0.63        0.05          NA            NA         2.70          2.84         XXX
                                    45-50 w/e&m.
90828.......  ........  A          Intac psytx,           2.94          NA            NA         0.61          0.95        0.06          NA            NA         3.61          3.95         XXX
                                    hosp, 75-80 min.
90829.......  ........  A          Intac psytx, hsp       3.10          NA            NA         0.66          0.90        0.07          NA            NA         3.83          4.07         XXX
                                    75-80 w/e&m.
90845.......  ........  A          Psychoanalysis..       1.79        0.39          0.53         0.32          0.49        0.04        2.22          2.36         2.15          2.32         XXX
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69975]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
90846.......  ........  R          Family psytx w/o       1.83        0.51          0.62         0.43          0.60        0.04        2.38          2.49         2.30          2.47         XXX
                                    patient.
90847.......  ........  R          Family psytx w/        2.21        0.74          0.80         0.49          0.69        0.05        3.00          3.06         2.75          2.95         XXX
                                    patient.
90849.......  ........  R          Multiple family        0.59        0.30          0.28         0.20          0.23        0.02        0.91          0.89         0.81          0.84         XXX
                                    group psytx.
90853.......  ........  A          Group                  0.59        0.27          0.26         0.20          0.22        0.01        0.87          0.86         0.80          0.82         XXX
                                    psychotherapy.
90857.......  ........  A          Intac group            0.63        0.36          0.31         0.21          0.24        0.01        1.00          0.95         0.85          0.88         XXX
                                    psytx.
90862.......  ........  A          Medication             0.95        0.62          0.46         0.27          0.31        0.02        1.59          1.43         1.24          1.28         XXX
                                    management.
90865.......  ........  A          Narcosynthesis..       2.84        1.19          1.32         0.65          0.85        0.12        4.15          4.28         3.61          3.81         XXX
90870.......  ........  A          Electroconvulsiv       1.88        1.91          1.93         0.39          0.54        0.04        3.83          3.85         2.31          2.46         000
                                    e therapy.
90875.......  ........  N          Psychophysiologi       1.20        0.52          0.81         0.28          0.42        0.04        1.76          2.05         1.52          1.66         XXX
                                    cal therapy.
90876.......  ........  N          Psychophysiologi       1.90        0.67          1.04         0.44          0.66        0.05        2.62          2.99         2.39          2.61         XXX
                                    cal therapy.
90880.......  ........  A          Hypnotherapy....       2.19        0.57          0.92         0.39          0.62        0.05        2.81          3.16         2.63          2.86         XXX
90882.......  ........  N          Environmental          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    manipulation.
90885.......  ........  B          Psy evaluation         0.97        0.22          0.33         0.22          0.33        0.02        1.21          1.32         1.21          1.32         XXX
                                    of records.
90887.......  ........  B          Consultation           1.48        0.61          0.77         0.34          0.51        0.04        2.13          2.29         1.86          2.03         XXX
                                    with family.
90889.......  ........  B          Preparation of         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    report.
90899.......  ........  C          Psychiatric            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    service/therapy.
90901.......  ........  A          Biofeedback            0.41        0.47          0.61         0.11          0.13        0.02        0.90          1.04         0.54          0.56         000
                                    train, any meth.
90911.......  ........  A          Biofeedback peri/      0.89        1.37          1.51         0.30          0.31        0.06        2.32          2.46         1.25          1.26         000
                                    uro/rectal.
90918.......  ........  I          ESRD related          11.16        4.68          5.75         3.74          5.52        0.36       16.20         17.27        15.26         17.04         XXX
                                    services, month.
90919.......  ........  I          ESRD related           8.53        3.02          3.76         2.55          3.64        0.29       11.84         12.58        11.37         12.46         XXX
                                    services, month.
90920.......  ........  I          ESRD related           7.26        2.73          3.50         2.27          3.38        0.23       10.22         10.99         9.76         10.87         XXX
                                    services, month.
90921.......  ........  I          ESRD related           4.46        1.70          2.26         1.61          2.23        0.14        6.30          6.86         6.21          6.83         XXX
                                    services, month.
90922.......  ........  I          ESRD related           0.37        0.16          0.20         0.12          0.19        0.01        0.54          0.58         0.50          0.57         XXX
                                    services, day.
90923.......  ........  I          Esrd related           0.28        0.10          0.12         0.08          0.12        0.01        0.39          0.41         0.37          0.41         XXX
                                    services, day.
90924.......  ........  I          Esrd related           0.24        0.09          0.11         0.08          0.11        0.01        0.34          0.36         0.33          0.36         XXX
                                    services, day.
90925.......  ........  I          Esrd related           0.15        0.05          0.07         0.05          0.07        0.01        0.21          0.23         0.21          0.23         XXX
                                    services, day.
90935.......  ........  A          Hemodialysis,          1.22          NA            NA         0.55          0.64        0.04          NA            NA         1.81          1.90         000
                                    one evaluation.
90937.......  ........  A          Hemodialysis,          2.11          NA            NA         0.79          0.93        0.07          NA            NA         2.97          3.11         000
                                    repeated eval.
90940.......  ........  X          Hemodialysis           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    access study.
90945.......  ........  A          Dialysis, one          1.28          NA            NA         0.56          0.66        0.04          NA            NA         1.88          1.98         000
                                    evaluation.
90947.......  ........  A          Dialysis,              2.16          NA            NA         0.80          0.94        0.07          NA            NA         3.03          3.17         000
                                    repeated eval.
90989.......  ........  X          Dialysis               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    training,
                                    complete.
90993.......  ........  X          Dialysis               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    training,
                                    incompl.
90997.......  ........  A          Hemoperfusion...       1.84          NA            NA         0.51          0.62        0.06          NA            NA         2.41          2.52         000
90999.......  ........  C          Dialysis               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
91000.......  ........  A          Esophageal             0.73        2.19          0.80         2.19          0.80        0.04        2.96          1.57         2.96          1.57         000
                                    intubation.
91000.......  TC......  A          Esophageal             0.00        1.95          0.55         1.95          0.55        0.01        1.96          0.56         1.96          0.56         000
                                    intubation.
91000.......  26......  A          Esophageal             0.73        0.24          0.25         0.24          0.25        0.03        1.00          1.01         1.00          1.01         000
                                    intubation.
91010.......  ........  A          Esophagus              1.25        3.65          4.22         3.65          4.22        0.12        5.02          5.59         5.02          5.59         000
                                    motility study.
91010.......  TC......  A          Esophagus              0.00        3.09          3.75         3.09          3.75        0.06        3.15          3.81         3.15          3.81         000
                                    motility study.
91010.......  26......  A          Esophagus              1.25        0.56          0.47         0.56          0.47        0.06        1.87          1.78         1.87          1.78         000
                                    motility study.
91011.......  ........  A          Esophagus              1.50        5.30          5.25         5.30          5.25        0.13        6.93          6.88         6.93          6.88         000
                                    motility study.
91011.......  TC......  A          Esophagus              0.00        4.58          4.67         4.58          4.67        0.06        4.64          4.73         4.64          4.73         000
                                    motility study.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69976]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
91011.......  26......  A          Esophagus              1.50        0.72          0.58         0.72          0.58        0.07        2.29          2.15         2.29          2.15         000
                                    motility study.
91012.......  ........  A          Esophagus              1.46        5.48          5.69         5.48          5.69        0.13        7.07          7.28         7.07          7.28         000
                                    motility study.
91012.......  TC......  A          Esophagus              0.00        4.78          5.13         4.78          5.13        0.07        4.85          5.20         4.85          5.20         000
                                    motility study.
91012.......  26......  A          Esophagus              1.46        0.70          0.56         0.70          0.56        0.06        2.22          2.08         2.22          2.08         000
                                    motility study.
91020.......  ........  A          Gastric motility       1.44        4.78          4.58         4.78          4.58        0.13        6.35          6.15         6.35          6.15         000
                                    studies.
91020.......  TC......  A          Gastric motility       0.00        4.16          4.06         4.16          4.06        0.06        4.22          4.12         4.22          4.12         000
                                    studies.
91020.......  26......  A          Gastric motility       1.44        0.62          0.52         0.62          0.52        0.07        2.13          2.03         2.13          2.03         000
                                    studies.
91022.......  ........  A          Duodenal               1.44        3.09          4.08         3.09          4.08        0.13        4.66          5.65         4.66          5.65         000
                                    motility study.
91022.......  TC......  A          Duodenal               0.00        2.47          3.54         2.47          3.54        0.06        2.53          3.60         2.53          3.60         000
                                    motility study.
91022.......  26......  A          Duodenal               1.44        0.62          0.54         0.62          0.54        0.07        2.13          2.05         2.13          2.05         000
                                    motility study.
91030.......  ........  A          Acid perfusion         0.91        2.90          2.55         2.90          2.55        0.06        3.87          3.52         3.87          3.52         000
                                    of esophagus.
91030.......  TC......  A          Acid perfusion         0.00        2.47          2.20         2.47          2.20        0.02        2.49          2.22         2.49          2.22         000
                                    of esophagus.
91030.......  26......  A          Acid perfusion         0.91        0.43          0.35         0.43          0.35        0.04        1.38          1.30         1.38          1.30         000
                                    of esophagus.
91034.......  ........  A          Gastroesophageal       0.97        4.10          4.96         4.10          4.96        0.12        5.19          6.05         5.19          6.05         000
                                    reflux test.
91034.......  TC......  A          Gastroesophageal       0.00        3.68          4.60         3.68          4.60        0.06        3.74          4.66         3.74          4.66         000
                                    reflux test.
91034.......  26......  A          Gastroesophageal       0.97        0.42          0.36         0.42          0.36        0.06        1.45          1.39         1.45          1.39         000
                                    reflux test.
91035.......  ........  A          G-esoph reflx          1.59       11.29         10.92        11.29         10.92        0.12       13.00         12.63        13.00         12.63         000
                                    tst w/electrod.
91035.......  TC......  A          G-esoph reflx          0.00       10.57         10.32        10.57         10.32        0.06       10.63         10.38        10.63         10.38         000
                                    tst w/electrod.
91035.......  26......  A          G-esoph reflx          1.59        0.72          0.60         0.72          0.60        0.06        2.37          2.25         2.37          2.25         000
                                    tst w/electrod.
91037.......  ........  A          Esoph imped            0.97        3.38          3.04         3.38          3.04        0.12        4.47          4.13         4.47          4.13         000
                                    function test.
91037.......  TC......  A          Esoph imped            0.00        2.95          2.68         2.95          2.68        0.06        3.01          2.74         3.01          2.74         000
                                    function test.
91037.......  26......  A          Esoph imped            0.97        0.43          0.36         0.43          0.36        0.06        1.46          1.39         1.46          1.39         000
                                    function test.
91038.......  ........  A          Esoph imped            1.10        2.78          2.36         2.78          2.36        0.12        4.00          3.58         4.00          3.58         000
                                    funct test > 1h.
91038.......  TC......  A          Esoph imped            0.00        2.27          1.94         2.27          1.94        0.06        2.33          2.00         2.33          2.00         000
                                    funct test > 1h.
91038.......  26......  A          Esoph imped            1.10        0.51          0.42         0.51          0.42        0.06        1.67          1.58         1.67          1.58         000
                                    funct test > 1h.
91040.......  ........  A          Esoph balloon          0.97        9.27         10.67         9.27         10.67        0.12       10.36         11.76        10.36         11.76         000
                                    distension tst.
91040.......  TC......  A          Esoph balloon          0.00        8.89         10.32         8.89         10.32        0.06        8.95         10.38         8.95         10.38         000
                                    distension tst.
91040.......  26......  A          Esoph balloon          0.97        0.38          0.35         0.38          0.35        0.06        1.41          1.38         1.41          1.38         000
                                    distension tst.
91052.......  ........  A          Gastric analysis       0.79        2.98          2.59         2.98          2.59        0.05        3.82          3.43         3.82          3.43         000
                                    test.
91052.......  TC......  A          Gastric analysis       0.00        2.60          2.28         2.60          2.28        0.02        2.62          2.30         2.62          2.30         000
                                    test.
91052.......  26......  A          Gastric analysis       0.79        0.38          0.31         0.38          0.31        0.03        1.20          1.13         1.20          1.13         000
                                    test.
91055.......  ........  A          Gastric                0.94        2.41          2.81         2.41          2.81        0.07        3.42          3.82         3.42          3.82         000
                                    intubation for
                                    smear.
91055.......  TC......  A          Gastric                0.00        2.13          2.54         2.13          2.54        0.02        2.15          2.56         2.15          2.56         000
                                    intubation for
                                    smear.
91055.......  26......  A          Gastric                0.94        0.28          0.27         0.28          0.27        0.05        1.27          1.26         1.27          1.26         000
                                    intubation for
                                    smear.
91065.......  ........  A          Breath hydrogen        0.20        1.29          1.42         1.29          1.42        0.03        1.52          1.65         1.52          1.65         000
                                    test.
91065.......  TC......  A          Breath hydrogen        0.00        1.23          1.35         1.23          1.35        0.02        1.25          1.37         1.25          1.37         000
                                    test.
91065.......  26......  A          Breath hydrogen        0.20        0.06          0.07         0.06          0.07        0.01        0.27          0.28         0.27          0.28         000
                                    test.
91100.......  ........  A          Pass intestine         1.08        2.14          2.63         0.37          0.30        0.07        3.29          3.78         1.52          1.45         000
                                    bleeding tube.
91105.......  ........  A          Gastric                0.37        1.74          2.01         0.07          0.09        0.03        2.14          2.41         0.47          0.49         000
                                    intubation
                                    treatment.
91110.......  ........  A          Gi tract capsule       3.64       20.51         21.77           NA            NA        0.16       24.31         25.57           NA            NA         XXX
                                    endoscopy.
91110.......  TC......  A          Gi tract capsule       0.00       18.81         20.38           NA            NA        0.07       18.88         20.45           NA            NA         XXX
                                    endoscopy.
91110.......  26......  A          Gi tract capsule       3.64        1.70          1.39         1.70          1.39        0.09        5.43          5.12         5.43          5.12         XXX
                                    endoscopy.
91111.......  ........  A          Esophageal             1.00       18.65         18.65           NA            NA        0.05       19.70         19.70           NA            NA         XXX
                                    capsule
                                    endoscopy.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69977]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
91111.......  TC......  A          Esophageal             0.00       18.19         18.19           NA            NA        0.02       18.21         18.21           NA            NA         XXX
                                    capsule
                                    endoscopy.
91111.......  26......  A          Esophageal             1.00        0.46          0.46         0.46          0.46        0.03        1.49          1.49         1.49          1.49         XXX
                                    capsule
                                    endoscopy.
91120.......  ........  A          Rectal sensation       0.97        9.04         10.49         9.04         10.49        0.11       10.12         11.57        10.12         11.57         XXX
                                    test.
91120.......  TC......  A          Rectal sensation       0.00        8.73         10.16         8.73         10.16        0.04        8.77         10.20         8.77         10.20         XXX
                                    test.
91120.......  26......  A          Rectal sensation       0.97        0.31          0.33         0.31          0.33        0.07        1.35          1.37         1.35          1.37         XXX
                                    test.
91122.......  ........  A          Anal pressure          1.77        3.74          4.76         3.74          4.76        0.21        5.72          6.74         5.72          6.74         000
                                    record.
91122.......  TC......  A          Anal pressure          0.00        3.21          4.18         3.21          4.18        0.08        3.29          4.26         3.29          4.26         000
                                    record.
91122.......  26......  A          Anal pressure          1.77        0.53          0.58         0.53          0.58        0.13        2.43          2.48         2.43          2.48         000
                                    record.
91123.......  ........  B          Irrigate fecal         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    impaction.
91132.......  ........  C          Electrogastrogra       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    phy.
91132.......  TC......  C          Electrogastrogra       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    phy.
91132.......  26......  A          Electrogastrogra       0.52        0.26          0.20         0.26          0.20        0.02        0.80          0.74         0.80          0.74         XXX
                                    phy.
91133.......  ........  C          Electrogastrogra       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    phy w/test.
91133.......  TC......  C          Electrogastrogra       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    phy w/test.
91133.......  26......  A          Electrogastrogra       0.66        0.30          0.25         0.30          0.25        0.03        0.99          0.94         0.99          0.94         XXX
                                    phy w/test.
91299.......  ........  C          Gastroenterology       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
91299.......  TC......  C          Gastroenterology       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
91299.......  26......  C          Gastroenterology       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
92002.......  ........  A          Eye exam, new          0.88        0.97          0.97         0.28          0.33        0.02        1.87          1.87         1.18          1.23         XXX
                                    patient.
92004.......  ........  A          Eye exam, new          1.67        1.59          1.67         0.55          0.65        0.04        3.30          3.38         2.26          2.36         XXX
                                    patient.
92012.......  ........  A          Eye exam               0.67        0.93          1.01         0.24          0.28        0.02        1.62          1.70         0.93          0.97         XXX
                                    established pat.
92014.......  ........  A          Eye exam &             1.10        1.31          1.39         0.39          0.45        0.03        2.44          2.52         1.52          1.58         XXX
                                    treatment.
92015.......  ........  N          Refraction......       0.38        0.10          1.14         0.09          0.14        0.01        0.49          1.53         0.48          0.53         XXX
92018.......  ........  A          New eye exam &         2.50          NA            NA         0.93          1.04        0.07          NA            NA         3.50          3.61         XXX
                                    treatment.
92019.......  ........  A          Eye exam &             1.31          NA            NA         0.45          0.53        0.03          NA            NA         1.79          1.87         XXX
                                    treatment.
92020.......  ........  A          Special eye            0.37        0.26          0.32         0.13          0.15        0.01        0.64          0.70         0.51          0.53         XXX
                                    evaluation.
92025.......  ........  A          Corneal                0.35        0.44          0.44         0.44          0.44        0.02        0.81          0.81         0.81          0.81         XXX
                                    topography.
92025.......  TC......  A          Corneal                0.00        0.32          0.32         0.32          0.32        0.01        0.33          0.33         0.33          0.33         XXX
                                    topography.
92025.......  26......  A          Corneal                0.35        0.12          0.12         0.12          0.12        0.01        0.48          0.48         0.48          0.48         XXX
                                    topography.
92060.......  ........  A          Special eye            0.69        0.79          0.75           NA            NA        0.03        1.51          1.47           NA            NA         XXX
                                    evaluation.
92060.......  TC......  A          Special eye            0.00        0.55          0.47           NA            NA        0.01        0.56          0.48           NA            NA         XXX
                                    evaluation.
92060.......  26......  A          Special eye            0.69        0.24          0.28         0.24          0.28        0.02        0.95          0.99         0.95          0.99         XXX
                                    evaluation.
92065.......  ........  A          Orthoptic/             0.37        0.88          0.62           NA            NA        0.02        1.27          1.01           NA            NA         XXX
                                    pleoptic
                                    training.
92065.......  TC......  A          Orthoptic/             0.00        0.79          0.48           NA            NA        0.01        0.80          0.49           NA            NA         XXX
                                    pleoptic
                                    training.
92065.......  26......  A          Orthoptic/             0.37        0.09          0.14         0.09          0.14        0.01        0.47          0.52         0.47          0.52         XXX
                                    pleoptic
                                    training.
92070.......  ........  A          Fitting of             0.70        0.94          1.04         0.24          0.30        0.02        1.66          1.76         0.96          1.02         XXX
                                    contact lens.
92081.......  ........  A          Visual field           0.36        0.96          0.95           NA            NA        0.02        1.34          1.33           NA            NA         XXX
                                    examination(s).
92081.......  TC......  A          Visual field           0.00        0.85          0.81           NA            NA        0.01        0.86          0.82           NA            NA         XXX
                                    examination(s).
92081.......  26......  A          Visual field           0.36        0.11          0.14         0.11          0.14        0.01        0.48          0.51         0.48          0.51         XXX
                                    examination(s).
92082.......  ........  A          Visual field           0.44        1.36          1.26           NA            NA        0.02        1.82          1.72           NA            NA         XXX
                                    examination(s).
92082.......  TC......  A          Visual field           0.00        1.21          1.08           NA            NA        0.01        1.22          1.09           NA            NA         XXX
                                    examination(s).
92082.......  26......  A          Visual field           0.44        0.15          0.18         0.15          0.18        0.01        0.60          0.63         0.60          0.63         XXX
                                    examination(s).
92083.......  ........  A          Visual field           0.50        1.56          1.46           NA            NA        0.02        2.08          1.98           NA            NA         XXX
                                    examination(s).
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69978]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
92083.......  TC......  A          Visual field           0.00        1.38          1.25           NA            NA        0.01        1.39          1.26           NA            NA         XXX
                                    examination(s).
92083.......  26......  A          Visual field           0.50        0.18          0.21         0.18          0.21        0.01        0.69          0.72         0.69          0.72         XXX
                                    examination(s).
92100.......  ........  A          Serial tonometry       0.92        1.28          1.33         0.30          0.35        0.02        2.22          2.27         1.24          1.29         XXX
                                    exam(s).
92120.......  ........  A          Tonography & eye       0.81        1.00          1.05         0.27          0.31        0.02        1.83          1.88         1.10          1.14         XXX
                                    evaluation.
92130.......  ........  A          Water                  0.81        1.21          1.26         0.29          0.35        0.02        2.04          2.09         1.12          1.18         XXX
                                    provocation
                                    tonography.
92135.......  ........  A          Opthalmic dx           0.35        0.80          0.79           NA            NA        0.02        1.17          1.16           NA            NA         XXX
                                    imaging.
92135.......  TC......  A          Opthalmic dx           0.00        0.68          0.65           NA            NA        0.01        0.69          0.66           NA            NA         XXX
                                    imaging.
92135.......  26......  A          Opthalmic dx           0.35        0.12          0.14         0.12          0.14        0.01        0.48          0.50         0.48          0.50         XXX
                                    imaging.
92136.......  ........  A          Ophthalmic             0.54        1.46          1.60           NA            NA        0.08        2.08          2.22           NA            NA         XXX
                                    biometry.
92136.......  TC......  A          Ophthalmic             0.00        1.25          1.37           NA            NA        0.07        1.32          1.44           NA            NA         XXX
                                    biometry.
92136.......  26......  A          Ophthalmic             0.54        0.21          0.23         0.21          0.23        0.01        0.76          0.78         0.76          0.78         XXX
                                    biometry.
92140.......  ........  A          Glaucoma               0.50        0.92          0.97         0.16          0.20        0.01        1.43          1.48         0.67          0.71         XXX
                                    provocative
                                    tests.
92225.......  ........  A          Special eye            0.38        0.25          0.23         0.13          0.15        0.01        0.64          0.62         0.52          0.54         XXX
                                    exam, initial.
92226.......  ........  A          Special eye            0.33        0.24          0.22         0.12          0.14        0.01        0.58          0.56         0.46          0.48         XXX
                                    exam,
                                    subsequent.
92230.......  ........  A          Eye exam with          0.60        0.73          1.33         0.21          0.20        0.02        1.35          1.95         0.83          0.82         XXX
                                    photos.
92235.......  ........  A          Eye exam with          0.81        2.32          2.54           NA            NA        0.08        3.21          3.43           NA            NA         XXX
                                    photos.
92235.......  TC......  A          Eye exam with          0.00        2.01          2.18           NA            NA        0.06        2.07          2.24           NA            NA         XXX
                                    photos.
92235.......  26......  A          Eye exam with          0.81        0.31          0.36         0.31          0.36        0.02        1.14          1.19         1.14          1.19         XXX
                                    photos.
92240.......  ........  A          Icg angiography.       1.10        4.48          5.70           NA            NA        0.09        5.67          6.89           NA            NA         XXX
92240.......  TC......  A          Icg angiography.       0.00        4.06          5.22           NA            NA        0.06        4.12          5.28           NA            NA         XXX
92240.......  26......  A          Icg angiography.       1.10        0.42          0.48         0.42          0.48        0.03        1.55          1.61         1.55          1.61         XXX
92250.......  ........  A          Eye exam with          0.44        1.33          1.48           NA            NA        0.02        1.79          1.94           NA            NA         XXX
                                    photos.
92250.......  TC......  A          Eye exam with          0.00        1.18          1.30           NA            NA        0.01        1.19          1.31           NA            NA         XXX
                                    photos.
92250.......  26......  A          Eye exam with          0.44        0.15          0.18         0.15          0.18        0.01        0.60          0.63         0.60          0.63         XXX
                                    photos.
92260.......  ........  A          Ophthalmoscopy/        0.20        0.23          0.25         0.07          0.09        0.01        0.44          0.46         0.28          0.30         XXX
                                    dynamometry.
92265.......  ........  A          Eye muscle             0.81        1.01          1.37           NA            NA        0.06        1.88          2.24           NA            NA         XXX
                                    evaluation.
92265.......  TC......  A          Eye muscle             0.00        0.76          1.10           NA            NA        0.02        0.78          1.12           NA            NA         XXX
                                    evaluation.
92265.......  26......  A          Eye muscle             0.81        0.25          0.27         0.25          0.27        0.04        1.10          1.12         1.10          1.12         XXX
                                    evaluation.
92270.......  ........  A          Electro-               0.81        1.38          1.50           NA            NA        0.05        2.24          2.36           NA            NA         XXX
                                    oculography.
92270.......  TC......  A          Electro-               0.00        1.14          1.19           NA            NA        0.02        1.16          1.21           NA            NA         XXX
                                    oculography.
92270.......  26......  A          Electro-               0.81        0.24          0.31         0.24          0.31        0.03        1.08          1.15         1.08          1.15         XXX
                                    oculography.
92275.......  ........  A          Electroretinogra       1.01        2.47          2.08           NA            NA        0.05        3.53          3.14           NA            NA         XXX
                                    phy.
92275.......  TC......  A          Electroretinogra       0.00        2.10          1.66           NA            NA        0.02        2.12          1.68           NA            NA         XXX
                                    phy.
92275.......  26......  A          Electroretinogra       1.01        0.37          0.42         0.37          0.42        0.03        1.41          1.46         1.41          1.46         XXX
                                    phy.
92283.......  ........  A          Color vision           0.17        1.01          0.89           NA            NA        0.02        1.20          1.08           NA            NA         XXX
                                    examination.
92283.......  TC......  A          Color vision           0.00        0.96          0.82           NA            NA        0.01        0.97          0.83           NA            NA         XXX
                                    examination.
92283.......  26......  A          Color vision           0.17        0.05          0.07         0.05          0.07        0.01        0.23          0.25         0.23          0.25         XXX
                                    examination.
92284.......  ........  A          Dark adaptation        0.24        1.24          1.72           NA            NA        0.02        1.50          1.98           NA            NA         XXX
                                    eye exam.
92284.......  TC......  A          Dark adaptation        0.00        1.15          1.64           NA            NA        0.01        1.16          1.65           NA            NA         XXX
                                    eye exam.
92284.......  26......  A          Dark adaptation        0.24        0.09          0.08         0.09          0.08        0.01        0.34          0.33         0.34          0.33         XXX
                                    eye exam.
92285.......  ........  A          Eye photography.       0.20        0.82          0.95           NA            NA        0.02        1.04          1.17           NA            NA         XXX
92285.......  TC......  A          Eye photography.       0.00        0.75          0.86           NA            NA        0.01        0.76          0.87           NA            NA         XXX
92285.......  26......  A          Eye photography.       0.20        0.07          0.09         0.07          0.09        0.01        0.28          0.30         0.28          0.30         XXX
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69979]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
92286.......  ........  A          Internal eye           0.66        2.15          2.83           NA            NA        0.04        2.85          3.53           NA            NA         XXX
                                    photography.
92286.......  TC......  A          Internal eye           0.00        1.91          2.55           NA            NA        0.02        1.93          2.57           NA            NA         XXX
                                    photography.
92286.......  26......  A          Internal eye           0.66        0.24          0.28         0.24          0.28        0.02        0.92          0.96         0.92          0.96         XXX
                                    photography.
92287.......  ........  A          Internal eye           0.81        1.97          2.28         0.31          0.31        0.02        2.80          3.11         1.14          1.14         XXX
                                    photography.
92310.......  ........  N          Contact lens           1.17        1.05          1.10         0.27          0.41        0.04        2.26          2.31         1.48          1.62         XXX
                                    fitting.
92311.......  ........  A          Contact lens           1.08        1.30          1.14         0.33          0.35        0.03        2.41          2.25         1.44          1.46         XXX
                                    fitting.
92312.......  ........  A          Contact lens           1.26        1.50          1.19         0.36          0.47        0.03        2.79          2.48         1.65          1.76         XXX
                                    fitting.
92313.......  ........  A          Contact lens           0.92        1.48          1.17         0.34          0.30        0.02        2.42          2.11         1.28          1.24         XXX
                                    fitting.
92314.......  ........  N          Prescription of        0.69        1.13          0.99         0.16          0.24        0.01        1.83          1.69         0.86          0.94         XXX
                                    contact lens.
92315.......  ........  A          Prescription of        0.45        1.33          0.97         0.14          0.16        0.01        1.79          1.43         0.60          0.62         XXX
                                    contact lens.
92316.......  ........  A          Prescription of        0.68        1.67          1.10         0.24          0.28        0.02        2.37          1.80         0.94          0.98         XXX
                                    contact lens.
92317.......  ........  A          Prescription of        0.45        1.44          1.07         0.14          0.15        0.01        1.90          1.53         0.60          0.61         XXX
                                    contact lens.
92325.......  ........  A          Modification of        0.00        0.85          0.51           NA            NA        0.01        0.86          0.52           NA            NA         XXX
                                    contact lens.
92326.......  ........  A          Replacement of         0.00        0.75          1.41           NA            NA        0.06        0.81          1.47           NA            NA         XXX
                                    contact lens.
92340.......  ........  N          Fitting of             0.37        0.44          0.64         0.08          0.13        0.01        0.82          1.02         0.46          0.51         XXX
                                    spectacles.
92341.......  ........  N          Fitting of             0.47        0.46          0.67         0.11          0.16        0.01        0.94          1.15         0.59          0.64         XXX
                                    spectacles.
92342.......  ........  N          Fitting of             0.53        0.48          0.69         0.12          0.19        0.01        1.02          1.23         0.66          0.73         XXX
                                    spectacles.
92352.......  ........  B          Special                0.37        0.56          0.65         0.08          0.13        0.01        0.94          1.03         0.46          0.51         XXX
                                    spectacles
                                    fitting.
92353.......  ........  B          Special                0.50        0.59          0.70         0.12          0.17        0.02        1.11          1.22         0.64          0.69         XXX
                                    spectacles
                                    fitting.
92354.......  ........  B          Special                0.00        0.28          6.72           NA            NA        0.10        0.38          6.82           NA            NA         XXX
                                    spectacles
                                    fitting.
92355.......  ........  B          Special                0.00        0.44          3.36           NA            NA        0.01        0.45          3.37           NA            NA         XXX
                                    spectacles
                                    fitting.
92358.......  ........  B          Eye prosthesis         0.00        0.23          0.79           NA            NA        0.05        0.28          0.84           NA            NA         XXX
                                    service.
92370.......  ........  N          Repair & adjust        0.32        0.39          0.51         0.07          0.12        0.02        0.73          0.85         0.41          0.46         XXX
                                    spectacles.
92371.......  ........  B          Repair & adjust        0.00        0.24          0.53           NA            NA        0.02        0.26          0.55           NA            NA         XXX
                                    spectacles.
92499.......  ........  C          Eye service or         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
92499.......  TC......  C          Eye service or         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
92499.......  26......  C          Eye service or         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
92502.......  ........  A          Ear and throat         1.51          NA            NA         0.79          1.03        0.05          NA            NA         2.35          2.59         000
                                    examination.
92504.......  ........  A          Ear microscopy         0.18        0.55          0.51         0.05          0.08        0.01        0.74          0.70         0.24          0.27         XXX
                                    examination.
92506.......  ........  A          Speech/hearing         0.86        3.28          2.76         0.25          0.36        0.03        4.17          3.65         1.14          1.25         XXX
                                    evaluation.
92507.......  ........  A          Speech/hearing         0.52        1.18          1.13         0.15          0.21        0.02        1.72          1.67         0.69          0.75         XXX
                                    therapy.
92508.......  ........  A          Speech/hearing         0.26        0.51          0.51         0.08          0.11        0.01        0.78          0.78         0.35          0.38         XXX
                                    therapy.
92511.......  ........  A          Nasopharyngoscop       0.84        2.92          3.21         0.62          0.74        0.03        3.79          4.08         1.49          1.61         000
                                    y.
92512.......  ........  A          Nasal function         0.55        0.94          1.09         0.16          0.18        0.02        1.51          1.66         0.73          0.75         XXX
                                    studies.
92516.......  ........  A          Facial nerve           0.43        1.15          1.19         0.13          0.20        0.01        1.59          1.63         0.57          0.64         XXX
                                    function test.
92520.......  ........  A          Laryngeal              0.75        0.87          0.60         0.21          0.35        0.03        1.65          1.38         0.99          1.13         XXX
                                    function
                                    studies.
92526.......  ........  A          Oral function          0.55        1.67          1.65         0.16          0.19        0.02        2.24          2.22         0.73          0.76         XXX
                                    therapy.
92531.......  ........  B          Spontaneous            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nystagmus study.
92532.......  ........  B          Positional             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nystagmus test.
92533.......  ........  B          Caloric                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    vestibular test.
92534.......  ........  B          Optokinetic            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nystagmus test.
92541.......  ........  A          Spontaneous            0.40        1.10          1.05           NA            NA        0.04        1.54          1.49           NA            NA         XXX
                                    nystagmus test.
92541.......  TC......  A          Spontaneous            0.00        0.99          0.88           NA            NA        0.02        1.01          0.90           NA            NA         XXX
                                    nystagmus test.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69980]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
92541.......  26......  A          Spontaneous            0.40        0.11          0.17         0.11          0.17        0.02        0.53          0.59         0.53          0.59         XXX
                                    nystagmus test.
92542.......  ........  A          Positional             0.33        1.24          1.16           NA            NA        0.03        1.60          1.52           NA            NA         XXX
                                    nystagmus test.
92542.......  TC......  A          Positional             0.00        1.15          1.02           NA            NA        0.02        1.17          1.04           NA            NA         XXX
                                    nystagmus test.
92542.......  26......  A          Positional             0.33        0.09          0.14         0.09          0.14        0.01        0.43          0.48         0.43          0.48         XXX
                                    nystagmus test.
92543.......  ........  A          Caloric                0.10        0.64          0.59           NA            NA        0.02        0.76          0.71           NA            NA         XXX
                                    vestibular test.
92543.......  TC......  A          Caloric                0.00        0.61          0.54           NA            NA        0.01        0.62          0.55           NA            NA         XXX
                                    vestibular test.
92543.......  26......  A          Caloric                0.10        0.03          0.05         0.03          0.05        0.01        0.14          0.16         0.14          0.16         XXX
                                    vestibular test.
92544.......  ........  A          Optokinetic            0.26        1.00          0.93           NA            NA        0.03        1.29          1.22           NA            NA         XXX
                                    nystagmus test.
92544.......  TC......  A          Optokinetic            0.00        0.93          0.82           NA            NA        0.02        0.95          0.84           NA            NA         XXX
                                    nystagmus test.
92544.......  26......  A          Optokinetic            0.26        0.07          0.11         0.07          0.11        0.01        0.34          0.38         0.34          0.38         XXX
                                    nystagmus test.
92545.......  ........  A          Oscillating            0.23        0.98          0.85           NA            NA        0.03        1.24          1.11           NA            NA         XXX
                                    tracking test.
92545.......  TC......  A          Oscillating            0.00        0.92          0.75           NA            NA        0.02        0.94          0.77           NA            NA         XXX
                                    tracking test.
92545.......  26......  A          Oscillating            0.23        0.06          0.10         0.06          0.10        0.01        0.30          0.34         0.30          0.34         XXX
                                    tracking test.
92546.......  ........  A          Sinusoidal             0.29        1.80          1.94           NA            NA        0.03        2.12          2.26           NA            NA         XXX
                                    rotational test.
92546.......  TC......  A          Sinusoidal             0.00        1.72          1.82           NA            NA        0.02        1.74          1.84           NA            NA         XXX
                                    rotational test.
92546.......  26......  A          Sinusoidal             0.29        0.08          0.12         0.08          0.12        0.01        0.38          0.42         0.38          0.42         XXX
                                    rotational test.
92547.......  ........  A          Supplemental           0.00        0.11          0.09         0.11          0.09        0.06        0.17          0.15         0.17          0.15         ZZZ
                                    electrical test.
92548.......  ........  A          Posturography...       0.50        1.64          2.10           NA            NA        0.15        2.29          2.75           NA            NA         XXX
92548.......  TC......  A          Posturography...       0.00        1.50          1.87           NA            NA        0.13        1.63          2.00           NA            NA         XXX
92548.......  26......  A          Posturography...       0.50        0.14          0.23         0.14          0.23        0.02        0.66          0.75         0.66          0.75         XXX
92551.......  ........  N          Pure tone              0.00        0.25          0.25           NA            NA        0.01        0.26          0.26           NA            NA         XXX
                                    hearing test,
                                    air.
92552.......  ........  A          Pure tone              0.00        0.56          0.47           NA            NA        0.04        0.60          0.51           NA            NA         XXX
                                    audiometry, air.
92553.......  ........  A          Audiometry, air        0.00        0.71          0.67           NA            NA        0.06        0.77          0.73           NA            NA         XXX
                                    & bone.
92555.......  ........  A          Speech threshold       0.00        0.38          0.38           NA            NA        0.04        0.42          0.42           NA            NA         XXX
                                    audiometry.
92556.......  ........  A          Speech                 0.00        0.51          0.56           NA            NA        0.06        0.57          0.62           NA            NA         XXX
                                    audiometry,
                                    complete.
92557.......  ........  A          Comprehensive          0.00        1.26          1.21           NA            NA        0.12        1.38          1.33           NA            NA         XXX
                                    hearing test.
92559.......  ........  N          Group                  0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    audiometric
                                    testing.
92560.......  ........  N          Bekesy                 0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    audiometry,
                                    screen.
92561.......  ........  A          Bekesy                 0.00        0.68          0.71           NA            NA        0.06        0.74          0.77           NA            NA         XXX
                                    audiometry,
                                    diagnosis.
92562.......  ........  A          Loudness balance       0.00        0.67          0.48           NA            NA        0.04        0.71          0.52           NA            NA         XXX
                                    test.
92563.......  ........  A          Tone decay             0.00        0.48          0.41           NA            NA        0.04        0.52          0.45           NA            NA         XXX
                                    hearing test.
92564.......  ........  A          Sisi hearing           0.00        0.43          0.46           NA            NA        0.05        0.48          0.51           NA            NA         XXX
                                    test.
92565.......  ........  A          Stenger test,          0.00        0.23          0.36           NA            NA        0.04        0.27          0.40           NA            NA         XXX
                                    pure tone.
92567.......  ........  A          Tympanometry....       0.00        0.49          0.51           NA            NA        0.06        0.55          0.57           NA            NA         XXX
92568.......  ........  A          Acoustic refl          0.00        0.15          0.32           NA            NA        0.04        0.19          0.36           NA            NA         XXX
                                    threshold tst.
92569.......  ........  A          Acoustic reflex        0.00        0.15          0.35           NA            NA        0.04        0.19          0.39           NA            NA         XXX
                                    decay test.
92571.......  ........  A          Filtered speech        0.00        0.40          0.39           NA            NA        0.04        0.44          0.43           NA            NA         XXX
                                    hearing test.
92572.......  ........  A          Staggered              0.00        0.60          0.22           NA            NA        0.01        0.61          0.23           NA            NA         XXX
                                    spondaic word
                                    test.
92575.......  ........  A          Sensorineural          0.00        1.09          0.50           NA            NA        0.02        1.11          0.52           NA            NA         XXX
                                    acuity test.
92576.......  ........  A          Synthetic              0.00        0.54          0.47           NA            NA        0.05        0.59          0.52           NA            NA         XXX
                                    sentence test.
92577.......  ........  A          Stenger test,          0.00        0.24          0.60           NA            NA        0.07        0.31          0.67           NA            NA         XXX
                                    speech.
92579.......  ........  A          Visual                 0.00        0.84          0.76           NA            NA        0.06        0.90          0.82           NA            NA         XXX
                                    audiometry
                                    (vra).
92582.......  ........  A          Conditioning           0.00        1.07          0.82           NA            NA        0.06        1.13          0.88           NA            NA         XXX
                                    play audiometry.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69981]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
92583.......  ........  A          Select picture         0.00        0.69          0.84           NA            NA        0.08        0.77          0.92           NA            NA         XXX
                                    audiometry.
92584.......  ........  A          Electrocochleogr       0.00        1.16          2.14           NA            NA        0.21        1.37          2.35           NA            NA         XXX
                                    aphy.
92585.......  ........  A          Auditor evoke          0.50        1.91          2.02           NA            NA        0.17        2.58          2.69           NA            NA         XXX
                                    potent, compre.
92585.......  TC......  A          Auditor evoke          0.00        1.77          1.83           NA            NA        0.14        1.91          1.97           NA            NA         XXX
                                    potent, compre.
92585.......  26......  A          Auditor evoke          0.50        0.14          0.19         0.14          0.19        0.03        0.67          0.72         0.67          0.72         XXX
                                    potent, compre.
92586.......  ........  A          Auditor evoke          0.00        1.40          1.74           NA            NA        0.14        1.54          1.88           NA            NA         XXX
                                    potent, limit.
92587.......  ........  A          Evoked auditory        0.13        0.62          1.19           NA            NA        0.12        0.87          1.44           NA            NA         XXX
                                    test.
92587.......  TC......  A          Evoked auditory        0.00        0.58          1.13           NA            NA        0.11        0.69          1.24           NA            NA         XXX
                                    test.
92587.......  26......  A          Evoked auditory        0.13        0.04          0.06         0.04          0.06        0.01        0.18          0.20         0.18          0.20         XXX
                                    test.
92588.......  ........  A          Evoked auditory        0.36        1.02          1.48           NA            NA        0.14        1.52          1.98           NA            NA         XXX
                                    test.
92588.......  TC......  A          Evoked auditory        0.00        0.92          1.33           NA            NA        0.13        1.05          1.46           NA            NA         XXX
                                    test.
92588.......  26......  A          Evoked auditory        0.36        0.10          0.15         0.10          0.15        0.01        0.47          0.52         0.47          0.52         XXX
                                    test.
92590.......  ........  N          Hearing aid            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    exam, one ear.
92591.......  ........  N          Hearing aid            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    exam, both ears.
92592.......  ........  N          Hearing aid            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    check, one ear.
92593.......  ........  N          Hearing aid            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    check, both
                                    ears.
92594.......  ........  N          Electro hearng         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    aid test, one.
92595.......  ........  N          Electro hearng         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    aid tst, both.
92596.......  ........  A          Ear protector          0.00        0.93          0.68           NA            NA        0.06        0.99          0.74           NA            NA         XXX
                                    evaluation.
92597.......  ........  A          Oral speech            0.86        1.69          1.69         0.25          0.40        0.03        2.58          2.58         1.14          1.29         XXX
                                    device eval.
92601.......  ........  A          Cochlear implt f/      0.00        4.87          3.84           NA            NA        0.07        4.94          3.91           NA            NA         XXX
                                    up exam < 7.
92602.......  ........  A          Reprogram              0.00        3.34          2.62           NA            NA        0.07        3.41          2.69           NA            NA         XXX
                                    cochlear implt
                                    < 7.
92603.......  ........  A          Cochlear implt f/      0.00        3.17          2.40           NA            NA        0.07        3.24          2.47           NA            NA         XXX
                                    up exam 7 >.
92604.......  ........  A          Reprogram              0.00        2.09          1.54           NA            NA        0.07        2.16          1.61           NA            NA         XXX
                                    cochlear implt
                                    7 >.
92605.......  ........  B          Eval for               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    nonspeech
                                    device rx.
92606.......  ........  B          Non-speech             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    device service.
92607.......  ........  A          Ex for speech          0.00        4.27          3.38           NA            NA        0.05        4.32          3.43           NA            NA         XXX
                                    device rx, 1hr.
92608.......  ........  A          Ex for speech          0.00        0.86          0.63           NA            NA        0.05        0.91          0.68           NA            NA         XXX
                                    device rx addl.
92609.......  ........  A          Use of speech          0.00        2.29          1.77           NA            NA        0.04        2.33          1.81           NA            NA         XXX
                                    device service.
92610.......  ........  A          Evaluate               0.00        1.61          2.98           NA            NA        0.08        1.69          3.06           NA            NA         XXX
                                    swallowing
                                    function.
92611.......  ........  A          Motion                 0.00        1.85          3.04           NA            NA        0.08        1.93          3.12           NA            NA         XXX
                                    fluoroscopy/
                                    swallow.
92612.......  ........  A          Endoscopy              1.27        2.74          2.74         0.37          0.59        0.04        4.05          4.05         1.68          1.90         XXX
                                    swallow tst
                                    (fees).
92613.......  ........  A          Endoscopy              0.71        0.23          0.36         0.23          0.35        0.05        0.99          1.12         0.99          1.11         XXX
                                    swallow tst
                                    (fees).
92614.......  ........  A          Laryngoscopic          1.27        2.24          2.44         0.37          0.59        0.04        3.55          3.75         1.68          1.90         XXX
                                    sensory test.
92615.......  ........  A          Eval                   0.63        0.19          0.31         0.19          0.31        0.05        0.87          0.99         0.87          0.99         XXX
                                    laryngoscopy
                                    sense tst.
92616.......  ........  A          Fees w/laryngeal       1.88        2.92          3.27         0.54          0.88        0.06        4.86          5.21         2.48          2.82         XXX
                                    sense test.
92617.......  ........  A          Interprt fees/         0.79        0.23          0.39         0.23          0.39        0.05        1.07          1.23         1.07          1.23         XXX
                                    laryngeal test.
92620.......  ........  A          Auditory               0.00        1.87          1.32           NA            NA        0.06        1.93          1.38           NA            NA         XXX
                                    function, 60
                                    min.
92621.......  ........  A          Auditory               0.00        0.40          0.29           NA            NA        0.06        0.46          0.35           NA            NA         ZZZ
                                    function, + 15
                                    min.
92625.......  ........  A          Tinnitus               0.00        1.82          1.30         1.82          1.30        0.06        1.88          1.36         1.88          1.36         XXX
                                    assessment.
92626.......  ........  A          Eval aud rehab         0.00        1.85          2.11           NA            NA        0.06        1.91          2.17           NA            NA         XXX
                                    status.
92627.......  ........  A          Eval aud status        0.00        0.42          0.52         0.42          0.52        0.02        0.44          0.54         0.44          0.54         ZZZ
                                    rehab add-on.
92630.......  ........  I          Aud rehab pre-         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ling hear loss.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69982]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
92633.......  ........  I          Aud rehab              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    postling hear
                                    loss.
92640.......  ........  A          Aud brainstem          0.00        1.40          1.40         1.40          1.40        0.01        1.41          1.41         1.41          1.41         XXX
                                    implt programg.
92700.......  ........  C          Ent procedure/         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    service.
92950.......  ........  A          Heart/lung             3.79        3.24          3.96         0.79          0.93        0.28        7.31          8.03         4.86          5.00         000
                                    resuscitation
                                    cpr.
92953.......  ........  A          Temporary              0.23          NA            NA         0.07          0.07        0.02          NA            NA         0.32          0.32         000
                                    external pacing.
92960.......  ........  A          Cardioversion          2.25        4.40          5.83         1.48          1.25        0.07        6.72          8.15         3.80          3.57         000
                                    electric, ext.
92961.......  ........  A          Cardioversion,         4.59          NA            NA         2.52          2.19        0.29          NA            NA         7.40          7.07         000
                                    electric, int.
92970.......  ........  A          Cardioassist,          3.51          NA            NA         1.63          1.20        0.16          NA            NA         5.30          4.87         000
                                    internal.
92971.......  ........  A          Cardioassist,          1.77          NA            NA         1.09          0.91        0.06          NA            NA         2.92          2.74         000
                                    external.
92973.......  ........  A          Percut coronary        3.28          NA            NA         1.82          1.42        0.23          NA            NA         5.33          4.93         ZZZ
                                    thrombectomy.
92974.......  ........  A          Cath place,            3.00          NA            NA         1.70          1.31        0.21          NA            NA         4.91          4.52         ZZZ
                                    cardio brachytx.
92975.......  ........  A          Dissolve clot,         7.24          NA            NA         3.94          3.09        0.50          NA            NA        11.68         10.83         000
                                    heart vessel.
92977.......  ........  A          Dissolve clot,         0.00        1.70          6.46           NA            NA        0.46        2.16          6.92           NA            NA         XXX
                                    heart vessel.
92978.......  ........  C          Intravasc us,          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         ZZZ
                                    heart add-on.
92978.......  TC......  C          Intravasc us,          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         ZZZ
                                    heart add-on.
92978.......  26......  A          Intravasc us,          1.80        1.00          0.78         1.00          0.78        0.06        2.86          2.64         2.86          2.64         ZZZ
                                    heart add-on.
92979.......  ........  C          Intravasc us,          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         ZZZ
                                    heart add-on.
92979.......  TC......  C          Intravasc us,          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         ZZZ
                                    heart add-on.
92979.......  26......  A          Intravasc us,          1.44        0.80          0.62         0.80          0.62        0.06        2.30          2.12         2.30          2.12         ZZZ
                                    heart add-on.
92980.......  ........  A          Insert                14.82          NA            NA         8.43          6.65        1.03          NA            NA        24.28         22.50         000
                                    intracoronary
                                    stent.
92981.......  ........  A          Insert                 4.16          NA            NA         2.31          1.80        0.29          NA            NA         6.76          6.25         ZZZ
                                    intracoronary
                                    stent.
92982.......  ........  A          Coronary artery       10.96          NA            NA         6.30          4.97        0.76          NA            NA        18.02         16.69         000
                                    dilation.
92984.......  ........  A          Coronary artery        2.97          NA            NA         1.64          1.28        0.21          NA            NA         4.82          4.46         ZZZ
                                    dilation.
92986.......  ........  A          Revision of           22.70          NA            NA        15.88         12.84        1.51          NA            NA        40.09         37.05         090
                                    aortic valve.
92987.......  ........  A          Revision of           23.48          NA            NA        16.33         13.24        1.59          NA            NA        41.40         38.31         090
                                    mitral valve.
92990.......  ........  A          Revision of           18.12          NA            NA        11.32         10.17        1.20          NA            NA        30.64         29.49         090
                                    pulmonary valve.
92992.......  ........  C          Revision of            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         090
                                    heart chamber.
92993.......  ........  C          Revision of            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         090
                                    heart chamber.
92995.......  ........  A          Coronary              12.07          NA            NA         6.92          5.45        0.84          NA            NA        19.83         18.36         000
                                    atherectomy.
92996.......  ........  A          Coronary               3.26          NA            NA         1.81          1.41        0.10          NA            NA         5.17          4.77         ZZZ
                                    atherectomy add-
                                    on.
92997.......  ........  A          Pul art balloon       11.98          NA            NA         5.27          4.93        0.40          NA            NA        17.65         17.31         000
                                    repr, percut.
92998.......  ........  A          Pul art balloon        5.99          NA            NA         2.79          2.35        0.28          NA            NA         9.06          8.62         ZZZ
                                    repr, percut.
93000.......  ........  A          Electrocardiogra       0.17        0.34          0.47           NA            NA        0.03        0.54          0.67           NA            NA         XXX
                                    m, complete.
93005.......  ........  A          Electrocardiogra       0.00        0.27          0.41           NA            NA        0.02        0.29          0.43           NA            NA         XXX
                                    m, tracing.
93010.......  ........  A          Electrocardiogra       0.17        0.07          0.06         0.07          0.06        0.01        0.25          0.24         0.25          0.24         XXX
                                    m report.
93012.......  ........  A          Transmission of        0.00        4.15          5.55           NA            NA        0.18        4.33          5.73           NA            NA         XXX
                                    ecg.
93014.......  ........  A          Report on              0.52        0.21          0.20         0.21          0.20        0.02        0.75          0.74         0.75          0.74         XXX
                                    transmitted ecg.
93015.......  ........  A          Cardiovascular         0.75        1.91          1.95           NA            NA        0.14        2.80          2.84           NA            NA         XXX
                                    stress test.
93016.......  ........  A          Cardiovascular         0.45        0.23          0.19         0.23          0.19        0.02        0.70          0.66         0.70          0.66         XXX
                                    stress test.
93017.......  ........  A          Cardiovascular         0.00        1.53          1.64           NA            NA        0.11        1.64          1.75           NA            NA         XXX
                                    stress test.
93018.......  ........  A          Cardiovascular         0.30        0.15          0.12         0.15          0.12        0.01        0.46          0.43         0.46          0.43         XXX
                                    stress test.
93024.......  ........  A          Cardiac drug           1.17        2.41          1.79           NA            NA        0.12        3.70          3.08           NA            NA         XXX
                                    stress test.
93024.......  TC......  A          Cardiac drug           0.00        1.82          1.30           NA            NA        0.08        1.90          1.38           NA            NA         XXX
                                    stress test.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69983]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
93024.......  26......  A          Cardiac drug           1.17        0.59          0.49         0.59          0.49        0.04        1.80          1.70         1.80          1.70         XXX
                                    stress test.
93025.......  ........  A          Microvolt t-wave       0.75        3.90          6.67           NA            NA        0.14        4.79          7.56           NA            NA         XXX
                                    assess.
93025.......  TC......  A          Microvolt t-wave       0.00        3.52          6.36           NA            NA        0.11        3.63          6.47           NA            NA         XXX
                                    assess.
93025.......  26......  A          Microvolt t-wave       0.75        0.38          0.31         0.38          0.31        0.03        1.16          1.09         1.16          1.09         XXX
                                    assess.
93040.......  ........  A          Rhythm ECG with        0.16        0.19          0.20           NA            NA        0.02        0.37          0.38           NA            NA         XXX
                                    report.
93041.......  ........  A          Rhythm ECG,            0.00        0.14          0.15           NA            NA        0.01        0.15          0.16           NA            NA         XXX
                                    tracing.
93042.......  ........  A          Rhythm ECG,            0.16        0.05          0.05         0.05          0.05        0.01        0.22          0.22         0.22          0.22         XXX
                                    report.
93224.......  ........  A          ECG monitor/           0.52        2.32          3.29           NA            NA        0.24        3.08          4.05           NA            NA         XXX
                                    report, 24 hrs.
93225.......  ........  A          ECG monitor/           0.00        1.06          1.20           NA            NA        0.08        1.14          1.28           NA            NA         XXX
                                    record, 24 hrs.
93226.......  ........  A          ECG monitor/           0.00        0.98          1.88           NA            NA        0.14        1.12          2.02           NA            NA         XXX
                                    report, 24 hrs.
93227.......  ........  A          ECG monitor/           0.52        0.28          0.21         0.28          0.21        0.02        0.82          0.75         0.82          0.75         XXX
                                    review, 24 hrs.
93230.......  ........  A          ECG monitor/           0.52        2.28          3.49           NA            NA        0.26        3.06          4.27           NA            NA         XXX
                                    report, 24 hrs.
93231.......  ........  A          Ecg monitor/           0.00        0.92          1.37           NA            NA        0.11        1.03          1.48           NA            NA         XXX
                                    record, 24 hrs.
93232.......  ........  A          ECG monitor/           0.00        1.13          1.92           NA            NA        0.13        1.26          2.05           NA            NA         XXX
                                    report, 24 hrs.
93233.......  ........  A          ECG monitor/           0.52        0.23          0.20         0.23          0.20        0.02        0.77          0.74         0.77          0.74         XXX
                                    review, 24 hrs.
93235.......  ........  A          ECG monitor/           0.45        0.22          2.15           NA            NA        0.16        0.83          2.76           NA            NA         XXX
                                    report, 24 hrs.
93236.......  ........  C          ECG monitor/           0.00        0.00          0.00           NA            NA        0.00        0.00          0.00           NA            NA         XXX
                                    report, 24 hrs.
93237.......  ........  A          ECG monitor/           0.45        0.22          0.18         0.22          0.18        0.02        0.69          0.65         0.69          0.65         XXX
                                    review, 24 hrs.
93268.......  ........  A          ECG record/            0.52        5.75          7.02           NA            NA        0.28        6.55          7.82           NA            NA         XXX
                                    review.
93270.......  ........  A          ECG recording...       0.00        0.29          1.00           NA            NA        0.08        0.37          1.08           NA            NA         XXX
93271.......  ........  A          Ecg/monitoring         0.00        5.24          5.82           NA            NA        0.18        5.42          6.00           NA            NA         XXX
                                    and analysis.
93272.......  ........  A          Ecg/review,            0.52        0.22          0.20         0.22          0.20        0.02        0.76          0.74         0.76          0.74         XXX
                                    interpret only.
93278.......  ........  A          ECG/signal-            0.25        0.61          1.09           NA            NA        0.12        0.98          1.46           NA            NA         XXX
                                    averaged.
93278.......  TC......  A          ECG/signal-            0.00        0.51          0.99           NA            NA        0.11        0.62          1.10           NA            NA         XXX
                                    averaged.
93278.......  26......  A          ECG/signal-            0.25        0.10          0.10         0.10          0.10        0.01        0.36          0.36         0.36          0.36         XXX
                                    averaged.
93303.......  ........  A          Echo                   1.30        4.60          4.41           NA            NA        0.27        6.17          5.98           NA            NA         XXX
                                    transthoracic.
93303.......  TC......  A          Echo                   0.00        4.02          3.90           NA            NA        0.23        4.25          4.13           NA            NA         XXX
                                    transthoracic.
93303.......  26......  A          Echo                   1.30        0.58          0.51         0.58          0.51        0.04        1.92          1.85         1.92          1.85         XXX
                                    transthoracic.
93304.......  ........  A          Echo                   0.75        3.16          2.46           NA            NA        0.15        4.06          3.36           NA            NA         XXX
                                    transthoracic.
93304.......  TC......  A          Echo                   0.00        2.84          2.17           NA            NA        0.13        2.97          2.30           NA            NA         XXX
                                    transthoracic.
93304.......  26......  A          Echo                   0.75        0.32          0.29         0.32          0.29        0.02        1.09          1.06         1.09          1.06         XXX
                                    transthoracic.
93307.......  ........  A          Echo exam of           0.92        3.75          4.10           NA            NA        0.26        4.93          5.28           NA            NA         XXX
                                    heart.
93307.......  TC......  A          Echo exam of           0.00        3.28          3.72           NA            NA        0.23        3.51          3.95           NA            NA         XXX
                                    heart.
93307.......  26......  A          Echo exam of           0.92        0.47          0.38         0.47          0.38        0.03        1.42          1.33         1.42          1.33         XXX
                                    heart.
93308.......  ........  A          Echo exam of           0.53        2.63          2.26           NA            NA        0.15        3.31          2.94           NA            NA         XXX
                                    heart.
93308.......  TC......  A          Echo exam of           0.00        2.35          2.04           NA            NA        0.13        2.48          2.17           NA            NA         XXX
                                    heart.
93308.......  26......  A          Echo exam of           0.53        0.28          0.22         0.28          0.22        0.02        0.83          0.77         0.83          0.77         XXX
                                    heart.
93312.......  ........  A          Echo                   2.20        7.51          5.31           NA            NA        0.37       10.08          7.88           NA            NA         XXX
                                    transesophageal.
93312.......  TC......  A          Echo                   0.00        6.48          4.46           NA            NA        0.29        6.77          4.75           NA            NA         XXX
                                    transesophageal.
93312.......  26......  A          Echo                   2.20        1.03          0.85         1.03          0.85        0.08        3.31          3.13         3.31          3.13         XXX
                                    transesophageal.
93313.......  ........  A          Echo                   0.95          NA            NA         0.14          0.19        0.06          NA            NA         1.15          1.20         XXX
                                    transesophageal.
93314.......  ........  A          Echo                   1.25        7.21          4.99           NA            NA        0.33        8.79          6.57           NA            NA         XXX
                                    transesophageal.
93314.......  TC......  A          Echo                   0.00        6.63          4.49           NA            NA        0.29        6.92          4.78           NA            NA         XXX
                                    transesophageal.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69984]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
93314.......  26......  A          Echo                   1.25        0.58          0.50         0.58          0.50        0.04        1.87          1.79         1.87          1.79         XXX
                                    transesophageal.
93315.......  ........  C          Echo                   0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transesophageal.
93315.......  TC......  C          Echo                   0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transesophageal.
93315.......  26......  A          Echo                   2.78        1.35          1.10         1.35          1.10        0.09        4.22          3.97         4.22          3.97         XXX
                                    transesophageal.
93316.......  ........  A          Echo                   0.95          NA            NA         0.26          0.25        0.05          NA            NA         1.26          1.25         XXX
                                    transesophageal.
93317.......  ........  C          Echo                   0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transesophageal.
93317.......  TC......  C          Echo                   0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transesophageal.
93317.......  26......  A          Echo                   1.83        0.76          0.69         0.76          0.69        0.08        2.67          2.60         2.67          2.60         XXX
                                    transesophageal.
93318.......  ........  C          Echo                   0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transesophageal
                                    intraop.
93318.......  TC......  C          Echo                   0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    transesophageal
                                    intraop.
93318.......  26......  A          Echo                   2.20        0.91          0.59         0.91          0.59        0.14        3.25          2.93         3.25          2.93         XXX
                                    transesophageal
                                    intraop.
93320.......  ........  A          Doppler echo           0.38        1.68          1.82         1.68          1.82        0.13        2.19          2.33         2.19          2.33         ZZZ
                                    exam, heart.
93320.......  TC......  A          Doppler echo           0.00        1.49          1.66         1.49          1.66        0.12        1.61          1.78         1.61          1.78         ZZZ
                                    exam, heart.
93320.......  26......  A          Doppler echo           0.38        0.19          0.16         0.19          0.16        0.01        0.58          0.55         0.58          0.55         ZZZ
                                    exam, heart.
93321.......  ........  A          Doppler echo           0.15        0.62          1.04         0.62          1.04        0.09        0.86          1.28         0.86          1.28         ZZZ
                                    exam, heart.
93321.......  TC......  A          Doppler echo           0.00        0.54          0.97         0.54          0.97        0.08        0.62          1.05         0.62          1.05         ZZZ
                                    exam, heart.
93321.......  26......  A          Doppler echo           0.15        0.08          0.07         0.08          0.07        0.01        0.24          0.23         0.24          0.23         ZZZ
                                    exam, heart.
93325.......  ........  A          Doppler color          0.07        0.66          2.36         0.66          2.36        0.22        0.95          2.65         0.95          2.65         ZZZ
                                    flow add-on.
93325.......  TC......  A          Doppler color          0.00        0.63          2.33         0.63          2.33        0.21        0.84          2.54         0.84          2.54         ZZZ
                                    flow add-on.
93325.......  26......  A          Doppler color          0.07        0.03          0.03         0.03          0.03        0.01        0.11          0.11         0.11          0.11         ZZZ
                                    flow add-on.
93350.......  ........  A          Echo                   1.48        5.12          3.03           NA            NA        0.18        6.78          4.69           NA            NA         XXX
                                    transthoracic.
93350.......  TC......  A          Echo                   0.00        4.33          2.40           NA            NA        0.13        4.46          2.53           NA            NA         XXX
                                    transthoracic.
93350.......  26......  A          Echo                   1.48        0.79          0.63         0.79          0.63        0.05        2.32          2.16         2.32          2.16         XXX
                                    transthoracic.
93501.......  ........  C          Right heart            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    catheterization.
93501.......  TC......  C          Right heart            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    catheterization.
93501.......  26......  A          Right heart            3.02        1.64          1.27         1.64          1.27        0.21        4.87          4.50         4.87          4.50         000
                                    catheterization.
93503.......  ........  C          Insert/place           0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    heart catheter.
93505.......  ........  C          Biopsy of heart        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    lining.
93505.......  TC......  C          Biopsy of heart        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    lining.
93505.......  26......  A          Biopsy of heart        4.37        2.37          1.85         2.37          1.85        0.30        7.04          6.52         7.04          6.52         000
                                    lining.
93508.......  ........  C          Cath placement,        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    angiography.
93508.......  TC......  C          Cath placement,        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    angiography.
93508.......  26......  A          Cath placement,        4.09        2.27          2.13         2.27          2.13        0.28        6.64          6.50         6.64          6.50         000
                                    angiography.
93510.......  ........  C          Left heart             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    catheterization.
93510.......  TC......  C          Left heart             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    catheterization.
93510.......  26......  A          Left heart             4.32        2.38          2.22         2.38          2.22        0.30        7.00          6.84         7.00          6.84         000
                                    catheterization.
93511.......  ........  C          Left heart             0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    catheterization.
93511.......  TC......  C          Left heart             0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    catheterization.
93511.......  26......  A          Left heart             5.02        2.67          2.50         2.67          2.50        0.35        8.04          7.87         8.04          7.87         000
                                    catheterization.
93514.......  ........  C          Left heart             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    catheterization.
93514.......  TC......  C          Left heart             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    catheterization.
93514.......  26......  A          Left heart             7.04        3.20          3.14         3.20          3.14        0.49       10.73         10.67        10.73         10.67         000
                                    catheterization.
93524.......  ........  C          Left heart             0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    catheterization.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69985]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
93524.......  TC......  C          Left heart             0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    catheterization.
93524.......  26......  A          Left heart             6.94        3.79          3.33         3.79          3.33        0.48       11.21         10.75        11.21         10.75         000
                                    catheterization.
93526.......  ........  C          Rt & Lt heart          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    catheters.
93526.......  TC......  C          Rt & Lt heart          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    catheters.
93526.......  26......  A          Rt & Lt heart          5.98        3.29          2.93         3.29          2.93        0.42        9.69          9.33         9.69          9.33         000
                                    catheters.
93527.......  ........  C          Rt & Lt heart          0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    catheters.
93527.......  TC......  C          Rt & Lt heart          0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    catheters.
93527.......  26......  A          Rt & Lt heart          7.27        4.03          3.49         4.03          3.49        0.51       11.81         11.27        11.81         11.27         000
                                    catheters.
93528.......  ........  C          Rt & Lt heart          0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    catheters.
93528.......  TC......  C          Rt & Lt heart          0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    catheters.
93528.......  26......  A          Rt & Lt heart          8.99        4.68          4.19         4.68          4.19        0.62       14.29         13.80        14.29         13.80         000
                                    catheters.
93529.......  ........  C          Rt, lt heart           0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    catheterization.
93529.......  TC......  C          Rt, lt heart           0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    catheterization.
93529.......  26......  A          Rt, lt heart           4.79        2.64          2.36         2.64          2.36        0.33        7.76          7.48         7.76          7.48         000
                                    catheterization.
93530.......  ........  C          Rt heart cath,         0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    congenital.
93530.......  TC......  C          Rt heart cath,         0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    congenital.
93530.......  26......  A          Rt heart cath,         4.22        1.87          1.92         1.87          1.92        0.29        6.38          6.43         6.38          6.43         000
                                    congenital.
93531.......  ........  C          R & l heart            0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    cath,
                                    congenital.
93531.......  TC......  C          R & l heart            0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    cath,
                                    congenital.
93531.......  26......  A          R & l heart            8.34        3.77          3.63         3.77          3.63        0.58       12.69         12.55        12.69         12.55         000
                                    cath,
                                    congenital.
93532.......  ........  C          R & l heart            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    cath,
                                    congenital.
93532.......  TC......  C          R & l heart            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    cath,
                                    congenital.
93532.......  26......  A          R & l heart            9.99        4.09          4.21         4.09          4.21        0.69       14.77         14.89        14.77         14.89         000
                                    cath,
                                    congenital.
93533.......  ........  C          R & l heart            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    cath,
                                    congenital.
93533.......  TC......  C          R & l heart            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    cath,
                                    congenital.
93533.......  26......  A          R & l heart            6.69        3.09          2.87         3.09          2.87        0.47       10.25         10.03        10.25         10.03         000
                                    cath,
                                    congenital.
93539.......  ........  C          Injection,             0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    cardiac cath.
93540.......  ........  C          Injection,             0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    cardiac cath.
93541.......  ........  C          Injection for          0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    lung angiogram.
93542.......  ........  C          Injection for          0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    heart x-rays.
93543.......  ........  C          Injection for          0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    heart x-rays.
93544.......  ........  C          Injection for          0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    aortography.
93545.......  ........  C          Inject for             0.00          NA            NA         0.00          0.00        0.00          NA            NA         0.00          0.00         000
                                    coronary x-rays.
93555.......  ........  C          Imaging, cardiac       0.00        0.00          0.00           NA            NA        0.00        0.00          0.00           NA            NA         XXX
                                    cath.
93555.......  TC......  C          Imaging, cardiac       0.00        0.00          0.00           NA            NA        0.00        0.00          0.00           NA            NA         XXX
                                    cath.
93555.......  26......  A          Imaging, cardiac       0.81        0.45          0.35         0.45          0.35        0.03        1.29          1.19         1.29          1.19         XXX
                                    cath.
93556.......  ........  C          Imaging, cardiac       0.00        0.00          0.00           NA            NA        0.00        0.00          0.00           NA            NA         XXX
                                    cath.
93556.......  TC......  C          Imaging, cardiac       0.00        0.00          0.00           NA            NA        0.00        0.00          0.00           NA            NA         XXX
                                    cath.
93556.......  26......  A          Imaging, cardiac       0.83        0.46          0.36         0.46          0.36        0.03        1.32          1.22         1.32          1.22         XXX
                                    cath.
93561.......  ........  C          Cardiac output         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    measurement.
93561.......  TC......  C          Cardiac output         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    measurement.
93561.......  26......  A          Cardiac output         0.50        0.14          0.16         0.14          0.16        0.02        0.66          0.68         0.66          0.68         000
                                    measurement.
93562.......  ........  C          Cardiac output         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    measurement.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69986]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
93562.......  TC......  C          Cardiac output         0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    measurement.
93562.......  26......  A          Cardiac output         0.16        0.03          0.05         0.03          0.05        0.01        0.20          0.22         0.20          0.22         000
                                    measurement.
93571.......  ........  C          Heart flow             0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         ZZZ
                                    reserve measure.
93571.......  TC......  C          Heart flow             0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         ZZZ
                                    reserve measure.
93571.......  26......  A          Heart flow             1.80        0.99          0.76         0.99          0.76        0.06        2.85          2.62         2.85          2.62         ZZZ
                                    reserve measure.
93572.......  ........  C          Heart flow             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    reserve measure.
93572.......  TC......  C          Heart flow             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    reserve measure.
93572.......  26......  A          Heart flow             1.44        0.75          0.56         0.75          0.56        0.04        2.23          2.04         2.23          2.04         ZZZ
                                    reserve measure.
93580.......  ........  A          Transcath             17.97          NA            NA         9.73          7.97        1.25          NA            NA        28.95         27.19         000
                                    closure of asd.
93581.......  ........  A          Transcath             24.39          NA            NA        13.39         10.39        1.72          NA            NA        39.50         36.50         000
                                    closure of vsd.
93600.......  ........  C          Bundle of His          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    recording.
93600.......  TC......  C          Bundle of His          0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    recording.
93600.......  26......  A          Bundle of His          2.12        1.11          0.90         1.11          0.90        0.16        3.39          3.18         3.39          3.18         000
                                    recording.
93602.......  ........  C          Intra-atrial           0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    recording.
93602.......  TC......  C          Intra-atrial           0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    recording.
93602.......  26......  A          Intra-atrial           2.12        1.09          0.89         1.09          0.89        0.17        3.38          3.18         3.38          3.18         000
                                    recording.
93603.......  ........  C          Right                  0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    ventricular
                                    recording.
93603.......  TC......  C          Right                  0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    ventricular
                                    recording.
93603.......  26......  A          Right                  2.12        1.08          0.88         1.08          0.88        0.18        3.38          3.18         3.38          3.18         000
                                    ventricular
                                    recording.
93609.......  ........  C          Map tachycardia,       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         ZZZ
                                    add-on.
93609.......  TC......  C          Map tachycardia,       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         ZZZ
                                    add-on.
93609.......  26......  A          Map tachycardia,       4.99        2.73          2.15         2.73          2.15        0.35        8.07          7.49         8.07          7.49         ZZZ
                                    add-on.
93610.......  ........  C          Intra-atrial           0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    pacing.
93610.......  TC......  C          Intra-atrial           0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    pacing.
93610.......  26......  A          Intra-atrial           3.02        1.53          1.25         1.53          1.25        0.24        4.79          4.51         4.79          4.51         000
                                    pacing.
93612.......  ........  C          Intraventricular       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    pacing.
93612.......  TC......  C          Intraventricular       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    pacing.
93612.......  26......  A          Intraventricular       3.02        1.48          1.24         1.48          1.24        0.25        4.75          4.51         4.75          4.51         000
                                    pacing.
93613.......  ........  A          Electrophys map        6.99          NA            NA         3.83          3.03        0.49          NA            NA        11.31         10.51         ZZZ
                                    3d, add-on.
93615.......  ........  C          Esophageal             0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    recording.
93615.......  TC......  C          Esophageal             0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    recording.
93615.......  26......  A          Esophageal             0.99        0.49          0.33         0.49          0.33        0.03        1.51          1.35         1.51          1.35         000
                                    recording.
93616.......  ........  C          Esophageal             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    recording.
93616.......  TC......  C          Esophageal             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    recording.
93616.......  26......  A          Esophageal             1.49        0.43          0.43         0.43          0.43        0.09        2.01          2.01         2.01          2.01         000
                                    recording.
93618.......  ........  C          Heart rhythm           0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    pacing.
93618.......  TC......  C          Heart rhythm           0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    pacing.
93618.......  26......  A          Heart rhythm           4.25        2.36          1.84         2.36          1.84        0.30        6.91          6.39         6.91          6.39         000
                                    pacing.
93619.......  ........  C          Electrophysiolog       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    y evaluation.
93619.......  TC......  C          Electrophysiolog       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    y evaluation.
93619.......  26......  A          Electrophysiolog       7.31        3.93          3.37         3.93          3.37        0.51       11.75         11.19        11.75         11.19         000
                                    y evaluation.
93620.......  ........  C          Electrophysiolog       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    y evaluation.
93620.......  TC......  C          Electrophysiolog       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    y evaluation.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69987]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
93620.......  26......  A          Electrophysiolog      11.57        6.34          5.22         6.34          5.22        0.80       18.71         17.59        18.71         17.59         000
                                    y evaluation.
93621.......  ........  C          Electrophysiolog       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    y evaluation.
93621.......  TC......  C          Electrophysiolog       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    y evaluation.
93621.......  26......  A          Electrophysiolog       2.10        1.15          0.90         1.15          0.90        0.15        3.40          3.15         3.40          3.15         ZZZ
                                    y evaluation.
93622.......  ........  C          Electrophysiolog       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    y evaluation.
93622.......  TC......  C          Electrophysiolog       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    y evaluation.
93622.......  26......  A          Electrophysiolog       3.10        1.68          1.33         1.68          1.33        0.22        5.00          4.65         5.00          4.65         ZZZ
                                    y evaluation.
93623.......  ........  C          Stimulation,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    pacing heart.
93623.......  TC......  C          Stimulation,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    pacing heart.
93623.......  26......  A          Stimulation,           2.85        1.56          1.22         1.56          1.22        0.20        4.61          4.27         4.61          4.27         ZZZ
                                    pacing heart.
93624.......  ........  A          Electrophysiolog       4.80          NA            NA         2.67          4.29        0.46          NA            NA         7.93          9.55         000
                                    ic study.
93624.......  TC......  A          Electrophysiolog       0.00          NA            NA         0.00          1.98        0.13          NA            NA         0.13          2.11         000
                                    ic study.
93624.......  26......  A          Electrophysiolog       4.80        2.67          2.31         2.67          2.31        0.33        7.80          7.44         7.80          7.44         000
                                    ic study.
93631.......  ........  C          Heart pacing,          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    mapping.
93631.......  TC......  C          Heart pacing,          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         000
                                    mapping.
93631.......  26......  A          Heart pacing,          7.59        2.76          2.77         2.76          2.77        0.97       11.32         11.33        11.32         11.33         000
                                    mapping.
93640.......  ........  C          Evaluation heart       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    device.
93640.......  TC......  C          Evaluation heart       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    device.
93640.......  26......  A          Evaluation heart       3.51        1.92          1.50         1.92          1.50        0.24        5.67          5.25         5.67          5.25         000
                                    device.
93641.......  ........  C          Electrophysiolog       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    y evaluation.
93641.......  TC......  C          Electrophysiolog       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         000
                                    y evaluation.
93641.......  26......  A          Electrophysiolog       5.92        3.23          2.54         3.23          2.54        0.41        9.56          8.87         9.56          8.87         000
                                    y evaluation.
93642.......  ........  A          Electrophysiolog       4.88        7.45          8.90         7.45          8.90        0.57       12.90         14.35        12.90         14.35         000
                                    y evaluation.
93642.......  TC......  A          Electrophysiolog       0.00        4.77          6.57         4.77          6.57        0.42        5.19          6.99         5.19          6.99         000
                                    y evaluation.
93642.......  26......  A          Electrophysiolog       4.88        2.68          2.33         2.68          2.33        0.15        7.71          7.36         7.71          7.36         000
                                    y evaluation.
93650.......  ........  A          Ablate heart          10.49          NA            NA         6.06          4.84        0.73          NA            NA        17.28         16.06         000
                                    dysrhythm focus.
93651.......  ........  A          Ablate heart          16.23          NA            NA         8.88          6.96        1.13          NA            NA        26.24         24.32         000
                                    dysrhythm focus.
93652.......  ........  A          Ablate heart          17.65          NA            NA         9.68          7.58        1.23          NA            NA        28.56         26.46         000
                                    dysrhythm focus.
93660.......  ........  A          Tilt table             1.89        3.05          2.58         3.05          2.58        0.08        5.02          4.55         5.02          4.55         000
                                    evaluation.
93660.......  TC......  A          Tilt table             0.00        2.04          1.77         2.04          1.77        0.02        2.06          1.79         2.06          1.79         000
                                    evaluation.
93660.......  26......  A          Tilt table             1.89        1.01          0.81         1.01          0.81        0.06        2.96          2.76         2.96          2.76         000
                                    evaluation.
93662.......  ........  C          Intracardiac ecg       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    (ice).
93662.......  TC......  C          Intracardiac ecg       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    (ice).
93662.......  26......  A          Intracardiac ecg       2.80        1.53          1.22         1.53          1.22        0.09        4.42          4.11         4.42          4.11         ZZZ
                                    (ice).
93668.......  ........  N          Peripheral             0.00        0.40          0.40           NA            NA        0.01        0.41          0.41           NA            NA         XXX
                                    vascular rehab.
93701.......  ........  A          Bioimpedance,          0.17        0.70          0.91           NA            NA        0.02        0.89          1.10           NA            NA         XXX
                                    thoracic.
93701.......  TC......  A          Bioimpedance,          0.00        0.64          0.84           NA            NA        0.01        0.65          0.85           NA            NA         XXX
                                    thoracic.
93701.......  26......  A          Bioimpedance,          0.17        0.06          0.07         0.06          0.07        0.01        0.24          0.25         0.24          0.25         XXX
                                    thoracic.
93720.......  ........  A          Total body             0.17        1.19          0.87           NA            NA        0.07        1.43          1.11           NA            NA         XXX
                                    plethysmography.
93721.......  ........  A          Plethysmography        0.00        1.14          0.82           NA            NA        0.06        1.20          0.88           NA            NA         XXX
                                    tracing.
93722.......  ........  A          Plethysmography        0.17        0.05          0.05         0.05          0.05        0.01        0.23          0.23         0.23          0.23         XXX
                                    report.
93724.......  ........  A          Analyze                4.88        3.53          5.29         3.53          5.29        0.39        8.80         10.56         8.80         10.56         000
                                    pacemaker
                                    system.
93724.......  TC......  A          Analyze                0.00        0.91          3.20         0.91          3.20        0.24        1.15          3.44         1.15          3.44         000
                                    pacemaker
                                    system.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69988]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
93724.......  26......  A          Analyze                4.88        2.62          2.09         2.62          2.09        0.15        7.65          7.12         7.65          7.12         000
                                    pacemaker
                                    system.
93727.......  ........  A          Analyze ilr            0.52        0.65          0.31         0.65          0.31        0.02        1.19          0.85         1.19          0.85         XXX
                                    system.
93731.......  ........  A          Analyze                0.45        0.79          0.70           NA            NA        0.05        1.29          1.20           NA            NA         XXX
                                    pacemaker
                                    system.
93731.......  TC......  A          Analyze                0.00        0.55          0.51           NA            NA        0.04        0.59          0.55           NA            NA         XXX
                                    pacemaker
                                    system.
93731.......  26......  A          Analyze                0.45        0.24          0.19         0.24          0.19        0.01        0.70          0.65         0.70          0.65         XXX
                                    pacemaker
                                    system.
93732.......  ........  A          Analyze                0.92        1.17          0.94           NA            NA        0.07        2.16          1.93           NA            NA         XXX
                                    pacemaker
                                    system.
93732.......  TC......  A          Analyze                0.00        0.67          0.55           NA            NA        0.04        0.71          0.59           NA            NA         XXX
                                    pacemaker
                                    system.
93732.......  26......  A          Analyze                0.92        0.50          0.39         0.50          0.39        0.03        1.45          1.34         1.45          1.34         XXX
                                    pacemaker
                                    system.
93733.......  ........  A          Telephone analy,       0.17        0.92          0.83           NA            NA        0.07        1.16          1.07           NA            NA         XXX
                                    pacemaker.
93733.......  TC......  A          Telephone analy,       0.00        0.84          0.76           NA            NA        0.06        0.90          0.82           NA            NA         XXX
                                    pacemaker.
93733.......  26......  A          Telephone analy,       0.17        0.08          0.07         0.08          0.07        0.01        0.26          0.25         0.26          0.25         XXX
                                    pacemaker.
93734.......  ........  A          Analyze                0.38        0.70          0.55           NA            NA        0.03        1.11          0.96           NA            NA         XXX
                                    pacemaker
                                    system.
93734.......  TC......  A          Analyze                0.00        0.50          0.39           NA            NA        0.02        0.52          0.41           NA            NA         XXX
                                    pacemaker
                                    system.
93734.......  26......  A          Analyze                0.38        0.20          0.16         0.20          0.16        0.01        0.59          0.55         0.59          0.55         XXX
                                    pacemaker
                                    system.
93735.......  ........  A          Analyze                0.74        0.97          0.78           NA            NA        0.06        1.77          1.58           NA            NA         XXX
                                    pacemaker
                                    system.
93735.......  TC......  A          Analyze                0.00        0.57          0.47           NA            NA        0.04        0.61          0.51           NA            NA         XXX
                                    pacemaker
                                    system.
93735.......  26......  A          Analyze                0.74        0.40          0.31         0.40          0.31        0.02        1.16          1.07         1.16          1.07         XXX
                                    pacemaker
                                    system.
93736.......  ........  A          Telephonic             0.15        0.90          0.74           NA            NA        0.07        1.12          0.96           NA            NA         XXX
                                    analy,
                                    pacemaker.
93736.......  TC......  A          Telephonic             0.00        0.83          0.68           NA            NA        0.06        0.89          0.74           NA            NA         XXX
                                    analy,
                                    pacemaker.
93736.......  26......  A          Telephonic             0.15        0.07          0.06         0.07          0.06        0.01        0.23          0.22         0.23          0.22         XXX
                                    analy,
                                    pacemaker.
93740.......  ........  B          Temperature            0.16        0.04          0.15           NA            NA        0.02        0.22          0.33           NA            NA         XXX
                                    gradient
                                    studies.
93740.......  TC......  B          Temperature            0.00        0.00          0.11           NA            NA        0.01        0.01          0.12           NA            NA         XXX
                                    gradient
                                    studies.
93740.......  26......  B          Temperature            0.16        0.04          0.04         0.04          0.04        0.01        0.21          0.21         0.21          0.21         XXX
                                    gradient
                                    studies.
93741.......  ........  A          Analyze ht pace        0.80        1.04          0.99           NA            NA        0.07        1.91          1.86           NA            NA         XXX
                                    device sngl.
93741.......  TC......  A          Analyze ht pace        0.00        0.60          0.65           NA            NA        0.04        0.64          0.69           NA            NA         XXX
                                    device sngl.
93741.......  26......  A          Analyze ht pace        0.80        0.44          0.34         0.44          0.34        0.03        1.27          1.17         1.27          1.17         XXX
                                    device sngl.
93742.......  ........  A          Analyze ht pace        0.91        1.18          1.07           NA            NA        0.07        2.16          2.05           NA            NA         XXX
                                    device sngl.
93742.......  TC......  A          Analyze ht pace        0.00        0.67          0.67           NA            NA        0.04        0.71          0.71           NA            NA         XXX
                                    device sngl.
93742.......  26......  A          Analyze ht pace        0.91        0.51          0.40         0.51          0.40        0.03        1.45          1.34         1.45          1.34         XXX
                                    device sngl.
93743.......  ........  A          Analyze ht pace        1.03        1.22          1.15           NA            NA        0.07        2.32          2.25           NA            NA         XXX
                                    device dual.
93743.......  TC......  A          Analyze ht pace        0.00        0.65          0.71           NA            NA        0.04        0.69          0.75           NA            NA         XXX
                                    device dual.
93743.......  26......  A          Analyze ht pace        1.03        0.57          0.44         0.57          0.44        0.03        1.63          1.50         1.63          1.50         XXX
                                    device dual.
93744.......  ........  A          Analyze ht pace        1.18        1.37          1.19           NA            NA        0.08        2.63          2.45           NA            NA         XXX
                                    device dual.
93744.......  TC......  A          Analyze ht pace        0.00        0.72          0.68           NA            NA        0.04        0.76          0.72           NA            NA         XXX
                                    device dual.
93744.......  26......  A          Analyze ht pace        1.18        0.65          0.51         0.65          0.51        0.04        1.87          1.73         1.87          1.73         XXX
                                    device dual.
93745.......  ........  C          Set-up                 0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cardiovert-
                                    defibrill.
93745.......  TC......  C          Set-up                 0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cardiovert-
                                    defibrill.
93745.......  26......  C          Set-up                 0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cardiovert-
                                    defibrill.
93760.......  ........  N          Cephalic               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    thermogram.
93762.......  ........  N          Peripheral             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    thermogram.
93770.......  ........  B          Measure venous         0.16        0.04          0.07           NA            NA        0.02        0.22          0.25           NA            NA         XXX
                                    pressure.
93770.......  TC......  B          Measure venous         0.00        0.00          0.02           NA            NA        0.01        0.01          0.03           NA            NA         XXX
                                    pressure.
93770.......  26......  B          Measure venous         0.16        0.04          0.05         0.04          0.05        0.01        0.21          0.22         0.21          0.22         XXX
                                    pressure.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69989]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
93784.......  ........  A          Ambulatory BP          0.38        1.54          1.54           NA            NA        0.03        1.95          1.95           NA            NA         XXX
                                    monitoring.
93786.......  ........  A          Ambulatory BP          0.00        0.88          0.90           NA            NA        0.01        0.89          0.91           NA            NA         XXX
                                    recording.
93788.......  ........  A          Ambulatory BP          0.00        0.52          0.51           NA            NA        0.01        0.53          0.52           NA            NA         XXX
                                    analysis.
93790.......  ........  A          Review/report BP       0.38        0.14          0.13         0.14          0.13        0.01        0.53          0.52         0.53          0.52         XXX
                                    recording.
93797.......  ........  A          Cardiac rehab...       0.18        0.32          0.31         0.09          0.08        0.01        0.51          0.50         0.28          0.27         000
93798.......  ........  A          Cardiac rehab/         0.28        0.44          0.46         0.13          0.12        0.01        0.73          0.75         0.42          0.41         000
                                    monitor.
93799.......  ........  C          Cardiovascular         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
93799.......  TC......  C          Cardiovascular         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
93799.......  26......  C          Cardiovascular         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
93875.......  ........  A          Extracranial           0.22        2.50          2.38           NA            NA        0.12        2.84          2.72           NA            NA         XXX
                                    study.
93875.......  TC......  A          Extracranial           0.00        2.43          2.30           NA            NA        0.11        2.54          2.41           NA            NA         XXX
                                    study.
93875.......  26......  A          Extracranial           0.22        0.07          0.08         0.07          0.08        0.01        0.30          0.31         0.30          0.31         XXX
                                    study.
93880.......  ........  A          Extracranial           0.60        6.01          5.67           NA            NA        0.39        7.00          6.66           NA            NA         XXX
                                    study.
93880.......  TC......  A          Extracranial           0.00        5.81          5.47           NA            NA        0.35        6.16          5.82           NA            NA         XXX
                                    study.
93880.......  26......  A          Extracranial           0.60        0.20          0.20         0.20          0.20        0.04        0.84          0.84         0.84          0.84         XXX
                                    study.
93882.......  ........  A          Extracranial           0.40        4.04          3.63           NA            NA        0.26        4.70          4.29           NA            NA         XXX
                                    study.
93882.......  TC......  A          Extracranial           0.00        3.93          3.50           NA            NA        0.22        4.15          3.72           NA            NA         XXX
                                    study.
93882.......  26......  A          Extracranial           0.40        0.11          0.13         0.11          0.13        0.04        0.55          0.57         0.55          0.57         XXX
                                    study.
93886.......  ........  A          Intracranial           0.94        6.83          6.77           NA            NA        0.45        8.22          8.16           NA            NA         XXX
                                    study.
93886.......  TC......  A          Intracranial           0.00        6.55          6.42           NA            NA        0.39        6.94          6.81           NA            NA         XXX
                                    study.
93886.......  26......  A          Intracranial           0.94        0.28          0.35         0.28          0.35        0.06        1.28          1.35         1.28          1.35         XXX
                                    study.
93888.......  ........  A          Intracranial           0.62        4.73          4.36           NA            NA        0.32        5.67          5.30           NA            NA         XXX
                                    study.
93888.......  TC......  A          Intracranial           0.00        4.54          4.14           NA            NA        0.27        4.81          4.41           NA            NA         XXX
                                    study.
93888.......  26......  A          Intracranial           0.62        0.19          0.22         0.19          0.22        0.05        0.86          0.89         0.86          0.89         XXX
                                    study.
93890.......  ........  A          Tcd,                   1.00        6.08          5.20           NA            NA        0.45        7.53          6.65           NA            NA         XXX
                                    vasoreactivity
                                    study.
93890.......  TC......  A          Tcd,                   0.00        5.78          4.82           NA            NA        0.39        6.17          5.21           NA            NA         XXX
                                    vasoreactivity
                                    study.
93890.......  26......  A          Tcd,                   1.00        0.30          0.38         0.30          0.38        0.06        1.36          1.44         1.36          1.44         XXX
                                    vasoreactivity
                                    study.
93892.......  ........  A          Tcd, emboli            1.15        6.59          5.52           NA            NA        0.45        8.19          7.12           NA            NA         XXX
                                    detect w/o inj.
93892.......  TC......  A          Tcd, emboli            0.00        6.25          5.09           NA            NA        0.39        6.64          5.48           NA            NA         XXX
                                    detect w/o inj.
93892.......  26......  A          Tcd, emboli            1.15        0.34          0.43         0.34          0.43        0.06        1.55          1.64         1.55          1.64         XXX
                                    detect w/o inj.
93893.......  ........  A          Tcd, emboli            1.15        6.28          5.34           NA            NA        0.45        7.88          6.94           NA            NA         XXX
                                    detect w/inj.
93893.......  TC......  A          Tcd, emboli            0.00        5.94          4.91           NA            NA        0.39        6.33          5.30           NA            NA         XXX
                                    detect w/inj.
93893.......  26......  A          Tcd, emboli            1.15        0.34          0.43         0.34          0.43        0.06        1.55          1.64         1.55          1.64         XXX
                                    detect w/inj.
93922.......  ........  A          Extremity study.       0.25        3.07          2.78           NA            NA        0.15        3.47          3.18           NA            NA         XXX
93922.......  TC......  A          Extremity study.       0.00        2.99          2.70           NA            NA        0.13        3.12          2.83           NA            NA         XXX
93922.......  26......  A          Extremity study.       0.25        0.08          0.08         0.08          0.08        0.02        0.35          0.35         0.35          0.35         XXX
93923.......  ........  A          Extremity study.       0.45        4.60          4.18           NA            NA        0.26        5.31          4.89           NA            NA         XXX
93923.......  TC......  A          Extremity study.       0.00        4.47          4.03           NA            NA        0.22        4.69          4.25           NA            NA         XXX
93923.......  26......  A          Extremity study.       0.45        0.13          0.15         0.13          0.15        0.04        0.62          0.64         0.62          0.64         XXX
93924.......  ........  A          Extremity study.       0.50        5.81          5.05           NA            NA        0.30        6.61          5.85           NA            NA         XXX
93924.......  TC......  A          Extremity study.       0.00        5.65          4.88           NA            NA        0.25        5.90          5.13           NA            NA         XXX
93924.......  26......  A          Extremity study.       0.50        0.16          0.17         0.16          0.17        0.05        0.71          0.72         0.71          0.72         XXX
93925.......  ........  A          Lower extremity        0.58        7.82          7.05           NA            NA        0.39        8.79          8.02           NA            NA         XXX
                                    study.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69990]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
93925.......  TC......  A          Lower extremity        0.00        7.64          6.85           NA            NA        0.35        7.99          7.20           NA            NA         XXX
                                    study.
93925.......  26......  A          Lower extremity        0.58        0.18          0.20         0.18          0.20        0.04        0.80          0.82         0.80          0.82         XXX
                                    study.
93926.......  ........  A          Lower extremity        0.39        5.05          4.31           NA            NA        0.27        5.71          4.97           NA            NA         XXX
                                    study.
93926.......  TC......  A          Lower extremity        0.00        4.94          4.18           NA            NA        0.23        5.17          4.41           NA            NA         XXX
                                    study.
93926.......  26......  A          Lower extremity        0.39        0.11          0.13         0.11          0.13        0.04        0.54          0.56         0.54          0.56         XXX
                                    study.
93930.......  ........  A          Upper extremity        0.46        6.09          5.54           NA            NA        0.41        6.96          6.41           NA            NA         XXX
                                    study.
93930.......  TC......  A          Upper extremity        0.00        5.95          5.38           NA            NA        0.37        6.32          5.75           NA            NA         XXX
                                    study.
93930.......  26......  A          Upper extremity        0.46        0.14          0.16         0.14          0.16        0.04        0.64          0.66         0.64          0.66         XXX
                                    study.
93931.......  ........  A          Upper extremity        0.31        4.11          3.64           NA            NA        0.27        4.69          4.22           NA            NA         XXX
                                    study.
93931.......  TC......  A          Upper extremity        0.00        4.02          3.54           NA            NA        0.24        4.26          3.78           NA            NA         XXX
                                    study.
93931.......  26......  A          Upper extremity        0.31        0.09          0.10         0.09          0.10        0.03        0.43          0.44         0.43          0.44         XXX
                                    study.
93965.......  ........  A          Extremity study.       0.35        2.94          2.83           NA            NA        0.14        3.43          3.32           NA            NA         XXX
93965.......  TC......  A          Extremity study.       0.00        2.84          2.71           NA            NA        0.12        2.96          2.83           NA            NA         XXX
93965.......  26......  A          Extremity study.       0.35        0.10          0.12         0.10          0.12        0.02        0.47          0.49         0.47          0.49         XXX
93970.......  ........  A          Extremity study.       0.68        6.00          5.44           NA            NA        0.46        7.14          6.58           NA            NA         XXX
93970.......  TC......  A          Extremity study.       0.00        5.81          5.22           NA            NA        0.40        6.21          5.62           NA            NA         XXX
93970.......  26......  A          Extremity study.       0.68        0.19          0.22         0.19          0.22        0.06        0.93          0.96         0.93          0.96         XXX
93971.......  ........  A          Extremity study.       0.45        3.90          3.67           NA            NA        0.30        4.65          4.42           NA            NA         XXX
93971.......  TC......  A          Extremity study.       0.00        3.77          3.52           NA            NA        0.27        4.04          3.79           NA            NA         XXX
93971.......  26......  A          Extremity study.       0.45        0.13          0.15         0.13          0.15        0.03        0.61          0.63         0.61          0.63         XXX
93975.......  ........  A          Vascular study..       1.80        8.23          7.78           NA            NA        0.56       10.59         10.14           NA            NA         XXX
93975.......  TC......  A          Vascular study..       0.00        7.64          7.18           NA            NA        0.43        8.07          7.61           NA            NA         XXX
93975.......  26......  A          Vascular study..       1.80        0.59          0.60         0.59          0.60        0.13        2.52          2.53         2.52          2.53         XXX
93976.......  ........  A          Vascular study..       1.21        4.33          4.33           NA            NA        0.35        5.89          5.89           NA            NA         XXX
93976.......  TC......  A          Vascular study..       0.00        3.97          3.94           NA            NA        0.30        4.27          4.24           NA            NA         XXX
93976.......  26......  A          Vascular study..       1.21        0.36          0.39         0.36          0.39        0.05        1.62          1.65         1.62          1.65         XXX
93978.......  ........  A          Vascular study..       0.65        5.84          4.85           NA            NA        0.43        6.92          5.93           NA            NA         XXX
93978.......  TC......  A          Vascular study..       0.00        5.63          4.63           NA            NA        0.37        6.00          5.00           NA            NA         XXX
93978.......  26......  A          Vascular study..       0.65        0.21          0.22         0.21          0.22        0.06        0.92          0.93         0.92          0.93         XXX
93979.......  ........  A          Vascular study..       0.44        4.23          3.46           NA            NA        0.27        4.94          4.17           NA            NA         XXX
93979.......  TC......  A          Vascular study..       0.00        4.07          3.31           NA            NA        0.24        4.31          3.55           NA            NA         XXX
93979.......  26......  A          Vascular study..       0.44        0.16          0.15         0.16          0.15        0.03        0.63          0.62         0.63          0.62         XXX
93980.......  ........  A          Penile vascular        1.25        3.50          3.02           NA            NA        0.42        5.17          4.69           NA            NA         XXX
                                    study.
93980.......  TC......  A          Penile vascular        0.00        3.03          2.59           NA            NA        0.34        3.37          2.93           NA            NA         XXX
                                    study.
93980.......  26......  A          Penile vascular        1.25        0.47          0.43         0.47          0.43        0.08        1.80          1.76         1.80          1.76         XXX
                                    study.
93981.......  ........  A          Penile vascular        0.44        2.75          2.85           NA            NA        0.33        3.52          3.62           NA            NA         XXX
                                    study.
93981.......  TC......  A          Penile vascular        0.00        2.59          2.70           NA            NA        0.31        2.90          3.01           NA            NA         XXX
                                    study.
93981.......  26......  A          Penile vascular        0.44        0.16          0.15         0.16          0.15        0.02        0.62          0.61         0.62          0.61         XXX
                                    study.
93990.......  ........  A          Doppler flow           0.25        5.16          4.28           NA            NA        0.26        5.67          4.79           NA            NA         XXX
                                    testing.
93990.......  TC......  A          Doppler flow           0.00        5.10          4.20           NA            NA        0.23        5.33          4.43           NA            NA         XXX
                                    testing.
93990.......  26......  A          Doppler flow           0.25        0.06          0.08         0.06          0.08        0.03        0.34          0.36         0.34          0.36         XXX
                                    testing.
94002.......  ........  A          Vent mgmt inpat,       1.99          NA            NA         0.39          0.34        0.09          NA            NA         2.47          2.42         XXX
                                    init day.
94003.......  ........  A          Vent mgmt inpat,       1.37          NA            NA         0.33          0.33        0.06          NA            NA         1.76          1.76         XXX
                                    subq day.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69991]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
94004.......  ........  A          Vent mgmt nf per       1.00          NA            NA         0.24          0.24        0.04          NA            NA         1.28          1.28         XXX
                                    day.
94005.......  ........  B          Home vent mgmt         1.50        0.69          0.69           NA            NA        0.06        2.25          2.25           NA            NA         XXX
                                    supervision.
94010.......  ........  A          Breathing              0.17        0.73          0.69           NA            NA        0.03        0.93          0.89           NA            NA         XXX
                                    capacity test.
94010.......  TC......  A          Breathing              0.00        0.69          0.64           NA            NA        0.02        0.71          0.66           NA            NA         XXX
                                    capacity test.
94010.......  26......  A          Breathing              0.17        0.04          0.05         0.04          0.05        0.01        0.22          0.23         0.22          0.23         XXX
                                    capacity test.
94014.......  ........  A          Patient recorded       0.52        0.82          0.77           NA            NA        0.03        1.37          1.32           NA            NA         XXX
                                    spirometry.
94015.......  ........  A          Patient recorded       0.00        0.68          0.61           NA            NA        0.01        0.69          0.62           NA            NA         XXX
                                    spirometry.
94016.......  ........  A          Review patient         0.52        0.14          0.16         0.14          0.16        0.02        0.68          0.70         0.68          0.70         XXX
                                    spirometry.
94060.......  ........  A          Evaluation of          0.31        1.31          1.13         1.31          1.13        0.07        1.69          1.51         1.69          1.51         XXX
                                    wheezing.
94060.......  TC......  A          Evaluation of          0.00        1.23          1.04         1.23          1.04        0.06        1.29          1.10         1.29          1.10         XXX
                                    wheezing.
94060.......  26......  A          Evaluation of          0.31        0.08          0.09         0.08          0.09        0.01        0.40          0.41         0.40          0.41         XXX
                                    wheezing.
94070.......  ........  A          Evaluation of          0.60        0.99          0.86           NA            NA        0.13        1.72          1.59           NA            NA         XXX
                                    wheezing.
94070.......  TC......  A          Evaluation of          0.00        0.84          0.69           NA            NA        0.10        0.94          0.79           NA            NA         XXX
                                    wheezing.
94070.......  26......  A          Evaluation of          0.60        0.15          0.17         0.15          0.17        0.03        0.78          0.80         0.78          0.80         XXX
                                    wheezing.
94150.......  ........  B          Vital capacity         0.07        0.48          0.48           NA            NA        0.02        0.57          0.57           NA            NA         XXX
                                    test.
94150.......  TC......  B          Vital capacity         0.00        0.46          0.45           NA            NA        0.01        0.47          0.46           NA            NA         XXX
                                    test.
94150.......  26......  B          Vital capacity         0.07        0.02          0.03         0.02          0.03        0.01        0.10          0.11         0.10          0.11         XXX
                                    test.
94200.......  ........  A          Lung function          0.11        0.48          0.45           NA            NA        0.03        0.62          0.59           NA            NA         XXX
                                    test (MBC/MVV).
94200.......  TC......  A          Lung function          0.00        0.45          0.42           NA            NA        0.02        0.47          0.44           NA            NA         XXX
                                    test (MBC/MVV).
94200.......  26......  A          Lung function          0.11        0.03          0.03         0.03          0.03        0.01        0.15          0.15         0.15          0.15         XXX
                                    test (MBC/MVV).
94240.......  ........  A          Residual lung          0.26        0.81          0.70           NA            NA        0.06        1.13          1.02           NA            NA         XXX
                                    capacity.
94240.......  TC......  A          Residual lung          0.00        0.75          0.62           NA            NA        0.05        0.80          0.67           NA            NA         XXX
                                    capacity.
94240.......  26......  A          Residual lung          0.26        0.06          0.08         0.06          0.08        0.01        0.33          0.35         0.33          0.35         XXX
                                    capacity.
94250.......  ........  A          Expired gas            0.11        0.51          0.61           NA            NA        0.02        0.64          0.74           NA            NA         XXX
                                    collection.
94250.......  TC......  A          Expired gas            0.00        0.48          0.58           NA            NA        0.01        0.49          0.59           NA            NA         XXX
                                    collection.
94250.......  26......  A          Expired gas            0.11        0.03          0.03         0.03          0.03        0.01        0.15          0.15         0.15          0.15         XXX
                                    collection.
94260.......  ........  A          Thoracic gas           0.13        0.76          0.63           NA            NA        0.05        0.94          0.81           NA            NA         XXX
                                    volume.
94260.......  TC......  A          Thoracic gas           0.00        0.73          0.59           NA            NA        0.04        0.77          0.63           NA            NA         XXX
                                    volume.
94260.......  26......  A          Thoracic gas           0.13        0.03          0.04         0.03          0.04        0.01        0.17          0.18         0.17          0.18         XXX
                                    volume.
94350.......  ........  A          Lung nitrogen          0.26        0.62          0.73           NA            NA        0.05        0.93          1.04           NA            NA         XXX
                                    washout curve.
94350.......  TC......  A          Lung nitrogen          0.00        0.55          0.65           NA            NA        0.04        0.59          0.69           NA            NA         XXX
                                    washout curve.
94350.......  26......  A          Lung nitrogen          0.26        0.07          0.08         0.07          0.08        0.01        0.34          0.35         0.34          0.35         XXX
                                    washout curve.
94360.......  ........  A          Measure airflow        0.26        0.95          0.77           NA            NA        0.07        1.28          1.10           NA            NA         XXX
                                    resistance.
94360.......  TC......  A          Measure airflow        0.00        0.89          0.69           NA            NA        0.06        0.95          0.75           NA            NA         XXX
                                    resistance.
94360.......  26......  A          Measure airflow        0.26        0.06          0.08         0.06          0.08        0.01        0.33          0.35         0.33          0.35         XXX
                                    resistance.
94370.......  ........  A          Breath airway          0.26        0.59          0.69           NA            NA        0.03        0.88          0.98           NA            NA         XXX
                                    closing volume.
94370.......  TC......  A          Breath airway          0.00        0.52          0.61           NA            NA        0.02        0.54          0.63           NA            NA         XXX
                                    closing volume.
94370.......  26......  A          Breath airway          0.26        0.07          0.08         0.07          0.08        0.01        0.34          0.35         0.34          0.35         XXX
                                    closing volume.
94375.......  ........  A          Respiratory flow       0.31        0.72          0.63           NA            NA        0.03        1.06          0.97           NA            NA         XXX
                                    volume loop.
94375.......  TC......  A          Respiratory flow       0.00        0.64          0.54           NA            NA        0.02        0.66          0.56           NA            NA         XXX
                                    volume loop.
94375.......  26......  A          Respiratory flow       0.31        0.08          0.09         0.08          0.09        0.01        0.40          0.41         0.40          0.41         XXX
                                    volume loop.
94400.......  ........  A          CO2 breathing          0.40        1.02          0.89           NA            NA        0.09        1.51          1.38           NA            NA         XXX
                                    response curve.
94400.......  TC......  A          CO2 breathing          0.00        0.92          0.77           NA            NA        0.06        0.98          0.83           NA            NA         XXX
                                    response curve.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69992]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
94400.......  26......  A          CO2 breathing          0.40        0.10          0.12         0.10          0.12        0.03        0.53          0.55         0.53          0.55         XXX
                                    response curve.
94450.......  ........  A          Hypoxia response       0.40        1.03          0.89           NA            NA        0.04        1.47          1.33           NA            NA         XXX
                                    curve.
94450.......  TC......  A          Hypoxia response       0.00        0.94          0.78           NA            NA        0.02        0.96          0.80           NA            NA         XXX
                                    curve.
94450.......  26......  A          Hypoxia response       0.40        0.09          0.11         0.09          0.11        0.02        0.51          0.53         0.51          0.53         XXX
                                    curve.
94452.......  ........  A          Hast w/report...       0.31        1.13          1.05           NA            NA        0.04        1.48          1.40           NA            NA         XXX
94452.......  TC......  A          Hast w/report...       0.00        1.05          0.96           NA            NA        0.02        1.07          0.98           NA            NA         XXX
94452.......  26......  A          Hast w/report...       0.31        0.08          0.09         0.08          0.09        0.02        0.41          0.42         0.41          0.42         XXX
94453.......  ........  A          Hast w/oxygen          0.40        1.58          1.53           NA            NA        0.04        2.02          1.97           NA            NA         XXX
                                    titrate.
94453.......  TC......  A          Hast w/oxygen          0.00        1.48          1.41           NA            NA        0.02        1.50          1.43           NA            NA         XXX
                                    titrate.
94453.......  26......  A          Hast w/oxygen          0.40        0.10          0.12         0.10          0.12        0.02        0.52          0.54         0.52          0.54         XXX
                                    titrate.
94610.......  ........  A          Surfactant admin       1.16        0.35          0.35         0.35          0.35        0.26        1.77          1.77         1.77          1.77         XXX
                                    thru tube.
94620.......  ........  A          Pulmonary stress       0.64        0.79          2.06           NA            NA        0.13        1.56          2.83           NA            NA         XXX
                                    test/simple.
94620.......  TC......  A          Pulmonary stress       0.00        0.62          1.87           NA            NA        0.10        0.72          1.97           NA            NA         XXX
                                    test/simple.
94620.......  26......  A          Pulmonary stress       0.64        0.17          0.19         0.17          0.19        0.03        0.84          0.86         0.84          0.86         XXX
                                    test/simple.
94621.......  ........  A          Pulm stress test/      1.42        3.17          2.45           NA            NA        0.16        4.75          4.03           NA            NA         XXX
                                    complex.
94621.......  TC......  A          Pulm stress test/      0.00        2.71          2.00           NA            NA        0.10        2.81          2.10           NA            NA         XXX
                                    complex.
94621.......  26......  A          Pulm stress test/      1.42        0.46          0.45         0.46          0.45        0.06        1.94          1.93         1.94          1.93         XXX
                                    complex.
94640.......  ........  A          Airway                 0.00        0.36          0.32           NA            NA        0.02        0.38          0.34           NA            NA         XXX
                                    inhalation
                                    treatment.
94642.......  ........  C          Aerosol                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    inhalation
                                    treatment.
94644.......  ........  A          Cbt, 1st hour...       0.00        0.92          0.92           NA            NA        0.02        0.94          0.94           NA            NA         XXX
94645.......  ........  A          Cbt, each addl         0.00        0.34          0.34           NA            NA        0.02        0.36          0.36           NA            NA         XXX
                                    hour.
94660.......  ........  A          Pos airway             0.76        0.82          0.69         0.20          0.22        0.04        1.62          1.49         1.00          1.02         XXX
                                    pressure, CPAP.
94662.......  ........  A          Neg press              0.76          NA            NA         0.19          0.22        0.03          NA            NA         0.98          1.01         XXX
                                    ventilation,
                                    cnp.
94664.......  ........  A          Evaluate pt use        0.00        0.40          0.33           NA            NA        0.04        0.44          0.37           NA            NA         XXX
                                    of inhaler.
94667.......  ........  A          Chest wall             0.00        0.54          0.53           NA            NA        0.05        0.59          0.58           NA            NA         XXX
                                    manipulation.
94668.......  ........  A          Chest wall             0.00        0.50          0.46           NA            NA        0.02        0.52          0.48           NA            NA         XXX
                                    manipulation.
94680.......  ........  A          Exhaled air            0.26        1.10          1.67         1.10          1.67        0.07        1.43          2.00         1.43          2.00         XXX
                                    analysis, o2.
94680.......  TC......  A          Exhaled air            0.00        1.03          1.59         1.03          1.59        0.06        1.09          1.65         1.09          1.65         XXX
                                    analysis, o2.
94680.......  26......  A          Exhaled air            0.26        0.07          0.08         0.07          0.08        0.01        0.34          0.35         0.34          0.35         XXX
                                    analysis, o2.
94681.......  ........  A          Exhaled air            0.20        1.06          2.16           NA            NA        0.13        1.39          2.49           NA            NA         XXX
                                    analysis, o2/
                                    co2.
94681.......  TC......  A          Exhaled air            0.00        1.01          2.10           NA            NA        0.12        1.13          2.22           NA            NA         XXX
                                    analysis, o2/
                                    co2.
94681.......  26......  A          Exhaled air            0.20        0.05          0.06         0.05          0.06        0.01        0.26          0.27         0.26          0.27         XXX
                                    analysis, o2/
                                    co2.
94690.......  ........  A          Exhaled air            0.07        1.04          1.75           NA            NA        0.05        1.16          1.87           NA            NA         XXX
                                    analysis.
94690.......  TC......  A          Exhaled air            0.00        1.02          1.73           NA            NA        0.04        1.06          1.77           NA            NA         XXX
                                    analysis.
94690.......  26......  A          Exhaled air            0.07        0.02          0.02         0.02          0.02        0.01        0.10          0.10         0.10          0.10         XXX
                                    analysis.
94720.......  ........  A          Monoxide               0.26        1.15          1.04           NA            NA        0.07        1.48          1.37           NA            NA         XXX
                                    diffusing
                                    capacity.
94720.......  TC......  A          Monoxide               0.00        1.09          0.96           NA            NA        0.06        1.15          1.02           NA            NA         XXX
                                    diffusing
                                    capacity.
94720.......  26......  A          Monoxide               0.26        0.06          0.08         0.06          0.08        0.01        0.33          0.35         0.33          0.35         XXX
                                    diffusing
                                    capacity.
94725.......  ........  A          Membrane               0.26        0.96          2.43           NA            NA        0.13        1.35          2.82           NA            NA         XXX
                                    diffusion
                                    capacity.
94725.......  TC......  A          Membrane               0.00        0.89          2.35           NA            NA        0.12        1.01          2.47           NA            NA         XXX
                                    diffusion
                                    capacity.
94725.......  26......  A          Membrane               0.26        0.07          0.08         0.07          0.08        0.01        0.34          0.35         0.34          0.35         XXX
                                    diffusion
                                    capacity.
94750.......  ........  A          Pulmonary              0.23        1.69          1.43           NA            NA        0.05        1.97          1.71           NA            NA         XXX
                                    compliance
                                    study.
94750.......  TC......  A          Pulmonary              0.00        1.63          1.36           NA            NA        0.04        1.67          1.40           NA            NA         XXX
                                    compliance
                                    study.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69993]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
94750.......  26......  A          Pulmonary              0.23        0.06          0.07         0.06          0.07        0.01        0.30          0.31         0.30          0.31         XXX
                                    compliance
                                    study.
94760.......  ........  T          Measure blood          0.00        0.06          0.05           NA            NA        0.02        0.08          0.07           NA            NA         XXX
                                    oxygen level.
94761.......  ........  T          Measure blood          0.00        0.11          0.08           NA            NA        0.06        0.17          0.14           NA            NA         XXX
                                    oxygen level.
94762.......  ........  A          Measure blood          0.00        0.84          0.56           NA            NA        0.10        0.94          0.66           NA            NA         XXX
                                    oxygen level.
94770.......  ........  A          Exhaled carbon         0.15        0.77          0.76           NA            NA        0.08        1.00          0.99           NA            NA         XXX
                                    dioxide test.
94770.......  TC......  A          Exhaled carbon         0.00        0.74          0.72           NA            NA        0.07        0.81          0.79           NA            NA         XXX
                                    dioxide test.
94770.......  26......  A          Exhaled carbon         0.15        0.03          0.04         0.03          0.04        0.01        0.19          0.20         0.19          0.20         XXX
                                    dioxide test.
94772.......  ........  C          Breath                 0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    recording,
                                    infant.
94772.......  TC......  C          Breath                 0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    recording,
                                    infant.
94772.......  26......  C          Breath                 0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    recording,
                                    infant.
94774.......  ........  C          Ped home apnea         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    rec, compl.
94775.......  ........  C          Ped home apnea         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    rec, hk-up.
94776.......  ........  C          Ped home apnea         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    rec, downld.
94777.......  ........  C          Ped home apnea         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    rec, report.
94799.......  ........  C          Pulmonary              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    service/
                                    procedure.
94799.......  TC......  C          Pulmonary              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    service/
                                    procedure.
94799.......  26......  C          Pulmonary              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    service/
                                    procedure.
95004.......  ........  A          Percut allergy         0.00        0.16          0.12           NA            NA        0.01        0.17          0.13           NA            NA         XXX
                                    skin tests.
95010.......  ........  A          Percut allergy         0.15        0.29          0.31         0.04          0.06        0.01        0.45          0.47         0.20          0.22         XXX
                                    titrate test.
95012.......  ........  A          Exhaled nitric         0.00        0.48          0.48           NA            NA        0.01        0.49          0.49           NA            NA         XXX
                                    oxide meas.
95015.......  ........  A          Id allergy             0.15        0.20          0.16         0.04          0.06        0.01        0.36          0.32         0.20          0.22         XXX
                                    titrate-drug/
                                    bug.
95024.......  ........  A          Id allergy test,       0.00        0.21          0.17           NA            NA        0.01        0.22          0.18           NA            NA         XXX
                                    drug/bug.
95027.......  ........  A          Id allergy             0.00        0.24          0.17           NA            NA        0.01        0.25          0.18           NA            NA         XXX
                                    titrate-
                                    airborne.
95028.......  ........  A          Id allergy test-       0.00        0.29          0.25           NA            NA        0.01        0.30          0.26           NA            NA         XXX
                                    delayed type.
95044.......  ........  A          Allergy patch          0.00        0.15          0.19           NA            NA        0.01        0.16          0.20           NA            NA         XXX
                                    tests.
95052.......  ........  A          Photo patch test       0.00        0.15          0.23           NA            NA        0.01        0.16          0.24           NA            NA         XXX
95056.......  ........  A          Photosensitivity       0.00        1.21          0.43           NA            NA        0.01        1.22          0.44           NA            NA         XXX
                                    tests.
95060.......  ........  A          Eye allergy            0.00          NA            NA         0.00          0.35        0.02          NA            NA         0.02          0.37         XXX
                                    tests.
95065.......  ........  A          Nose allergy           0.00          NA            NA         0.00          0.20        0.01          NA            NA         0.01          0.21         XXX
                                    test.
95070.......  ........  A          Bronchial              0.00        0.79          1.91           NA            NA        0.02        0.81          1.93           NA            NA         XXX
                                    allergy tests.
95071.......  ........  A          Bronchial              0.00        0.88          2.41           NA            NA        0.02        0.90          2.43           NA            NA         XXX
                                    allergy tests.
95075.......  ........  A          Ingestion              0.95        0.67          0.78         0.26          0.35        0.03        1.65          1.76         1.24          1.33         XXX
                                    challenge test.
95115.......  ........  A          Immunotherapy,         0.00        0.22          0.35         0.00          0.29        0.02        0.24          0.37         0.02          0.31         XXX
                                    one injection.
95117.......  ........  A          Immunotherapy          0.00        0.27          0.44         0.00          0.38        0.02        0.29          0.46         0.02          0.40         XXX
                                    injections.
95120.......  ........  I          Immunotherapy,         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    one injection.
95125.......  ........  I          Immunotherapy,         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    many antigens.
95130.......  ........  I          Immunotherapy,         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    insect venom.
95131.......  ........  I          Immunotherapy,         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    insect venoms.
95132.......  ........  I          Immunotherapy,         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    insect venoms.
95133.......  ........  I          Immunotherapy,         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    insect venoms.
95134.......  ........  I          Immunotherapy,         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    insect venoms.
95144.......  ........  A          Antigen therapy        0.06        0.26          0.21         0.02          0.02        0.01        0.33          0.28         0.09          0.09         XXX
                                    services.
95145.......  ........  A          Antigen therapy        0.06        0.34          0.33         0.02          0.02        0.01        0.41          0.40         0.09          0.09         XXX
                                    services.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69994]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
95146.......  ........  A          Antigen therapy        0.06        0.65          0.49         0.02          0.03        0.01        0.72          0.56         0.09          0.10         XXX
                                    services.
95147.......  ........  A          Antigen therapy        0.06        0.64          0.48         0.02          0.02        0.01        0.71          0.55         0.09          0.09         XXX
                                    services.
95148.......  ........  A          Antigen therapy        0.06        0.94          0.67         0.02          0.03        0.01        1.01          0.74         0.09          0.10         XXX
                                    services.
95149.......  ........  A          Antigen therapy        0.06        1.25          0.91         0.02          0.03        0.01        1.32          0.98         0.09          0.10         XXX
                                    services.
95165.......  ........  A          Antigen therapy        0.06        0.25          0.21         0.02          0.02        0.01        0.32          0.28         0.09          0.09         XXX
                                    services.
95170.......  ........  A          Antigen therapy        0.06        0.19          0.15         0.02          0.03        0.01        0.26          0.22         0.09          0.10         XXX
                                    services.
95180.......  ........  A          Rapid                  2.01        1.59          1.92         0.73          0.88        0.04        3.64          3.97         2.78          2.93         XXX
                                    desensitization.
95199.......  ........  C          Allergy                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    immunology
                                    services.
95250.......  ........  A          Glucose                0.00        3.49          3.95           NA            NA        0.01        3.50          3.96           NA            NA         XXX
                                    monitoring,
                                    cont.
95251.......  ........  A          Gluc monitor,          0.85        0.27          0.21         0.27          0.21        0.02        1.14          1.08         1.14          1.08         XXX
                                    cont, phys i&r.
95805.......  ........  A          Multiple sleep         1.88        6.99         14.70           NA            NA        0.43        9.30         17.01           NA            NA         XXX
                                    latency test.
95805.......  TC......  A          Multiple sleep         0.00        6.50         14.08           NA            NA        0.34        6.84         14.42           NA            NA         XXX
                                    latency test.
95805.......  26......  A          Multiple sleep         1.88        0.49          0.62         0.49          0.62        0.09        2.46          2.59         2.46          2.59         XXX
                                    latency test.
95806.......  ........  A          Sleep study,           1.66        3.84          3.46           NA            NA        0.39        5.89          5.51           NA            NA         XXX
                                    unattended.
95806.......  TC......  A          Sleep study,           0.00        3.36          2.93           NA            NA        0.31        3.67          3.24           NA            NA         XXX
                                    unattended.
95806.......  26......  A          Sleep study,           1.66        0.48          0.53         0.48          0.53        0.08        2.22          2.27         2.22          2.27         XXX
                                    unattended.
95807.......  ........  A          Sleep study,           1.66       11.72         11.82           NA            NA        0.50       13.88         13.98           NA            NA         XXX
                                    attended.
95807.......  TC......  A          Sleep study,           0.00       11.29         11.31           NA            NA        0.42       11.71         11.73           NA            NA         XXX
                                    attended.
95807.......  26......  A          Sleep study,           1.66        0.43          0.51         0.43          0.51        0.08        2.17          2.25         2.17          2.25         XXX
                                    attended.
95808.......  ........  A          Polysomnography,       2.65       15.55         13.79           NA            NA        0.55       18.75         16.99           NA            NA         XXX
                                    1-3.
95808.......  TC......  A          Polysomnography,       0.00       14.85         12.92           NA            NA        0.42       15.27         13.34           NA            NA         XXX
                                    1-3.
95808.......  26......  A          Polysomnography,       2.65        0.70          0.87         0.70          0.87        0.13        3.48          3.65         3.48          3.65         XXX
                                    1-3.
95810.......  ........  A          Polysomnography,       3.52       17.67         17.54           NA            NA        0.59       21.78         21.65           NA            NA         XXX
                                    4 or more.
95810.......  TC......  A          Polysomnography,       0.00       16.75         16.42           NA            NA        0.42       17.17         16.84           NA            NA         XXX
                                    4 or more.
95810.......  26......  A          Polysomnography,       3.52        0.92          1.12         0.92          1.12        0.17        4.61          4.81         4.61          4.81         XXX
                                    4 or more.
95811.......  ........  A          Polysomnography        3.79       19.70         19.32           NA            NA        0.61       24.10         23.72           NA            NA         XXX
                                    w/cpap.
95811.......  TC......  A          Polysomnography        0.00       18.72         18.12           NA            NA        0.43       19.15         18.55           NA            NA         XXX
                                    w/cpap.
95811.......  26......  A          Polysomnography        3.79        0.98          1.20         0.98          1.20        0.18        4.95          5.17         4.95          5.17         XXX
                                    w/cpap.
95812.......  ........  A          Eeg, 41-60             1.08        5.85          4.49           NA            NA        0.17        7.10          5.74           NA            NA         XXX
                                    minutes.
95812.......  TC......  A          Eeg, 41-60             0.00        5.54          4.07           NA            NA        0.11        5.65          4.18           NA            NA         XXX
                                    minutes.
95812.......  26......  A          Eeg, 41-60             1.08        0.31          0.42         0.31          0.42        0.06        1.45          1.56         1.45          1.56         XXX
                                    minutes.
95813.......  ........  A          Eeg, over 1 hour       1.73        6.53          5.40           NA            NA        0.20        8.46          7.33           NA            NA         XXX
95813.......  TC......  A          Eeg, over 1 hour       0.00        6.03          4.75           NA            NA        0.11        6.14          4.86           NA            NA         XXX
95813.......  26......  A          Eeg, over 1 hour       1.73        0.50          0.65         0.50          0.65        0.09        2.32          2.47         2.32          2.47         XXX
95816.......  ........  A          Eeg, awake and         1.08        5.26          4.10           NA            NA        0.16        6.50          5.34           NA            NA         XXX
                                    drowsy.
95816.......  TC......  A          Eeg, awake and         0.00        4.95          3.68           NA            NA        0.10        5.05          3.78           NA            NA         XXX
                                    drowsy.
95816.......  26......  A          Eeg, awake and         1.08        0.31          0.42         0.31          0.42        0.06        1.45          1.56         1.45          1.56         XXX
                                    drowsy.
95819.......  ........  A          Eeg, awake and         1.08        6.10          3.76           NA            NA        0.16        7.34          5.00           NA            NA         XXX
                                    asleep.
95819.......  TC......  A          Eeg, awake and         0.00        5.79          3.34           NA            NA        0.10        5.89          3.44           NA            NA         XXX
                                    asleep.
95819.......  26......  A          Eeg, awake and         1.08        0.31          0.42         0.31          0.42        0.06        1.45          1.56         1.45          1.56         XXX
                                    asleep.
95822.......  ........  A          Eeg, coma or           1.08        5.49          4.82           NA            NA        0.19        6.76          6.09           NA            NA         XXX
                                    sleep only.
95822.......  TC......  A          Eeg, coma or           0.00        5.18          4.40           NA            NA        0.13        5.31          4.53           NA            NA         XXX
                                    sleep only.
95822.......  26......  A          Eeg, coma or           1.08        0.31          0.42         0.31          0.42        0.06        1.45          1.56         1.45          1.56         XXX
                                    sleep only.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69995]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
95824.......  ........  C          Eeg, cerebral          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    death only.
95824.......  TC......  C          Eeg, cerebral          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    death only.
95824.......  26......  A          Eeg, cerebral          0.74        0.22          0.29         0.22          0.29        0.04        1.00          1.07         1.00          1.07         XXX
                                    death only.
95827.......  ........  A          Eeg, all night         1.08       11.46          4.89           NA            NA        0.19       12.73          6.16           NA            NA         XXX
                                    recording.
95827.......  TC......  A          Eeg, all night         0.00       11.17          4.51           NA            NA        0.14       11.31          4.65           NA            NA         XXX
                                    recording.
95827.......  26......  A          Eeg, all night         1.08        0.29          0.38         0.29          0.38        0.05        1.42          1.51         1.42          1.51         XXX
                                    recording.
95829.......  ........  A          Surgery                6.20       25.25         29.56           NA            NA        0.50       31.95         36.26           NA            NA         XXX
                                    electrocorticog
                                    ram.
95829.......  TC......  A          Surgery                0.00       23.42         27.37           NA            NA        0.02       23.44         27.39           NA            NA         XXX
                                    electrocorticog
                                    ram.
95829.......  26......  A          Surgery                6.20        1.83          2.19         1.83          2.19        0.48        8.51          8.87         8.51          8.87         XXX
                                    electrocorticog
                                    ram.
95830.......  ........  A          Insert                 1.70        2.98          3.21         0.43          0.66        0.11        4.79          5.02         2.24          2.47         XXX
                                    electrodes for
                                    EEG.
95831.......  ........  A          Limb muscle            0.28        0.38          0.44         0.09          0.12        0.01        0.67          0.73         0.38          0.41         XXX
                                    testing, manual.
95832.......  ........  A          Hand muscle            0.29        0.36          0.34         0.10          0.12        0.02        0.67          0.65         0.41          0.43         XXX
                                    testing, manual.
95833.......  ........  A          Body muscle            0.47        0.47          0.55         0.13          0.21        0.02        0.96          1.04         0.62          0.70         XXX
                                    testing, manual.
95834.......  ........  A          Body muscle            0.60        0.54          0.61         0.18          0.26        0.03        1.17          1.24         0.81          0.89         XXX
                                    testing, manual.
95851.......  ........  A          Range of motion        0.16        0.26          0.34         0.04          0.07        0.01        0.43          0.51         0.21          0.24         XXX
                                    measurements.
95852.......  ........  A          Range of motion        0.11        0.21          0.25         0.03          0.05        0.01        0.33          0.37         0.15          0.17         XXX
                                    measurements.
95857.......  ........  A          Tensilon test...       0.53        0.59          0.60         0.17          0.22        0.02        1.14          1.15         0.72          0.77         XXX
95860.......  ........  A          Muscle test, one       0.96        1.15          1.36           NA            NA        0.07        2.18          2.39           NA            NA         XXX
                                    limb.
95860.......  TC......  A          Muscle test, one       0.00        0.83          0.96           NA            NA        0.02        0.85          0.98           NA            NA         XXX
                                    limb.
95860.......  26......  A          Muscle test, one       0.96        0.32          0.40         0.32          0.40        0.05        1.33          1.41         1.33          1.41         XXX
                                    limb.
95861.......  ........  A          Muscle test, 2         1.54        1.67          1.48           NA            NA        0.13        3.34          3.15           NA            NA         XXX
                                    limbs.
95861.......  TC......  A          Muscle test, 2         0.00        1.15          0.84           NA            NA        0.06        1.21          0.90           NA            NA         XXX
                                    limbs.
95861.......  26......  A          Muscle test, 2         1.54        0.52          0.64         0.52          0.64        0.07        2.13          2.25         2.13          2.25         XXX
                                    limbs.
95863.......  ........  A          Muscle test, 3         1.87        1.94          1.79           NA            NA        0.15        3.96          3.81           NA            NA         XXX
                                    limbs.
95863.......  TC......  A          Muscle test, 3         0.00        1.35          1.04           NA            NA        0.06        1.41          1.10           NA            NA         XXX
                                    limbs.
95863.......  26......  A          Muscle test, 3         1.87        0.59          0.75         0.59          0.75        0.09        2.55          2.71         2.55          2.71         XXX
                                    limbs.
95864.......  ........  A          Muscle test, 4         1.99        2.19          2.53           NA            NA        0.21        4.39          4.73           NA            NA         XXX
                                    limbs.
95864.......  TC......  A          Muscle test, 4         0.00        1.55          1.72           NA            NA        0.12        1.67          1.84           NA            NA         XXX
                                    limbs.
95864.......  26......  A          Muscle test, 4         1.99        0.64          0.81         0.64          0.81        0.09        2.72          2.89         2.72          2.89         XXX
                                    limbs.
95865.......  ........  A          Muscle test,           1.57        1.35          1.43           NA            NA        0.11        3.03          3.11           NA            NA         XXX
                                    larynx.
95865.......  TC......  A          Muscle test,           0.00        0.88          0.73           NA            NA        0.03        0.91          0.76           NA            NA         XXX
                                    larynx.
95865.......  26......  A          Muscle test,           1.57        0.47          0.70         0.47          0.70        0.08        2.12          2.35         2.12          2.35         XXX
                                    larynx.
95866.......  ........  A          Muscle test,           1.25        1.33          0.90           NA            NA        0.10        2.68          2.25           NA            NA         XXX
                                    hemidiaphragm.
95866.......  TC......  A          Muscle test,           0.00        0.93          0.38           NA            NA        0.03        0.96          0.41           NA            NA         XXX
                                    hemidiaphragm.
95866.......  26......  A          Muscle test,           1.25        0.40          0.52         0.40          0.52        0.07        1.72          1.84         1.72          1.84         XXX
                                    hemidiaphragm.
95867.......  ........  A          Muscle test cran       0.79        1.12          0.98           NA            NA        0.07        1.98          1.84           NA            NA         XXX
                                    nerv unilat.
95867.......  TC......  A          Muscle test cran       0.00        0.88          0.66           NA            NA        0.04        0.92          0.70           NA            NA         XXX
                                    nerv unilat.
95867.......  26......  A          Muscle test cran       0.79        0.24          0.32         0.24          0.32        0.03        1.06          1.14         1.06          1.14         XXX
                                    nerv unilat.
95868.......  ........  A          Muscle test cran       1.18        1.43          1.26           NA            NA        0.10        2.71          2.54           NA            NA         XXX
                                    nerve bilat.
95868.......  TC......  A          Muscle test cran       0.00        1.07          0.79           NA            NA        0.05        1.12          0.84           NA            NA         XXX
                                    nerve bilat.
95868.......  26......  A          Muscle test cran       1.18        0.36          0.47         0.36          0.47        0.05        1.59          1.70         1.59          1.70         XXX
                                    nerve bilat.
95869.......  ........  A          Muscle test,           0.37        1.02          0.53           NA            NA        0.04        1.43          0.94           NA            NA         XXX
                                    thor paraspinal.
95869.......  TC......  A          Muscle test,           0.00        0.90          0.38           NA            NA        0.02        0.92          0.40           NA            NA         XXX
                                    thor paraspinal.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69996]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
95869.......  26......  A          Muscle test,           0.37        0.12          0.15         0.12          0.15        0.02        0.51          0.54         0.51          0.54         XXX
                                    thor paraspinal.
95870.......  ........  A          Muscle test,           0.37        0.99          0.53           NA            NA        0.04        1.40          0.94           NA            NA         XXX
                                    nonparaspinal.
95870.......  TC......  A          Muscle test,           0.00        0.87          0.38           NA            NA        0.02        0.89          0.40           NA            NA         XXX
                                    nonparaspinal.
95870.......  26......  A          Muscle test,           0.37        0.12          0.15         0.12          0.15        0.02        0.51          0.54         0.51          0.54         XXX
                                    nonparaspinal.
95872.......  ........  A          Muscle test, one       2.88        1.72          1.35           NA            NA        0.13        4.73          4.36           NA            NA         XXX
                                    fiber.
95872.......  TC......  A          Muscle test, one       0.00        0.77          0.64           NA            NA        0.05        0.82          0.69           NA            NA         XXX
                                    fiber.
95872.......  26......  A          Muscle test, one       2.88        0.95          0.71         0.95          0.71        0.08        3.91          3.67         3.91          3.67         XXX
                                    fiber.
95873.......  ........  A          Guide nerv             0.37        0.94          0.51         0.94          0.51        0.04        1.35          0.92         1.35          0.92         ZZZ
                                    destr, elec
                                    stim.
95873.......  TC......  A          Guide nerv             0.00        0.82          0.36         0.82          0.36        0.02        0.84          0.38         0.84          0.38         ZZZ
                                    destr, elec
                                    stim.
95873.......  26......  A          Guide nerv             0.37        0.12          0.15         0.12          0.15        0.02        0.51          0.54         0.51          0.54         ZZZ
                                    destr, elec
                                    stim.
95874.......  ........  A          Guide nerv             0.37        0.95          0.52         0.95          0.52        0.04        1.36          0.93         1.36          0.93         ZZZ
                                    destr, needle
                                    emg.
95874.......  TC......  A          Guide nerv             0.00        0.83          0.36         0.83          0.36        0.02        0.85          0.38         0.85          0.38         ZZZ
                                    destr, needle
                                    emg.
95874.......  26......  A          Guide nerv             0.37        0.12          0.16         0.12          0.16        0.02        0.51          0.55         0.51          0.55         ZZZ
                                    destr, needle
                                    emg.
95875.......  ........  A          Limb exercise          1.10        1.31          1.41           NA            NA        0.11        2.52          2.62           NA            NA         XXX
                                    test.
95875.......  TC......  A          Limb exercise          0.00        0.99          0.98           NA            NA        0.06        1.05          1.04           NA            NA         XXX
                                    test.
95875.......  26......  A          Limb exercise          1.10        0.32          0.43         0.32          0.43        0.05        1.47          1.58         1.47          1.58         XXX
                                    test.
95900.......  ........  A          Motor nerve            0.42        0.93          1.18           NA            NA        0.04        1.39          1.64           NA            NA         XXX
                                    conduction test.
95900.......  TC......  A          Motor nerve            0.00        0.79          1.01           NA            NA        0.02        0.81          1.03           NA            NA         XXX
                                    conduction test.
95900.......  26......  A          Motor nerve            0.42        0.14          0.17         0.14          0.17        0.02        0.58          0.61         0.58          0.61         XXX
                                    conduction test.
95903.......  ........  A          Motor nerve            0.60        1.02          1.15           NA            NA        0.05        1.67          1.80           NA            NA         XXX
                                    conduction test.
95903.......  TC......  A          Motor nerve            0.00        0.84          0.91           NA            NA        0.02        0.86          0.93           NA            NA         XXX
                                    conduction test.
95903.......  26......  A          Motor nerve            0.60        0.18          0.24         0.18          0.24        0.03        0.81          0.87         0.81          0.87         XXX
                                    conduction test.
95904.......  ........  A          Sense nerve            0.34        0.86          1.03           NA            NA        0.04        1.24          1.41           NA            NA         XXX
                                    conduction test.
95904.......  TC......  A          Sense nerve            0.00        0.75          0.89           NA            NA        0.02        0.77          0.91           NA            NA         XXX
                                    conduction test.
95904.......  26......  A          Sense nerve            0.34        0.11          0.14         0.11          0.14        0.02        0.47          0.50         0.47          0.50         XXX
                                    conduction test.
95920.......  ........  A          Intraop nerve          2.11        1.79          2.13         1.79          2.13        0.23        4.13          4.47         4.13          4.47         ZZZ
                                    test add-on.
95920.......  TC......  A          Intraop nerve          0.00        1.12          1.26         1.12          1.26        0.07        1.19          1.33         1.19          1.33         ZZZ
                                    test add-on.
95920.......  26......  A          Intraop nerve          2.11        0.67          0.87         0.67          0.87        0.16        2.94          3.14         2.94          3.14         ZZZ
                                    test add-on.
95921.......  ........  A          Autonomic nerv         0.90        1.12          0.82           NA            NA        0.06        2.08          1.78           NA            NA         XXX
                                    function test.
95921.......  TC......  A          Autonomic nerv         0.00        0.88          0.51           NA            NA        0.02        0.90          0.53           NA            NA         XXX
                                    function test.
95921.......  26......  A          Autonomic nerv         0.90        0.24          0.31         0.24          0.31        0.04        1.18          1.25         1.18          1.25         XXX
                                    function test.
95922.......  ........  A          Autonomic nerv         0.96        1.64          1.00           NA            NA        0.07        2.67          2.03           NA            NA         XXX
                                    function test.
95922.......  TC......  A          Autonomic nerv         0.00        1.36          0.63           NA            NA        0.02        1.38          0.65           NA            NA         XXX
                                    function test.
95922.......  26......  A          Autonomic nerv         0.96        0.28          0.37         0.28          0.37        0.05        1.29          1.38         1.29          1.38         XXX
                                    function test.
95923.......  ........  A          Autonomic nerv         0.90        2.11          1.99           NA            NA        0.07        3.08          2.96           NA            NA         XXX
                                    function test.
95923.......  TC......  A          Autonomic nerv         0.00        1.87          1.64           NA            NA        0.02        1.89          1.66           NA            NA         XXX
                                    function test.
95923.......  26......  A          Autonomic nerv         0.90        0.24          0.35         0.24          0.35        0.05        1.19          1.30         1.19          1.30         XXX
                                    function test.
95925.......  ........  A          Somatosensory          0.54        3.12          1.63           NA            NA        0.10        3.76          2.27           NA            NA         XXX
                                    testing.
95925.......  TC......  A          Somatosensory          0.00        2.95          1.42           NA            NA        0.06        3.01          1.48           NA            NA         XXX
                                    testing.
95925.......  26......  A          Somatosensory          0.54        0.17          0.21         0.17          0.21        0.04        0.75          0.79         0.75          0.79         XXX
                                    testing.
95926.......  ........  A          Somatosensory          0.54        2.95          1.59           NA            NA        0.09        3.58          2.22           NA            NA         XXX
                                    testing.
95926.......  TC......  A          Somatosensory          0.00        2.79          1.38           NA            NA        0.06        2.85          1.44           NA            NA         XXX
                                    testing.
95926.......  26......  A          Somatosensory          0.54        0.16          0.21         0.16          0.21        0.03        0.73          0.78         0.73          0.78         XXX
                                    testing.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69997]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
95927.......  ........  A          Somatosensory          0.54        3.01          1.63           NA            NA        0.10        3.65          2.27           NA            NA         XXX
                                    testing.
95927.......  TC......  A          Somatosensory          0.00        2.85          1.40           NA            NA        0.06        2.91          1.46           NA            NA         XXX
                                    testing.
95927.......  26......  A          Somatosensory          0.54        0.16          0.23         0.16          0.23        0.04        0.74          0.81         0.74          0.81         XXX
                                    testing.
95928.......  ........  A          C motor evoked,        1.50        3.96          3.25           NA            NA        0.09        5.55          4.84           NA            NA         XXX
                                    uppr limbs.
95928.......  TC......  A          C motor evoked,        0.00        3.50          2.65           NA            NA        0.03        3.53          2.68           NA            NA         XXX
                                    uppr limbs.
95928.......  26......  A          C motor evoked,        1.50        0.46          0.60         0.46          0.60        0.06        2.02          2.16         2.02          2.16         XXX
                                    uppr limbs.
95929.......  ........  A          C motor evoked,        1.50        4.28          3.48           NA            NA        0.09        5.87          5.07           NA            NA         XXX
                                    lwr limbs.
95929.......  TC......  A          C motor evoked,        0.00        3.81          2.87           NA            NA        0.03        3.84          2.90           NA            NA         XXX
                                    lwr limbs.
95929.......  26......  A          C motor evoked,        1.50        0.47          0.61         0.47          0.61        0.06        2.03          2.17         2.03          2.17         XXX
                                    lwr limbs.
95930.......  ........  A          Visual evoked          0.35        2.62          2.34           NA            NA        0.03        3.00          2.72           NA            NA         XXX
                                    potential test.
95930.......  TC......  A          Visual evoked          0.00        2.52          2.20           NA            NA        0.01        2.53          2.21           NA            NA         XXX
                                    potential test.
95930.......  26......  A          Visual evoked          0.35        0.10          0.14         0.10          0.14        0.02        0.47          0.51         0.47          0.51         XXX
                                    potential test.
95933.......  ........  A          Blink reflex           0.59        1.09          1.04           NA            NA        0.10        1.78          1.73           NA            NA         XXX
                                    test.
95933.......  TC......  A          Blink reflex           0.00        0.92          0.82           NA            NA        0.06        0.98          0.88           NA            NA         XXX
                                    test.
95933.......  26......  A          Blink reflex           0.59        0.17          0.22         0.17          0.22        0.04        0.80          0.85         0.80          0.85         XXX
                                    test.
95934.......  ........  A          H-reflex test...       0.51        0.88          0.55           NA            NA        0.04        1.43          1.10           NA            NA         XXX
95934.......  TC......  A          H-reflex test...       0.00        0.72          0.34           NA            NA        0.02        0.74          0.36           NA            NA         XXX
95934.......  26......  A          H-reflex test...       0.51        0.16          0.21         0.16          0.21        0.02        0.69          0.74         0.69          0.74         XXX
95936.......  ........  A          H-reflex test...       0.55        0.60          0.49           NA            NA        0.05        1.20          1.09           NA            NA         XXX
95936.......  TC......  A          H-reflex test...       0.00        0.43          0.27           NA            NA        0.02        0.45          0.29           NA            NA         XXX
95936.......  26......  A          H-reflex test...       0.55        0.17          0.22         0.17          0.22        0.03        0.75          0.80         0.75          0.80         XXX
95937.......  ........  A          Neuromuscular          0.65        0.91          0.68           NA            NA        0.10        1.66          1.43           NA            NA         XXX
                                    junction test.
95937.......  TC......  A          Neuromuscular          0.00        0.71          0.43           NA            NA        0.02        0.73          0.45           NA            NA         XXX
                                    junction test.
95937.......  26......  A          Neuromuscular          0.65        0.20          0.25         0.20          0.25        0.08        0.93          0.98         0.93          0.98         XXX
                                    junction test.
95950.......  ........  A          Ambulatory eeg         1.51        4.91          4.18           NA            NA        0.51        6.93          6.20           NA            NA         XXX
                                    monitoring.
95950.......  TC......  A          Ambulatory eeg         0.00        4.48          3.59           NA            NA        0.43        4.91          4.02           NA            NA         XXX
                                    monitoring.
95950.......  26......  A          Ambulatory eeg         1.51        0.43          0.59         0.43          0.59        0.08        2.02          2.18         2.02          2.18         XXX
                                    monitoring.
95951.......  ........  C          EEG monitoring/        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    videorecord.
95951.......  TC......  C          EEG monitoring/        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    videorecord.
95951.......  26......  A          EEG monitoring/        5.99        1.72          2.34         1.72          2.34        0.32        8.03          8.65         8.03          8.65         XXX
                                    videorecord.
95953.......  ........  A          EEG monitoring/        3.30        7.18          7.52           NA            NA        0.60       11.08         11.42           NA            NA         XXX
                                    computer.
95953.......  TC......  A          EEG monitoring/        0.00        6.23          6.31           NA            NA        0.43        6.66          6.74           NA            NA         XXX
                                    computer.
95953.......  26......  A          EEG monitoring/        3.30        0.95          1.21         0.95          1.21        0.17        4.42          4.68         4.42          4.68         XXX
                                    computer.
95954.......  ........  A          EEG monitoring/        2.45        4.86          4.38           NA            NA        0.19        7.50          7.02           NA            NA         XXX
                                    giving drugs.
95954.......  TC......  A          EEG monitoring/        0.00        4.34          3.47           NA            NA        0.06        4.40          3.53           NA            NA         XXX
                                    giving drugs.
95954.......  26......  A          EEG monitoring/        2.45        0.52          0.91         0.52          0.91        0.13        3.10          3.49         3.10          3.49         XXX
                                    giving drugs.
95955.......  ........  A          EEG during             1.01        2.78          2.43         2.78          2.43        0.22        4.01          3.66         4.01          3.66         XXX
                                    surgery.
95955.......  TC......  A          EEG during             0.00        2.49          2.09         2.49          2.09        0.17        2.66          2.26         2.66          2.26         XXX
                                    surgery.
95955.......  26......  A          EEG during             1.01        0.29          0.34         0.29          0.34        0.05        1.35          1.40         1.35          1.40         XXX
                                    surgery.
95956.......  ........  A          Eeg monitoring,        3.08       15.61         15.47           NA            NA        0.59       19.28         19.14           NA            NA         XXX
                                    cable/radio.
95956.......  TC......  A          Eeg monitoring,        0.00       14.73         14.27           NA            NA        0.43       15.16         14.70           NA            NA         XXX
                                    cable/radio.
95956.......  26......  A          Eeg monitoring,        3.08        0.88          1.20         0.88          1.20        0.16        4.12          4.44         4.12          4.44         XXX
                                    cable/radio.
95957.......  ........  A          EEG digital            1.98        5.82          3.37           NA            NA        0.23        8.03          5.58           NA            NA         XXX
                                    analysis.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69998]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
95957.......  TC......  A          EEG digital            0.00        5.26          2.59           NA            NA        0.12        5.38          2.71           NA            NA         XXX
                                    analysis.
95957.......  26......  A          EEG digital            1.98        0.56          0.78         0.56          0.78        0.11        2.65          2.87         2.65          2.87         XXX
                                    analysis.
95958.......  ........  A          EEG monitoring/        4.24        6.54          4.25           NA            NA        0.34       11.12          8.83           NA            NA         XXX
                                    function test.
95958.......  TC......  A          EEG monitoring/        0.00        5.34          2.64           NA            NA        0.13        5.47          2.77           NA            NA         XXX
                                    function test.
95958.......  26......  A          EEG monitoring/        4.24        1.20          1.61         1.20          1.61        0.21        5.65          6.06         5.65          6.06         XXX
                                    function test.
95961.......  ........  A          Electrode              2.97        3.12          2.75           NA            NA        0.55        6.64          6.27           NA            NA         XXX
                                    stimulation,
                                    brain.
95961.......  TC......  A          Electrode              0.00        2.20          1.53           NA            NA        0.07        2.27          1.60           NA            NA         XXX
                                    stimulation,
                                    brain.
95961.......  26......  A          Electrode              2.97        0.92          1.22         0.92          1.22        0.48        4.37          4.67         4.37          4.67         XXX
                                    stimulation,
                                    brain.
95962.......  ........  A          Electrode stim,        3.21        2.22          2.59         2.22          2.59        0.39        5.82          6.19         5.82          6.19         ZZZ
                                    brain add-on.
95962.......  TC......  A          Electrode stim,        0.00        1.29          1.31         1.29          1.31        0.07        1.36          1.38         1.36          1.38         ZZZ
                                    brain add-on.
95962.......  26......  A          Electrode stim,        3.21        0.93          1.28         0.93          1.28        0.32        4.46          4.81         4.46          4.81         ZZZ
                                    brain add-on.
95965.......  ........  C          Meg, spontaneous       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
95965.......  TC......  C          Meg, spontaneous       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
95965.......  26......  A          Meg, spontaneous       7.99        2.30          3.14         2.30          3.14        0.46       10.75         11.59        10.75         11.59         XXX
95966.......  ........  C          Meg, evoked,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    single.
95966.......  TC......  C          Meg, evoked,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    single.
95966.......  26......  A          Meg, evoked,           3.99        1.15          1.57         1.15          1.57        0.19        5.33          5.75         5.33          5.75         XXX
                                    single.
95967.......  ........  C          Meg, evoked,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    each
                                    add[AElig]l.
95967.......  TC......  C          Meg, evoked,           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    each
                                    add[AElig]l.
95967.......  26......  A          Meg, evoked,           3.49        0.99          1.13         0.99          1.13        0.16        4.64          4.78         4.64          4.78         ZZZ
                                    each
                                    add[AElig]l.
95970.......  ........  A          Analyze                0.45        0.88          0.86         0.13          0.14        0.03        1.36          1.34         0.61          0.62         XXX
                                    neurostim, no
                                    prog.
95971.......  ........  A          Analyze                0.78        0.61          0.66         0.20          0.22        0.07        1.46          1.51         1.05          1.07         XXX
                                    neurostim,
                                    simple.
95972.......  ........  A          Analyze                1.50        1.19          1.21         0.46          0.48        0.14        2.83          2.85         2.10          2.12         XXX
                                    neurostim,
                                    complex.
95973.......  ........  A          Analyze                0.92        0.56          0.61         0.25          0.32        0.07        1.55          1.60         1.24          1.31         ZZZ
                                    neurostim,
                                    complex.
95974.......  ........  A          Cranial                3.00        1.49          1.65         0.87          1.19        0.16        4.65          4.81         4.03          4.35         XXX
                                    neurostim,
                                    complex.
95975.......  ........  A          Cranial                1.70        0.75          0.86         0.49          0.67        0.12        2.57          2.68         2.31          2.49         ZZZ
                                    neurostim,
                                    complex.
95978.......  ........  A          Analyze                3.50        1.85          1.91         1.06          1.24        0.18        5.53          5.59         4.74          4.92         XXX
                                    neurostim brain/
                                    1h.
95979.......  ........  A          Analyz neurostim       1.64        0.74          0.84         0.48          0.64        0.08        2.46          2.56         2.20          2.36         ZZZ
                                    brain addon.
95990.......  ........  A          Spin/brain pump        0.00        1.62          1.53           NA            NA        0.06        1.68          1.59           NA            NA         XXX
                                    refil & main.
95991.......  ........  A          Spin/brain pump        0.77        1.63          1.53           NA            NA        0.06        2.46          2.36           NA            NA         XXX
                                    refil & main.
95999.......  ........  C          Neurological           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
96000.......  ........  A          Motion analysis,       1.80          NA            NA         0.58          0.54        0.11          NA            NA         2.49          2.45         XXX
                                    video/3d.
96001.......  ........  A          Motion test w/ft       2.15          NA            NA         0.54          0.63        0.10          NA            NA         2.79          2.88         XXX
                                    press meas.
96002.......  ........  A          Dynamic surface        0.41          NA            NA         0.11          0.14        0.02          NA            NA         0.54          0.57         XXX
                                    emg.
96003.......  ........  A          Dynamic fine           0.37          NA            NA         0.14          0.13        0.02          NA            NA         0.53          0.52         XXX
                                    wire emg.
96004.......  ........  A          Phys review of         2.14        0.55          0.84         0.55          0.84        0.11        2.80          3.09         2.80          3.09         XXX
                                    motion tests.
96020.......  ........  C          Functional brain       0.00          NA            NA           NA            NA        0.00          NA            NA           NA            NA         XXX
                                    mapping.
96020.......  TC......  C          Functional brain       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    mapping.
96020.......  26......  A          Functional brain       3.43        0.86          0.86         0.86          0.86        0.17        4.46          4.46         4.46          4.46         XXX
                                    mapping.
96040.......  ........  B          Genetic                0.00        0.97          0.97           NA            NA        0.01        0.98          0.98           NA            NA         XXX
                                    counseling, 30
                                    min.
96101.......  ........  A          Psycho testing         1.86        0.35          0.58         0.33          0.56        0.05        2.26          2.49         2.24          2.47         XXX
                                    by psych/phys.
96102.......  ........  A          Psycho testing         0.50        1.20          0.80         0.09          0.15        0.01        1.71          1.31         0.60          0.66         XXX
                                    by technician.
96103.......  ........  A          Psycho testing         0.51        1.31          0.49         0.09          0.15        0.02        1.84          1.02         0.62          0.68         XXX
                                    admin by comp.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 69999]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
96105.......  ........  A          Assessment of          0.00        2.05          1.83           NA            NA        0.18        2.23          2.01           NA            NA         XXX
                                    aphasia.
96110.......  ........  A          Developmental          0.00        0.18          0.18           NA            NA        0.18        0.36          0.36           NA            NA         XXX
                                    test, lim.
96111.......  ........  A          Developmental          2.60        0.67          0.96         0.54          0.92        0.18        3.45          3.74         3.32          3.70         XXX
                                    test, extend.
96116.......  ........  A          Neurobehavioral        1.86        0.54          0.76         0.43          0.59        0.18        2.58          2.80         2.47          2.63         XXX
                                    status exam.
96118.......  ........  A          Neuropsych tst         1.86        0.82          1.25         0.33          0.56        0.18        2.86          3.29         2.37          2.60         XXX
                                    by psych/phys.
96119.......  ........  A          Neuropsych             0.55        1.53          1.15         0.10          0.17        0.18        2.26          1.88         0.83          0.90         XXX
                                    testing by tec.
96120.......  ........  A          Neuropsych tst         0.51        1.92          1.04         0.09          0.15        0.02        2.45          1.57         0.62          0.68         XXX
                                    admin w/comp.
96150.......  ........  A          Assess hlth/           0.50        0.10          0.16         0.09          0.16        0.01        0.61          0.67         0.60          0.67         XXX
                                    behave, init.
96151.......  ........  A          Assess hlth/           0.48        0.10          0.16         0.09          0.15        0.01        0.59          0.65         0.58          0.64         XXX
                                    behave, subseq.
96152.......  ........  A          Intervene hlth/        0.46        0.09          0.15         0.08          0.14        0.01        0.56          0.62         0.55          0.61         XXX
                                    behave, indiv.
96153.......  ........  A          Intervene hlth/        0.10        0.02          0.04         0.02          0.03        0.01        0.13          0.15         0.13          0.14         XXX
                                    behave, group.
96154.......  ........  A          Interv hlth/           0.45        0.09          0.15         0.08          0.14        0.01        0.55          0.61         0.54          0.60         XXX
                                    behav, fam w/pt.
96155.......  ........  N          Interv hlth/           0.44        0.10          0.16         0.10          0.15        0.02        0.56          0.62         0.56          0.61         XXX
                                    behav fam no pt.
96401.......  ........  A          Chemo, anti-           0.21        1.86          1.34           NA            NA        0.01        2.08          1.56           NA            NA         XXX
                                    neopl, sq/im.
96402.......  ........  A          Chemo hormon           0.19        0.71          0.94           NA            NA        0.01        0.91          1.14           NA            NA         XXX
                                    antineopl sq/im.
96405.......  ........  A          Chemo                  0.52        3.55          2.71         0.23          0.24        0.03        4.10          3.26         0.78          0.79         000
                                    intralesional,
                                    up to 7.
96406.......  ........  A          Chemo                  0.80        3.29          3.08         0.28          0.29        0.03        4.12          3.91         1.11          1.12         000
                                    intralesional
                                    over 7.
96409.......  ........  A          Chemo, iv push,        0.24        2.77          2.88           NA            NA        0.06        3.07          3.18           NA            NA         XXX
                                    sngl drug.
96411.......  ........  A          Chemo, iv push,        0.20        1.49          1.58           NA            NA        0.06        1.75          1.84           NA            NA         ZZZ
                                    addl drug.
96413.......  ........  A          Chemo, iv              0.28        3.61          4.05           NA            NA        0.08        3.97          4.41           NA            NA         XXX
                                    infusion, 1 hr.
96415.......  ........  A          Chemo, iv              0.19        0.65          0.74           NA            NA        0.07        0.91          1.00           NA            NA         ZZZ
                                    infusion, addl
                                    hr.
96416.......  ........  A          Chemo prolong          0.21        4.06          4.47           NA            NA        0.08        4.35          4.76           NA            NA         XXX
                                    infuse w/pump.
96417.......  ........  A          Chemo iv infus         0.21        1.72          1.89           NA            NA        0.07        2.00          2.17           NA            NA         ZZZ
                                    each addl seq.
96420.......  ........  A          Chemo, ia, push        0.17        2.69          2.67           NA            NA        0.08        2.94          2.92           NA            NA         XXX
                                    tecnique.
96422.......  ........  A          Chemo ia               0.17        3.80          4.57           NA            NA        0.08        4.05          4.82           NA            NA         XXX
                                    infusion up to
                                    1 hr.
96423.......  ........  A          Chemo ia infuse        0.17        1.91          1.89           NA            NA        0.02        2.10          2.08           NA            NA         ZZZ
                                    each addl hr.
96425.......  ........  A          Chemotherapy,inf       0.17        4.52          4.48           NA            NA        0.08        4.77          4.73           NA            NA         XXX
                                    usion method.
96440.......  ........  A          Chemotherapy,          2.37        5.51          7.48         1.00          1.17        0.17        8.05         10.02         3.54          3.71         000
                                    intracavitary.
96445.......  ........  A          Chemotherapy,          2.20        5.41          7.38         0.95          1.12        0.14        7.75          9.72         3.29          3.46         000
                                    intracavitary.
96450.......  ........  A          Chemotherapy,          1.53        4.93          6.45         0.83          1.18        0.09        6.55          8.07         2.45          2.80         000
                                    into CNS.
96521.......  ........  A          Refill/maint,          0.21        3.13          3.60           NA            NA        0.06        3.40          3.87           NA            NA         XXX
                                    portable pump.
96522.......  ........  A          Refill/maint           0.21        2.72          2.66           NA            NA        0.06        2.99          2.93           NA            NA         XXX
                                    pump/resvr syst.
96523.......  ........  T          Irrig drug             0.04        0.64          0.68           NA            NA        0.01        0.69          0.73           NA            NA         XXX
                                    delivery device.
96542.......  ........  A          Chemotherapy           0.75        3.54          4.07         0.33          0.58        0.07        4.36          4.89         1.15          1.40         XXX
                                    injection.
96549.......  ........  C          Chemotherapy,          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    unspecified.
96567.......  ........  A          Photodynamic tx,       0.00        3.74          2.40           NA            NA        0.04        3.78          2.44           NA            NA         XXX
                                    skin.
96570.......  ........  A          Photodynamic tx,       1.10        0.41          0.38         0.41          0.38        0.11        1.62          1.59         1.62          1.59         ZZZ
                                    30 min.
96571.......  ........  A          Photodynamic tx,       0.55        0.20          0.19         0.20          0.19        0.03        0.78          0.77         0.78          0.77         ZZZ
                                    addl 15 min.
96900.......  ........  A          Ultraviolet            0.00        0.56          0.47           NA            NA        0.02        0.58          0.49           NA            NA         XXX
                                    light therapy.
96902.......  ........  B          Trichogram......       0.41        0.11          0.16         0.10          0.15        0.01        0.53          0.58         0.52          0.57         XXX
96904.......  ........  R          Whole body             0.00        1.84          1.84           NA            NA        0.01        1.85          1.85           NA            NA         XXX
                                    photography.
96910.......  ........  A          Photochemotherap       0.00        2.00          1.24           NA            NA        0.04        2.04          1.28           NA            NA         XXX
                                    y with UV-B.
96912.......  ........  A          Photochemotherap       0.00        2.58          1.59           NA            NA        0.05        2.63          1.64           NA            NA         XXX
                                    y with UV-A.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70000]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
96913.......  ........  A          Photochemotherap       0.00        3.65          2.17           NA            NA        0.10        3.75          2.27           NA            NA         XXX
                                    y, UV-A or B.
96920.......  ........  A          Laser tx, skin <       1.15        3.59          2.80         0.58          0.57        0.02        4.76          3.97         1.75          1.74         000
                                    250 sq cm.
96921.......  ........  A          Laser tx, skin         1.17        3.49          2.82         0.55          0.57        0.03        4.69          4.02         1.75          1.77         000
                                    250-500 sq cm.
96922.......  ........  A          Laser tx, skin >       2.10        4.63          3.77         1.06          0.73        0.04        6.77          5.91         3.20          2.87         000
                                    500 sq cm.
96999.......  ........  C          Dermatological         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
97001.......  ........  A          Pt evaluation...       1.20        0.67          0.73           NA            NA        0.05        1.92          1.98           NA            NA         XXX
97002.......  ........  A          Pt re-evaluation       0.60        0.41          0.43           NA            NA        0.02        1.03          1.05           NA            NA         XXX
97003.......  ........  A          Ot evaluation...       1.20        0.78          0.86           NA            NA        0.06        2.04          2.12           NA            NA         XXX
97004.......  ........  A          Ot re-evaluation       0.60        0.55          0.64           NA            NA        0.02        1.17          1.26           NA            NA         XXX
97005.......  ........  I          Athletic train         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    eval.
97006.......  ........  I          Athletic train         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    reeval.
97010.......  ........  B          Hot or cold            0.06        0.07          0.06           NA            NA        0.01        0.14          0.13           NA            NA         XXX
                                    packs therapy.
97012.......  ........  A          Mechanical             0.25        0.14          0.13           NA            NA        0.01        0.40          0.39           NA            NA         XXX
                                    traction
                                    therapy.
97014.......  ........  I          Electric               0.18        0.18          0.19           NA            NA        0.01        0.37          0.38           NA            NA         XXX
                                    stimulation
                                    therapy.
97016.......  ........  A          Vasopneumatic          0.18        0.24          0.20           NA            NA        0.01        0.43          0.39           NA            NA         XXX
                                    device therapy.
97018.......  ........  A          Paraffin bath          0.06        0.17          0.12           NA            NA        0.01        0.24          0.19           NA            NA         XXX
                                    therapy.
97022.......  ........  A          Whirlpool              0.17        0.33          0.24           NA            NA        0.01        0.51          0.42           NA            NA         XXX
                                    therapy.
97024.......  ........  A          Diathermy eg,          0.06        0.08          0.07           NA            NA        0.01        0.15          0.14           NA            NA         XXX
                                    microwave.
97026.......  ........  A          Infrared therapy       0.06        0.07          0.06           NA            NA        0.01        0.14          0.13           NA            NA         XXX
97028.......  ........  A          Ultraviolet            0.08        0.08          0.07           NA            NA        0.01        0.17          0.16           NA            NA         XXX
                                    therapy.
97032.......  ........  A          Electrical             0.25        0.20          0.17           NA            NA        0.01        0.46          0.43           NA            NA         XXX
                                    stimulation.
97033.......  ........  A          Electric current       0.26        0.44          0.31           NA            NA        0.01        0.71          0.58           NA            NA         XXX
                                    therapy.
97034.......  ........  A          Contrast bath          0.21        0.20          0.16           NA            NA        0.01        0.42          0.38           NA            NA         XXX
                                    therapy.
97035.......  ........  A          Ultrasound             0.21        0.10          0.10           NA            NA        0.01        0.32          0.32           NA            NA         XXX
                                    therapy.
97036.......  ........  A          Hydrotherapy....       0.28        0.44          0.35           NA            NA        0.01        0.73          0.64           NA            NA         XXX
97039.......  ........  C          Physical therapy       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    treatment.
97110.......  ........  A          Therapeutic            0.45        0.32          0.28           NA            NA        0.02        0.79          0.75           NA            NA         XXX
                                    exercises.
97112.......  ........  A          Neuromuscular          0.45        0.34          0.32           NA            NA        0.01        0.80          0.78           NA            NA         XXX
                                    reeducation.
97113.......  ........  A          Aquatic therapy/       0.44        0.53          0.43           NA            NA        0.01        0.98          0.88           NA            NA         XXX
                                    exercises.
97116.......  ........  A          Gait training          0.40        0.28          0.25           NA            NA        0.01        0.69          0.66           NA            NA         XXX
                                    therapy.
97124.......  ........  A          Massage therapy.       0.35        0.27          0.24           NA            NA        0.01        0.63          0.60           NA            NA         XXX
97139.......  ........  C          Physical               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    medicine
                                    procedure.
97140.......  ........  A          Manual therapy..       0.43        0.29          0.26           NA            NA        0.01        0.73          0.70           NA            NA         XXX
97150.......  ........  A          Group                  0.27        0.22          0.19           NA            NA        0.01        0.50          0.47           NA            NA         XXX
                                    therapeutic
                                    procedures.
97530.......  ........  A          Therapeutic            0.44        0.38          0.34           NA            NA        0.01        0.83          0.79           NA            NA         XXX
                                    activities.
97532.......  ........  A          Cognitive skills       0.44        0.22          0.21           NA            NA        0.01        0.67          0.66           NA            NA         XXX
                                    development.
97533.......  ........  A          Sensory                0.44        0.27          0.25           NA            NA        0.01        0.72          0.70           NA            NA         XXX
                                    integration.
97535.......  ........  A          Self care              0.45        0.37          0.34           NA            NA        0.01        0.83          0.80           NA            NA         XXX
                                    mngment
                                    training.
97537.......  ........  A          Community/work         0.45        0.28          0.27           NA            NA        0.01        0.74          0.73           NA            NA         XXX
                                    reintegration.
97542.......  ........  A          Wheelchair             0.45        0.29          0.28           NA            NA        0.01        0.75          0.74           NA            NA         XXX
                                    mngment
                                    training.
97545.......  ........  R          Work hardening..       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
97546.......  ........  R          Work hardening         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    add-on.
97597.......  ........  A          Active wound           0.58        1.10          0.77         0.12          0.53        0.05        1.73          1.40         0.75          1.16         XXX
                                    care/20 cm or <.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70001]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
97598.......  ........  A          Active wound           0.80        1.27          0.91         0.17          0.64        0.05        2.12          1.76         1.02          1.49         XXX
                                    care > 20 cm.
97602.......  ........  B          Wound(s) care          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    non-selective.
97605.......  ........  A          Neg press wound        0.55        0.41          0.36         0.12          0.20        0.02        0.98          0.93         0.69          0.77         XXX
                                    tx, < 50 cm.
97606.......  ........  A          Neg press wound        0.60        0.42          0.37         0.13          0.21        0.03        1.05          1.00         0.76          0.84         XXX
                                    tx, > 50 cm.
97750.......  ........  A          Physical               0.45        0.33          0.32           NA            NA        0.02        0.80          0.79           NA            NA         XXX
                                    performance
                                    test.
97755.......  ........  A          Assistive              0.62        0.28          0.28           NA            NA        0.02        0.92          0.92           NA            NA         XXX
                                    technology
                                    assess.
97760.......  ........  A          Orthotic mgmt          0.45        0.42          0.36           NA            NA        0.03        0.90          0.84           NA            NA         XXX
                                    and training.
97761.......  ........  A          Prosthetic             0.45        0.33          0.29           NA            NA        0.02        0.80          0.76           NA            NA         XXX
                                    training.
97762.......  ........  A          C/o for orthotic/      0.25        0.73          0.50           NA            NA        0.02        1.00          0.77           NA            NA         XXX
                                    prosth use.
97799.......  ........  C          Physical               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    medicine
                                    procedure.
97802.......  ........  A          Medical                0.45        0.14          0.39         0.11          0.38        0.01        0.60          0.85         0.57          0.84         XXX
                                    nutrition,
                                    indiv, in.
97803.......  ........  A          Med nutrition,         0.37        0.12          0.38         0.09          0.38        0.01        0.50          0.76         0.47          0.76         XXX
                                    indiv, subseq.
97804.......  ........  A          Medical                0.25        0.07          0.15         0.06          0.15        0.01        0.33          0.41         0.32          0.41         XXX
                                    nutrition,
                                    group.
97810.......  ........  N          Acupunct w/o           0.60        0.26          0.35         0.14          0.21        0.03        0.89          0.98         0.77          0.84         XXX
                                    stimul 15 min.
97811.......  ........  N          Acupunct w/o           0.50        0.15          0.23         0.12          0.17        0.03        0.68          0.76         0.65          0.70         ZZZ
                                    stimul addl 15m.
97813.......  ........  N          Acupunct w/            0.65        0.27          0.37         0.15          0.23        0.03        0.95          1.05         0.83          0.91         XXX
                                    stimul 15 min.
97814.......  ........  N          Acupunct w/            0.55        0.19          0.27         0.13          0.19        0.03        0.77          0.85         0.71          0.77         ZZZ
                                    stimul addl 15m.
98925.......  ........  A          Osteopathic            0.45        0.28          0.31         0.12          0.14        0.02        0.75          0.78         0.59          0.61         000
                                    manipulation.
98926.......  ........  A          Osteopathic            0.65        0.36          0.40         0.17          0.23        0.03        1.04          1.08         0.85          0.91         000
                                    manipulation.
98927.......  ........  A          Osteopathic            0.87        0.45          0.49         0.23          0.28        0.03        1.35          1.39         1.13          1.18         000
                                    manipulation.
98928.......  ........  A          Osteopathic            1.03        0.51          0.57         0.26          0.32        0.04        1.58          1.64         1.33          1.39         000
                                    manipulation.
98929.......  ........  A          Osteopathic            1.19        0.57          0.65         0.30          0.35        0.05        1.81          1.89         1.54          1.59         000
                                    manipulation.
98940.......  ........  A          Chiropractic           0.45        0.21          0.23         0.12          0.12        0.01        0.67          0.69         0.58          0.58         000
                                    manipulation.
98941.......  ........  A          Chiropractic           0.65        0.27          0.29         0.18          0.17        0.01        0.93          0.95         0.84          0.83         000
                                    manipulation.
98942.......  ........  A          Chiropractic           0.87        0.34          0.36         0.24          0.23        0.02        1.23          1.25         1.13          1.12         000
                                    manipulation.
98943.......  ........  N          Chiropractic           0.40        0.17          0.22         0.09          0.14        0.01        0.58          0.63         0.50          0.55         XXX
                                    manipulation.
98960.......  ........  B          Self-mgmt educ &       0.00        0.48          0.48         0.00          0.00        0.01        0.49          0.49         0.01          0.01         XXX
                                    train, 1 pt.
98961.......  ........  B          Self-mgmt educ/        0.00        0.23          0.23         0.00          0.00        0.01        0.24          0.24         0.01          0.01         XXX
                                    train, 2-4 pt.
98962.......  ........  B          Self-mgmt educ/        0.00        0.17          0.17         0.00          0.00        0.01        0.18          0.18         0.01          0.01         XXX
                                    train, 5-8 pt.
99000.......  ........  B          Specimen               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    handling.
99001.......  ........  B          Specimen               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    handling.
99002.......  ........  B          Device handling.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
99024.......  ........  B          Postop follow-up       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    visit.
99026.......  ........  N          In-hospital on         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    call service.
99027.......  ........  N          Out-of-hosp on         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    call service.
99050.......  ........  B          Medical services       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    after hrs.
99051.......  ........  B          Med serv, eve/         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    wkend/holiday.
99053.......  ........  B          Med serv 10pm-         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    8am, 24 hr fac.
99056.......  ........  B          Med service out        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    of office.
99058.......  ........  B          Office emergency       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    care.
99060.......  ........  B          Out of office          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    emerg med serv.
99070.......  ........  B          Special supplies       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
99071.......  ........  B          Patient                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    education
                                    materials.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70002]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
99075.......  ........  N          Medical                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    testimony.
99078.......  ........  B          Group health           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    education.
99080.......  ........  B          Special reports        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    or forms.
99082.......  ........  C          Unusual                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    physician
                                    travel.
99090.......  ........  B          Computer data          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    analysis.
99091.......  ........  B          Collect/review         1.10        0.25          0.25           NA            NA        0.04        1.39          1.39           NA            NA         XXX
                                    data from pt.
99100.......  ........  B          Special                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    anesthesia
                                    service.
99116.......  ........  B          Anesthesia with        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    hypothermia.
99135.......  ........  B          Special                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    anesthesia
                                    procedure.
99140.......  ........  B          Emergency              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    anesthesia.
99143.......  ........  C          Mod cs by same         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    phys, < 5 yrs.
99144.......  ........  C          Mod cs by same         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    phys, 5 yrs +.
99145.......  ........  C          Mod cs by same         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    phys add-on.
99148.......  ........  C          Mod cs diff phys       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    < 5 yrs.
99149.......  ........  C          Mod cs diff phys       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    5 yrs +.
99150.......  ........  C          Mod cs diff phys       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         ZZZ
                                    add-on.
99170.......  ........  A          Anogenital exam,       1.75        1.50          1.70         0.50          0.54        0.08        3.33          3.53         2.33          2.37         000
                                    child.
99172.......  ........  N          Ocular function        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    screen.
99173.......  ........  N          Visual acuity          0.00        0.06          0.06           NA            NA        0.01        0.07          0.07           NA            NA         XXX
                                    screen.
99175.......  ........  A          Induction of           0.00        0.33          1.13           NA            NA        0.10        0.43          1.23           NA            NA         XXX
                                    vomiting.
99183.......  ........  A          Hyperbaric             2.34        2.60          3.08         0.59          0.69        0.16        5.10          5.58         3.09          3.19         XXX
                                    oxygen therapy.
99185.......  ........  A          Regional               0.00        1.65          0.89           NA            NA        0.04        1.69          0.93           NA            NA         XXX
                                    hypothermia.
99186.......  ........  A          Total body             0.00        1.38          1.68           NA            NA        0.45        1.83          2.13           NA            NA         XXX
                                    hypothermia.
99190.......  ........  X          Special pump           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    services.
99191.......  ........  X          Special pump           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    services.
99192.......  ........  X          Special pump           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    services.
99195.......  ........  A          Phlebotomy......       0.00        2.59          0.98           NA            NA        0.02        2.61          1.00           NA            NA         XXX
99199.......  ........  C          Special service/       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    proc/report.
99201.......  ........  A          Office/                0.45        0.55          0.51         0.16          0.15        0.03        1.03          0.99         0.64          0.63         XXX
                                    outpatient
                                    visit, new.
99202.......  ........  A          Office/                0.88        0.84          0.80         0.30          0.31        0.05        1.77          1.73         1.23          1.24         XXX
                                    outpatient
                                    visit, new.
99203.......  ........  A          Office/                1.34        1.11          1.13         0.43          0.47        0.09        2.54          2.56         1.86          1.90         XXX
                                    outpatient
                                    visit, new.
99204.......  ........  A          Office/                2.30        1.50          1.50         0.72          0.71        0.12        3.92          3.92         3.14          3.13         XXX
                                    outpatient
                                    visit, new.
99205.......  ........  A          Office/                3.00        1.80          1.78         0.93          0.95        0.15        4.95          4.93         4.08          4.10         XXX
                                    outpatient
                                    visit, new.
99211.......  ........  A          Office/                0.17        0.32          0.37         0.06          0.06        0.01        0.50          0.55         0.24          0.24         XXX
                                    outpatient
                                    visit, est.
99212.......  ........  A          Office/                0.45        0.55          0.54         0.15          0.16        0.03        1.03          1.02         0.63          0.64         XXX
                                    outpatient
                                    visit, est.
99213.......  ........  A          Office/                0.92        0.76          0.71         0.29          0.25        0.03        1.71          1.66         1.24          1.20         XXX
                                    outpatient
                                    visit, est.
99214.......  ........  A          Office/                1.42        1.11          1.05         0.45          0.42        0.05        2.58          2.52         1.92          1.89         XXX
                                    outpatient
                                    visit, est.
99215.......  ........  A          Office/                2.00        1.39          1.34         0.62          0.64        0.08        3.47          3.42         2.70          2.72         XXX
                                    outpatient
                                    visit, est.
99217.......  ........  A          Observation care       1.28          NA            NA         0.51          0.53        0.06          NA            NA         1.85          1.87         XXX
                                    discharge.
99218.......  ........  A          Observation care       1.28          NA            NA         0.39          0.43        0.06          NA            NA         1.73          1.77         XXX
99219.......  ........  A          Observation care       2.14          NA            NA         0.61          0.69        0.10          NA            NA         2.85          2.93         XXX
99220.......  ........  A          Observation care       2.99          NA            NA         0.87          0.99        0.14          NA            NA         4.00          4.12         XXX
99221.......  ........  A          Initial hospital       1.88          NA            NA         0.56          0.48        0.07          NA            NA         2.51          2.43         XXX
                                    care.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70003]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
99222.......  ........  A          Initial hospital       2.56          NA            NA         0.73          0.74        0.10          NA            NA         3.39          3.40         XXX
                                    care.
99223.......  ........  A          Initial hospital       3.78          NA            NA         1.11          1.05        0.13          NA            NA         5.02          4.96         XXX
                                    care.
99231.......  ........  A          Subsequent             0.76          NA            NA         0.24          0.23        0.03          NA            NA         1.03          1.02         XXX
                                    hospital care.
99232.......  ........  A          Subsequent             1.39          NA            NA         0.44          0.39        0.04          NA            NA         1.87          1.82         XXX
                                    hospital care.
99233.......  ........  A          Subsequent             2.00          NA            NA         0.61          0.54        0.06          NA            NA         2.67          2.60         XXX
                                    hospital care.
99234.......  ........  A          Observ/hosp same       2.56          NA            NA         0.80          0.87        0.13          NA            NA         3.49          3.56         XXX
                                    date.
99235.......  ........  A          Observ/hosp same       3.41          NA            NA         1.02          1.12        0.16          NA            NA         4.59          4.69         XXX
                                    date.
99236.......  ........  A          Observ/hosp same       4.26          NA            NA         1.28          1.40        0.19          NA            NA         5.73          5.85         XXX
                                    date.
99238.......  ........  A          Hospital               1.28          NA            NA         0.50          0.53        0.05          NA            NA         1.83          1.86         XXX
                                    discharge day.
99239.......  ........  A          Hospital               1.90          NA            NA         0.69          0.72        0.07          NA            NA         2.66          2.69         XXX
                                    discharge day.
99241.......  ........  A          Office                 0.64        0.66          0.65         0.23          0.22        0.05        1.35          1.34         0.92          0.91         XXX
                                    consultation.
99242.......  ........  A          Office                 1.34        1.09          1.05         0.49          0.47        0.10        2.53          2.49         1.93          1.91         XXX
                                    consultation.
99243.......  ........  A          Office                 1.88        1.45          1.41         0.68          0.64        0.13        3.46          3.42         2.69          2.65         XXX
                                    consultation.
99244.......  ........  A          Office                 3.02        1.96          1.86         1.12          0.97        0.16        5.14          5.04         4.30          4.15         XXX
                                    consultation.
99245.......  ........  A          Office                 3.77        2.30          2.28         1.35          1.27        0.21        6.28          6.26         5.33          5.25         XXX
                                    consultation.
99251.......  ........  A          Inpatient              1.00          NA            NA         0.32          0.26        0.05          NA            NA         1.37          1.31         XXX
                                    consultation.
99252.......  ........  A          Inpatient              1.50          NA            NA         0.51          0.50        0.09          NA            NA         2.10          2.09         XXX
                                    consultation.
99253.......  ........  A          Inpatient              2.27          NA            NA         0.82          0.72        0.11          NA            NA         3.20          3.10         XXX
                                    consultation.
99254.......  ........  A          Inpatient              3.29          NA            NA         1.22          1.04        0.13          NA            NA         4.64          4.46         XXX
                                    consultation.
99255.......  ........  A          Inpatient              4.00          NA            NA         1.43          1.37        0.18          NA            NA         5.61          5.55         XXX
                                    consultation.
99281.......  ........  A          Emergency dept         0.45          NA            NA         0.09          0.09        0.02          NA            NA         0.56          0.56         XXX
                                    visit.
99282.......  ........  A          Emergency dept         0.88          NA            NA         0.17          0.15        0.04          NA            NA         1.09          1.07         XXX
                                    visit.
99283.......  ........  A          Emergency dept         1.34          NA            NA         0.25          0.30        0.09          NA            NA         1.68          1.73         XXX
                                    visit.
99284.......  ........  A          Emergency dept         2.56          NA            NA         0.48          0.47        0.14          NA            NA         3.18          3.17         XXX
                                    visit.
99285.......  ........  A          Emergency dept         3.80          NA            NA         0.69          0.71        0.23          NA            NA         4.72          4.74         XXX
                                    visit.
99288.......  ........  B          Direct advanced        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    life support.
99289.......  ........  A          Ped crit care          4.79          NA            NA         1.14          1.37        0.24          NA            NA         6.17          6.40         XXX
                                    transport.
99290.......  ........  A          Ped crit care          2.40          NA            NA         0.62          0.76        0.12          NA            NA         3.14          3.28         ZZZ
                                    transport addl.
99291.......  ........  A          Critical care,         4.50        2.30          2.50         1.15          1.25        0.21        7.01          7.21         5.86          5.96         XXX
                                    first hour.
99292.......  ........  A          Critical care,         2.25        0.84          0.89         0.60          0.63        0.11        3.20          3.25         2.96          2.99         ZZZ
                                    add[AElig]l 30
                                    min.
99293.......  ........  A          Ped critical          15.98          NA            NA         3.67          4.48        1.12          NA            NA        20.77         21.58         XXX
                                    care, initial.
99294.......  ........  A          Ped critical           7.99          NA            NA         1.76          2.24        0.45          NA            NA        10.20         10.68         XXX
                                    care, subseq.
99295.......  ........  A          Neonate crit          18.46          NA            NA         4.44          5.14        1.16          NA            NA        24.06         24.76         XXX
                                    care, initial.
99296.......  ........  A          Neonate critical       7.99          NA            NA         1.81          2.36        0.32          NA            NA        10.12         10.67         XXX
                                    care subseq.
99298.......  ........  A          Ic for lbw             2.75          NA            NA         0.68          0.87        0.17          NA            NA         3.60          3.79         XXX
                                    infant < 1500
                                    gm.
99299.......  ........  A          Ic, lbw infant         2.50          NA            NA         0.77          0.84        0.16          NA            NA         3.43          3.50         XXX
                                    1500-2500 gm.
99300.......  ........  A          Ic, infant pbw         2.40          NA            NA         0.74          0.82        0.15          NA            NA         3.29          3.37         XXX
                                    2501-5000 gm.
99304.......  ........  A          Nursing facility       1.20        0.45          0.48         0.45          0.48        0.05        1.70          1.73         1.70          1.73         XXX
                                    care, init.
99305.......  ........  A          Nursing facility       1.61        0.57          0.62         0.57          0.62        0.07        2.25          2.30         2.25          2.30         XXX
                                    care, init.
99306.......  ........  A          Nursing facility       2.01        0.67          0.73         0.67          0.73        0.09        2.77          2.83         2.77          2.83         XXX
                                    care, init.
99307.......  ........  A          Nursing fac            0.60        0.27          0.27         0.27          0.27        0.03        0.90          0.90         0.90          0.90         XXX
                                    care, subseq.
99308.......  ........  A          Nursing fac            1.00        0.44          0.45         0.44          0.45        0.04        1.48          1.49         1.48          1.49         XXX
                                    care, subseq.
99309.......  ........  A          Nursing fac            1.42        0.59          0.61         0.59          0.61        0.06        2.07          2.09         2.07          2.09         XXX
                                    care, subseq.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70004]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
99310.......  ........  A          Nursing fac            1.77        0.74          0.77         0.74          0.77        0.08        2.59          2.62         2.59          2.62         XXX
                                    care, subseq.
99315.......  ........  A          Nursing fac            1.13        0.41          0.44         0.41          0.44        0.05        1.59          1.62         1.59          1.62         XXX
                                    discharge day.
99316.......  ........  A          Nursing fac            1.50        0.52          0.57         0.52          0.57        0.06        2.08          2.13         2.08          2.13         XXX
                                    discharge day.
99318.......  ........  A          Annual nursing         1.20        0.45          0.48         0.45          0.48        0.05        1.70          1.73         1.70          1.73         XXX
                                    fac assessmnt.
99324.......  ........  A          Domicil/r-home         1.01        0.44          0.48           NA            NA        0.05        1.50          1.54           NA            NA         XXX
                                    visit new pat.
99325.......  ........  A          Domicil/r-home         1.52        0.58          0.66           NA            NA        0.07        2.17          2.25           NA            NA         XXX
                                    visit new pat.
99326.......  ........  A          Domicil/r-home         2.27        0.74          0.88           NA            NA        0.10        3.11          3.25           NA            NA         XXX
                                    visit new pat.
99327.......  ........  A          Domicil/r-home         3.03        0.94          1.11           NA            NA        0.13        4.10          4.27           NA            NA         XXX
                                    visit new pat.
99328.......  ........  A          Domicil/r-home         3.78        1.13          1.35           NA            NA        0.16        5.07          5.29           NA            NA         XXX
                                    visit new pat.
99334.......  ........  A          Domicil/r-home         0.76        0.36          0.39           NA            NA        0.04        1.16          1.19           NA            NA         XXX
                                    visit est pat.
99335.......  ........  A          Domicil/r-home         1.26        0.48          0.56           NA            NA        0.06        1.80          1.88           NA            NA         XXX
                                    visit est pat.
99336.......  ........  A          Domicil/r-home         2.02        0.67          0.78           NA            NA        0.09        2.78          2.89           NA            NA         XXX
                                    visit est pat.
99337.......  ........  A          Domicil/r-home         3.03        0.92          1.09           NA            NA        0.13        4.08          4.25           NA            NA         XXX
                                    visit est pat.
99339.......  ........  B          Domicil/r-home         1.25        0.58          0.58           NA            NA        0.06        1.89          1.89           NA            NA         XXX
                                    care supervis.
99340.......  ........  B          Domicil/r-home         1.80        0.76          0.76           NA            NA        0.07        2.63          2.63           NA            NA         XXX
                                    care supervis.
99341.......  ........  A          Home visit, new        1.01        0.44          0.47           NA            NA        0.05        1.50          1.53           NA            NA         XXX
                                    patient.
99342.......  ........  A          Home visit, new        1.52        0.58          0.66           NA            NA        0.07        2.17          2.25           NA            NA         XXX
                                    patient.
99343.......  ........  A          Home visit, new        2.27        0.77          0.90           NA            NA        0.10        3.14          3.27           NA            NA         XXX
                                    patient.
99344.......  ........  A          Home visit, new        3.03        0.93          1.12           NA            NA        0.13        4.09          4.28           NA            NA         XXX
                                    patient.
99345.......  ........  A          Home visit, new        3.78        1.10          1.35           NA            NA        0.16        5.04          5.29           NA            NA         XXX
                                    patient.
99347.......  ........  A          Home visit, est        0.76        0.37          0.39           NA            NA        0.04        1.17          1.19           NA            NA         XXX
                                    patient.
99348.......  ........  A          Home visit, est        1.26        0.49          0.56           NA            NA        0.06        1.81          1.88           NA            NA         XXX
                                    patient.
99349.......  ........  A          Home visit, est        2.02        0.67          0.79           NA            NA        0.09        2.78          2.90           NA            NA         XXX
                                    patient.
99350.......  ........  A          Home visit, est        3.03        0.92          1.12           NA            NA        0.13        4.08          4.28           NA            NA         XXX
                                    patient.
99354.......  ........  A          Prolonged              1.77        0.66          0.74         0.51          0.62        0.08        2.51          2.59         2.36          2.47         ZZZ
                                    service, office.
99355.......  ........  A          Prolonged              1.77        0.68          0.73         0.53          0.60        0.07        2.52          2.57         2.37          2.44         ZZZ
                                    service, office.
99356.......  ........  A          Prolonged              1.71          NA            NA         0.52          0.60        0.07          NA            NA         2.30          2.38         ZZZ
                                    service,
                                    inpatient.
99357.......  ........  A          Prolonged              1.71          NA            NA         0.51          0.60        0.08          NA            NA         2.30          2.39         ZZZ
                                    service,
                                    inpatient.
99358.......  ........  B          Prolonged serv,        2.10        0.51          0.51         0.51          0.51        0.09        2.70          2.70         2.70          2.70         ZZZ
                                    w/o contact.
99359.......  ........  B          Prolonged serv,        1.00        0.26          0.26         0.26          0.26        0.04        1.30          1.30         1.30          1.30         ZZZ
                                    w/o contact.
99360.......  ........  X          Physician              1.20        0.00          0.00         0.00          0.00        0.05        1.25          1.25         1.25          1.25         XXX
                                    standby
                                    services.
99361.......  ........  B          Physician/team         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    conference.
99362.......  ........  B          Physician/team         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    conference.
99363.......  ........  B          Anticoag mgmt,         1.65        1.29          1.29         0.38          0.38        0.07        3.01          3.01         2.10          2.10         XXX
                                    init.
99364.......  ........  B          Anticoag mgmt,         0.63        0.38          0.38         0.15          0.15        0.04        1.05          1.05         0.82          0.82         XXX
                                    subseq.
99371.......  ........  B          Physician phone        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    consultation.
99372.......  ........  B          Physician phone        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    consultation.
99373.......  ........  B          Physician phone        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    consultation.
99374.......  ........  B          Home health care       1.10        0.54          0.66         0.25          0.38        0.05        1.69          1.81         1.40          1.53         XXX
                                    supervision.
99375.......  ........  I          Home health care       1.73        0.75          1.35         0.40          1.26        0.07        2.55          3.15         2.20          3.06         XXX
                                    supervision.
99377.......  ........  B          Hospice care           1.10        0.54          0.66         0.25          0.38        0.05        1.69          1.81         1.40          1.53         XXX
                                    supervision.
99378.......  ........  I          Hospice care           1.73        0.75          1.64         0.40          1.56        0.07        2.55          3.44         2.20          3.36         XXX
                                    supervision.
99379.......  ........  B          Nursing fac care       1.10        0.54          0.66         0.25          0.38        0.04        1.68          1.80         1.39          1.52         XXX
                                    supervision.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70005]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
99380.......  ........  B          Nursing fac care       1.73        0.75          0.93         0.40          0.60        0.06        2.54          2.72         2.19          2.39         XXX
                                    supervision.
99381.......  ........  N          Init pm e/m, new       1.19        0.99          1.37         0.27          0.41        0.05        2.23          2.61         1.51          1.65         XXX
                                    pat, inf.
99382.......  ........  N          Init pm e/m, new       1.36        1.03          1.41         0.31          0.47        0.05        2.44          2.82         1.72          1.88         XXX
                                    pat 1-4 yrs.
99383.......  ........  N          Prev visit, new,       1.36        1.02          1.37         0.31          0.47        0.05        2.43          2.78         1.72          1.88         XXX
                                    age 5-11.
99384.......  ........  N          Prev visit, new,       1.53        1.06          1.43         0.35          0.53        0.06        2.65          3.02         1.94          2.12         XXX
                                    age 12-17.
99385.......  ........  N          Prev visit, new,       1.53        1.06          1.43         0.35          0.53        0.06        2.65          3.02         1.94          2.12         XXX
                                    age 18-39.
99386.......  ........  N          Prev visit, new,       1.88        1.14          1.59         0.43          0.65        0.07        3.09          3.54         2.38          2.60         XXX
                                    age 40-64.
99387.......  ........  N          Init pm e/m, new       2.06        1.27          1.72         0.48          0.71        0.07        3.40          3.85         2.61          2.84         XXX
                                    pat 65+ yrs.
99391.......  ........  N          Per pm reeval,         1.02        0.86          0.98         0.24          0.35        0.04        1.92          2.04         1.30          1.41         XXX
                                    est pat, inf.
99392.......  ........  N          Prev visit, est,       1.19        0.89          1.04         0.27          0.41        0.05        2.13          2.28         1.51          1.65         XXX
                                    age 1-4.
99393.......  ........  N          Prev visit, est,       1.19        0.89          1.02         0.27          0.41        0.05        2.13          2.26         1.51          1.65         XXX
                                    age 5-11.
99394.......  ........  N          Prev visit, est,       1.36        0.93          1.08         0.31          0.47        0.05        2.34          2.49         1.72          1.88         XXX
                                    age 12-17.
99395.......  ........  N          Prev visit, est,       1.36        0.93          1.10         0.31          0.47        0.05        2.34          2.51         1.72          1.88         XXX
                                    age 18-39.
99396.......  ........  N          Prev visit, est,       1.53        0.97          1.18         0.35          0.53        0.06        2.56          2.77         1.94          2.12         XXX
                                    age 40-64.
99397.......  ........  N          Per pm reeval          1.71        1.11          1.30         0.40          0.60        0.06        2.88          3.07         2.17          2.37         XXX
                                    est pat 65+ yr.
99401.......  ........  N          Preventive             0.48        0.36          0.56         0.11          0.17        0.01        0.85          1.05         0.60          0.66         XXX
                                    counseling,
                                    indiv.
99402.......  ........  N          Preventive             0.98        0.47          0.77         0.23          0.34        0.02        1.47          1.77         1.23          1.34         XXX
                                    counseling,
                                    indiv.
99403.......  ........  N          Preventive             1.46        0.58          0.96         0.34          0.51        0.04        2.08          2.46         1.84          2.01         XXX
                                    counseling,
                                    indiv.
99404.......  ........  N          Preventive             1.95        0.70          1.17         0.45          0.68        0.05        2.70          3.17         2.45          2.68         XXX
                                    counseling,
                                    indiv.
99411.......  ........  N          Preventive             0.15        0.22          0.19         0.03          0.05        0.01        0.38          0.35         0.19          0.21         XXX
                                    counseling,
                                    group.
99412.......  ........  N          Preventive             0.25        0.24          0.25         0.06          0.09        0.01        0.50          0.51         0.32          0.35         XXX
                                    counseling,
                                    group.
99420.......  ........  N          Health risk            0.00        0.22          0.22           NA            NA        0.01        0.23          0.23           NA            NA         XXX
                                    assessment test.
99429.......  ........  N          Unlisted               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    preventive
                                    service.
99431.......  ........  A          Initial care,          1.17          NA            NA         0.27          0.35        0.05          NA            NA         1.49          1.57         XXX
                                    normal newborn.
99432.......  ........  A          Newborn care,          1.26        1.00          0.95         0.29          0.37        0.07        2.33          2.28         1.62          1.70         XXX
                                    not in hosp.
99433.......  ........  A          Normal newborn         0.62          NA            NA         0.15          0.19        0.02          NA            NA         0.79          0.83         XXX
                                    care/hospital.
99435.......  ........  A          Newborn                1.50          NA            NA         0.46          0.56        0.06          NA            NA         2.02          2.12         XXX
                                    discharge day
                                    hosp.
99436.......  ........  A          Attendance,            1.50          NA            NA         0.35          0.44        0.06          NA            NA         1.91          2.00         XXX
                                    birth.
99440.......  ........  A          Newborn                2.93          NA            NA         0.68          0.87        0.12          NA            NA         3.73          3.92         XXX
                                    resuscitation.
99450.......  ........  N          Basic life             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    disability exam.
99455.......  ........  R          Work related           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    disability exam.
99456.......  ........  R          Disability             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    examination.
99499.......  ........  C          Unlisted e&m           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    service.
99500.......  ........  I          Home visit,            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    prenatal.
99501.......  ........  I          Home visit,            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    postnatal.
99502.......  ........  I          Home visit, nb         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    care.
99503.......  ........  I          Home visit, resp       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    therapy.
99504.......  ........  I          Home visit mech        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ventilator.
99505.......  ........  I          Home visit,            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    stoma care.
99506.......  ........  I          Home visit, im         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    injection.
99507.......  ........  I          Home visit, cath       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    maintain.
99509.......  ........  I          Home visit day         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    life activity.
99510.......  ........  I          Home visit, sing/      0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    m/fam couns.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70006]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
99511.......  ........  I          Home visit,            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    fecal/enema
                                    mgmt.
99512.......  ........  I          Home visit for         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    hemodialysis.
99600.......  ........  I          Home visit nos..       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
99601.......  ........  I          Home infusion/         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    visit, 2 hrs.
99602.......  ........  I          Home infusion,         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    each addtl hr.
A4890.......  ........  R          Repair/maint           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cont hemo equip.
D0150.......  ........  R          Comprehensve           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    oral evaluation.
D0240.......  ........  R          Intraoral              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    occlusal film.
D0250.......  ........  R          Extraoral first        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    film.
D0260.......  ........  R          Extraoral ea           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    additional film.
D0270.......  ........  R          Dental bitewing        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    single film.
D0272.......  ........  R          Dental bitewings       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    two films.
D0274.......  ........  R          Dental bitewings       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    four films.
D0277.......  ........  R          Vert bitewings-        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sev to eight.
D0416.......  ........  R          Viral culture...       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
D0421.......  ........  R          Gen tst suscept        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    oral disease.
D0431.......  ........  R          Diag tst detect        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    mucos abnorm.
D0460.......  ........  R          Pulp vitality          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    test.
D0472.......  ........  R          Gross exam, prep       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    & report.
D0473.......  ........  R          Micro exam, prep       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    & report.
D0474.......  ........  R          Micro w exam of        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    surg margins.
D0475.......  ........  R          Decalcification        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    procedure.
D0476.......  ........  R          Spec stains for        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    microorganis.
D0477.......  ........  R          Spec stains not        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    for microorg.
D0478.......  ........  R          Immunohistochemi       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cal stains.
D0479.......  ........  R          Tissue in-situ         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    hybridization.
D0480.......  ........  R          Cytopath smear         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    prep & report.
D0481.......  ........  R          Electron               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    microscopy
                                    diagnost.
D0482.......  ........  R          Direct                 0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    immunofluoresce
                                    nce.
D0483.......  ........  R          Indirect               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    immunofluoresce
                                    nce.
D0484.......  ........  R          Consult slides         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    prep elsewher.
D0485.......  ........  R          Consult inc prep       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    of slides.
D0502.......  ........  R          Other oral             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    pathology
                                    procedu.
D0999.......  ........  R          Unspecified            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    diagnostic
                                    proce.
D1510.......  ........  R          Space maintainer       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    fxd unilat.
D1515.......  ........  R          Fixed bilat            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    space
                                    maintainer.
D1520.......  ........  R          Remove unilat          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    space maintain.
D1525.......  ........  R          Remove bilat           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    space maintain.
D1550.......  ........  R          Recement space         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    maintainer.
D2999.......  ........  R          Dental unspec          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    restorative pr.
D3460.......  ........  R          Endodontic             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    endosseous
                                    implan.
D3999.......  ........  R          Endodontic             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    procedure.
D4260.......  ........  R          Osseous surgery        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    per quadrant.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70007]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
D4263.......  ........  R          Bone replce            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    graft first
                                    site.
D4264.......  ........  R          Bone replce            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    graft each add.
D4268.......  ........  R          Surgical               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    revision
                                    procedure.
D4270.......  ........  R          Pedicle soft           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    tissue graft pr.
D4271.......  ........  R          Free soft tissue       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    graft proc.
D4273.......  ........  R          Subepithelial          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    tissue graft.
D4355.......  ........  R          Full mouth             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    debridement.
D4381.......  ........  R          Localized              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    delivery
                                    antimicro.
D5911.......  ........  R          Facial moulage         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    sectional.
D5912.......  ........  R          Facial moulage         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    complete.
D5951.......  ........  R          Feeding aid.....       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
D5983.......  ........  R          Radiation              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    applicator.
D5984.......  ........  R          Radiation shield       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
D5985.......  ........  R          Radiation cone         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    locator.
D5987.......  ........  R          Commissure             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    splint.
D6920.......  ........  R          Dental connector       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    bar.
D7111.......  ........  R          Extraction             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    coronal
                                    remnants.
D7140.......  ........  R          Extraction             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    erupted tooth/
                                    exr.
D7210.......  ........  R          Rem imp tooth w        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    mucoper flp.
D7220.......  ........  R          Impact tooth           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    remov soft tiss.
D7230.......  ........  R          Impact tooth           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    remov part bony.
D7240.......  ........  R          Impact tooth           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    remov comp bony.
D7241.......  ........  R          Impact tooth rem       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    bony w/comp.
D7250.......  ........  R          Tooth root             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    removal.
D7260.......  ........  R          Oral antral            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    fistula closure.
D7261.......  ........  R          Primary closure        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sinus perf.
D7283.......  ........  R          Place device           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    impacted tooth.
D7288.......  ........  R          Brush biopsy....       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
D7291.......  ........  R          Transseptal            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    fiberotomy.
D7321.......  ........  R          Alveoloplasty          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    not w/extracts.
D7511.......  ........  R          Incision/drain         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    abscess intra.
D7521.......  ........  R          Incision/drain         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    abscess extra.
D7940.......  ........  R          Reshaping bone         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    orthognathic.
D9110.......  ........  R          Tx dental pain         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    minor proc.
D9230.......  ........  R          Analgesia.......       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
D9248.......  ........  R          Sedation (non-         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    iv).
D9630.......  ........  R          Other drugs/           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    medicaments.
D9930.......  ........  R          Treatment of           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    complications.
D9940.......  ........  R          Dental occlusal        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    guard.
D9950.......  ........  R          Occlusion              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    analysis.
D9951.......  ........  R          Limited occlusal       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    adjustment.
D9952.......  ........  R          Complete               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    occlusal
                                    adjustment.
G0008.......  ........  X          Admin influenza        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    virus vac.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70008]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
G0009.......  ........  X          Admin                  0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pneumococcal
                                    vaccine.
G0010.......  ........  X          Admin hepatitis        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    b vaccine.
G0027.......  ........  X          Semen analysis..       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
G0101.......  ........  A          CA screen;pelvic/      0.45        0.48          0.51           NA            NA        0.02        0.95          0.98           NA            NA         XXX
                                    breast exam.
G0102.......  ........  A          Prostate ca            0.17        0.32          0.37         0.06          0.06        0.01        0.50          0.55         0.24          0.24         XXX
                                    screening; dre.
G0103.......  ........  X          Psa, total             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    screening.
G0104.......  ........  A          CA screen;flexi        0.96        2.49          2.33         0.62          0.53        0.08        3.53          3.37         1.66          1.57         000
                                    sigmoidscope.
G0105.......  ........  A          Colorectal scrn;       3.69        6.37          6.20         1.85          1.57        0.30       10.36         10.19         5.84          5.56         000
                                    hi risk ind.
G0105.......  53......  A          Colorectal scrn;       0.96        2.49          2.33         0.62          0.53        0.08        3.53          3.37         1.66          1.57         000
                                    hi risk ind.
G0106.......  ........  A          Colon CA               0.99        4.64          3.07           NA            NA        0.17        5.80          4.23           NA            NA         XXX
                                    screen;barium
                                    enema.
G0106.......  TC......  A          Colon CA               0.00        4.36          2.76           NA            NA        0.13        4.49          2.89           NA            NA         XXX
                                    screen;barium
                                    enema.
G0106.......  26......  A          Colon CA               0.99        0.28          0.31         0.28          0.31        0.04        1.31          1.34         1.31          1.34         XXX
                                    screen;barium
                                    enema.
G0108.......  ........  A          Diab manage trn        0.00        0.59          0.77           NA            NA        0.01        0.60          0.78           NA            NA         XXX
                                    per indiv.
G0109.......  ........  A          Diab manage trn        0.00        0.31          0.44           NA            NA        0.01        0.32          0.45           NA            NA         XXX
                                    ind/group.
G0117.......  ........  T          Glaucoma scrn          0.45        0.79          0.74           NA            NA        0.01        1.25          1.20           NA            NA         XXX
                                    hgh risk direc.
G0118.......  ........  T          Glaucoma scrn          0.17        0.79          0.60           NA            NA        0.01        0.97          0.78           NA            NA         XXX
                                    hgh risk direc.
G0120.......  ........  A          Colon ca scrn;         0.99        4.64          3.07           NA            NA        0.17        5.80          4.23           NA            NA         XXX
                                    barium enema.
G0120.......  TC......  A          Colon ca scrn;         0.00        4.36          2.76           NA            NA        0.13        4.49          2.89           NA            NA         XXX
                                    barium enema.
G0120.......  26......  A          Colon ca scrn;         0.99        0.28          0.31         0.28          0.31        0.04        1.31          1.34         1.31          1.34         XXX
                                    barium enema.
G0121.......  ........  A          Colon ca scrn          3.69        6.37          6.20         1.85          1.57        0.30       10.36         10.19         5.84          5.56         000
                                    not hi rsk ind.
G0121.......  53......  A          Colon ca scrn          0.96        2.49          2.33         0.62          0.53        0.08        3.53          3.37         1.66          1.57         000
                                    not hi rsk ind.
G0122.......  ........  N          Colon ca scrn;         0.99        5.58          3.32           NA            NA        0.18        6.75          4.49           NA            NA         XXX
                                    barium enema.
G0122.......  TC......  N          Colon ca scrn;         0.00        5.35          2.98           NA            NA        0.13        5.48          3.11           NA            NA         XXX
                                    barium enema.
G0122.......  26......  N          Colon ca scrn;         0.99        0.23          0.34         0.23          0.34        0.05        1.27          1.38         1.27          1.38         XXX
                                    barium enema.
G0123.......  ........  X          Screen cerv/vag        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    thin layer.
G0124.......  ........  A          Screen c/v thin        0.42        0.37          0.21         0.37          0.21        0.02        0.81          0.65         0.81          0.65         XXX
                                    layer by MD.
G0127.......  ........  R          Trim nail(s)....       0.17        0.38          0.28         0.05          0.07        0.01        0.56          0.46         0.23          0.25         000
G0128.......  ........  R          CORF skilled           0.08        0.02          0.03         0.02          0.03        0.01        0.11          0.12         0.11          0.12         XXX
                                    nursing service.
G0130.......  ........  A          Single energy x-       0.22        0.54          0.79           NA            NA        0.06        0.82          1.07           NA            NA         XXX
                                    ray study.
G0130.......  TC......  A          Single energy x-       0.00        0.48          0.72           NA            NA        0.05        0.53          0.77           NA            NA         XXX
                                    ray study.
G0130.......  26......  A          Single energy x-       0.22        0.06          0.07         0.06          0.07        0.01        0.29          0.30         0.29          0.30         XXX
                                    ray study.
G0141.......  ........  A          Scr c/v                0.42        0.37          0.21         0.37          0.21        0.02        0.81          0.65         0.81          0.65         XXX
                                    cyto,autosys
                                    and md.
G0143.......  ........  X          Scr c/v                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cyto,thinlayer,
                                    rescr.
G0144.......  ........  X          Scr c/v                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cyto,thinlayer,
                                    rescr.
G0145.......  ........  X          Scr c/v                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cyto,thinlayer,
                                    rescr.
G0147.......  ........  X          Scr c/v cyto,          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    automated sys.
G0148.......  ........  X          Scr c/v cyto,          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    autosys, rescr.
G0166.......  ........  A          Extrnl                 0.07        4.51          3.81           NA            NA        0.01        4.59          3.89           NA            NA         XXX
                                    counterpulse,
                                    per tx.
G0168.......  ........  A          Wound closure by       0.45        1.56          1.84         0.21          0.22        0.03        2.04          2.32         0.69          0.70         000
                                    adhesive.
G0173.......  ........  X          Linear acc             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    stereo radsur
                                    com.
G0175.......  ........  X          OPPS                   0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    Service,sched
                                    team conf.
G0176.......  ........  X          OPPS/                  0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    PHP;activity
                                    therapy.
G0177.......  ........  X          OPPS/PHP; train        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    & educ serv.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70009]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
G0179.......  ........  A          MD                     0.45        0.48          0.89           NA            NA        0.02        0.95          1.36           NA            NA         XXX
                                    recertification
                                    HHA PT.
G0180.......  ........  A          MD certification       0.67        0.56          1.09           NA            NA        0.03        1.26          1.79           NA            NA         XXX
                                    HHA patient.
G0181.......  ........  A          Home health care       1.73        0.82          1.32           NA            NA        0.07        2.62          3.12           NA            NA         XXX
                                    supervision.
G0182.......  ........  A          Hospice care           1.73        0.84          1.46           NA            NA        0.07        2.64          3.26           NA            NA         XXX
                                    supervision.
G0186.......  ........  C          Dstry eye              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    lesn,fdr vssl
                                    tech.
G0202.......  ........  A          Screeningmammogr       0.70        2.66          2.74           NA            NA        0.10        3.46          3.54           NA            NA         XXX
                                    aphydigital.
G0202.......  TC......  A          Screeningmammogr       0.00        2.46          2.52           NA            NA        0.07        2.53          2.59           NA            NA         XXX
                                    aphydigital.
G0202.......  26......  A          Screeningmammogr       0.70        0.20          0.22         0.20          0.22        0.03        0.93          0.95         0.93          0.95         XXX
                                    aphydigital.
G0204.......  ........  A          Diagnosticmammog       0.87        3.14          2.87           NA            NA        0.11        4.12          3.85           NA            NA         XXX
                                    raphydigital.
G0204.......  TC......  A          Diagnosticmammog       0.00        2.90          2.60           NA            NA        0.07        2.97          2.67           NA            NA         XXX
                                    raphydigital.
G0204.......  26......  A          Diagnosticmammog       0.87        0.24          0.27         0.24          0.27        0.04        1.15          1.18         1.15          1.18         XXX
                                    raphydigital.
G0206.......  ........  A          Diagnosticmammog       0.70        2.50          2.31           NA            NA        0.09        3.29          3.10           NA            NA         XXX
                                    raphydigital.
G0206.......  TC......  A          Diagnosticmammog       0.00        2.30          2.09           NA            NA        0.06        2.36          2.15           NA            NA         XXX
                                    raphydigital.
G0206.......  26......  A          Diagnosticmammog       0.70        0.20          0.22         0.20          0.22        0.03        0.93          0.95         0.93          0.95         XXX
                                    raphydigital.
G0219.......  ........  N          PET img wholbod        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    melano nonco.
G0219.......  TC......  N          PET img wholbod        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    melano nonco.
G0219.......  26......  N          PET img wholbod        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    melano nonco.
G0235.......  ........  N          PET not                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    otherwise
                                    specified.
G0235.......  TC......  N          PET not                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    otherwise
                                    specified.
G0235.......  26......  N          PET not                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    otherwise
                                    specified.
G0237.......  ........  A          Therapeutic            0.00        0.21          0.41           NA            NA        0.02        0.23          0.43           NA            NA         XXX
                                    procd strg
                                    endur.
G0238.......  ........  A          Oth resp proc,         0.00        0.23          0.43           NA            NA        0.02        0.25          0.45           NA            NA         XXX
                                    indiv.
G0239.......  ........  A          Oth resp proc,         0.00        0.31          0.33           NA            NA        0.02        0.33          0.35           NA            NA         XXX
                                    group.
G0245.......  ........  R          Initial foot           0.88        0.84          0.80         0.30          0.31        0.04        1.76          1.72         1.22          1.23         XXX
                                    exam pt lops.
G0246.......  ........  R          Followup eval of       0.45        0.55          0.54         0.15          0.16        0.02        1.02          1.01         0.62          0.63         XXX
                                    foot pt lop.
G0247.......  ........  R          Routine footcare       0.50        0.68          0.56         0.17          0.20        0.02        1.20          1.08         0.69          0.72         ZZZ
                                    pt w lops.
G0248.......  ........  R          Demonstrate use        0.00        3.36          5.80           NA            NA        0.01        3.37          5.81           NA            NA         XXX
                                    home inr mon.
G0249.......  ........  R          Provide test           0.00        2.41          3.57           NA            NA        0.01        2.42          3.58           NA            NA         XXX
                                    material,equipm.
G0250.......  ........  R          MD review              0.18        0.08          0.07           NA            NA        0.01        0.27          0.26           NA            NA         XXX
                                    interpret of
                                    test.
G0251.......  ........  E          Linear acc based       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    stero radio.
G0252.......  ........  N          PET imaging            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    initial dx.
G0252.......  TC......  N          PET imaging            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    initial dx.
G0252.......  26......  N          PET imaging            1.50        0.00          0.60         0.00          0.60        0.04        1.54          2.14         1.54          2.14         XXX
                                    initial dx.
G0255.......  ........  N          Current percep         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    threshold tst.
G0255.......  TC......  N          Current percep         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    threshold tst.
G0255.......  26......  N          Current percep         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    threshold tst.
G0257.......  ........  E          Unsched dialysis       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ESRD pt hos.
G0259.......  ........  E          Inject for             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sacroiliac
                                    joint.
G0260.......  ........  E          Inj for                0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    sacroiliac jt
                                    anesth.
G0265.......  ........  X          Cryopresevation        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    Freeze+stora.
G0266.......  ........  X          Thawing +              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    expansion froz
                                    cel.
G0267.......  ........  X          Bone marrow or         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    psc harvest.
G0268.......  ........  A          Removal of             0.61        0.61          0.63         0.18          0.23        0.02        1.24          1.26         0.81          0.86         000
                                    impacted wax md.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70010]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
G0269.......  ........  B          Occlusive device       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    in vein art.
G0270.......  ........  A          MNT subs tx for        0.37        0.12          0.38         0.09          0.38        0.01        0.50          0.76         0.47          0.76         XXX
                                    change dx.
G0271.......  ........  A          Group MNT 2 or         0.25        0.07          0.15         0.06          0.15        0.01        0.33          0.41         0.32          0.41         XXX
                                    more 30 mins.
G0275.......  ........  A          Renal angio,           0.25          NA            NA         0.14          0.11        0.01          NA            NA         0.40          0.37         ZZZ
                                    cardiac cath.
G0278.......  ........  A          Iliac art              0.25          NA            NA         0.14          0.11        0.01          NA            NA         0.40          0.37         ZZZ
                                    angio,cardiac
                                    cath.
G0281.......  ........  A          Elec stim              0.18        0.14          0.12           NA            NA        0.01        0.33          0.31           NA            NA         XXX
                                    unattend for
                                    press.
G0282.......  ........  N          Elect stim wound       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    care not pd.
G0283.......  ........  A          Elec stim other        0.18        0.14          0.12           NA            NA        0.01        0.33          0.31           NA            NA         XXX
                                    than wound.
G0288.......  ........  A          Recon, CTA for         0.00        1.00          8.21           NA            NA        0.18        1.18          8.39           NA            NA         XXX
                                    surg plan.
G0289.......  ........  A          Arthro, loose          1.48          NA            NA         0.60          0.75        0.26          NA            NA         2.34          2.49         ZZZ
                                    body + chondro.
G0290.......  ........  E          Drug-eluting           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    stents, single.
G0291.......  ........  E          Drug-eluting           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    stents,each add.
G0293.......  ........  E          Non-cov surg           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    proc,clin trial.
G0294.......  ........  E          Non-cov proc,          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    clinical trial.
G0295.......  ........  N          Electromagnetic        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    therapy onc.
G0297.......  ........  X          Insert single          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    chamber/cd.
G0298.......  ........  X          Insert dual            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    chamber/cd.
G0299.......  ........  X          Inser/repos            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    single
                                    icd+leads.
G0300.......  ........  X          Insert reposit         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    lead dual+gen.
G0302.......  ........  X          Pre-op service         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    LVRS complete.
G0303.......  ........  X          Pre-op service         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    LVRS 10-15dos.
G0304.......  ........  X          Pre-op service         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    LVRS 1-9 dos.
G0305.......  ........  X          Post op service        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    LVRS min 6.
G0306.......  ........  X          CBC/diffwbc w/o        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    platelet.
G0307.......  ........  X          CBC without            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    platelet.
G0308.......  ........  A          ESRD related svc      12.74        5.57          7.80         5.57          7.80        0.42       18.73         20.96        18.73         20.96         XXX
                                    4+mo < 2yrs.
G0309.......  ........  A          ESRD related svc      10.61        4.85          6.54         4.85          6.54        0.36       15.82         17.51        15.82         17.51         XXX
                                    2-3mo <2yrs.
G0310.......  ........  A          ESRD related svc       8.49        2.91          4.99         2.91          4.99        0.28       11.68         13.76        11.68         13.76         XXX
                                    1 vst <2yrs.
G0311.......  ........  A          ESRD related svs       9.73        3.62          4.45         3.62          4.45        0.34       13.69         14.52        13.69         14.52         XXX
                                    4+mo 2-11yr.
G0312.......  ........  A          ESRD relate svs        8.11        2.70          3.62         2.70          3.62        0.29       11.10         12.02        11.10         12.02         XXX
                                    2-3 mo 2-11y.
G0313.......  ........  A          ESRD related svs       6.49        1.89          2.83         1.89          2.83        0.22        8.60          9.54         8.60          9.54         XXX
                                    1 mon 2-11y.
G0314.......  ........  A          ESRD related svs       8.28        3.46          4.18         3.46          4.18        0.27       12.01         12.73        12.01         12.73         XXX
                                    4+ mo 12-19.
G0315.......  ........  A          ESRD related svs       6.90        2.64          3.41         2.64          3.41        0.23        9.77         10.54         9.77         10.54         XXX
                                    2-3mo/12-19.
G0316.......  ........  A          ESRD related svs       5.52        1.71          2.63         1.71          2.63        0.17        7.40          8.32         7.40          8.32         XXX
                                    1vis/12-19y.
G0317.......  ........  A          ESRD related svs       5.09        2.29          2.72         2.29          2.72        0.17        7.55          7.98         7.55          7.98         XXX
                                    4+mo 20+yrs.
G0318.......  ........  A          ESRD related svs       4.24        1.73          2.22         1.73          2.22        0.14        6.11          6.60         6.11          6.60         XXX
                                    2-3 mo 20+y.
G0319.......  ........  A          ESRD related svs       3.39        1.16          1.72         1.16          1.72        0.11        4.66          5.22         4.66          5.22         XXX
                                    1visit 20+y.
G0320.......  ........  A          ESD related svs       10.61        2.73          6.01         2.73          6.01        0.36       13.70         16.98        13.70         16.98         XXX
                                    home undr 2.
G0321.......  ........  A          ESRDrelatedsvs         8.11        2.02          3.45         2.02          3.45        0.29       10.42         11.85        10.42         11.85         XXX
                                    home mo 2-11y.
G0322.......  ........  A          ESRD related svs       6.90        1.76          3.19         1.76          3.19        0.23        8.89         10.32         8.89         10.32         XXX
                                    hom mo12-19.
G0323.......  ........  A          ESRD related svs       4.24        1.18          2.08         1.18          2.08        0.14        5.56          6.46         5.56          6.46         XXX
                                    home mo 20+.
G0324.......  ........  A          ESRD relate svs        0.35        0.16          0.22         0.16          0.22        0.01        0.52          0.58         0.52          0.58         XXX
                                    home/dy <2yr.
G0325.......  ........  A          ESRD relate home/      0.23        0.09          0.11         0.09          0.11        0.01        0.33          0.35         0.33          0.35         XXX
                                    day/ 2-11yr.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70011]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
G0326.......  ........  A          ESRD relate home/      0.27        0.10          0.12         0.10          0.12        0.01        0.38          0.40         0.38          0.40         XXX
                                    dy 12-19yr.
G0327.......  ........  A          ESRD relate home/      0.14        0.06          0.08         0.06          0.08        0.01        0.21          0.23         0.21          0.23         XXX
                                    dy 20+yrs.
G0328.......  ........  X          Fecal blood scrn       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    immunoassay.
G0329.......  ........  A          Electromagntic         0.06        0.15          0.14           NA            NA        0.01        0.22          0.21           NA            NA         XXX
                                    tx for ulcers.
G0332.......  ........  A          Preadmin IV            0.00          NA          1.97           NA            NA        0.00          NA          1.97           NA            NA         XXX
                                    immunoglobulin.
G0333.......  ........  X          Dispense fee           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    initial 30 day.
G0337.......  ........  X          Hospice                1.34        0.31          0.46         0.31          0.46        0.09        1.74          1.89         1.74          1.89         XXX
                                    evaluation
                                    preelecti.
G0339.......  ........  C          Robot lin-             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    radsurg com,
                                    first.
G0340.......  ........  C          Robt lin-radsurg       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    fractx 2-5.
G0341.......  ........  A          Percutaneous           6.98          NA            NA         2.08          2.46        0.48          NA            NA         9.54          9.92         000
                                    islet celltrans.
G0342.......  ........  A          Laparoscopy           11.92          NA            NA         5.09          5.24        1.46          NA            NA        18.47         18.62         090
                                    islet cell
                                    trans.
G0343.......  ........  A          Laparotomy islet      19.85          NA            NA         8.63          8.72        2.07          NA            NA        30.55         30.64         090
                                    cell transp.
G0344.......  ........  A          Initial                1.34        1.11          1.13         0.43          0.47        0.10        2.55          2.57         1.87          1.91         XXX
                                    preventive exam.
G0364.......  ........  A          Bone marrow            0.16        0.16          0.15         0.07          0.06        0.04        0.36          0.35         0.27          0.26         ZZZ
                                    aspirate
                                    &biopsy.
G0365.......  ........  A          Vessel mapping         0.25        5.16          4.28           NA            NA        0.25        5.66          4.78           NA            NA         XXX
                                    hemo access.
G0365.......  TC......  A          Vessel mapping         0.00        5.10          4.20           NA            NA        0.23        5.33          4.43           NA            NA         XXX
                                    hemo access.
G0365.......  26......  A          Vessel mapping         0.25        0.06          0.08         0.06          0.08        0.02        0.33          0.35         0.33          0.35         XXX
                                    hemo access.
G0366.......  ........  A          EKG for initial        0.17        0.34          0.47           NA            NA        0.03        0.54          0.67           NA            NA         XXX
                                    prevent exam.
G0367.......  ........  A          EKG tracing for        0.00        0.27          0.41           NA            NA        0.02        0.29          0.43           NA            NA         XXX
                                    initial prev.
G0368.......  ........  A          EKG interpret &        0.17        0.07          0.06         0.07          0.06        0.01        0.25          0.24         0.25          0.24         XXX
                                    report preve.
G0372.......  ........  A          MD service             0.17        0.04          0.30         0.04          0.06        0.01        0.22          0.48         0.22          0.24         XXX
                                    required for
                                    PMD.
G0375.......  ........  A          Smoke/tobacco          0.24        0.07          0.09         0.07          0.09        0.01        0.32          0.34         0.32          0.34         XXX
                                    counselng 3-10.
G0376.......  ........  A          Smoke/tobacco          0.48        0.13          0.17         0.13          0.16        0.01        0.62          0.66         0.62          0.65         XXX
                                    counseling >10.
G0378.......  ........  X          Hospital               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    observation per
                                    hr.
G0379.......  ........  X          Direct admit           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    hospital observ.
G0389.......  ........  A          Ultrasound exam        0.58        2.29          2.29           NA            NA        0.11        2.98          2.98           NA            NA         XXX
                                    AAA screen.
G0389.......  TC......  A          Ultrasound exam        0.00        2.12          2.12           NA            NA        0.08        2.20          2.20           NA            NA         XXX
                                    AAA screen.
G0389.......  26......  A          Ultrasound exam        0.58        0.17          0.17         0.17          0.17        0.03        0.78          0.78         0.78          0.78         XXX
                                    AAA screen.
G0392.......  ........  A          AV fistula or          9.48       46.08         46.08         2.47          2.47        0.62       56.18         56.18        12.57         12.57         000
                                    graft arterial.
G0393.......  ........  A          AV fistula or          6.03       59.59         59.59         2.93          2.93        0.34       65.96         65.96         9.30          9.30         000
                                    graft venous.
G0394.......  ........  X          Blood occult           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    test,colorectal.
G3001.......  ........  X          Admin + supply,        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    tositumomab.
G9001.......  ........  X          MCCD, initial          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    rate.
G9002.......  ........  X          MCCD,maintenance       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    rate.
G9003.......  ........  X          MCCD, risk adj         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    hi, initial.
G9004.......  ........  X          MCCD, risk adj         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    lo, initial.
G9005.......  ........  X          MCCD, risk adj,        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    maintenance.
G9006.......  ........  X          MCCD, Home             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    monitoring.
G9007.......  ........  X          MCCD, sch team         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    conf.
G9008.......  ........  X          Mccd,phys coor-        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    care ovrsght.
G9009.......  ........  X          MCCD, risk adj,        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    level 3.
G9010.......  ........  X          MCCD, risk adj,        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    level 4.
G9011.......  ........  X          MCCD, risk adj,        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    level 5.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70012]]


                                    ADDENDUM B.--2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
G9012.......  ........  X          Other Specified        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    Case Mgmt.
G9013.......  ........  N          ESRD demo bundle       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    level I.
G9014.......  ........  N          ESRD demo bundle-      0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    level II.
G9016.......  ........  N          Demo-smoking           0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    cessation coun.
G9017.......  ........  X          Amantadine HCL         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    100mg oral.
G9018.......  ........  X          Zanamivir,inhala       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    tion pwd 10m.
G9019.......  ........  X          Oseltamivir            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    phosphate 75mg.
G9020.......  ........  X          Rimantadine HCL        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    100mg oral.
G9033.......  ........  X          Amantadine HCL         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    oral brand.
G9034.......  ........  X          Zanamivir, inh         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    pwdr, brand.
G9035.......  ........  X          Oseltamivir            0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    phosp, brand.
G9036.......  ........  X          Rimantadine HCL,       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    brand.
G9041.......  ........  A          Low vision rehab       0.44        0.10          0.24         0.10          0.24        0.01        0.55          0.69         0.55          0.69         XXX
                                    occupationa.
G9042.......  ........  A          Low vision rehab       0.10        0.02          0.22         0.02          0.22        0.01        0.13          0.33         0.13          0.33         XXX
                                    orient/mobi.
G9043.......  ........  A          Low vision             0.10        0.02          0.22         0.02          0.22        0.01        0.13          0.33         0.13          0.33         XXX
                                    lowvision
                                    therapi.
G9044.......  ........  A          Low vision             0.10        0.02          0.18         0.02          0.18        0.01        0.13          0.29         0.13          0.29         XXX
                                    rehabilate
                                    teache.
M0064.......  ........  A          Visit for drug         0.37        0.89          0.48         0.07          0.11        0.01        1.27          0.86         0.45          0.49         XXX
                                    monitoring.
P3001.......  ........  A          Screening pap          0.42        0.37          0.21         0.37          0.21        0.02        0.81          0.65         0.81          0.65         XXX
                                    smear by phys.
Q0035.......  ........  A          Cardiokymography       0.17        0.30          0.42           NA            NA        0.03        0.50          0.62           NA            NA         XXX
Q0035.......  TC......  A          Cardiokymography       0.00        0.25          0.36           NA            NA        0.02        0.27          0.38           NA            NA         XXX
Q0035.......  26......  A          Cardiokymography       0.17        0.05          0.06         0.05          0.06        0.01        0.23          0.24         0.23          0.24         XXX
Q0091.......  ........  A          Obtaining screen       0.37        0.75          0.69         0.10          0.13        0.02        1.14          1.08         0.49          0.52         XXX
                                    pap smear.
Q0092.......  ........  A          Set up port xray       0.00        0.45          0.35         0.45          0.35        0.01        0.46          0.36         0.46          0.36         XXX
                                    equipment.
Q3001.......  ........  C          Brachytherapy          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    Radioelements.
Q3014.......  ........  X          Telehealth             0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    facility fee.
R0070.......  ........  C          Transport              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    portable x-ray.
R0075.......  ........  C          Transport port x-      0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    ray multipl.
R0076.......  ........  B          Transport              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
                                    portable EKG.
V5299.......  ........  R          Hearing service.       0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         XXX
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70013]]


                                                                              Addendum C.--Codes with Interim RVUs
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
15002.......  ........  A          Wnd prep, ch/          3.65        4.12          4.12         1.65          1.65        0.49        8.26          8.26         5.79          5.79         000
                                    inf, trk/arm/lg.
15003.......  ........  A          Wnd prep, ch/inf       0.80        0.92          0.92         0.28          0.28        0.11        1.83          1.83         1.19          1.19         ZZZ
                                    addl 100 cm.
15004.......  ........  A          Wnd prep ch/inf,       4.58        4.77          4.77         1.97          1.97        0.62        9.97          9.97         7.17          7.17         000
                                    f/n/hf/g.
15005.......  ........  A          Wnd prep, f/n/hf/      1.60        1.28          1.28         0.56          0.56        0.22        3.10          3.10         2.38          2.38         ZZZ
                                    g, addl cm.
15731.......  ........  A          Forehead flap w/      14.12       12.13         12.13         9.56          9.56        1.28       27.53         27.53        24.96         24.96         090
                                    vasc pedicle.
15830.......  ........  R          Exc skin abd....      16.90          NA            NA        10.15         10.15        2.93          NA            NA        29.98         29.98         090
15847.......  ........  C          Exc skin abd add-      0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    on.
17003.......  ........  A          Destruct premalg       0.07        0.11          0.11         0.06          0.06        0.01        0.19          0.19         0.14          0.14         ZZZ
                                    les, 2-14.
17004.......  ........  A          Destroy premlg         1.82        2.33          2.33         1.54          1.54        0.11        4.26          4.26         3.47          3.47         010
                                    lesions 15+.
17311.......  ........  A          Mohs, 1 stage, h/      6.20       10.79         10.79         3.16          3.16        0.24       17.23         17.23         9.60          9.60         000
                                    n/hf/g.
17312.......  ........  A          Mohs addl stage.       3.30        6.92          6.92         1.68          1.68        0.13       10.35         10.35         5.11          5.11         ZZZ
17313.......  ........  A          Mohs, 1 stage, t/      5.56        9.95          9.95         2.83          2.83        0.22       15.73         15.73         8.61          8.61         000
                                    a/l.
17314.......  ........  A          Mohs, addl             3.06        6.41          6.41         1.55          1.55        0.12        9.59          9.59         4.73          4.73         ZZZ
                                    stage, t/a/l.
17315.......  ........  A          Mohs surg, addl        0.87        1.15          1.15         0.44          0.44        0.03        2.05          2.05         1.34          1.34         ZZZ
                                    block.
19105.......  ........  A          Cryosurg ablate        3.69       45.93         45.93         1.00          1.00        0.30       49.92         49.92         4.99          4.99         000
                                    fa, each.
19361.......  ........  A          Breast reconstr       23.17          NA            NA        13.65         13.65        2.93          NA            NA        39.75         39.75         090
                                    w/lat flap.
22526.......  ........  A          Idet, single           6.07       46.51         46.51         2.08          2.08        1.16       53.74         53.74         9.31          9.31         010
                                    level.
22527.......  ........  A          Idet, 1 or more        3.03       39.89         39.89         0.70          0.70        0.58       43.50         43.50         4.31          4.31         ZZZ
                                    levels.
22857.......  ........  R          Lumbar artif          26.93          NA            NA         8.80          8.80        3.56          NA            NA        39.29         39.29         090
                                    diskectomy.
22862.......  ........  R          Revise lumbar         32.43          NA            NA        10.07         10.07        5.36          NA            NA        47.86         47.86         090
                                    artif disc.
22865.......  ........  R          Remove lumb           31.55          NA            NA         9.87          9.87        5.18          NA            NA        46.60         46.60         090
                                    artif disc.
25109.......  ........  A          Excise tendon          6.81          NA            NA         5.32          5.32        0.96          NA            NA        13.09         13.09         090
                                    forearm/wrist.
25606.......  ........  A          Treat fx distal        8.10          NA            NA         8.41          8.41        1.26          NA            NA        17.77         17.77         090
                                    radial.
25607.......  ........  A          Treat fx rad           9.35          NA            NA         7.26          7.26        1.36          NA            NA        17.97         17.97         090
                                    extra-articul.
25608.......  ........  A          Treat fx rad          10.86          NA            NA         7.88          7.88        1.84          NA            NA        20.58         20.58         090
                                    intra-articul.
25609.......  ........  A          Treat fx radial       14.12          NA            NA         9.77          9.77        2.38          NA            NA        26.27         26.27         090
                                    3+ frag.
32998.......  ........  A          Perq rf ablate         5.68       68.64         68.64         1.77          1.77        0.36       74.68         74.68         7.81          7.81         000
                                    tx, pul tumor.
33202.......  ........  A          Insert epicard        13.15          NA            NA         6.22          6.22        1.71          NA            NA        21.08         21.08         090
                                    eltrd, open.
33203.......  ........  A          Insert epicard        13.92          NA            NA         6.29          6.29        1.39          NA            NA        21.60         21.60         090
                                    eltrd, endo.
33254.......  ........  A          Ablate atria,         23.58          NA            NA         9.94          9.94        3.35          NA            NA        36.87         36.87         090
                                    lmtd.
33255.......  ........  A          Ablate atria w/o      28.91          NA            NA        11.57         11.57        3.94          NA            NA        44.42         44.42         090
                                    bypass, ext.
33256.......  ........  A          Ablate atria w/       34.77          NA            NA        13.37         13.37        4.95          NA            NA        53.09         53.09         090
                                    bypass, exten.
33265.......  ........  A          Ablate atria w/       23.58          NA            NA         9.94          9.94        3.35          NA            NA        36.87         36.87         090
                                    bypass, endo.
33266.......  ........  A          Ablate atria w/o      32.91          NA            NA        12.80         12.80        4.80          NA            NA        50.51         50.51         090
                                    bypass endo.
33675.......  ........  A          Close mult vsd..      35.87          NA            NA        17.82         17.82        4.95          NA            NA        58.64         58.64         090
33676.......  ........  A          Close mult vsd w/     36.87          NA            NA        18.17         18.17        5.44          NA            NA        60.48         60.48         090
                                    resection.
33677.......  ........  A          Cl mult vsd w/        38.37          NA            NA        18.82         18.82        5.68          NA            NA        62.87         62.87         090
                                    rem pul band.
33684.......  ........  A          Repair heart          34.29          NA            NA        15.13         15.13        3.39          NA            NA        52.81         52.81         090
                                    septum defect.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70014]]


                                                                         Addendum C.--Codes with Interim RVUs--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
33688.......  ........  A          Repair heart          34.67          NA            NA        10.21         10.21        4.73          NA            NA        49.61         49.61         090
                                    septum defect.
33724.......  ........  A          Repair venous         27.55          NA            NA        10.56         10.56        4.00          NA            NA        42.11         42.11         090
                                    anomaly.
33726.......  ........  A          Repair pul            37.04          NA            NA        13.46         13.46        5.03          NA            NA        55.53         55.53         090
                                    venous stenosis.
35302.......  ........  A          Rechanneling of       21.27          NA            NA         7.14          7.14        2.98          NA            NA        31.39         31.39         090
                                    artery.
35303.......  ........  A          Rechanneling of       23.52          NA            NA         7.72          7.72        3.26          NA            NA        34.50         34.50         090
                                    artery.
35304.......  ........  A          Rechanneling of       24.52          NA            NA         7.97          7.97        3.41          NA            NA        35.90         35.90         090
                                    artery.
35305.......  ........  A          Rechanneling of       23.52          NA            NA         7.72          7.72        3.26          NA            NA        34.50         34.50         090
                                    artery.
35306.......  ........  A          Rechanneling of        9.25          NA            NA         2.38          2.38        1.34          NA            NA        12.97         12.97         ZZZ
                                    artery.
35501.......  ........  A          Artery bypass         28.99          NA            NA         9.22          9.22        4.10          NA            NA        42.31         42.31         090
                                    graft.
35509.......  ........  A          Artery bypass         27.99          NA            NA         9.24          9.24        3.92          NA            NA        41.15         41.15         090
                                    graft.
35537.......  ........  A          Artery bypass         41.75          NA            NA        13.22         13.22        5.72          NA            NA        60.69         60.69         090
                                    graft.
35538.......  ........  A          Artery bypass         46.82          NA            NA        14.60         14.60        6.39          NA            NA        67.81         67.81         090
                                    graft.
35539.......  ........  A          Artery bypass         43.98          NA            NA        13.73         13.73        6.02          NA            NA        63.73         63.73         090
                                    graft.
35540.......  ........  A          Artery bypass         49.20          NA            NA        15.10         15.10        6.76          NA            NA        71.06         71.06         090
                                    graft.
35601.......  ........  A          Artery bypass         26.99          NA            NA         9.09          9.09        3.72          NA            NA        39.80         39.80         090
                                    graft.
35637.......  ........  A          Artery bypass         32.92          NA            NA        10.92         10.92        4.44          NA            NA        48.28         48.28         090
                                    graft.
35638.......  ........  A          Artery bypass         33.47          NA            NA        11.06         11.06        4.52          NA            NA        49.05         49.05         090
                                    graft.
35883.......  ........  A          Revise graft w/       23.07          NA            NA         8.96          8.96        3.19          NA            NA        35.22         35.22         090
                                    nonauto graft.
35884.......  ........  A          Revise graft w/       24.57          NA            NA         9.43          9.43        3.41          NA            NA        37.41         37.41         090
                                    vein.
37210.......  ........  A          Embolization          10.60       46.03         46.03         3.13          3.13        0.60       57.23         57.23        14.33         14.33         000
                                    uterine fibroid.
43647.......  ........  C          Lap impl               0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    electrode,
                                    antrum.
43648.......  ........  C          Lap revise/remv        0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    eltrd antrum.
43881.......  ........  C          Impl/redo              0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    electrd, antrum.
43882.......  ........  C          Revise/remove          0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    electrd antrum.
44157.......  ........  A          Colectomy w/          35.49          NA            NA        15.67         15.67        3.93          NA            NA        55.09         55.09         090
                                    ileoanal anast.
44158.......  ........  A          Colectomy w/neo-      36.49          NA            NA        15.97         15.97        4.06          NA            NA        56.52         56.52         090
                                    rectum pouch.
49324.......  ........  A          Lap insertion          6.27          NA            NA         2.80          2.80        0.73          NA            NA         9.80          9.80         010
                                    perm ip cath.
49325.......  ........  A          Lap revision           6.77          NA            NA         2.93          2.93        0.86          NA            NA        10.56         10.56         010
                                    perm ip cath.
49326.......  ........  A          Lap w/omentopexy       3.50          NA            NA         0.92          0.92        0.44          NA            NA         4.86          4.86         ZZZ
                                    add-on.
49435.......  ........  A          Insert subq            2.25          NA            NA         0.60          0.60        0.28          NA            NA         3.13          3.13         ZZZ
                                    exten to ip
                                    cath.
49436.......  ........  A          Embedded ip cath       2.69          NA            NA         1.63          1.63        0.28          NA            NA         4.60          4.60         010
                                    exit-site.
54150.......  ........  A          Circumcision w/        1.90        1.50          1.50         1.09          1.09        0.16        3.56          3.56         3.15          3.15         000
                                    regionl block.
55876.......  ........  A          Place rt device/       1.73        2.04          2.04         1.03          1.03        0.28        4.05          4.05         3.04          3.04         000
                                    marker, pros.
57296.......  ........  A          Revise vag            16.46          NA            NA         6.75          6.75        1.68          NA            NA        24.89         24.89         090
                                    graft, open abd.
58240.......  ........  A          Removal of            49.02          NA            NA        17.65         17.65        4.23          NA            NA        70.90         70.90         090
                                    pelvis contents.
58541.......  ........  A          Lsh, uterus 250       14.57          NA            NA         6.14          6.14        1.68          NA            NA        22.39         22.39         090
                                    g or less.
58542.......  ........  A          Lsh w/t/o ut 250      16.43          NA            NA         6.66          6.66        1.69          NA            NA        24.78         24.78         090
                                    g or less.
58543.......  ........  A          Lsh uterus above      16.74          NA            NA         6.73          6.73        1.73          NA            NA        25.20         25.20         090
                                    250 g.
58544.......  ........  A          Lsh w/t/o uterus      18.24          NA            NA         7.16          7.16        1.89          NA            NA        27.29         27.29         090
                                    above 250 g.
58548.......  ........  A          Lap radical hyst      31.45          NA            NA        12.74         12.74        3.52          NA            NA        47.71         47.71         090
58957.......  ........  A          Resect recurrent      26.06          NA            NA         9.63          9.63        2.95          NA            NA        38.64         38.64         090
                                    gyn mal.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70015]]


                                                                         Addendum C.--Codes with Interim RVUs--Continued
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                            Fully
                                                     Physician  Implemented    Year 2007      Fully       Year 2007      Mal-    Implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status      Description    Work RVUs      Non-     Transitional  Implemented  Transitional   Practice      Non-     Transitional  Implemented  Transitional    Global
  HCPCS \2\                                             \3\     Facility PE  Non-Facility  Facility PE   Facility PE     RVUs      Facility   Non-Facility    Facility     Facility
                                                                    RVUs        PE RVUs        RVUs         RVUs                    Total         Total        Total         Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
58958.......  ........  A          Resect recur gyn      29.06          NA            NA        10.44         10.44        3.29          NA            NA        42.79         42.79         090
                                    mal w/lym.
64910.......  ........  A          Nerve repair w/       11.21          NA            NA         5.21          5.21        1.74          NA            NA        18.16         18.16         090
                                    allograft.
64911.......  ........  A          Neurorraphy w/        14.21          NA            NA         5.97          5.97        1.91          NA            NA        22.09         22.09         090
                                    vein autograft.
70554.......  26......  A          Fmri brain by          2.11        0.60          0.60         0.60          0.60        0.10        2.81          2.81         2.81          2.81         XXX
                                    tech.
70555.......  26......  A          Fmri brain by          2.54        0.72          0.72         0.72          0.72        0.11        3.37          3.37         3.37          3.37         XXX
                                    phys/psych.
76776.......  26......  A          Us exam k              0.76        0.23          0.23         0.23          0.23        0.03        1.02          1.02         1.02          1.02         XXX
                                    transpl w/
                                    doppler.
76813.......  26......  A          Ob us nuchal           1.18        0.33          0.33         0.33          0.33        0.05        1.56          1.56         1.56          1.56         XXX
                                    meas, 1 gest.
76814.......  26......  A          Ob us nuchal           0.99        0.27          0.27         0.27          0.27        0.05        1.31          1.31         1.31          1.31         XXX
                                    meas, add-on.
77371.......  ........  A          Srs, multisource       0.00       30.25         30.25           NA            NA        0.13       30.38         30.38           NA            NA         XXX
77372.......  ........  A          Srs, linear            0.00       22.93         22.93           NA            NA        0.13       23.06         23.06           NA            NA         XXX
                                    based.
77373.......  ........  A          Sbrt delivery...       0.00       42.87         42.87           NA            NA        0.13       43.00         43.00           NA            NA         XXX
77435.......  ........  A          Sbrt management.      13.00        4.63          4.63           NA            NA        0.67       18.30         18.30           NA            NA         XXX
78730.......  26......  A          Urinary bladder        0.15        0.11          0.11         0.11          0.11        0.02        0.28          0.28         0.28          0.28         ZZZ
                                    retention.
91111.......  26......  A          Esophageal             1.00        0.46          0.46         0.46          0.46        0.03        1.49          1.49         1.49          1.49         XXX
                                    capsule
                                    endoscopy.
92025.......  26......  A          Corneal                0.35        0.12          0.12         0.12          0.12        0.01        0.48          0.48         0.48          0.48         XXX
                                    topography.
92640.......  ........  A          Aud brainstem          0.00        1.40          1.40         1.40          1.40        0.01        1.41          1.41         1.41          1.41         XXX
                                    implt programg.
94002.......  ........  A          Vent mgmt inpat,       1.99          NA            NA         0.34          0.34        0.09          NA            NA         2.42          2.42         XXX
                                    init day.
94003.......  ........  A          Vent mgmt inpat,       1.37          NA            NA         0.33          0.33        0.06          NA            NA         1.76          1.76         XXX
                                    subq day.
94004.......  ........  A          Vent mgmt nf per       1.00          NA            NA         0.24          0.24        0.04          NA            NA         1.28          1.28         XXX
                                    day.
94005.......  ........  B          Home vent mgmt         1.50        0.69          0.69           NA            NA        0.06        2.25          2.25           NA            NA         XXX
                                    supervision.
94610.......  ........  A          Surfactant admin       1.16        0.35          0.35         0.35          0.35        0.26        1.77          1.77         1.77          1.77         XXX
                                    thru tube.
94644.......  ........  A          Cbt, 1st hour...       0.00        0.92          0.92           NA            NA        0.02        0.94          0.94           NA            NA         XXX
94645.......  ........  A          Cbt, each addl         0.00        0.34          0.34           NA            NA        0.02        0.36          0.36           NA            NA         XXX
                                    hour.
94774.......  ........  C          Ped home apnea         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    rec, compl.
94775.......  ........  C          Ped home apnea         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    rec, hk-up.
94776.......  ........  C          Ped home apnea         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    rec, downld.
94777.......  ........  C          Ped home apnea         0.00        0.00          0.00         0.00          0.00        0.00        0.00          0.00         0.00          0.00         YYY
                                    rec, report.
95012.......  ........  A          Exhaled nitric         0.00        0.48          0.48           NA            NA        0.01        0.49          0.49           NA            NA         XXX
                                    oxide meas.
96020.......  26......  A          Functional brain       3.43        0.86          0.86         0.86          0.86        0.17        4.46          4.46         4.46          4.46         XXX
                                    mapping.
96040.......  ........  B          Genetic                0.00        0.97          0.97           NA            NA        0.01        0.98          0.98           NA            NA         XXX
                                    counseling, 30
                                    min.
96904.......  ........  R          Whole body             0.00        1.84          1.84           NA            NA        0.01        1.85          1.85           NA            NA         XXX
                                    photography.
99251.......  ........  A          Inpatient              1.00          NA            NA         0.26          0.26        0.05          NA            NA         1.31          1.31         XXX
                                    consultation.
99252.......  ........  A          Inpatient              1.50          NA            NA         0.50          0.50        0.09          NA            NA         2.09          2.09         XXX
                                    consultation.
99253.......  ........  A          Inpatient              2.27          NA            NA         0.72          0.72        0.11          NA            NA         3.10          3.10         XXX
                                    consultation.
99254.......  ........  A          Inpatient              3.29          NA            NA         1.04          1.04        0.13          NA            NA         4.46          4.46         XXX
                                    consultation.
99255.......  ........  A          Inpatient              4.00          NA            NA         1.37          1.37        0.18          NA            NA         5.55          5.55         XXX
                                    consultation.
99363.......  ........  B          Anticoag mgmt,         1.65        1.29          1.29         0.38          0.38        0.07        3.01          3.01         2.10          2.10         XXX
                                    init.
99364.......  ........  B          Anticoag mgmt,         0.63        0.38          0.38         0.15          0.15        0.04        1.05          1.05         0.82          0.82         XXX
                                    subseq.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2006 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.


[[Page 70016]]


               Addendum D.--2007 Geographic Practice Cost Indices by Medicare Carrier and Locality
----------------------------------------------------------------------------------------------------------------
             Carrier               Locality             Locality name            Work GPCI   PE GPCI    MP GPCI
----------------------------------------------------------------------------------------------------------------
00510...........................         00  Alabama...........................      0.982      0.847      0.740
00831...........................         01  Alaska............................      1.017      1.105      1.013
00312...........................         00  Arizona...........................      0.987      0.994      1.052
00520...........................         13  Arkansas..........................      0.961      0.832      0.431
31140...........................         03  Marin/Napa/Solano, CA.............      1.035      1.342      0.640
31140...........................         05  San Francisco, CA.................      1.060      1.546      0.640
31140...........................         06  San Mateo, CA.....................      1.073      1.539      0.629
31140...........................         07  Oakland/Berkley, CA...............      1.054      1.373      0.640
31140...........................         09  Santa Clara, CA...................      1.083      1.543      0.595
31146...........................         17  Ventura, CA.......................      1.028      1.181      0.732
31146...........................         18  Los Angeles, CA...................      1.041      1.158      0.939
31146...........................         26  Anaheim/Santa Ana, CA.............      1.034      1.238      0.939
31140...........................         99  Rest of California *..............      1.007      1.054      0.721
31146...........................         99  Rest of California *..............      1.007      1.054      0.721
00824...........................         01  Colorado..........................      0.986      1.015      0.790
00591...........................         00  Connecticut.......................      1.038      1.172      0.886
00903...........................         01  DC + MD/VA Suburbs................      1.048      1.252      0.911
00902...........................         01  Delaware..........................      1.012      1.020      0.877
00590...........................         03  Fort Lauderdale, FL...............      0.988      0.990      1.675
00590...........................         04  Miami, FL.........................      1.000      1.048      2.233
00590...........................         99  Rest of Florida...................      0.973      0.936      1.251
00511...........................         01  Atlanta, GA.......................      1.010      1.091      0.950
00511...........................         99  Rest of Georgia...................      0.979      0.874      0.950
00833...........................         01  Hawaii/Guam.......................      1.005      1.113      0.787
05130...........................         00  Idaho.............................      0.968      0.869      0.452
00952...........................         12  East St. Louis, IL................      0.988      0.940      1.722
00952...........................         15  Suburban Chicago, IL..............      1.018      1.117      1.626
00952...........................         16  Chicago, IL.......................      1.025      1.128      1.837
00952...........................         99  Rest of Illinois..................      0.974      0.874      1.174
00630...........................         00  Indiana...........................      0.985      0.908      0.429
00826...........................         00  Iowa..............................      0.967      0.869      0.579
00650...........................         00  Kansas *..........................      0.968      0.880      0.709
00740...........................         04  Kansas *..........................      0.968      0.880      0.709
00660...........................         00  Kentucky..........................      0.970      0.855      0.859
00528...........................         01  New Orleans, LA...................      0.986      0.947      1.178
00528...........................         99  Rest of Louisiana.................      0.970      0.848      1.041
31142...........................         03  Southern Maine....................      0.980      1.014      0.626
31142...........................         99  Rest of Maine.....................      0.962      0.887      0.626
00901...........................         01  Baltimore/Surr. Cntys, MD.........      1.012      1.080      0.932
00901...........................         99  Rest of Maryland..................      0.993      0.981      0.748
31143...........................         01  Metropolitan Boston...............      1.030      1.331      0.810
31143...........................         99  Rest of Massachusetts.............      1.007      1.105      0.810
00953...........................         01  Detroit, MI.......................      1.037      1.056      2.700
00953...........................         99  Rest of Michigan..................      0.997      0.922      1.494
00954...........................         00  Minnesota.........................      0.991      1.006      0.404
00512...........................         00  Mississippi.......................      0.960      0.841      0.711
00523...........................         01  Metropolitan St. Louis, MO........      0.992      0.956      0.926
00740...........................         02  Metropolitan Kansas City, MO......      0.989      0.977      0.931
00523...........................         99  Rest of Missouri *................      0.950      0.803      0.878
00740...........................         99  Rest of Missouri *................      0.950      0.803      0.878
03202...........................         01  Montana...........................      0.950      0.845      0.889
00655...........................         00  Nebraska..........................      0.959      0.876      0.447
00834...........................         00  Nevada............................      1.003      1.045      1.050
31144...........................         40  New Hampshire.....................      0.981      1.029      0.927
00805...........................         01  Northern NJ.......................      1.058      1.222      0.958
00805...........................         99  Rest of New Jersey................      1.043      1.121      0.958
00521...........................         05  New Mexico........................      0.972      0.888      0.880
00801...........................         99  Rest of New York..................      0.997      0.919      0.666
00803...........................         01  Manhattan, NY.....................      1.065      1.300      1.480
00803...........................         02  NYC Suburbs/Long I., NY...........      1.052      1.283      1.756
00803...........................         03  Poughkpsie/N NYC Suburbs, NY......      1.014      1.076      1.148
14330...........................         04  Queens, NY........................      1.032      1.230      1.682
05535...........................         00  North Carolina....................      0.971      0.922      0.630
03302...........................         01  North Dakota......................      0.946      0.861      0.593
00883...........................         00  Ohio..............................      0.992      0.934      0.960
00522...........................         00  Oklahoma..........................      0.964      0.856      0.376
00835...........................         01  Portland, OR......................      1.002      1.059      0.434
00835...........................         99  Rest of Oregon....................      0.968      0.927      0.434
00865...........................         01  Metropolitan Philadelphia, PA.....      1.016      1.106      1.364
00865...........................         99  Rest of Pennsylvania..............      0.992      0.904      0.793
00973...........................         20  Puerto Rico.......................      0.906      0.699      0.257

[[Page 70017]]

 
00524...........................         01  Rhode Island......................      1.045      0.991      0.895
00880...........................         01  South Carolina....................      0.975      0.894      0.388
03402...........................         02  South Dakota......................      0.943      0.877      0.359
05440...........................         35  Tennessee.........................      0.977      0.881      0.621
00900...........................         09  Brazoria, TX......................      1.020      0.963      1.277
00900...........................         11  Dallas, TX........................      1.009      1.064      1.044
00900...........................         15  Galveston, TX.....................      0.990      0.954      1.277
00900...........................         18  Houston, TX.......................      1.016      1.016      1.276
00900...........................         20  Beaumont, TX......................      0.983      0.862      1.277
00900...........................         28  Fort Worth, TX....................      0.997      0.991      1.044
00900...........................         31  Austin, TX........................      0.991      1.048      0.970
00900...........................         99  Rest of Texas.....................      0.968      0.866      1.120
03502...........................         09  Utah..............................      0.977      0.938      0.651
31145...........................         50  Vermont...........................      0.968      0.970      0.505
00973...........................         50  Virgin Islands....................      0.967      1.015      0.987
00904...........................         00  Virginia..........................      0.981      0.942      0.569
00836...........................         02  Seattle (King Cnty), WA...........      1.014      1.133      0.805
00836...........................         99  Rest of Washington................      0.987      0.980      0.805
00884...........................         16  West Virginia.....................      0.973      0.820      1.522
00951...........................         00  Wisconsin.........................      0.987      0.920      0.777
03602...........................         21  Wyoming...........................      0.956      0.855      0.920
----------------------------------------------------------------------------------------------------------------
* States are served by more than one carrier.


                         Addendum E.--2007 GAFs
------------------------------------------------------------------------
       Carrier          Locality         Locality name            GAF
------------------------------------------------------------------------
31140................         09  Santa Clara, CA............      1.265
31140................         06  San Mateo, CA..............      1.259
31140................         05  San Francisco, CA..........      1.256
00803................         01  Manhattan, NY..............      1.184
00803................         02  NYC Suburbs/Long I., NY....      1.180
31140................         07  Oakland/Berkley, CA........      1.177
31140................         03  Marin/Napa/Solano, CA......      1.154
31143................         01  Metropolitan Boston........      1.153
14330................         04  Queens, NY.................      1.144
00903................         01  DC + MD/VA Suburbs.........      1.132
00805................         01  Northern NJ................      1.126
31146................         26  Anaheim/Santa Ana, CA......      1.120
00953................         01  Detroit, MI................      1.110
00952................         16  Chicago, IL................      1.102
00591................         00  Connecticut................      1.091
31146................         18  Los Angeles, CA............      1.088
00952................         15  Suburban Chicago, IL.......      1.085
31146................         17  Ventura, CA................      1.084
00805................         99  Rest of New Jersey.........      1.074
00865................         01  Metropolitan Philadelphia,       1.069
                                   PA.
00590................         04  Miami, FL..................      1.069
00836................         02  Seattle (King Cnty), WA....      1.058
00831................         01  Alaska.....................      1.055
00803................         03  Poughkpsie/N NYC Suburbs,        1.046
                                   NY.
00833................         01  Hawaii/Guam................      1.044
00511................         01  Atlanta, GA................      1.043
31143................         99  Rest of Massachusetts......      1.042
00901................         01  Baltimore/Surr. Cntys, MD..      1.039
00900................         11  Dallas, TX.................      1.035
00900................         18  Houston, TX................      1.026
00834................         00  Nevada.....................      1.023
31140................         99  Rest of California *.......      1.017
31146................         99  Rest of California *.......      1.017
00524................         01  Rhode Island...............      1.016
00590................         03  Fort Lauderdale, FL........      1.015
00900................         31  Austin, TX.................      1.015
00902................         01  Delaware...................      1.011
00900................         09  Brazoria, TX...............      1.005
00835................         01  Portland, OR...............      1.005
31144................         40  New Hampshire..............      1.000
00900................         28  Fort Worth, TX.............      0.996
00952................         12  East St. Louis, IL.........      0.995
00832................         00  Arizona....................      0.993

[[Page 70018]]

 
00824................         01  Colorado...................      0.991
00973................         50  Virgin Islands.............      0.989
00900................         15  Galveston, TX..............      0.985
00953................         99  Rest of Michigan...........      0.984
00740................         02  Metropolitan Kansas City,        0.982
                                   MO.
31142................         03  Southern Maine.............      0.981
00901................         99  Rest of Maryland...........      0.978
00836................         99  Rest of Washington.........      0.977
00528................         01  New Orleans, LA............      0.976
00954................         00  Minnesota..................      0.975
00523................         01  Metropolitan St. Louis, MO.      0.974
00590................         99  Rest of Florida............      0.968
00883................         00  Ohio.......................      0.965
31145................         50  Vermont....................      0.951
00801................         99  Rest of New York...........      0.950
00951................         00  Wisconsin..................      0.950
00904................         00  Virginia...................      0.948
00910................         09  Utah.......................      0.947
00865................         99  Rest of Pennsylvania.......      0.946
00900................         20  Beaumont, TX...............      0.942
00952................         99  Rest of Illinois...........      0.938
05535................         00  North Carolina.............      0.936
00511................         99  Rest of Georgia............      0.932
00521................         05  New Mexico.................      0.932
00630................         00  Indiana....................      0.930
00835................         99  Rest of Oregon.............      0.929
00900................         99  Rest of Texas..............      0.929
00884................         16  West Virginia..............      0.927
05440................         35  Tennessee..................      0.921
00650................         00  Kansas *...................      0.919
00740................         04  Kansas *...................      0.919
00528................         99  Rest of Louisiana..........      0.919
00880................         01  South Carolina.............      0.917
31142................         99  Rest of Maine..............      0.916
00660................         00  Kentucky...................      0.915
00510................         00  Alabama....................      0.914
00825................         21  Wyoming....................      0.910
00826................         00  Iowa.......................      0.909
05130................         00  Idaho......................      0.905
00655................         00  Nebraska...................      0.903
00751................         01  Montana....................      0.902
00512................         00  Mississippi................      0.898
00820................         01  North Dakota...............      0.895
00522................         00  Oklahoma...................      0.894
00820................         02  South Dakota...............      0.891
00520................         13  Arkansas...................      0.884
00523................         99  Rest of Missouri *.........      0.883
00740................         99  Rest of Missouri *.........      0.883
00973................         20  Puerto Rico................      0.790
------------------------------------------------------------------------
* States are served by more than one carrier.


       Addendum F.--CPT/HCPS Imaging Codes Defined by DRA 5102(b)
------------------------------------------------------------------------
           HCPCS/CPT*                        Short descriptor
------------------------------------------------------------------------
31620...........................  Endobronchial us add-on
37250...........................  Iv us first vessel add-on
37251...........................  Iv us each add vessel add-on
51798...........................  Us urine capacity measure
70010...........................  Contrast x-ray of brain
70015...........................  Contrast x-ray of brain
70030...........................  X-ray eye for foreign body
70100...........................  X-ray exam of jaw
70110...........................  X-ray exam of jaw
70120...........................  X-ray exam of mastoids
70130...........................  X-ray exam of mastoids
70134...........................  X-ray exam of middle ear
70140...........................  X-ray exam of facial bones
70150...........................  X-ray exam of facial bones
70160...........................  X-ray exam of nasal bones
70170...........................  X-ray exam of tear duct
70190...........................  X-ray exam of eye sockets
70200...........................  X-ray exam of eye sockets
70210...........................  X-ray exam of sinuses
70220...........................  X-ray exam of sinuses
70240...........................  X-ray exam, pituitary saddle
70250...........................  X-ray exam of skull
70260...........................  X-ray exam of skull
70300...........................  X-ray exam of teeth
70310...........................  X-ray exam of teeth
70320...........................  Full mouth x-ray of teeth
70328...........................  X-ray exam of jaw joint
70330...........................  X-ray exam of jaw joints
70332...........................  X-ray exam of jaw joint
70336...........................  Magnetic image, jaw joint
70350...........................  X-ray head for orthodontia
70355...........................  Panoramic x-ray of jaws
70360...........................  X-ray exam of neck
70370...........................  Throat x-ray & fluoroscopy
70371...........................  Speech evaluation, complex
70373...........................  Contrast x-ray of larynx
70380...........................  X-ray exam of salivary gland
70390...........................  X-ray exam of salivary duct

[[Page 70019]]

 
70450...........................  Ct head/brain w/o dye
70460...........................  Ct head/brain w/dye
70470...........................  Ct head/brain w/o & w/dye
70480...........................  Ct orbit/ear/fossa w/o dye
70481...........................  Ct orbit/ear/fossa w/dye
70482...........................  Ct orbit/ear/fossa w/o&w/dye
70486...........................  Ct maxillofacial w/o dye
70487...........................  Ct maxillofacial w/dye
70488...........................  Ct maxillofacial w/o & w/dye
70490...........................  Ct soft tissue neck w/o dye
70491...........................  Ct soft tissue neck w/dye
70492...........................  Ct sft tsue nck w/o & w/dye
70496...........................  Ct angiography, head
70498...........................  Ct angiography, neck
70540...........................  Mri orbit/face/neck w/o dye
70542...........................  Mri orbit/face/neck w/dye
70543...........................  Mri orbt/fac/nck w/o & w/dye
70544...........................  Mr angiography head w/o dye
70545...........................  Mr angiography head w/dye
70546...........................  Mr angiograph head w/o&w/dye
70547...........................  Mr angiography neck w/o dye
70548...........................  Mr angiography neck w/dye
70549...........................  Mr angiograph neck w/o&w/dye
70551...........................  Mri brain w/o dye
70552...........................  Mri brain w/dye
70553...........................  Mri brain w/o & w/dye
70557...........................  Mri brain w/o dye
70558...........................  Mri brain w/dye
70559...........................  Mri brain w/o & w/dye
71010...........................  Chest x-ray
71015...........................  Chest x-ray
71020...........................  Chest x-ray
71021...........................  Chest x-ray
71022...........................  Chest x-ray
71023...........................  Chest x-ray and fluoroscopy
71030...........................  Chest x-ray
71034...........................  Chest x-ray and fluoroscopy
71035...........................  Chest x-ray
71040...........................  Contrast x-ray of bronchi
71060...........................  Contrast x-ray of bronchi
71090...........................  X-ray & pacemaker insertion
71100...........................  X-ray exam of ribs
71101...........................  X-ray exam of ribs/chest
71110...........................  X-ray exam of ribs
71111...........................  X-ray exam of ribs/chest
71120...........................  X-ray exam of breastbone
71130...........................  X-ray exam of breastbone
71250...........................  Ct thorax w/o dye
71260...........................  Ct thorax w/dye
71270...........................  Ct thorax w/o & w/dye
71275...........................  Ct angiography, chest
71550...........................  Mri chest w/o dye
71551...........................  Mri chest w/dye
71552...........................  Mri chest w/o & w/dye
71555...........................  Mri angio chest w or w/o dye
72010...........................  X-ray exam of spine
72020...........................  X-ray exam of spine
72040...........................  X-ray exam of neck spine
72050...........................  X-ray exam of neck spine
72052...........................  X-ray exam of neck spine
72069...........................  X-ray exam of trunk spine
72070...........................  X-ray exam of thoracic spine
72072...........................  X-ray exam of thoracic spine
72074...........................  X-ray exam of thoracic spine
72080...........................  X-ray exam of trunk spine
72090...........................  X-ray exam of trunk spine
72100...........................  X-ray exam of lower spine
72110...........................  X-ray exam of lower spine
72114...........................  X-ray exam of lower spine
72120...........................  X-ray exam of lower spine
72125...........................  Ct neck spine w/o dye
72126...........................  Ct neck spine w/dye
72127...........................  Ct neck spine w/o & w/dye
72128...........................  Ct chest spine w/o dye
72129...........................  Ct chest spine w/dye
72130...........................  Ct chest spine w/o & w/dye
72131...........................  Ct lumbar spine w/o dye
72132...........................  Ct lumbar spine w/dye
72133...........................  Ct lumbar spine w/o & w/dye
72141...........................  Mri neck spine w/o dye
72142...........................  Mri neck spine w/dye
72146...........................  Mri chest spine w/o dye
72147...........................  Mri chest spine w/dye
72148...........................  Mri lumbar spine w/o dye
72149...........................  Mri lumbar spine w/dye
72156...........................  Mri neck spine w/o & w/dye
72157...........................  Mri chest spine w/o & w/dye
72158...........................  Mri lumbar spine w/o & w/dye
72159...........................  Mr angio spine w/o&w/dye
72170...........................  X-ray exam of pelvis
72190...........................  X-ray exam of pelvis
72191...........................  Ct angiograph pelv w/o&w/dye
72192...........................  Ct pelvis w/o dye
72193...........................  Ct pelvis w/dye
72194...........................  Ct pelvis w/o & w/dye
72195...........................  Mri pelvis w/o dye
72196...........................  Mri pelvis w/dye
72197...........................  Mri pelvis w/o & w/dye
72198...........................  Mr angio pelvis w/o & w/dye
72200...........................  X-ray exam sacroiliac joints
72202...........................  X-ray exam sacroiliac joints
72220...........................  X-ray exam of tailbone
72240...........................  Contrast x-ray of neck spine
72255...........................  Contrast x-ray, thorax spine
72265...........................  Contrast x-ray, lower spine
72270...........................  Contrast x-ray, spine
72275...........................  Epidurography
72285...........................  X-ray c/t spine disk
72291...........................  Percut vertebroplasty fluor
72293...........................  Percut vertebroplasty, ct
72295...........................  X-ray of lower spine disk
73000...........................  X-ray exam of collar bone
73010...........................  X-ray exam of shoulder blade
73020...........................  X-ray exam of shoulder
73030...........................  X-ray exam of shoulder
73040...........................  Contrast x-ray of shoulder
73050...........................  X-ray exam of shoulders
73060...........................  X-ray exam of humerus
73070...........................  X-ray exam of elbow
73080...........................  X-ray exam of elbow
73085...........................  Contrast x-ray of elbow
73090...........................  X-ray exam of forearm
73092...........................  X-ray exam of arm, infant
73100...........................  X-ray exam of wrist
73110...........................  X-ray exam of wrist
73115...........................  Contrast x-ray of wrist
73120...........................  X-ray exam of hand
73130...........................  X-ray exam of hand
73140...........................  X-ray exam of finger(s)
73200...........................  Ct upper extremity w/o dye
73201...........................  Ct upper extremity w/dye
73202...........................  Ct uppr extremity w/o&w/dye
73206...........................  Ct angio upr extrm w/o&w/dye
73218...........................  Mri upper extremity w/o dye
73219...........................  Mri upper extremity w/dye
73220...........................  Mri uppr extremity w/o&w/dye
73221...........................  Mri joint upr extrem w/o dye
73222...........................  Mri joint upr extrem w/dye
73223...........................  Mri joint upr extr w/o&w/dye
73225...........................  Mr angio upr extr w/o&w/dye
73500...........................  X-ray exam of hip
73510...........................  X-ray exam of hip
73520...........................  X-ray exam of hips
73525...........................  Contrast x-ray of hip
73530...........................  X-ray exam of hip
73540...........................  X-ray exam of pelvis & hips
73542...........................  X-ray exam, sacroiliac joint
73550...........................  X-ray exam of thigh
73560...........................  X-ray exam of knee, 1 or 2
73562...........................  X-ray exam of knee, 3
73564...........................  X-ray exam, knee, 4 or more
73565...........................  X-ray exam of knees
73580...........................  Contrast x-ray of knee joint
73590...........................  X-ray exam of lower leg
73592...........................  X-ray exam of leg, infant
73600...........................  X-ray exam of ankle
73610...........................  X-ray exam of ankle
73615...........................  Contrast x-ray of ankle
73620...........................  X-ray exam of foot
73630...........................  X-ray exam of foot
73650...........................  X-ray exam of heel
73660...........................  X-ray exam of toe(s)
73700...........................  Ct lower extremity w/o dye
73701...........................  Ct lower extremity w/dye
73702...........................  Ct lwr extremity w/o&w/dye
73706...........................  Ct angio lwr extr w/o&w/dye
73718...........................  Mri lower extremity w/o dye
73719...........................  Mri lower extremity w/dye
73720...........................  Mri lwr extremity w/o&w/dye
73721...........................  Mri jnt of lwr extre w/o dye
73722...........................  Mri joint of lwr extr w/dye
73723...........................  Mri joint lwr extr w/o&w/dye
73725...........................  Mr ang lwr ext w or w/o dye
74000...........................  X-ray exam of abdomen
74010...........................  X-ray exam of abdomen
74020...........................  X-ray exam of abdomen
74022...........................  X-ray exam series, abdomen
74150...........................  Ct abdomen w/o dye
74160...........................  Ct abdomen w/dye
74170...........................  Ct abdomen w/o & w/dye
74175...........................  Ct angio abdom w/o & w/dye
74181...........................  Mri abdomen w/o dye
74182...........................  Mri abdomen w/dye
74183...........................  Mri abdomen w/o & w/dye
74185...........................  Mri angio, abdom w orw/o dye
74190...........................  X-ray exam of peritoneum
74210...........................  Contrst x-ray exam of throat
74220...........................  Contrast x-ray, esophagus
74230...........................  Cine/vid x-ray, throat/esoph
74235...........................  Remove esophagus obstruction
74240...........................  X-ray exam, upper gi tract
74241...........................  X-ray exam, upper gi tract
74245...........................  X-ray exam, upper gi tract
74246...........................  Contrst x-ray uppr gi tract
74247...........................  Contrst x-ray uppr gi tract
74249...........................  Contrst x-ray uppr gi tract
74250...........................  X-ray exam of small bowel
74251...........................  X-ray exam of small bowel
74260...........................  X-ray exam of small bowel
74270...........................  Contrast x-ray exam of colon
74280...........................  Contrast x-ray exam of colon
74283...........................  Contrast x-ray exam of colon
74290...........................  Contrast x-ray, gallbladder
74291...........................  Contrast x-rays, gallbladder
74300...........................  X-ray bile ducts/pancreas
74301...........................  X-rays at surgery add-on
74305...........................  X-ray bile ducts/pancreas

[[Page 70020]]

 
74320...........................  Contrast x-ray of bile ducts
74327...........................  X-ray bile stone removal
74328...........................  X-ray bile duct endoscopy
74329...........................  X-ray for pancreas endoscopy
74330...........................  X-ray bile/panc endoscopy
74340...........................  X-ray guide for GI tube
74350...........................  X-ray guide, stomach tube
74355...........................  X-ray guide, intestinal tube
74360...........................  X-ray guide, GI dilation
74363...........................  X-ray, bile duct dilation
74400...........................  Contrst x-ray, urinary tract
74410...........................  Contrst x-ray, urinary tract
74415...........................  Contrst x-ray, urinary tract
74420...........................  Contrst x-ray, urinary tract
74425...........................  Contrst x-ray, urinary tract
74430...........................  Contrast x-ray, bladder
74440...........................  X-ray, male genital tract
74445...........................  X-ray exam of penis
74450...........................  X-ray, urethra/bladder
74455...........................  X-ray, urethra/bladder
74470...........................  X-ray exam of kidney lesion
74475...........................  X-ray control, cath insert
74480...........................  X-ray control, cath insert
74485...........................  X-ray guide, GU dilation
74710...........................  X-ray measurement of pelvis
74740...........................  X-ray, female genital tract
74742...........................  X-ray, fallopian tube
74775...........................  X-ray exam of perineum
75552...........................  Heart mri for morph w/o dye
75553...........................  Heart mri for morph w/dye
75554...........................  Cardiac MRI/function
75555...........................  Cardiac MRI/limited study
75556...........................  Cardiac MRI/flow mapping
75600...........................  Contrast x-ray exam of aorta
75605...........................  Contrast x-ray exam of aorta
75625...........................  Contrast x-ray exam of aorta
75630...........................  X-ray aorta, leg arteries
75635...........................  Ct angio abdominal arteries
75650...........................  Artery x-rays, head & neck
75658...........................  Artery x-rays, arm
75660...........................  Artery x-rays, head & neck
75662...........................  Artery x-rays, head & neck
75665...........................  Artery x-rays, head & neck
75671...........................  Artery x-rays, head & neck
75676...........................  Artery x-rays, neck
75680...........................  Artery x-rays, neck
75685...........................  Artery x-rays, spine
75705...........................  Artery x-rays, spine
75710...........................  Artery x-rays, arm/leg
75716...........................  Artery x-rays, arms/legs
75722...........................  Artery x-rays, kidney
75724...........................  Artery x-rays, kidneys
75726...........................  Artery x-rays, abdomen
75731...........................  Artery x-rays, adrenal gland
75733...........................  Artery x-rays, adrenals
75736...........................  Artery x-rays, pelvis
75741...........................  Artery x-rays, lung
75743...........................  Artery x-rays, lungs
75746...........................  Artery x-rays, lung
75756...........................  Artery x-rays, chest
75774...........................  Artery x-ray, each vessel
75790...........................  Visualize A-V shunt
75801...........................  Lymph vessel x-ray, arm/leg
75803...........................  Lymph vessel x-ray,arms/legs
75805...........................  Lymph vessel x-ray, trunk
75807...........................  Lymph vessel x-ray, trunk
75809...........................  Nonvascular shunt, x-ray
75810...........................  Vein x-ray, spleen/liver
75820...........................  Vein x-ray, arm/leg
75822...........................  Vein x-ray, arms/legs
75825...........................  Vein x-ray, trunk
75827...........................  Vein x-ray, chest
75831...........................  Vein x-ray, kidney
75833...........................  Vein x-ray, kidneys
75840...........................  Vein x-ray, adrenal gland
75842...........................  Vein x-ray, adrenal glands
75860...........................  Vein x-ray, neck
75870...........................  Vein x-ray, skull
75872...........................  Vein x-ray, skull
75880...........................  Vein x-ray, eye socket
75885...........................  Vein x-ray, liver
75887...........................  Vein x-ray, liver
75889...........................  Vein x-ray, liver
75891...........................  Vein x-ray, liver
75893...........................  Venous sampling by catheter
75894...........................  X-rays, transcath therapy
75896...........................  X-rays, transcath therapy
75898...........................  Follow-up angiography
75900...........................  Intravascular cath exchange
75901...........................  Remove cva device obstruct
75902...........................  Remove cva lumen obstruct
75940...........................  X-ray placement, vein filter
75945...........................  Intravascular us
75946...........................  Intravascular us add-on
75953...........................  Abdom aneurysm endovas rpr
75956...........................  Xray, endovasc thor ao repr
75957...........................  Xray, endovasc thor ao repr
75958...........................  Xray, place prox ext thor ao
75959...........................  Xray, place dist ext thor ao
75960...........................  Transcath iv stent rs&i
75961...........................  Retrieval, broken catheter
75962...........................  Repair arterial blockage
75964...........................  Repair artery blockage, each
75966...........................  Repair arterial blockage
75968...........................  Repair artery blockage, each
75970...........................  Vascular biopsy
75978...........................  Repair venous blockage
75980...........................  Contrast xray exam bile duct
75982...........................  Contrast xray exam bile duct
75984...........................  Xray control catheter change
75989...........................  Abscess drainage under x-ray
75992...........................  Atherectomy, x-ray exam
76000...........................  Fluoroscope examination
76001...........................  Fluoroscope exam, extensive
76010...........................  X-ray, nose to rectum
76080...........................  X-ray exam of fistula
76098...........................  X-ray exam, breast specimen
76100...........................  X-ray exam of body section
76101...........................  Complex body section x-ray
76102...........................  Complex body section x-rays
76120...........................  Cine/video x-rays
76125...........................  Cine/video x-rays add-on
76140...........................  X-ray consultation
76150...........................  X-ray exam, dry process
76350...........................  Special x-ray contrast study
76376...........................  3d render w/o postprocess
76377...........................  3d rendering w/postprocess
76380...........................  CAT scan follow-up study
76390...........................  Mr spectroscopy
76496...........................  Fluoroscopic procedure
76497...........................  Ct procedure
76498...........................  Mri procedure
76506...........................  Echo exam of head
76510...........................  Ophth us, b & quant a
76511...........................  Ophth us, quant a only
76512...........................  Ophth us, b w/non-quant a
76513...........................  Echo exam of eye, water bath
76514...........................  Echo exam of eye, thickness
76516...........................  Echo exam of eye
76519...........................  Echo exam of eye
76529...........................  Echo exam of eye
76536...........................  Us exam of head and neck
76604...........................  Us exam, chest, b-scan
76645...........................  Us exam, breast(s)
76700...........................  Us exam, abdom, complete
76705...........................  Echo exam of abdomen
76770...........................  Us exam abdo back wall, comp
76775...........................  Us exam abdo back wall, lim
76778...........................  Us exam kidney transplant
76800...........................  Us exam, spinal canal
76801...........................  Ob us < 14 wks, single fetus
76802...........................  Ob us < 14 wks, add?l fetus
76805...........................  Ob us >/= 14 wks, sngl fetus
76810...........................  Ob us >/= 14 wks, addl fetus
76811...........................  Ob us, detailed, sngl fetus
76812...........................  Ob us, detailed, addl fetus
76815...........................  Ob us, limited, fetus(s)
76816...........................  Ob us, follow-up, per fetus
76817...........................  Transvaginal us, obstetric
76818...........................  Fetal biophys profile w/nst
76819...........................  Fetal biophys profil w/o nst
76820...........................  Umbilical artery echo
76821...........................  Middle cerebral artery echo
76825...........................  Echo exam of fetal heart
76826...........................  Echo exam of fetal heart
76827...........................  Echo exam of fetal heart
76828...........................  Echo exam of fetal heart
76830...........................  Transvaginal us, non-ob
76831...........................  Echo exam, uterus
76856...........................  Us exam, pelvic, complete
76857...........................  Us exam, pelvic, limited
76870...........................  Us exam, scrotum
76872...........................  Us, transrectal
76873...........................  Echograp trans r, pros study
76880...........................  Us exam, extremity
76885...........................  Us exam infant hips, dynamic
76886...........................  Us exam infant hips, static
76930...........................  Echo guide, cardiocentesis
76932...........................  Echo guide for heart biopsy
76936...........................  Echo guide for artery repair
76937...........................  Us guide, vascular access
76940...........................  Us guide, tissue ablation
76941...........................  Echo guide for transfusion
76942...........................  Echo guide for biopsy
76945...........................  Echo guide, villus sampling
76946...........................  Echo guide for amniocentesis
76948...........................  Echo guide, ova aspiration
76950...........................  Echo guidance radiotherapy
76965...........................  Echo guidance radiotherapy
76970...........................  Ultrasound exam follow-up
76975...........................  GI endoscopic ultrasound
76977...........................  Us bone density measure
76998...........................  Ultrasound guide intraoper
77001...........................  Fluoroguide for vein device
77002...........................  Needle localization by x-ray
77003...........................  Fluoroguide for spine inject
77011...........................  Ct scan for localization
77012...........................  Ct scan for needle biopsy
77013...........................  Ct guide for tissue ablation
77014...........................  Ct scan for therapy guide
77021...........................  Mr guidance for needle place
77022...........................  Mri for tissue ablation
77031...........................  Stereotactic breast biopsy
77032...........................  X-ray of needle wire, breast
77053...........................  X-ray of mammary duct
77054...........................  X-ray of mammary ducts
77058...........................  Magnetic image, breast

[[Page 70021]]

 
77059...........................  Magnetic image, both breasts
77071...........................  X-ray stress view
77072...........................  X-rays for bone age
77073...........................  X-rays, bone evaluation
77074...........................  X-rays, bone survey
77075...........................  X-rays, bone survey
77076...........................  X-rays, bone evaluation
77077...........................  Joint survey, single view
77078...........................  Ct bone density, axial
77079...........................  Ct bone density, peripheral
77080...........................  Dxa bone density, axial
77081...........................  Dxa bone density/peripheral
77082...........................  Dxa bone density/v-fracture
77083...........................  Radiographic absorptiometry
77084...........................  Magnetic image, bone marrow
77417...........................  Radiology port film(s)
77421...........................  Stereoscopic x-ray guidance
78006...........................  Thyroid imaging with uptake
78007...........................  Thyroid image, mult uptakes
78010...........................  Thyroid imaging
78011...........................  Thyroid imaging with flow
78015...........................  Thyroid met imaging
78016...........................  Thyroid met imaging/studies
78018...........................  Thyroid met imaging, body
78020...........................  Thyroid met uptake
78070...........................  Parathyroid nuclear imaging
78075...........................  Adrenal nuclear imaging
78102...........................  Bone marrow imaging, ltd
78103...........................  Bone marrow imaging, mult
78104...........................  Bone marrow imaging, body
78135...........................  Red cell survival kinetics
78140...........................  Red cell sequestration
78185...........................  Spleen imaging
78190...........................  Platelet survival, kinetics
78195...........................  Lymph system imaging
78201...........................  Liver imaging
78202...........................  Liver imaging with flow
78205...........................  Liver imaging (3D)
78206...........................  Liver image (3d) with flow
78215...........................  Liver and spleen imaging
78216...........................  Liver & spleen image/flow
78220...........................  Liver function study
78223...........................  Hepatobiliary imaging
78230...........................  Salivary gland imaging
78231...........................  Serial salivary imaging
78232...........................  Salivary gland function exam
78258...........................  Esophageal motility study
78261...........................  Gastric mucosa imaging
78262...........................  Gastroesophageal reflux exam
78264...........................  Gastric emptying study
78278...........................  Acute GI blood loss imaging
78282...........................  GI protein loss exam
78290...........................  Meckel's divert exam
78291...........................  Leveen/shunt patency exam
78300...........................  Bone imaging, limited area
78305...........................  Bone imaging, multiple areas
78306...........................  Bone imaging, whole body
78315...........................  Bone imaging, 3 phase
78320...........................  Bone imaging (3D)
78350...........................  Bone mineral, single photon
78351...........................  Bone mineral, dual photon
78428...........................  Cardiac shunt imaging
78445...........................  Vascular flow imaging
78456...........................  Acute venous thrombus image
78457...........................  Venous thrombosis imaging
78458...........................  Ven thrombosis images, bilat
78459...........................  Heart muscle imaging (PET)
78460...........................  Heart muscle blood, single
78461...........................  Heart muscle blood, multiple
78464...........................  Heart image (3d), single
78465...........................  Heart image (3d), multiple
78466...........................  Heart infarct image
78468...........................  Heart infarct image (ef)
78469...........................  Heart infarct image (3D)
78472...........................  Gated heart, planar, single
78473...........................  Gated heart, multiple
78478...........................  Heart wall motion add-on
78480...........................  Heart function add-on
78481...........................  Heart first pass, single
78483...........................  Heart first pass, multiple
78491...........................  Heart image (pet), single
78492...........................  Heart image (pet), multiple
78494...........................  Heart image, spect
78496...........................  Heart first pass add-on
78580...........................  Lung perfusion imaging
78584...........................  Lung V/Q image single breath
78585...........................  Lung V/Q imaging
78586...........................  Aerosol lung image, single
78587...........................  Aerosol lung image, multiple
78588...........................  Perfusion lung image
78591...........................  Vent image, 1 breath, 1 proj
78593...........................  Vent image, 1 proj, gas
78594...........................  Vent image, mult proj, gas
78596...........................  Lung differential function
78600...........................  Brain imaging, ltd static
78601...........................  Brain imaging, ltd w/flow
78605...........................  Brain imaging, complete
78606...........................  Brain imaging, compl w/flow
78607...........................  Brain imaging (3D)
78608...........................  Brain imaging (PET)
78609...........................  Brain imaging (PET)
78610...........................  Brain flow imaging only
78615...........................  Cerebral vascular flow image
78630...........................  Cerebrospinal fluid scan
78635...........................  CSF ventriculography
78645...........................  CSF shunt evaluation
78647...........................  Cerebrospinal fluid scan
78650...........................  CSF leakage imaging
78660...........................  Nuclear exam of tear flow
78700...........................  Kidney imaging, static
78701...........................  Kidney imaging with flow
78704...........................  Imaging renogram
78707...........................  Kidney flow/function image
78708...........................  Kidney flow/function image
78709...........................  Kidney flow/function image
78710...........................  Kidney imaging (3D)
78715...........................  Renal vascular flow exam
78730...........................  Urinary bladder retention
78740...........................  Ureteral reflux study
78760...........................  Testicular imaging
78761...........................  Testicular imaging/flow
78800...........................  Tumor imaging, limited area
78801...........................  Tumor imaging, mult areas
78802...........................  Tumor imaging, whole body
78803...........................  Tumor imaging (3D)
78804...........................  Tumor imaging, whole body
78805...........................  Abscess imaging, ltd area
78806...........................  Abscess imaging, whole body
78807...........................  Nuclear localization/abscess
78811...........................  Tumor imaging (pet), limited
78812...........................  Tumor image (pet)/skul-thigh
78813...........................  Tumor image (pet) full body
78814...........................  Tumor image pet/ct, limited
78815...........................  Tumorimage pet/ct skul-thigh
78816...........................  Tumor image pet/ct full body
78890...........................  Nuclear medicine data proc
78891...........................  Nuclear med data proc
93303...........................  Echo transthoracic
93304...........................  Echo transthoracic
93307...........................  Echo exam of heart
93308...........................  Echo exam of heart
93312...........................  Echo transesophageal
93313...........................  Echo transesophageal
93314...........................  Echo transesophageal
93315...........................  Echo transesophageal
93316...........................  Echo transesophageal
93317...........................  Echo transesophageal
93318...........................  Echo transesophageal intraop
93320...........................  Doppler echo exam, heart
93321...........................  Doppler echo exam, heart
93325...........................  Doppler color flow add-on
93350...........................  Echo transthoracic
93555...........................  Imaging, cardiac cath
93556...........................  Imaging, cardiac cath
93571...........................  Heart flow reserve measure
93572...........................  Heart flow reserve measure
93880...........................  Extracranial study
93882...........................  Extracranial study
93886...........................  Intracranial study
93888...........................  Intracranial study
93890...........................  Tcd, vasoreactivity study
93892...........................  Tcd, emboli detect w/o inj
93893...........................  Tcd, emboli detect w/inj
93925...........................  Lower extremity study
93926...........................  Lower extremity study
93930...........................  Upper extremity study
93931...........................  Upper extremity study
93970...........................  Extremity study
93971...........................  Extremity study
93975...........................  Vascular study
93976...........................  Vascular study
93978...........................  Vascular study
93979...........................  Vascular study
93980...........................  Penile vascular study
93981...........................  Penile vascular study
93990...........................  Doppler flow testing
0028T...........................  Dexa body composition study
0042T...........................  Ct perfusion w/contrast, cbf
0066T...........................  Ct colonography;screen
0067T...........................  Ct colonography;dx
0080T...........................  Endovasc aort repr rad s&i
0081T...........................  Endovasc visc extnsn s&i
0144T...........................  CT heart wo dye; qual calc
0145T...........................  CT heart w/wo dye funct
0146T...........................  CCTA w/wo dye
0147T...........................  CCTA w/wo, quan calcium
0148T...........................  CCTA w/wo, strxr
0149T...........................  CCTA w/wo, strxr quan calc
0150T...........................  CCTA w/wo, disease strxr
0151T...........................  CT heart funct add-on
0152T...........................  Computer chest add-on
G0120...........................  Colon ca scrn; barium enema
G0122...........................  Colon ca scrn; barium enema
G0130...........................  Single energy x-ray study
G0219...........................  PET img wholbod melano nonco
G0235...........................  PET not otherwise specified
G0275...........................  Renal angio, cardiac cath
G0278...........................  Iliac art angio,cardiac cath
G0288...........................  Recon, CTA for surg plan
G0365...........................  Vessel mapping hemo access
------------------------------------------------------------------------
* CPT codes are descriptors only are copyright 2006 American Medical
  Association. All rights reserved. Applicable FARS/DFARS apply.


[[Page 70022]]


   Addendum G.--CY 2007 Wage Index for Urban Areas Based on CBSA Labor
                              Market Areas
------------------------------------------------------------------------
                                                                  Wage
         CBSA code          Urban area (constituent counties)    index
------------------------------------------------------------------------
10180.....................  Abilene, TX......................     0.8423
                             Callahan County, TX.............
                             Jones County, TX................
                             Taylor County, TX...............
10380.....................  Aguadilla-Isabela-San                 0.8423
                             Sebasti[aacute]n, PR.
                             Aguada Municipio, PR............
                             Aguadilla Municipio, PR.........
                             A[ntilde]asco Municipio, PR.....
                             Isabela Municipio, PR...........
                             Lares Municipio, PR.............
                             Moca Municipio, PR..............
                             Rinc[oacute]n Municipio, PR.....
                             San Sebasti[aacute]n Municipio,
                             PR.
10420.....................  Akron, OH........................     0.9111
                             Portage County, OH..............
                             Summit County, OH...............
10500.....................  Albany, GA.......................     0.9466
                             Baker County, GA................
                             Dougherty County, GA............
                             Lee County, GA..................
                             Terrell County, GA..............
                             Worth County, GA................
10580.....................  Albany-Schenectady-Troy, NY......     0.9181
                             Albany County, NY...............
                             Rensselaer County, NY...........
                             Saratoga County, NY.............
                             Schenectady County, NY..........
                             Schoharie County, NY............
10740.....................  Albuquerque, NM..................     0.9958
                             Bernalillo County, NM...........
                             Sandoval County, NM.............
                             Torrance County, NM.............
                             Valencia County, NM.............
10780.....................  Alexandria, LA...................     0.8429
                             Grant Parish, LA................
                             Rapides Parish, LA..............
10900.....................  Allentown-Bethlehem-Easton, PA-NJ     1.0472
                             Warren County, NJ...............
                             Carbon County, PA...............
                             Lehigh County, PA...............
                             Northampton County, PA..........
11020.....................  Altoona, PA......................     0.9277
                             Blair County, PA................
11100.....................  Amarillo, TX.....................     0.9653
                             Armstrong County, TX............
                             Carson County, TX...............
                             Potter County, TX...............
                             Randall County, TX..............
11180.....................  Ames, IA.........................     1.0276
                             Story County, IA................
11260.....................  Anchorage, AK....................     1.2658
                             Anchorage Municipality, AK......
                             Matanuska-Susitna Borough, AK...
11300.....................  Anderson, IN.....................     0.9140
                             Madison County, IN..............
11340.....................  Anderson, SC.....................     0.9493
                             Anderson County, SC.............
11460.....................  Ann Arbor, MI....................     1.1398
                             Washtenaw County, MI............
11500.....................  Anniston-Oxford, AL..............     0.8423
                             Calhoun County, AL..............
11540.....................  Appleton, WI.....................     0.9954
                             Calumet County, WI..............
                             Outagamie County, WI............
11700.....................  Asheville, NC....................     0.9703
                             Buncombe County, NC.............
                             Haywood County, NC..............
                             Henderson County, NC............
                             Madison County, NC..............
12020.....................  Athens-Clarke County, GA.........     1.0377
                             Clarke County, GA...............

[[Page 70023]]

 
                             Madison County, GA..............
                             Oconee County, GA...............
                             Oglethorpe County, GA...........
12060.....................  Atlanta-Sandy Springs-Marietta,       1.0278
                             GA.
                             Barrow County, GA...............
                             Bartow County, GA...............
                             Butts County, GA................
                             Carroll County, GA..............
                             Cherokee County, GA.............
                             Clayton County, GA..............
                             Cobb County, GA.................
                             Coweta County, GA...............
                             Dawson County, GA...............
                             DeKalb County, GA...............
                             Douglas County, GA..............
                             Fayette County, GA..............
                             Forsyth County, GA..............
                             Fulton County, GA...............
                             Gwinnett County, GA.............
                             Haralson County, GA.............
                             Heard County, GA................
                             Henry County, GA................
                             Jasper County, GA...............
                             Lamar County, GA................
                             Meriwether County, GA...........
                             Newton County, GA...............
                             Paulding County, GA.............
                             Pickens County, GA..............
                             Pike County, GA.................
                             Rockdale County, GA.............
                             Spalding County, GA.............
                             Walton County, GA...............
12100.....................  Atlantic City, NJ................     1.2456
                             Atlantic County, NJ.............
12220.....................  Auburn-Opelika, AL...............     0.8524
                             Lee County, AL..................
12260.....................  Augusta-Richmond County, GA-SC...     1.0178
                             Burke County, GA................
                             Columbia County, GA.............
                             McDuffie County, GA.............
                             Richmond County, GA.............
                             Aiken County, SC................
                             Edgefield County, SC............
12420.....................  Austin-Round Rock, TX............     0.9838
                             Bastrop County, TX..............
                             Caldwell County, TX.............
                             Hays County, TX.................
                             Travis County, TX...............
                             Williamson County, TX...........
12540.....................  Bakersfield, CA..................     1.1291
                             Kern County, CA.................
12580.....................  Baltimore-Towson, MD.............     1.0621
                             Anne Arundel County, MD.........
                             Baltimore County, MD............
                             Carroll County, MD..............
                             Harford County, MD..............
                             Howard County, MD...............
                             Queen Anne's County, MD.........
                             Baltimore City, MD..............
12620.....................  Bangor, ME.......................     1.0224
                             Penobscot County, ME............
12700.....................  Barnstable Town, MA..............     1.3201
                             Barnstable County, MA...........
12940.....................  Baton Rouge, LA..................     0.8511
                             Ascension Parish, LA............
                             East Baton Rouge Parish, LA.....
                             East Feliciana Parish, LA.......
                             Iberville Parish, LA............
                             Livingston Parish, LA...........
                             Pointe Coupee Parish, LA........
                             St. Helena Parish, LA...........

[[Page 70024]]

 
                             West Baton Rouge Parish, LA.....
                             West Feliciana Parish, LA.......
12980.....................  Battle Creek, MI.................     1.0278
                             Calhoun County, MI..............
13020.....................  Bay City, MI.....................     0.9740
                             Bay County, MI..................
13140.....................  Beaumont-Port Arthur, TX.........     0.9049
                             Hardin County, TX...............
                             Jefferson County, TX............
                             Orange County, TX...............
13380.....................  Bellingham, WA...................     1.1690
                             Whatcom County, WA..............
13460.....................  Bend, OR.........................     1.1310
                             Deschutes County, OR............
13644.....................  Bethesda-Gaithersburg-Frederick,      1.1479
                             MD.
                             Frederick County, MD............
                             Montgomery County, MD...........
13740.....................  Billings, MT.....................     0.9172
                             Carbon County, MT...............
                             Yellowstone County, MT..........
13780.....................  Binghamton, NY...................     0.9250
                             Broome County, NY...............
                             Tioga County, NY................
13820.....................  Birmingham-Hoover, AL............     0.9364
                             Bibb County, AL.................
                             Blount County, AL...............
                             Chilton County, AL..............
                             Jefferson County, AL............
                             St. Clair County, AL............
                             Shelby County, AL...............
                             Walker County, AL...............
13900.....................  Bismarck, ND.....................     0.8423
                             Burleigh County, ND.............
                             Morton County, ND...............
13980.....................  Blacksburg-Christiansburg-            0.8647
                             Radford, VA.
                             Giles County, VA................
                             Montgomery County, VA...........
                             Pulaski County, VA..............
                             Radford City, VA................
14020.....................  Bloomington, IN..................     0.8984
                             Greene County, IN...............
                             Monroe County, IN...............
                             Owen County, IN.................
14060.....................  Bloomington-Normal, IL...........     0.9416
                             McLean County, IL...............
14260.....................  Boise City-Nampa, ID.............     0.9898
                             Ada County, ID..................
                             Boise County, ID................
                             Canyon County, ID...............
                             Gem County, ID..................
                             Owyhee County, ID...............
14484.....................  Boston-Quincy, MA................     1.2296
                             Norfolk County, MA..............
                             Plymouth County, MA.............
                             Suffolk County, MA..............
14500.....................  Boulder, CO......................     1.0897
                             Boulder County, CO..............
14540.....................  Bowling Green, KY................     0.8578
                             Edmonson County, KY.............
                             Warren County, KY...............
14740.....................  Bremerton-Silverdale, WA.........     1.1489
                             Kitsap County, WA...............
14860.....................  Bridgeport-Stamford-Norwalk, CT..     1.3328
                             Fairfield County, CT............
15180.....................  Brownsville-Harlingen, TX........     0.9928
                             Cameron County, TX..............
15260.....................  Brunswick, GA....................     1.0701
                             Brantley County, GA.............
                             Glynn County, GA................
                             McIntosh County, GA.............
15380.....................  Buffalo-Niagara Falls, NY........     0.9922

[[Page 70025]]

 
                             Erie County, NY.................
                             Niagara County, NY..............
15500.....................  Burlington, NC...................     0.9132
                             Alamance County, NC.............
15540.....................  Burlington-South Burlington, VT..     0.9974
                             Chittenden County, VT...........
                             Franklin County, VT.............
                             Grand Isle County, VT...........
15764.....................  Cambridge-Newton-Framingham, MA..     1.1549
                             Middlesex County, MA............
15804.....................  Camden, NJ.......................     1.0941
                             Burlington County, NJ...........
                             Camden County, NJ...............
                             Gloucester County, NJ...........
15940.....................  Canton-Massillon, OH.............     0.9508
                             Carroll County, OH..............
                             Stark County, OH................
15980.....................  Cape Coral-Fort Myers, FL........     0.9835
                             Lee County, FL..................
16180.....................  Carson City, NV..................     1.0555
                             Carson City, NV.................
16220.....................  Casper, WY.......................     0.9628
                             Natrona County, WY..............
16300.....................  Cedar Rapids, IA.................     0.9357
                             Benton County, IA...............
                             Jones County, IA................
                             Linn County, IA.................
16580.....................  Champaign-Urbana, IL.............     1.0153
                             Champaign County, IL............
                             Ford County, IL.................
                             Piatt County, IL................
16620.....................  Charleston, WV...................     0.8993
                             Boone County, WV................
                             Clay County, WV.................
                             Kanawha County, WV..............
                             Lincoln County, WV..............
                             Putnam County, WV...............
16700.....................  Charleston-North Charleston, SC..     0.9628
                             Berkeley County, SC.............
                             Charleston County, SC...........
                             Dorchester County, SC...........
16740.....................  Charlotte-Gastonia-Concord, NC-SC     1.0059
                             Anson County, NC................
                             Cabarrus County, NC.............
                             Gaston County, NC...............
                             Mecklenburg County, NC..........
                             Union County, NC................
                             York County, SC.................
16820.....................  Charlottesville, VA..............     1.0660
                             Albemarle County, VA............
                             Fluvanna County, VA.............
                             Greene County, VA...............
                             Nelson County, VA...............
                             Charlottesville City, VA........
16860.....................  Chattanooga, TN-GA...............     0.9421
                             Catoosa County, GA..............
                             Dade County, GA.................
                             Walker County, GA...............
                             Hamilton County, TN.............
                             Marion County, TN...............
                             Sequatchie County, TN...........
16940.....................  Cheyenne, WY.....................     0.9539
                             Laramie County, WY..............
16974.....................  Chicago-Naperville-Joliet, IL....     1.1319
                             Cook County, IL.................
                             DeKalb County, IL...............
                             DuPage County, IL...............
                             Grundy County, IL...............
                             Kane County, IL.................
                             Kendall County, IL..............
                             McHenry County, IL..............

[[Page 70026]]

 
                             Will County, IL.................
17020.....................  Chico, CA........................     1.1637
                             Butte County, CA................
17140.....................  Cincinnati-Middletown, OH-KY-IN..     1.0108
                             Dearborn County, IN.............
                             Franklin County, IN.............
                             Ohio County, IN.................
                             Boone County, KY................
                             Bracken County, KY..............
                             Campbell County, KY.............
                             Gallatin County, KY.............
                             Grant County, KY................
                             Kenton County, KY...............
                             Pendleton County, KY............
                             Brown County, OH................
                             Butler County, OH...............
                             Clermont County, OH.............
                             Hamilton County, OH.............
                             Warren County, OH...............
17300.....................  Clarksville, TN-KY...............     0.8882
                             Christian County, KY............
                             Trigg County, KY................
                             Montgomery County, TN...........
                             Stewart County, TN..............
17420.....................  Cleveland, TN....................     0.8537
                             Bradley County, TN..............
                             Polk County, TN.................
17460.....................  Cleveland-Elyria-Mentor, OH......     0.9896
                             Cuyahoga County, OH.............
                             Geauga County, OH...............
                             Lake County, OH.................
                             Lorain County, OH...............
                             Medina County, OH...............
17660.....................  Coeur d'Alene, ID................     0.9838
                             Kootenai County, ID.............
17780.....................  College Station-Bryan, TX........     0.9523
                             Brazos County, TX...............
                             Burleson County, TX.............
                             Robertson County, TX............
17820.....................  Colorado Springs, CO.............     1.0213
                             El Paso County, CO..............
                             Teller County, CO...............
17860.....................  Columbia, MO.....................     0.8993
                             Boone County, MO................
                             Howard County, MO...............
17900.....................  Columbia, SC.....................     0.9405
                             Calhoun County, SC..............
                             Fairfield County, SC............
                             Kershaw County, SC..............
                             Lexington County, SC............
                             Richland County, SC.............
                             Saluda County, SC...............
17980.....................  Columbus, GA-AL..................     0.8674
                             Russell County, AL..............
                             Chattahoochee County, GA........
                             Harris County, GA...............
                             Marion County, GA...............
                             Muscogee County, GA.............
18020.....................  Columbus, IN.....................     0.9810
                             Bartholomew County, IN..........
18140.....................  Columbus, OH.....................     1.0641
                             Delaware County, OH.............
                             Fairfield County, OH............
                             Franklin County, OH.............
                             Licking County, OH..............
                             Madison County, OH..............
                             Morrow County, OH...............
                             Pickaway County, OH.............
                             Union County, OH................
18580.....................  Corpus Christi, TX...............     0.9016
                             Aransas County, TX..............

[[Page 70027]]

 
                             Nueces County, TX...............
                             San Patricio County, TX.........
18700.....................  Corvallis, OR....................     1.2156
                             Benton County, OR...............
19060.....................  Cumberland, MD-WV................     0.8892
                             Allegany County, MD.............
                             Mineral County, WV..............
19124.....................  Dallas-Plano-Irving, TX..........     1.0607
                             Collin County, TX...............
                             Dallas County, TX...............
                             Delta County, TX................
                             Denton County, TX...............
                             Ellis County, TX................
                             Hunt County, TX.................
                             Kaufman County, TX..............
                             Rockwall County, TX.............
19140.....................  Dalton, GA.......................     0.9573
                             Murray County, GA...............
                             Whitfield County, GA............
19180.....................  Danville, IL.....................     0.9755
                            Vermilion County, IL.............
19260.....................  Danville, VA.....................     0.8897
                             Pittsylvania County, VA.........
                             Danville City, VA...............
19340.....................  Davenport-Moline-Rock Island, IA-     0.9313
                             IL.
                             Henry County, IL................
                             Mercer County, IL...............
                             Rock Island County, IL..........
                             Scott County, IA................
19380.....................  Dayton, OH.......................     0.9514
                             Greene County, OH...............
                             Miami County, OH................
                             Montgomery County, OH...........
                             Preble County, OH...............
19460.....................  Decatur, AL......................     0.8590
                             Lawrence County, AL.............
                             Morgan County, AL...............
19500.....................  Decatur, IL......................     0.8604
                             Macon County, IL................
19660.....................  Deltona-Daytona Beach-Ormond          0.9752
                             Beach, FL.
                             Volusia County, FL..............
19740.....................  Denver-Aurora, CO................     1.1507
                             Adams County, CO................
                             Arapahoe County, CO.............
                             Broomfield County, CO...........
                             Clear Creek County, CO..........
                             Denver County, CO...............
                             Douglas County, CO..............
                             Elbert County, CO...............
                             Gilpin County, CO...............
                             Jefferson County, CO............
                             Park County, CO.................
19780.....................  Des Moines-West Des Moines, IA...     0.9701
                             Dallas County, IA...............
                             Guthrie County, IA..............
                             Madison County, IA..............
                             Polk County, IA.................
                             Warren County, IA...............
19804.....................  Detroit-Livonia-Dearborn, MI.....     1.0824
                             Wayne County, MI................
20020.....................  Dothan, AL.......................     0.8423
                             Geneva County, AL...............
                             Henry County, AL................
                             Houston County, AL..............
20100.....................  Dover, DE........................     1.0367
                             Kent County, DE.................
20220.....................  Dubuque, IA......................     0.9615
                             Dubuque County, IA..............
20260.....................  Duluth, MN-WI....................     1.0572
                             Carlton County, MN..............
                             St. Louis County, MN............

[[Page 70028]]

 
                             Douglas County, WI..............
20500.....................  Durham, NC.......................     1.0345
                             Chatham County, NC..............
                             Durham County, NC...............
                             Orange County, NC...............
                             Person County, NC...............
20740.....................  Eau Claire, WI...................     1.0139
                             Chippewa County, WI.............
                             Eau Claire County, WI...........
20764.....................  Edison, NJ.......................     1.1781
                             Middlesex County, NJ............
                             Monmouth County, NJ.............
                             Ocean County, NJ................
                             Somerset County, NJ.............
20940.....................  El Centro, CA....................     0.9555
                             Imperial County, CA.............
21060.....................  Elizabethtown, KY................     0.9156
                             Hardin County, KY...............
                             Larue County, KY................
21140.....................  Elkhart-Goshen, IN...............     0.9924
                             Elkhart County, IN..............
21300.....................  Elmira, NY.......................     0.8675
                             Chemung County, NY..............
21340.....................  El Paso, TX......................     0.9531
                             El Paso County, TX..............
21500.....................  Erie, PA.........................     0.9293
                             Erie County, PA.................
21604.....................  Essex County, MA.................     1.0968
                             Essex County, MA................
21660.....................  Eugene-Springfield, OR...........     1.1450
                             Lane County, OR.................
21780.....................  Evansville, IN-KY................     0.9550
                             Gibson County, IN...............
                             Posey County, IN................
                             Vanderburgh County, IN..........
                             Warrick County, IN..............
                             Henderson County, KY............
                             Webster County, KY..............
21820.....................  Fairbanks, AK....................     1.1643
                             Fairbanks North Star Borough, AK
21940.....................  Fajardo, PR......................     0.8423
                             Ceiba Municipio, PR.............
                             Fajardo Municipio, PR...........
                             Luquillo Municipio, PR..........
22020.....................  Fargo, ND-MN.....................     0.8686
                             Cass County, ND.................
                             Clay County, MN.................
22140.....................  Farmington, NM...................     0.9043
                             San Juan County, NM.............
22180.....................  Fayetteville, NC.................     0.9417
                             Cumberland County, NC...........
                             Hoke County, NC.................
22220.....................  Fayetteville-Springdale-Rogers,       0.9333
                             AR-MO.
                             Benton County, AR...............
                             Madison County, AR..............
                             Washington County, AR...........
                             McDonald County, MO.............
22380.....................  Flagstaff, AZ....................     1.2214
                             Coconino County, AZ.............
22420.....................  Flint, MI........................     1.1548
                             Genesee County, MI..............
22500.....................  Florence, SC.....................     0.8831
                             Darlington County, SC...........
                             Florence County, SC.............
22520.....................  Florence-Muscle Shoals, AL.......     0.8423
                             Colbert County, AL..............
                             Lauderdale County, AL...........
22540.....................  Fond du Lac, WI..................     1.0595
                             Fond du Lac County, WI..........
22660.....................  Fort Collins-Loveland, CO........     1.0048
                             Larimer County, CO..............

[[Page 70029]]

 
22744.....................  Fort Lauderdale-Pompano Beach-        1.0668
                             Deerfield Beach, FL.
                             Broward County, FL..............
22900.....................  Fort Smith, AR-OK................     0.8423
                             Crawford County, AR.............
                             Franklin County, AR.............
                             Sebastian County, AR............
                             Le Flore County, OK.............
                             Sequoyah County, OK.............
23020.....................  Fort Walton Beach-Crestview-          0.9100
                             Destin, FL.
                             Okaloosa County, FL.............
23060.....................  Fort Wayne, IN...................     1.0020
                             Allen County, IN................
                             Wells County, IN................
                             Whitley County, IN..............
23104.....................  Fort Worth-Arlington, TX.........     1.0074
                             Johnson County, TX..............
                             Parker County, TX...............
                             Tarrant County, TX..............
                             Wise County, TX.................
23420.....................  Fresno, CA.......................     1.1521
                             Fresno County, CA...............
23460.....................  Gadsden, AL......................     0.8492
                             Etowah County, AL...............
23540.....................  Gainesville, FL..................     0.9767
                             Alachua County, FL..............
                             Gilchrist County, FL............
23580.....................  Gainesville, GA..................     0.9431
                             Hall County, GA.................
23844.....................  Gary, IN.........................     0.9827
                             Jasper County, IN...............
                             Lake County, IN.................
                             Newton County, IN...............
                             Porter County, IN...............
24020.....................  Glens Falls, NY..................     0.8764
                             Warren County, NY...............
                             Washington County, NY...........
24140.....................  Goldsboro, NC....................     0.9655
                             Wayne County, NC................
24220.....................  Grand Forks, ND-MN...............     0.8423
                             Polk County, MN.................
                             Grand Forks County, ND..........
24300.....................  Grand Junction, CO...............     1.0179
                             Mesa County, CO.................
24340.....................  Grand Rapids-Wyoming, MI.........     0.9954
                             Barry County, MI................
                             Ionia County, MI................
                             Kent County, MI.................
                             Newaygo County, MI..............
24500.....................  Great Falls, MT..................     0.9052
                             Cascade County, MT..............
24540.....................  Greeley, CO......................     1.0109
                             Weld County, CO.................
24580.....................  Green Bay, WI....................     1.0304
                             Brown County, WI................
                             Kewaunee County, WI.............
                             Oconto County, WI...............
24660.....................  Greensboro-High Point, NC........     0.9334
                             Guilford County, NC.............
                             Randolph County, NC.............
                             Rockingham County, NC...........
24780.....................  Greenville, NC...................     0.9930
                             Greene County, NC...............
                             Pitt County, NC.................
24860.....................  Greenville, SC...................     1.0322
                             Greenville County, SC...........
                             Laurens County, SC..............
                             Pickens County, SC..............
25020.....................  Guayama, PR......................     0.8423
                             Arroyo Municipio, PR............
                             Guayama Municipio, PR...........
                             Patillas Municipio, PR..........

[[Page 70030]]

 
25060.....................  Gulfport-Biloxi, MS..............     0.9386
                             Hancock County, MS..............
                             Harrison County, MS.............
                             Stone County, MS................
25180.....................  Hagerstown-Martinsburg, MD-WV....     0.9515
                             Washington County, MD...........
                             Berkeley County, WV.............
                             Morgan County, WV...............
25260.....................  Hanford-Corcoran, CA.............     1.0825
                             Kings County, CA................
25420.....................  Harrisburg-Carlisle, PA..........     0.9899
                             Cumberland County, PA...........
                             Dauphin County, PA..............
                             Perry County, PA................
25500.....................  Harrisonburg, VA.................     0.9552
                             Rockingham County, VA...........
                             Harrisonburg City, VA...........
25540.....................  Hartford-West Hartford-East           1.1469
                             Hartford, CT.
                             Hartford County, CT.............
                             Litchfield County, CT...........
                             Middlesex County, CT............
                             Tolland County, CT..............
25620.....................  Hattiesburg, MS..................     0.8423
                             Forrest County, MS..............
                             Lamar County, MS................
                             Perry County, MS................
25860.....................  Hickory-Lenoir-Morganton, NC.....     0.9486
                             Alexander County, NC............
                             Burke County, NC................
                             Caldwell County, NC.............
                             Catawba County, NC..............
25980.....................  Hinesville-Fort Stewart, GA......     0.9663
                             Liberty County, GA..............
                             Long County, GA.................
26100.....................  Holland-Grand Haven, MI..........     0.9647
                             Ottawa County, MI...............
26180.....................  Honolulu, HI.....................     1.1682
                             Honolulu County, HI.............
26300.....................  Hot Springs, AR..................     0.9246
                             Garland County, AR..............
26380.....................  Houma-Bayou Cane-Thibodaux, LA...     0.8509
                             Lafourche Parish, LA............
                             Terrebonne Parish, LA...........
26420.....................  Houston-Sugar Land-Baytown, TX...     1.0537
                             Austin County, TX...............
                             Brazoria County, TX.............
                             Chambers County, TX.............
                             Fort Bend County, TX............
                             Galveston County, TX............
                             Harris County, TX...............
                             Liberty County, TX..............
                             Montgomery County, TX...........
                             San Jacinto County, TX..........
                             Waller County, TX...............
26580.....................  Huntington-Ashland, WV-KY-OH.....     0.9472
                             Boyd County, KY.................
                             Greenup County, KY..............
                             Lawrence County, OH.............
                             Cabell County, WV...............
                             Wayne County, WV................
26620.....................  Huntsville, AL...................     0.9483
                             Limestone County, AL............
                             Madison County, AL..............
26820.....................  Idaho Falls, ID..................     0.9568
                             Bonneville County, ID...........
                             Jefferson County, ID............
26900.....................  Indianapolis-Carmel, IN..........     1.0418
                             Boone County, IN................
                             Brown County, IN................
                             Hamilton County, IN.............
                             Hancock County, IN..............

[[Page 70031]]

 
                             Hendricks County, IN............
                             Johnson County, IN..............
                             Marion County, IN...............
                             Morgan County, IN...............
                             Putnam County, IN...............
                             Shelby County, IN...............
26980.....................  Iowa City, IA....................     1.0227
                             Johnson County, IA..............
                             Washington County, IA...........
27060.....................  Ithaca, NY.......................     1.0452
                             Tompkins County, NY.............
27100.....................  Jackson, MI......................     1.0065
                             Jackson County, MI..............
27140.....................  Jackson, MS......................     0.8708
                             Copiah County, MS...............
                             Hinds County, MS................
                             Madison County, MS..............
                             Rankin County, MS...............
                             Simpson County, MS..............
27180.....................  Jackson, TN......................     0.9321
                             Chester County, TN..............
                             Madison County, TN..............
27260.....................  Jacksonville, FL.................     0.9649
                             Baker County, FL................
                             Clay County, FL.................
                             Duval County, FL................
                             Nassau County, FL...............
                             St. Johns County, FL............
27340.....................  Jacksonville, NC.................     0.8666
                             Onslow County, NC...............
27500.....................  Janesville, WI...................     1.0165
                             Rock County, WI.................
27620.....................  Jefferson City, MO...............     0.8772
                             Callaway County, MO.............
                             Cole County, MO.................
                             Moniteau County, MO.............
                             Osage County, MO................
27740.....................  Johnson City, TN.................     0.8468
                             Carter County, TN...............
                             Unicoi County, TN...............
                             Washington County, TN...........
27780.....................  Johnstown, PA....................     0.9075
                             Cambria County, PA..............
27860.....................  Jonesboro, AR....................     0.8423
                             Craighead County, AR............
                             Poinsett County, AR.............
27900.....................  Joplin, MO.......................     0.9059
                             Jasper County, MO...............
                             Newton County, MO...............
28020.....................  Kalamazoo-Portage, MI............     1.1269
                             Kalamazoo County, MI............
                             Van Buren County, MI............
28100.....................  Kankakee-Bradley, IL.............     1.0616
                             Kankakee County, IL.............
28140.....................  Kansas City, MO-KS...............     0.9997
                             Franklin County, KS.............
                             Johnson County, KS..............
                             Leavenworth County, KS..........
                             Linn County, KS.................
                             Miami County, KS................
                             Wyandotte County, KS............
                             Bates County, MO................
                             Caldwell County, MO.............
                             Cass County, MO.................
                             Clay County, MO.................
                             Clinton County, MO..............
                             Jackson County, MO..............
                             Lafayette County, MO............
                             Platte County, MO...............
                             Ray County, MO..................
28420.....................  Kennewick-Richland-Pasco, WA.....     1.0889

[[Page 70032]]

 
                             Benton County, WA...............
                             Franklin County, WA.............
28660.....................  Killeen-Temple-Fort Hood, TX.....     0.9371
                             Bell County, TX.................
                             Coryell County, TX..............
                             Lampasas County, TX.............
28700.....................  Kingsport-Bristol-Bristol, TN-VA.     0.8423
                             Hawkins County, TN..............
                             Sullivan County, TN.............
                             Bristol City, VA................
                             Scott County, VA................
                             Washington County, VA...........
28740.....................  Kingston, NY.....................     0.9862
                             Ulster County, NY...............
28940.....................  Knoxville, TN....................     0.8685
                             Anderson County, TN.............
                             Blount County, TN...............
                             Knox County, TN.................
                             Loudon County, TN...............
                             Union County, TN................
29020.....................  Kokomo, IN.......................     1.0180
                             Howard County, IN...............
                             Tipton County, IN...............
29100.....................  La Crosse, WI-MN.................     0.9924
                             Houston County, MN..............
                             La Crosse County, WI............
29140.....................  Lafayette, IN....................     0.9403
                             Benton County, IN...............
                             Carroll County, IN..............
                             Tippecanoe County, IN...........
29180.....................  Lafayette, LA....................     0.8727
                             Lafayette Parish, LA............
                             St. Martin Parish, LA...........
29340.....................  Lake Charles, LA.................     0.8423
                             Calcasieu Parish, LA............
                             Cameron Parish, LA..............
29404.....................  Lake County-Kenosha County, IL-WI     1.1128
                             Lake County, IL.................
                             Kenosha County, WI..............
29460.....................  Lakeland, FL.....................     0.9348
                             Polk County, FL.................
29540.....................  Lancaster, PA....................     1.0095
                             Lancaster County, PA............
29620.....................  Lansing-East Lansing, MI.........     1.0621
                             Clinton County, MI..............
                             Eaton County, MI................
                             Ingham County, MI...............
29700.....................  Laredo, TX.......................     0.8423
                             Webb County, TX.................
29740.....................  Las Cruces, NM...................     0.9763
                             Dona Ana County, NM.............
29820.....................  Las Vegas-Paradise, NV...........     1.2034
                             Clark County, NV................
29940.....................  Lawrence, KS.....................     0.8807
                             Douglas County, KS..............
30020.....................  Lawton, OK.......................     0.8491
                             Comanche County, OK.............
30140.....................  Lebanon, PA......................     0.9137
                             Lebanon County, PA..............
30300.....................  Lewiston, ID-WA..................     1.0373
                             Nez Perce County, ID............
                             Asotin County, WA...............
30340.....................  Lewiston-Auburn, ME..............     0.9608
                             Androscoggin County, ME.........
30460.....................  Lexington-Fayette, KY............     0.9666
                             Bourbon County, KY..............
                             Clark County, KY................
                             Fayette County, KY..............
                             Jessamine County, KY............
                             Scott County, KY................
                             Woodford County, KY.............

[[Page 70033]]

 
30620.....................  Lima, OH.........................     0.9520
                             Allen County, OH................
30700.....................  Lincoln, NE......................     1.0625
                             Lancaster County, NE............
                             Seward County, NE...............
30780.....................  Little Rock-North Little Rock, AR     0.9360
                             Faulkner County, AR.............
                             Grant County, AR................
                             Lonoke County, AR...............
                             Perry County, AR................
                             Pulaski County, AR..............
                             Saline County, AR...............
30860.....................  Logan, UT-ID.....................     0.9499
                             Franklin County, ID.............
                             Cache County, UT................
30980.....................  Longview, TX.....................     0.9252
                             Gregg County, TX................
                             Rusk County, TX.................
                             Upshur County, TX...............
31020.....................  Longview, WA.....................     1.0540
                             Cowlitz County, WA..............
31084.....................  Los Angeles-Long Beach-Glendale,      1.2381
                             CA.
                             Los Angeles County, CA..........
31140.....................  Louisville-Jefferson County, KY-      0.9600
                             IN.
                             Clark County, IN................
                             Floyd County, IN................
                             Harrison County, IN.............
                             Washington County, IN...........
                             Bullitt County, KY..............
                             Henry County, KY................
                             Jefferson County, KY............
                             Meade County, KY................
                             Nelson County, KY...............
                             Oldham County, KY...............
                             Shelby County, KY...............
                             Spencer County, KY..............
                             Trimble County, KY..............
31180.....................  Lubbock, TX......................     0.9068
                             Crosby County, TX...............
                             Lubbock County, TX..............
31340.....................  Lynchburg, VA....................     0.9153
                             Amherst County, VA..............
                             Appomattox County, VA...........
                             Bedford County, VA..............
                             Campbell County, VA.............
                             Bedford City, VA................
                             Lynchburg City, VA..............
31420.....................  Macon, GA........................     1.0022
                             Bibb County, GA.................
                             Crawford County, GA.............
                             Jones County, GA................
                             Monroe County, GA...............
                             Twiggs County, GA...............
31460.....................  Madera, CA.......................     0.8585
                             Madera County, CA...............
31540.....................  Madison, WI......................     1.1413
                             Columbia County, WI.............
                             Dane County, WI.................
                             Iowa County, WI.................
31700.....................  Manchester-Nashua, NH............     1.0784
                             Hillsborough County, NH.........
                             Merrimack County, NH............
31900.....................  Mansfield, OH....................     0.9761
                             Richland County, OH.............
32420.....................  Mayag[uuml]ez, PR................     0.8423
                             Hormigueros Municipio, PR.......
                             Mayag[uuml]ez Municipio, PR.....
32580.....................  McAllen-Edinburg-Mission, TX.....     0.9236
                             Hidalgo County, TX..............
32780.....................  Medford, OR......................     1.1389
                             Jackson County, OR..............

[[Page 70034]]

 
32820.....................  Memphis, TN-MS-AR................     0.9868
                             Crittenden County, AR...........
                             DeSoto County, MS...............
                             Marshall County, MS.............
                             Tate County, MS.................
                             Tunica County, MS...............
                             Fayette County, TN..............
                             Shelby County, TN...............
                             Tipton County, TN...............
32900.....................  Merced, CA.......................     1.2077
                             Merced County, CA...............
33124.....................  Miami-Miami Beach-Kendall, FL....     1.0330
                             Miami-Dade County, FL...........
33140.....................  Michigan City-La Porte, IN.......     0.9600
                             LaPorte County, IN..............
33260.....................  Midland, TX......................     1.0303
                             Midland County, TX..............
33340.....................  Milwaukee-Waukesha-West Allis, WI     1.0758
                             Milwaukee County, WI............
                             Ozaukee County, WI..............
                             Washington County, WI...........
                             Waukesha County, WI.............
33460.....................  Minneapolis-St. Paul-Bloomington,     1.1524
                             MN-WI.
                             Anoka County, MN................
                             Carver County, MN...............
                             Chisago County, MN..............
                             Dakota County, MN...............
                             Hennepin County, MN.............
                             Isanti County, MN...............
                             Ramsey County, MN...............
                             Scott County, MN................
                             Sherburne County, MN............
                             Washington County, MN...........
                             Wright County, MN...............
                             Pierce County, WI...............
                             St. Croix County, WI............
33540.....................  Missoula, MT.....................     0.9400
                             Missoula County, MT.............
33660.....................  Mobile, AL.......................     0.8423
                             Mobile County, AL...............
33700.....................  Modesto, CA......................     1.2349
                             Stanislaus County, CA...........
33740.....................  Monroe, LA.......................     0.8423
                             Ouachita Parish, LA.............
                             Union Parish, LA................
33780.....................  Monroe, MI.......................     1.0220
                             Monroe County, MI...............
33860.....................  Montgomery, AL...................     0.8432
                             Autauga County, AL..............
                             Elmore County, AL...............
                             Lowndes County, AL..............
                             Montgomery County, AL...........
34060.....................  Morgantown, WV...................     0.8868
                             Monongalia County, WV...........
                             Preston County, WV..............
34100.....................  Morristown, TN...................     0.8423
                             Grainger County, TN.............
                             Hamblen County, TN..............
                             Jefferson County, TN............
34580.....................  Mount Vernon-Anacortes, WA.......     1.1072
                             Skagit County, WA...............
34620.....................  Muncie, IN.......................     0.9014
                             Delaware County, IN.............
34740.....................  Muskegon-Norton Shores, MI.......     1.0466
                             Muskegon County, MI.............
34820.....................  Myrtle Beach-Conway-North Myrtle      0.9275
                             Beach, SC.
                             Horry County, SC................
34900.....................  Napa, CA.........................     1.4080
                             Napa County, CA.................
34940.....................  Naples-Marco Island, FL..........     1.0466
                             Collier County, FL..............

[[Page 70035]]

 
34980.....................  Nashville-Davidson--Murfreesboro,     1.0367
                             TN.
                             Cannon County, TN...............
                             Cheatham County, TN.............
                             Davidson County, TN.............
                             Dickson County, TN..............
                             Hickman County, TN..............
                             Macon County, TN................
                             Robertson County, TN............
                             Rutherford County, TN...........
                             Smith County, TN................
                             Sumner County, TN...............
                             Trousdale County, TN............
                             Williamson County, TN...........
                             Wilson County, TN...............
35004.....................  Nassau-Suffolk, NY...............     1.3331
                             Nassau County, NY...............
                             Suffolk County, NY..............
35084.....................  Newark-Union, NJ-PA..............     1.2520
                             Essex County, NJ................
                             Hunterdon County, NJ............
                             Morris County, NJ...............
                             Sussex County, NJ...............
                             Union County, NJ................
                             Pike County, PA.................
35300.....................  New Haven-Milford, CT............     1.2584
                             New Haven County, CT............
35380.....................  New Orleans-Metairie-Kenner, LA..     0.9297
                             Jefferson Parish, LA............
                             Orleans Parish, LA..............
                             Plaquemines Parish, LA..........
                             St. Bernard Parish, LA..........
                             St. Charles Parish, LA..........
                             St. John the Baptist Parish, LA.
                             St. Tammany Parish, LA..........
35644.....................  New York-White Plains-Wayne, NY-      1.3873
                             NJ.
                             Bergen County, NJ...............
                             Hudson County, NJ...............
                             Passaic County, NJ..............
                             Bronx County, NY................
                             Kings County, NY................
                             New York County, NY.............
                             Putnam County, NY...............
                             Queens County, NY...............
                             Richmond County, NY.............
                             Rockland County, NY.............
                             Westchester County, NY..........
35660.....................  Niles-Benton Harbor, MI..........     0.9386
                             Berrien County, MI..............
35980.....................  Norwich-New London, CT...........     1.2562
                             New London County, CT...........
36084.....................  Oakland-Fremont-Hayward, CA......     1.6655
                             Alameda County, CA..............
                             Contra Costa County, CA.........
36100.....................  Ocala, FL........................     0.9335
                             Marion County, FL...............
36140.....................  Ocean City, NJ...................     1.1025
                             Cape May County, NJ.............
36220.....................  Odessa, TX.......................     1.0605
                             Ector County, TX................
36260.....................  Ogden-Clearfield, UT.............     0.9470
                             Davis County, UT................
                             Morgan County, UT...............
                             Weber County, UT................
36420.....................  Oklahoma City, OK................     0.9310
                             Canadian County, OK.............
                             Cleveland County, OK............
                             Grady County, OK................
                             Lincoln County, OK..............
                             Logan County, OK................
                             McClain County, OK..............
                             Oklahoma County, OK.............

[[Page 70036]]

 
36500.....................  Olympia, WA......................     1.1666
                             Thurston County, WA.............
36540.....................  Omaha-Council Bluffs, NE-IA......     0.9949
                             Harrison County, IA.............
                             Mills County, IA................
                             Pottawattamie County, IA........
                             Cass County, NE.................
                             Douglas County, NE..............
                             Sarpy County, NE................
                             Saunders County, NE.............
                             Washington County, NE...........
36740.....................  Orlando-Kissimmee, FL............     0.9951
                             Lake County, FL.................
                             Orange County, FL...............
                             Osceola County, FL..............
                             Seminole County, FL.............
36780.....................  Oshkosh-Neenah, WI...............     0.9807
                             Winnebago County, WI............
36980.....................  Owensboro, KY....................     0.9210
                             Daviess County, KY..............
                             Hancock County, KY..............
                             McLean County, KY...............
37100.....................  Oxnard-Thousand Oaks-Ventura, CA.     1.2156
                             Ventura County, CA..............
37340.....................  Palm Bay-Melbourne-Titusville, FL     0.9942
                             Brevard County, FL..............
37460.....................  Panama City-Lynn Haven, FL.......     0.8451
                             Bay County, FL..................
37620.....................  Parkersburg-Marietta-Vienna, WV-      0.8423
                             OH.
                             Washington County, OH...........
                             Pleasants County, WV............
                             Wirt County, WV.................
                             Wood County, WV.................
37700.....................  Pascagoula, MS...................     0.8649
                             George County, MS...............
                             Jackson County, MS..............
37860.....................  Pensacola-Ferry Pass-Brent, FL...     0.8423
                             Escambia County, FL.............
                             Santa Rosa County, FL...........
37900.....................  Peoria, IL.......................     0.9456
                             Marshall County, IL.............
                             Peoria County, IL...............
                             Stark County, IL................
                             Tazewell County, IL.............
                             Woodford County, IL.............
37964.....................  Philadelphia, PA.................     1.1577
                             Bucks County, PA................
                             Chester County, PA..............
                             Delaware County, PA.............
                             Montgomery County, PA...........
                             Philadelphia County, PA.........
38060.....................  Phoenix-Mesa-Scottsdale, AZ......     1.0830
                             Maricopa County, AZ.............
                             Pinal County, AZ................
38220.....................  Pine Bluff, AR...................     0.8826
                             Cleveland County, AR............
                             Jefferson County, AR............
                             Lincoln County, AR..............
38300.....................  Pittsburgh, PA...................     0.9132
                             Allegheny County, PA............
                             Armstrong County, PA............
                             Beaver County, PA...............
                             Butler County, PA...............
                             Fayette County, PA..............
                             Washington County, PA...........
                             Westmoreland County, PA.........
38340.....................  Pittsfield, MA...................     1.0808
                             Berkshire County, MA............
38540.....................  Pocatello, ID....................     0.9896
                             Bannock County, ID..............
                             Power County, ID................

[[Page 70037]]

 
38660.....................  Ponce, PR........................     0.8423
                             Juana D[iacute]az Municipio, PR.
                             Ponce Municipio, PR.............
                             Villalba Municipio, PR..........
38860.....................  Portland-South Portland-              1.0431
                             Biddeford, ME.
                             Cumberland County, ME...........
                             Sagadahoc County, ME............
                             York County, ME.................
38900.....................  Portland-Vancouver-Beaverton, OR-     1.2019
                             WA.
                             Clackamas County, OR............
                             Columbia County, OR.............
                             Multnomah County, OR............
                             Washington County, OR...........
                             Yamhill County, OR..............
                             Clark County, WA................
                             Skamania County, WA.............
38940.....................  Port St. Lucie-Fort Pierce, FL...     1.0352
                             Martin County, FL...............
                             St. Lucie County, FL............
39100.....................  Poughkeepsie-Newburgh-Middletown,     1.1487
                             NY.
                             Dutchess County, NY.............
                             Orange County, NY...............
39140.....................  Prescott, AZ.....................     1.0356
                             Yavapai County, AZ..............
39300.....................  Providence-New Bedford-Fall           1.1353
                             River, RI-MA.
                             Bristol County, MA..............
                             Bristol County, RI..............
                             Kent County, RI.................
                             Newport County, RI..............
                             Providence County, RI...........
                             Washington County, RI...........
39340.....................  Provo-Orem, UT...................     1.0041
                             Juab County, UT.................
                             Utah County, UT.................
39380.....................  Pueblo, CO.......................     0.9215
                             Pueblo County, CO...............
39460.....................  Punta Gorda, FL..................     0.9902
                             Charlotte County, FL............
39540.....................  Racine, WI.......................     0.9850
                             Racine County, WI...............
39580.....................  Raleigh-Cary, NC.................     1.0385
                             Franklin County, NC.............
                             Johnston County, NC.............
                             Wake County, NC.................
39660.....................  Rapid City, SD...................     0.9300
                             Meade County, SD................
                             Pennington County, SD...........
39740.....................  Reading, PA......................     1.0130
                             Berks County, PA................
39820.....................  Redding, CA......................     1.3985
                             Shasta County, CA...............
39900.....................  Reno-Sparks, NV..................     1.2595
                             Storey County, NV...............
                             Washoe County, NV...............
40060.....................  Richmond, VA.....................     0.9662
                             Amelia County, VA...............
                             Caroline County, VA.............
                             Charles City County, VA.........
                             Chesterfield County, VA.........
                             Cumberland County, VA...........
                             Dinwiddie County, VA............
                             Goochland County, VA............
                             Hanover County, VA..............
                             Henrico County, VA..............
                             King and Queen County, VA.......
                             King William County, VA.........
                             Louisa County, VA...............
                             New Kent County, VA.............
                             Powhatan County, VA.............
                             Prince George County, VA........
                             Sussex County, VA...............

[[Page 70038]]

 
                             Colonial Heights City, VA.......
                             Hopewell City, VA...............
                             Petersburg City, VA.............
                             Richmond City, VA...............
40140.....................  Riverside-San Bernardino-Ontario,     1.1480
                             CA.
                             Riverside County, CA............
                             San Bernardino County, CA.......
40220.....................  Roanoke, VA......................     0.9104
                             Botetourt County, VA............
                             Craig County, VA................
                             Franklin County, VA.............
                             Roanoke County, VA..............
                             Roanoke City, VA................
                             Salem City, VA..................
40340.....................  Rochester, MN....................     1.2011
                             Dodge County, MN................
                             Olmsted County, MN..............
                             Wabasha County, MN..............
40380.....................  Rochester, NY....................     0.9469
                             Livingston County, NY...........
                             Monroe County, NY...............
                             Ontario County, NY..............
                             Orleans County, NY..............
                             Wayne County, NY................
40420.....................  Rockford, IL.....................     1.0517
                             Boone County, IL................
                             Winnebago County, IL............
40484.....................  Rockingham County-Strafford           1.0696
                             County, NH.
                             Rockingham County, NH...........
                             Strafford County, NH............
40580.....................  Rocky Mount, NC..................     0.9322
                             Edgecombe County, NC............
                             Nash County, NC.................
40660.....................  Rome, GA.........................     0.9679
                             Floyd County, GA................
40900.....................  Sacramento--Arden-Arcade--            1.4078
                             Roseville, CA.
                             El Dorado County, CA............
                             Placer County, CA...............
                             Sacramento County, CA...........
                             Yolo County, CA.................
40980.....................  Saginaw-Saginaw Township North,       0.9343
                             MI.
                             Saginaw County, MI..............
41060.....................  St. Cloud, MN....................     1.0909
                             Benton County, MN...............
                             Stearns County, MN..............
41100.....................  St. George, UT...................     0.9754
                             Washington County, UT...........
41140.....................  St. Joseph, MO-KS................     1.0652
                             Doniphan County, KS.............
                             Andrew County, MO...............
                             Buchanan County, MO.............
                             DeKalb County, MO...............
41180.....................  St. Louis, MO-IL.................     0.9481
                             Bond County, IL.................
                             Calhoun County, IL..............
                             Clinton County, IL..............
                             Jersey County, IL...............
                             Macoupin County, IL.............
                             Madison County, IL..............
                             Monroe County, IL...............
                             St. Clair County, IL............
                             Crawford County, MO.............
                             Franklin County, MO.............
                             Jefferson County, MO............
                             Lincoln County, MO..............
                             St. Charles County, MO..........
                             St. Louis County, MO............
                             Warren County, MO...............
                             Washington County, MO...........
                             St. Louis City, MO..............
41420.....................  Salem, OR........................     1.0989

[[Page 70039]]

 
                             Marion County, OR...............
                             Polk County, OR.................
41500.....................  Salinas, CA......................     1.5094
                             Monterey County, CA.............
41540.....................  Salisbury, MD....................     0.9426
                             Somerset County, MD.............
                             Wicomico County, MD.............
41620.....................  Salt Lake City, UT...............     0.9899
                             Salt Lake County, UT............
                             Summit County, UT...............
                             Tooele County, UT...............
41660.....................  San Angelo, TX...................     0.8804
                             Irion County, TX................
                             Tom Green County, TX............
41700.....................  San Antonio, TX..................     0.9311
                             Atascosa County, TX.............
                             Bandera County, TX..............
                             Bexar County, TX................
                             Comal County, TX................
                             Guadalupe County, TX............
                             Kendall County, TX..............
                             Medina County, TX...............
                             Wilson County, TX...............
41740.....................  San Diego-Carlsbad-San Marcos, CA     1.1954
                             San Diego County, CA............
41780.....................  Sandusky, OH.....................     0.9793
                             Erie County, OH.................
41884.....................  San Francisco-San Mateo-Redwood       1.5966
                             City, CA.
                             Marin County, CA................
                             San Francisco County, CA........
                             San Mateo County, CA............
41900.....................  San Germ[aacute]n-Cabo Rojo, PR..     0.8423
                             Cabo Rojo Municipio, PR.........
                             Lajas Municipio, PR.............
                             Sabana Grande Municipio, PR.....
                             San Germ[aacute]n Municipio, PR.
41940.....................  San Jose-Sunnyvale-Santa Clara,       1.6364
                             CA.
                             San Benito County, CA...........
                             Santa Clara County, CA..........
41980.....................  San Juan-Caguas-Guaynabo, PR.....     0.8423
                             Aguas Buenas Municipio, PR......
                             Aibonito Municipio, PR..........
                             Arecibo Municipio, PR...........
                             Barceloneta Municipio, PR.......
                             Barranquitas Municipio, PR......
                             Bayam[oacute]n Municipio, PR....
                             Caguas Municipio, PR............
                             Camuy Municipio, PR.............
                             Can[oacute]vanas Municipio, PR..
                             Carolina Municipio, PR..........
                             Cata[ntilde]o Municipio, PR.....
                             Cayey Municipio, PR.............
                             Ciales Municipio, PR............
                             Cidra Municipio, PR.............
                             Comer[iacute]o Municipio, PR....
                             Corozal Municipio, PR...........
                             Dorado Municipio, PR............
                             Florida Municipio, PR...........
                             Guaynabo Municipio, PR..........
                             Gurabo Municipio, PR............
                             Hatillo Municipio, PR...........
                             Humacao Municipio, PR...........
                             Juncos Municipio, PR............
                             Las Piedras Municipio, PR.......
                             Lo[iacute]za Municipio, PR......
                             Manat[iacute] Municipio, PR.....
                             Maunabo Municipio, PR...........
                             Morovis Municipio, PR...........
                             Naguabo Municipio, PR...........
                             Naranjito Municipio, PR.........
                             Orocovis Municipio, PR..........

[[Page 70040]]

 
                             Quebradillas Municipio, PR......
                             R[iacute]o Grande Municipio, PR.
                             San Juan Municipio, PR..........
                             San Lorenzo Municipio, PR.......
                             Toa Alta Municipio, PR..........
                             Toa Baja Municipio, PR..........
                             Trujillo Alto Municipio, PR.....
                             Vega Alta Municipio, PR.........
                             Vega Baja Municipio, PR.........
                             Yabucoa Municipio, PR...........
42020.....................  San Luis Obispo-Paso Robles, CA..     1.2211
                             San Luis Obispo County, CA......
42044.....................  Santa Ana-Anaheim-Irvine, CA.....     1.2079
                             Orange County, CA...............
42060.....................  Santa Barbara-Santa Maria, CA....     1.1677
                             Santa Barbara County, CA........
42100.....................  Santa Cruz-Watsonville, CA.......     1.6273
                             Santa Cruz County, CA...........
42140.....................  Santa Fe, NM.....................     1.1396
                             Santa Fe County, NM.............
42220.....................  Santa Rosa-Petaluma, CA..........     1.5228
                             Sonoma County, CA...............
42260.....................  Sarasota-Bradenton-Venice, FL....     1.0389
                             Manatee County, FL..............
                             Sarasota County, FL.............
42340.....................  Savannah, GA.....................     0.9845
                             Bryan County, GA................
                             Chatham County, GA..............
                             Effingham County, GA............
42540.....................  Scranton--Wilkes-Barre, PA.......     0.8788
                             Lackawanna County, PA...........
                             Luzerne County, PA..............
                             Wyoming County, PA..............
42644.....................  Seattle-Bellevue-Everett, WA.....     1.2038
42680.....................  Sebastian-Vero Beach, FL.........     1.0079
                             Indian River County, FL.........
43100.....................  Sheboygan, WI....................     0.9503
                             Sheboygan County, WI............
43300.....................  Sherman-Denison, TX..............     0.8951
                             Grayson County, TX..............
43340.....................  Shreveport-Bossier City, LA......     0.9333
                             Bossier Parish, LA..............
                             Caddo Parish, LA................
                             De Soto Parish, LA..............
43580.....................  Sioux City, IA-NE-SD.............     0.9686
                             Woodbury County, IA.............
                             Dakota County, NE...............
                             Dixon County, NE................
                             Union County, SD................
43620.....................  Sioux Falls, SD..................     1.0064
                             Lincoln County, SD..............
                             McCook County, SD...............
                             Minnehaha County, SD............
                             Turner County, SD...............
43780.....................  South Bend-Mishawaka, IN-MI......     1.0362
                             St. Joseph County, IN...........
                             Cass County, MI.................
43900.....................  Spartanburg, SC..................     0.9659
                             Spartanburg County, SC..........
44060.....................  Spokane, WA......................     1.0999
                             Spokane County, WA..............
44100.....................  Springfield, IL..................     0.9360
                             Menard County, IL...............
                             Sangamon County, IL.............
44140.....................  Springfield, MA..................     1.0611
                             Franklin County, MA.............
                             Hampden County, MA..............
                             Hampshire County, MA............
44180.....................  Springfield, MO..................     0.8916
                             Christian County, MO............
                             Dallas County, MO...............

[[Page 70041]]

 
                             Greene County, MO...............
                             Polk County, MO.................
                             Webster County, MO..............
44220.....................  Springfield, OH..................     0.9047
                             Clark County, OH................
44300.....................  State College, PA................     0.9248
                             Centre County, PA...............
44700.....................  Stockton, CA.....................     1.2046
                             San Joaquin County, CA..........
44940.....................  Sumter, SC.......................     0.8510
                             Sumter County, SC...............
45060.....................  Syracuse, NY.....................     1.0203
                             Madison County, NY..............
                             Onondaga County, NY.............
                             Oswego County, NY...............
45104.....................  Tacoma, WA.......................     1.1359
                             Pierce County, WA...............
45220.....................  Tallahassee, FL..................     0.9414
                             Gadsden County, FL..............
                             Jefferson County, FL............
                             Leon County, FL.................
                             Wakulla County, FL..............
45300.....................  Tampa-St. Petersburg-Clearwater,      0.9627
                             FL.
                             Hernando County, FL.............
                             Hillsborough County, FL.........
                             Pasco County, FL................
                             Pinellas County, FL.............
45460.....................  Terre Haute, IN..................     0.9228
                             Clay County, IN.................
                             Sullivan County, IN.............
                             Vermillion County, IN...........
                             Vigo County, IN.................
45500.....................  Texarkana, TX-Texarkana, AR......     0.8532
                             Miller County, AR...............
                             Bowie County, TX................
45780.....................  Toledo, OH.......................     1.0092
                             Fulton County, OH...............
                             Lucas County, OH................
                             Ottawa County, OH...............
                             Wood County, OH.................
45820.....................  Topeka, KS.......................     0.9191
                             Jackson County, KS..............
                             Jefferson County, KS............
                             Osage County, KS................
                             Shawnee County, KS..............
                             Wabaunsee County, KS............
45940.....................  Trenton-Ewing, NJ................     1.1407
                             Mercer County, NJ...............
46060.....................  Tucson, AZ.......................     0.9688
                             Pima County, AZ.................
46140.....................  Tulsa, OK........................     0.8531
                             Creek County, OK................
                             Okmulgee County, OK.............
                             Osage County, OK................
                             Pawnee County, OK...............
                             Rogers County, OK...............
                             Tulsa County, OK................
                             Wagoner County, OK..............
46220.....................  Tuscaloosa, AL...................     0.8993
                             Greene County, AL...............
                             Hale County, AL.................
                             Tuscaloosa County, AL...........
46340.....................  Tyler, TX........................     0.9276
                             Smith County, TX................
46540.....................  Utica-Rome, NY...................     0.8839
                             Herkimer County, NY.............
                             Oneida County, NY...............
46660.....................  Valdosta, GA.....................     0.8811
                             Brooks County, GA...............
                             Echols County, GA...............
                             Lanier County, GA...............

[[Page 70042]]

 
                             Lowndes County, GA..............
46700.....................  Vallejo-Fairfield, CA............     1.5937
                             Solano County, CA...............
47020.....................  Victoria, TX.....................     0.9012
                             Calhoun County, TX..............
                             Goliad County, TX...............
                             Victoria County, TX.............
47220.....................  Vineland-Millville-Bridgeton, NJ.     1.0351
                             Cumberland County, NJ...........
47260.....................  Virginia Beach-Norfolk-Newport        0.9254
                             News, VA-NC.
                             Currituck County, NC............
                             Gloucester County, VA...........
                             Isle of Wight County, VA........
                             James City County, VA...........
                             Mathews County, VA..............
                             Surry County, VA................
                             York County, VA.................
                             Chesapeake City, VA.............
                             Hampton City, VA................
                             Newport News City, VA...........
                             Norfolk City, VA................
                             Poquoson City, VA...............
                             Portsmouth City, VA.............
                             Suffolk City, VA................
                             Virginia Beach City, VA.........
                             Williamsburg City, VA...........
47300.....................  Visalia-Porterville, CA..........     1.0494
                             Tulare County, CA...............
47380.....................  Waco, TX.........................     0.9089
                             McLennan County, TX.............
47580.....................  Warner Robins, GA................     0.8823
                             Houston County, GA..............
47644.....................  Warren-Troy-Farmington Hills, MI.     1.0585
                             Lapeer County, MI...............
                             Livingston County, MI...........
                             Macomb County, MI...............
                             Oakland County, MI..............
                             St. Clair County, MI............
47894.....................  Washington-Arlington-Alexandria,      1.1638
                             DC-VA-MD-WV.
                             District of Columbia, DC........
                             Calvert County, MD..............
                             Charles County, MD..............
                             Prince George's County, MD......
                             Arlington County, VA............
                             Clarke County, VA...............
                             Fairfax County, VA..............
                             Fauquier County, VA.............
                             Loudoun County, VA..............
                             Prince William County, VA.......
                             Spotsylvania County, VA.........
                             Stafford County, VA.............
                             Warren County, VA...............
                             Alexandria City, VA.............
                             Fairfax City, VA................
                             Falls Church City, VA...........
                             Fredericksburg City, VA.........
                             Manassas City, VA...............
                             Manassas Park City, VA..........
                             Jefferson County, WV............
47940.....................  Waterloo-Cedar Falls, IA.........     0.8852
                             Black Hawk County, IA...........
                             Bremer County, IA...............
                             Grundy County, IA...............
48140.....................  Wausau, WI.......................     1.0235
                             Marathon County, WI.............
48260.....................  Weirton-Steubenville, WV-OH......     0.8489
                             Jefferson County, OH............
                             Brooke County, WV...............
                             Hancock County, WV..............
48300.....................  Wenatchee, WA....................     1.0892
                             Chelan County, WA...............

[[Page 70043]]

 
                             Douglas County, WA..............
48424.....................  West Palm Beach-Boca Raton-           1.0159
                             Boynton Beach, FL.
                             Palm Beach County, FL...........
48540.....................  Wheeling, WV-OH..................     0.8423
                             Belmont County, OH..............
                             Marshall County, WV.............
                             Ohio County, WV.................
48620.....................  Wichita, KS......................     0.9542
                             Butler County, KS...............
                             Harvey County, KS...............
                             Sedgwick County, KS.............
                             Sumner County, KS...............
48660.....................  Wichita Falls, TX................     0.8750
                             Archer County, TX...............
                             Clay County, TX.................
                             Wichita County, TX..............
48700.....................  Williamsport, PA.................     0.8569
                             Lycoming County, PA.............
48864.....................  Wilmington, DE-MD-NJ.............     1.1248
                             New Castle County, DE...........
                             Cecil County, MD................
                             Salem County, NJ................
48900.....................  Wilmington, NC...................     1.0354
                             Brunswick County, NC............
                             New Hanover County, NC..........
                             Pender County, NC...............
49020.....................  Winchester, VA-WV................     1.0624
                             Frederick County, VA............
                             Winchester City, VA.............
                             Hampshire County, WV............
49180.....................  Winston-Salem, NC................     0.9766
                             Davie County, NC................
                             Forsyth County, NC..............
                             Stokes County, NC...............
                             Yadkin County, NC...............
49340.....................  Worcester, MA....................     1.1288
                             Worcester County, MA............
49420.....................  Yakima, WA.......................     1.0367
                             Yakima County, WA...............
49500.....................  Yauco, PR........................     0.8423
                             Gu[aacute]nica Municipio, PR....
                             Guayanilla Municipio, PR........
                             Pe[ntilde]uelas Municipio, PR...
                             Yauco Municipio, PR.............
49620.....................  York-Hanover, PA.................     0.9893
                             York County, PA.................
49660.....................  Youngstown-Warren-Boardman, OH-PA     0.9267
                             Mahoning County, OH.............
                             Trumbull County, OH.............
                             Mercer County, PA...............
49700.....................  Yuba City, CA....................     1.1297
                             Sutter County, CA...............
                             Yuba County, CA.................
49740.....................  Yuma, AZ.........................     0.9590
                             Yuma County, AZ.................
------------------------------------------------------------------------


Addendum H.--CY 2007 ESRD Wage Index for Rural Areas Based on CBSA Labor
                              Market Areas
------------------------------------------------------------------------
                                                                  Wage
          CBSA code                     Nonurban area            index
------------------------------------------------------------------------
1............................  Alabama.......................     0.8423
2............................  Alaska........................     1.1224
3............................  Arizona.......................     0.9379
4............................  Arkansas......................     0.8423
5............................  California....................     1.2059
6............................  Colorado......................     0.9818
7............................  Connecticut...................     1.2327
8............................  Delaware......................     1.0218
10...........................  Florida.......................     0.9048
11...........................  Georgia.......................     0.8423
12...........................  Hawaii........................     1.1000
13...........................  Idaho.........................     0.8549
14...........................  Illinois......................     0.8759
15...........................  Indiana.......................     0.8989
16...........................  Iowa..........................     0.9140

[[Page 70044]]

 
17...........................  Kansas........................     0.8423
18...........................  Kentucky......................     0.8423
19...........................  Louisiana.....................     0.8423
20...........................  Maine.........................     0.8889
21...........................  Maryland......................     0.9397
22...........................  Massachusetts.................     1.0756
23...........................  Michigan......................     0.9541
24...........................  Minnesota.....................     0.9636
25...........................  Mississippi...................     0.8423
26...........................  Missouri......................     0.8423
27...........................  Montana.......................     0.9044
28...........................  Nebraska......................     0.9135
29...........................  Nevada........................     0.9416
30...........................  New Hampshire.................     1.1426
31...........................  New Jersey \1\................  .........
32...........................  New Mexico....................     0.8772
33...........................  New York......................     0.8667
34...........................  North Carolina................     0.9042
35...........................  North Dakota..................     0.8423
36...........................  Ohio..........................     0.9115
37...........................  Oklahoma......................     0.8423
38...........................  Oregon........................     1.0268
39...........................  Pennsylvania..................     0.8759
40...........................  Puerto Rico...................     0.8423
41...........................  Rhode Island \1\..............  .........
42...........................  South Carolina................     0.9018
43...........................  South Dakota..................     0.8928
44...........................  Tennessee.....................     0.8423
45...........................  Texas.........................     0.8423
46...........................  Utah..........................     0.8570
47...........................  Vermont.......................     1.0259
48...........................  Virgin Islands................     0.8914
49...........................  Virginia......................     0.8423
50...........................  Washington....................     1.0805
51...........................  West Virginia.................     0.8423
52...........................  Wisconsin.....................     1.0058
53...........................  Wyoming.......................     0.9786
------------------------------------------------------------------------
\1\ All counties in the States of New Jersey and Rhode Island are urban.


         Addendum I.--RUCA Rurality Level by State and Zip Code
------------------------------------------------------------------------
                                                                    RUCA
                         State                           Zip code  level
------------------------------------------------------------------------
AK.....................................................     99501  1.0
AK.....................................................     99502  1.0
AK.....................................................     99503  1.0
AK.....................................................     99504  1.0
AK.....................................................     99505  1.0
AK.....................................................     99506  1.0
AK.....................................................     99507  1.0
AK.....................................................     99508  1.0
AK.....................................................     99509  1.0
AK.....................................................     99510  1.0
AK.....................................................     99511  1.0
AK.....................................................     99512  1.0
AK.....................................................     99513  1.0
AK.....................................................     99514  1.0
AK.....................................................     99515  1.0
AK.....................................................     99516  1.0
AK.....................................................     99517  1.0
AK.....................................................     99518  1.0
AK.....................................................     99519  1.0
AK.....................................................     99520  1.0
AK.....................................................     99521  1.0
AK.....................................................     99522  1.0
AK.....................................................     99523  1.0
AK.....................................................     99524  1.0
AK.....................................................     99529  1.0
AK.....................................................     99530  1.0
AK.....................................................     99540  2.0
AK.....................................................     99546  10.5
AK.....................................................     99547  10.5
AK.....................................................     99548  10.0
AK.....................................................     99549  10.0
AK.....................................................     99550  4.0
AK.....................................................     99551  10.0
AK.....................................................     99552  10.0
AK.....................................................     99553  10.0
AK.....................................................     99554  10.0
AK.....................................................     99555  10.0
AK.....................................................     99556  10.0
AK.....................................................     99557  10.0
AK.....................................................     99558  10.0
AK.....................................................     99559  7.0
AK.....................................................     99561  10.0
AK.....................................................     99563  10.0
AK.....................................................     99564  10.0
AK.....................................................     99565  10.0
AK.....................................................     99566  10.0
AK.....................................................     99567  2.0
AK.....................................................     99568  8.0
AK.....................................................     99569  10.0
AK.....................................................     99571  10.0
AK.....................................................     99572  10.0
AK.....................................................     99573  10.0
AK.....................................................     99574  10.0
AK.....................................................     99575  10.0
AK.....................................................     99576  10.0
AK.....................................................     99577  2.0
AK.....................................................     99578  10.0
AK.....................................................     99579  10.0
AK.....................................................     99580  10.0
AK.....................................................     99581  1.0
AK.....................................................     99583  10.0
AK.....................................................     99584  10.0
AK.....................................................     99585  10.0
AK.....................................................     99586  10.0
AK.....................................................     99587  2.0
AK.....................................................     99588  10.0
AK.....................................................     99589  10.0
AK.....................................................     99590  10.0
AK.....................................................     99591  10.5
AK.....................................................     99599  1.0
AK.....................................................     99602  10.0
AK.....................................................     99603  10.0
AK.....................................................     99604  10.0
AK.....................................................     99605  10.0
AK.....................................................     99606  10.0
AK.....................................................     99607  10.0
AK.....................................................     99608  4.0
AK.....................................................     99609  7.0
AK.....................................................     99610  8.0
AK.....................................................     99611  7.0
AK.....................................................     99612  10.0
AK.....................................................     99613  10.0
AK.....................................................     99614  10.0
AK.....................................................     99615  4.0
AK.....................................................     99619  4.0
AK.....................................................     99620  10.0
AK.....................................................     99621  10.0
AK.....................................................     99622  10.0
AK.....................................................     99624  4.0
AK.....................................................     99625  10.0
AK.....................................................     99626  10.0
AK.....................................................     99627  10.0
AK.....................................................     99628  10.0
AK.....................................................     99629  4.1
AK.....................................................     99630  10.0
AK.....................................................     99631  10.0
AK.....................................................     99632  10.0
AK.....................................................     99633  10.0
AK.....................................................     99634  10.0
AK.....................................................     99635  7.0
AK.....................................................     99636  10.0
AK.....................................................     99637  10.0
AK.....................................................     99638  10.5
AK.....................................................     99639  10.0
AK.....................................................     99640  10.0
AK.....................................................     99641  7.0
AK.....................................................     99643  4.0
AK.....................................................     99644  4.0
AK.....................................................     99645  2.0
AK.....................................................     99647  10.0
AK.....................................................     99648  10.0
AK.....................................................     99649  10.0
AK.....................................................     99650  10.0
AK.....................................................     99651  10.0
AK.....................................................     99652  5.2
AK.....................................................     99653  10.0
AK.....................................................     99654  4.1
AK.....................................................     99655  10.0
AK.....................................................     99656  10.0
AK.....................................................     99657  10.0
AK.....................................................     99658  10.0
AK.....................................................     99659  10.0
AK.....................................................     99660  10.5
AK.....................................................     99661  10.0
AK.....................................................     99662  10.0
AK.....................................................     99663  10.0
AK.....................................................     99664  10.0
AK.....................................................     99665  10.0
AK.....................................................     99666  10.0
AK.....................................................     99667  10.0
AK.....................................................     99668  10.0
AK.....................................................     99669  8.0
AK.....................................................     99670  10.0
AK.....................................................     99671  10.0
AK.....................................................     99672  8.0
AK.....................................................     99674  2.0
AK.....................................................     99675  10.0
AK.....................................................     99676  10.0
AK.....................................................     99677  10.0
AK.....................................................     99678  10.0
AK.....................................................     99679  10.0
AK.....................................................     99680  7.0
AK.....................................................     99681  10.0
AK.....................................................     99682  10.0
AK.....................................................     99683  5.2
AK.....................................................     99684  10.0
AK.....................................................     99685  7.3
AK.....................................................     99686  10.0
AK.....................................................     99687  5.2
AK.....................................................     99688  5.0
AK.....................................................     99689  10.1
AK.....................................................     99690  7.0
AK.....................................................     99691  10.0
AK.....................................................     99692  7.3
AK.....................................................     99693  10.0
AK.....................................................     99694  5.0
AK.....................................................     99695  1.0
AK.....................................................     99697  4.0

[[Page 70045]]

 
AK.....................................................     99701  1.0
AK.....................................................     99702  7.3
AK.....................................................     99703  1.0
AK.....................................................     99704  10.4
AK.....................................................     99705  1.0
AK.....................................................     99706  1.0
AK.....................................................     99707  1.0
AK.....................................................     99708  1.0
AK.....................................................     99709  1.0
AK.....................................................     99710  1.0
AK.....................................................     99711  1.0
AK.....................................................     99712  1.0
AK.....................................................     99714  2.0
AK.....................................................     99716  1.0
AK.....................................................     99720  10.0
AK.....................................................     99721  10.0
AK.....................................................     99722  10.0
AK.....................................................     99723  7.0
AK.....................................................     99724  10.0
AK.....................................................     99725  1.0
AK.....................................................     99726  10.4
AK.....................................................     99727  10.6
AK.....................................................     99729  10.0
AK.....................................................     99730  10.0
AK.....................................................     99731  10.0
AK.....................................................     99732  10.0
AK.....................................................     99733  10.0
AK.....................................................     99734  10.0
AK.....................................................     99736  10.6
AK.....................................................     99737  10.0
AK.....................................................     99738  10.0
AK.....................................................     99739  10.0
AK.....................................................     99740  10.0
AK.....................................................     99741  10.0
AK.....................................................     99742  10.0
AK.....................................................     99743  10.0
AK.....................................................     99744  10.0
AK.....................................................     99745  10.0
AK.....................................................     99746  10.0
AK.....................................................     99747  10.0
AK.....................................................     99748  10.0
AK.....................................................     99749  10.6
AK.....................................................     99750  10.6
AK.....................................................     99751  10.6
AK.....................................................     99752  7.0
AK.....................................................     99753  10.0
AK.....................................................     99754  10.0
AK.....................................................     99755  10.0
AK.....................................................     99756  10.4
AK.....................................................     99757  10.0
AK.....................................................     99758  10.4
AK.....................................................     99759  10.0
AK.....................................................     99760  10.4
AK.....................................................     99761  10.6
AK.....................................................     99762  7.0
AK.....................................................     99763  10.6
AK.....................................................     99764  10.0
AK.....................................................     99765  10.0
AK.....................................................     99766  10.0
AK.....................................................     99767  10.4
AK.....................................................     99768  10.0
AK.....................................................     99769  10.0
AK.....................................................     99770  10.6
AK.....................................................     99771  10.0
AK.....................................................     99772  10.0
AK.....................................................     99773  10.6
AK.....................................................     99774  10.4
AK.....................................................     99775  1.0
AK.....................................................     99776  10.0
AK.....................................................     99777  10.4
AK.....................................................     99778  10.0
AK.....................................................     99779  10.0
AK.....................................................     99780  10.0
AK.....................................................     99781  10.0
AK.....................................................     99782  10.0
AK.....................................................     99783  10.0
AK.....................................................     99784  10.0
AK.....................................................     99785  10.0
AK.....................................................     99786  10.6
AK.....................................................     99788  10.0
AK.....................................................     99789  10.0
AK.....................................................     99790  1.0
AK.....................................................     99791  7.0
AK.....................................................     99801  4.0
AK.....................................................     99802  4.0
AK.....................................................     99803  4.0
AK.....................................................     99811  4.0
AK.....................................................     99820  10.0
AK.....................................................     99821  4.0
AK.....................................................     99824  7.2
AK.....................................................     99825  10.0
AK.....................................................     99826  10.0
AK.....................................................     99827  10.0
AK.....................................................     99829  10.0
AK.....................................................     99830  7.0
AK.....................................................     99832  10.0
AK.....................................................     99833  7.0
AK.....................................................     99835  7.0
AK.....................................................     99836  7.0
AK.....................................................     99840  10.0
AK.....................................................     99841  10.0
AK.....................................................     99850  4.0
AK.....................................................     99901  4.0
AK.....................................................     99903  5.0
AK.....................................................     99918  4.0
AK.....................................................     99919  10.0
AK.....................................................     99921  10.0
AK.....................................................     99922  10.0
AK.....................................................     99923  5.0
AK.....................................................     99925  10.0
AK.....................................................     99926  10.0
AK.....................................................     99927  10.0
AK.....................................................     99928  4.0
AK.....................................................     99929  10.0
AK.....................................................     99950  10.0
AL.....................................................     35004  2.0
AL.....................................................     35005  1.0
AL.....................................................     35006  2.0
AL.....................................................     35007  1.0
AL.....................................................     35010  7.0
AL.....................................................     35011  7.0
AL.....................................................     35013  7.1
AL.....................................................     35014  6.1
AL.....................................................     35015  1.0
AL.....................................................     35016  7.3
AL.....................................................     35019  9.2
AL.....................................................     35020  1.0
AL.....................................................     35021  1.0
AL.....................................................     35022  1.0
AL.....................................................     35023  1.0
AL.....................................................     35031  2.0
AL.....................................................     35032  9.2
AL.....................................................     35033  5.2
AL.....................................................     35034  7.3
AL.....................................................     35035  10.4
AL.....................................................     35036  1.0
AL.....................................................     35038  2.0
AL.....................................................     35040  2.0
AL.....................................................     35041  1.0
AL.....................................................     35042  7.0
AL.....................................................     35043  2.0
AL.....................................................     35044  9.2
AL.....................................................     35045  7.3
AL.....................................................     35046  8.3
AL.....................................................     35048  1.0
AL.....................................................     35049  2.0
AL.....................................................     35051  2.0
AL.....................................................     35052  7.1
AL.....................................................     35053  5.2
AL.....................................................     35054  10.4
AL.....................................................     35055  4.0
AL.....................................................     35056  4.0
AL.....................................................     35057  5.0
AL.....................................................     35058  5.0
AL.....................................................     35060  1.0
AL.....................................................     35061  1.0
AL.....................................................     35062  2.0
AL.....................................................     35063  2.0
AL.....................................................     35064  1.0
AL.....................................................     35068  1.0
AL.....................................................     35070  5.0
AL.....................................................     35071  1.0
AL.....................................................     35072  8.0
AL.....................................................     35073  1.0
AL.....................................................     35074  2.0
AL.....................................................     35077  5.0
AL.....................................................     35078  2.0
AL.....................................................     35079  2.0
AL.....................................................     35080  1.0
AL.....................................................     35082  8.0
AL.....................................................     35083  5.0
AL.....................................................     35085  2.0
AL.....................................................     35087  3.0
AL.....................................................     35089  8.0
AL.....................................................     35091  2.0
AL.....................................................     35094  2.0
AL.....................................................     35096  3.0
AL.....................................................     35097  2.0
AL.....................................................     35098  5.0
AL.....................................................     35111  2.0
AL.....................................................     35112  2.0
AL.....................................................     35114  1.0
AL.....................................................     35115  2.0
AL.....................................................     35116  2.0
AL.....................................................     35117  1.0
AL.....................................................     35118  2.0
AL.....................................................     35119  1.0
AL.....................................................     35120  2.0
AL.....................................................     35121  7.1
AL.....................................................     35123  1.0
AL.....................................................     35124  1.0
AL.....................................................     35125  3.0
AL.....................................................     35126  1.0
AL.....................................................     35127  1.0
AL.....................................................     35128  7.1
AL.....................................................     35130  2.0
AL.....................................................     35131  3.0
AL.....................................................     35133  2.0
AL.....................................................     35135  3.0
AL.....................................................     35136  8.0
AL.....................................................     35137  1.0
AL.....................................................     35139  1.0
AL.....................................................     35142  1.0
AL.....................................................     35143  2.0
AL.....................................................     35144  1.0
AL.....................................................     35146  2.0
AL.....................................................     35147  2.0

[[Page 70046]]

 
AL.....................................................     35148  2.0
AL.....................................................     35149  4.0
AL.....................................................     35150  4.0
AL.....................................................     35151  5.2
AL.....................................................     35160  4.0
AL.....................................................     35161  4.0
AL.....................................................     35171  2.0
AL.....................................................     35172  2.0
AL.....................................................     35173  1.0
AL.....................................................     35175  2.0
AL.....................................................     35176  2.0
AL.....................................................     35178  2.0
AL.....................................................     35179  5.0
AL.....................................................     35180  2.0
AL.....................................................     35181  1.0
AL.....................................................     35182  3.0
AL.....................................................     35183  5.0
AL.....................................................     35184  2.0
AL.....................................................     35185  2.0
AL.....................................................     35186  2.0
AL.....................................................     35187  10.4
AL.....................................................     35188  2.0
AL.....................................................     35201  1.0
AL.....................................................     35202  1.0
AL.....................................................     35203  1.0
AL.....................................................     35204  1.0
AL.....................................................     35205  1.0
AL.....................................................     35206  1.0
AL.....................................................     35207  1.0
AL.....................................................     35208  1.0
AL.....................................................     35209  1.0
AL.....................................................     35210  1.0
AL.....................................................     35211  1.0
AL.....................................................     35212  1.0
AL.....................................................     35213  1.0
AL.....................................................     35214  1.0
AL.....................................................     35215  1.0
AL.....................................................     35216  1.0
AL.....................................................     35217  1.0
AL.....................................................     35218  1.0
AL.....................................................     35219  1.0
AL.....................................................     35220  1.0
AL.....................................................     35221  1.0
AL.....................................................     35222  1.0
AL.....................................................     35223  1.0
AL.....................................................     35224  1.0
AL.....................................................     35225  1.0
AL.....................................................     35226  1.0
AL.....................................................     35228  1.0
AL.....................................................     35229  1.0
AL.....................................................     35230  1.0
AL.....................................................     35231  1.0
AL.....................................................     35232  1.0
AL.....................................................     35233  1.0
AL.....................................................     35234  1.0
AL.....................................................     35235  1.0
AL.....................................................     35236  1.0
AL.....................................................     35237  1.0
AL.....................................................     35238  1.0
AL.....................................................     35240  1.0
AL.....................................................     35242  1.0
AL.....................................................     35243  1.0
AL.....................................................     35244  1.0
AL.....................................................     35245  1.0
AL.....................................................     35246  1.0
AL.....................................................     35249  1.0
AL.....................................................     35253  1.0
AL.....................................................     35254  1.0
AL.....................................................     35255  1.0
AL.....................................................     35259  1.0
AL.....................................................     35260  1.0
AL.....................................................     35261  1.0
AL.....................................................     35263  1.0
AL.....................................................     35266  1.0
AL.....................................................     35277  1.0
AL.....................................................     35278  1.0
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AL.....................................................     36786  10.5
AL.....................................................     36790  10.6
AL.....................................................     36792  10.4
AL.....................................................     36793  10.4
AL.....................................................     36801  1.0
AL.....................................................     36802  1.0
AL.....................................................     36803  1.0
AL.....................................................     36804  1.0
AL.....................................................     36830  1.0
AL.....................................................     36831  1.0
AL.....................................................     36832  1.0
AL.....................................................     36849  1.0
AL.....................................................     36850  3.0
AL.....................................................     36851  2.0
AL.....................................................     36852  2.0
AL.....................................................     36853  10.6
AL.....................................................     36854  4.0
AL.....................................................     36855  6.0
AL.....................................................     36856  2.0
AL.....................................................     36858  2.0
AL.....................................................     36859  2.0
AL.....................................................     36860  2.0
AL.....................................................     36861  9.0
AL.....................................................     36862  10.5
AL.....................................................     36863  4.0
AL.....................................................     36865  1.0
AL.....................................................     36866  2.0
AL.....................................................     36867  1.0
AL.....................................................     36868  1.0
AL.....................................................     36869  1.0
AL.....................................................     36870  1.0
AL.....................................................     36871  2.0
AL.....................................................     36872  4.0
AL.....................................................     36874  2.0
AL.....................................................     36875  2.0
AL.....................................................     36877  1.0
AL.....................................................     36879  10.5
AL.....................................................     36901  10.0
AL.....................................................     36904  10.0
AL.....................................................     36906  10.0
AL.....................................................     36907  10.0
AL.....................................................     36908  10.0
AL.....................................................     36910  10.0
AL.....................................................     36912  10.0
AL.....................................................     36913  10.0
AL.....................................................     36915  10.0
AL.....................................................     36916  10.0
AL.....................................................     36919  10.0
AL.....................................................     36921  10.0
AL.....................................................     36922  10.0
AL.....................................................     36925  10.0
AR.....................................................     71601  1.0
AR.....................................................     71602  1.0
AR.....................................................     71603  1.0
AR.....................................................     71611  1.0
AR.....................................................     71612  1.0
AR.....................................................     71613  1.0
AR.....................................................     71630  10.6
AR.....................................................     71631  8.0
AR.....................................................     71635  7.0
AR.....................................................     71638  7.0
AR.....................................................     71639  7.0
AR.....................................................     71640  7.0
AR.....................................................     71642  8.0
AR.....................................................     71643  10.4
AR.....................................................     71644  10.4
AR.....................................................     71646  7.0
AR.....................................................     71647  8.0
AR.....................................................     71651  8.0
AR.....................................................     71652  10.4
AR.....................................................     71653  7.4
AR.....................................................     71654  7.0
AR.....................................................     71655  7.0
AR.....................................................     71656  7.0
AR.....................................................     71657  7.0
AR.....................................................     71658  10.6
AR.....................................................     71659  10.4
AR.....................................................     71660  10.4
AR.....................................................     71661  10.6
AR.....................................................     71662  7.0
AR.....................................................     71663  10.6
AR.....................................................     71665  2.0
AR.....................................................     71666  10.6
AR.....................................................     71667  10.2
AR.....................................................     71670  8.0
AR.....................................................     71671  7.0
AR.....................................................     71674  10.6
AR.....................................................     71675  8.0
AR.....................................................     71676  8.0
AR.....................................................     71677  8.0
AR.....................................................     71678  10.0
AR.....................................................     71701  4.0
AR.....................................................     71711  4.0
AR.....................................................     71720  5.0
AR.....................................................     71721  10.2
AR.....................................................     71722  6.0
AR.....................................................     71724  4.0
AR.....................................................     71725  9.0
AR.....................................................     71726  5.0
AR.....................................................     71728  10.2
AR.....................................................     71730  4.0
AR.....................................................     71731  4.0
AR.....................................................     71740  5.0
AR.....................................................     71742  7.0
AR.....................................................     71743  10.2
AR.....................................................     71744  10.6
AR.....................................................     71745  10.0
AR.....................................................     71747  5.0
AR.....................................................     71748  9.0
AR.....................................................     71749  5.0
AR.....................................................     71750  4.0
AR.....................................................     71751  5.0
AR.....................................................     71752  5.0
AR.....................................................     71753  4.0
AR.....................................................     71754  4.0
AR.....................................................     71758  5.0
AR.....................................................     71759  4.0
AR.....................................................     71762  5.0
AR.....................................................     71763  10.5
AR.....................................................     71764  5.0
AR.....................................................     71765  5.0
AR.....................................................     71766  10.6
AR.....................................................     71768  4.0
AR.....................................................     71770  5.0
AR.....................................................     71772  10.2
AR.....................................................     71801  4.0
AR.....................................................     71802  4.0
AR.....................................................     71820  7.3

[[Page 70050]]

 
AR.....................................................     71822  7.3
AR.....................................................     71823  10.6
AR.....................................................     71825  5.0
AR.....................................................     71826  10.0
AR.....................................................     71827  10.5
AR.....................................................     71828  6.0
AR.....................................................     71831  6.0
AR.....................................................     71832  7.0
AR.....................................................     71833  10.6
AR.....................................................     71834  2.0
AR.....................................................     71835  6.0
AR.....................................................     71836  10.6
AR.....................................................     71837  2.0
AR.....................................................     71838  6.0
AR.....................................................     71839  2.0
AR.....................................................     71840  2.0
AR.....................................................     71841  8.0
AR.....................................................     71842  8.0
AR.....................................................     71844  6.0
AR.....................................................     71845  10.5
AR.....................................................     71846  10.6
AR.....................................................     71847  5.0
AR.....................................................     71851  8.0
AR.....................................................     71852  7.0
AR.....................................................     71853  7.3
AR.....................................................     71854  1.0
AR.....................................................     71855  5.0
AR.....................................................     71857  7.4
AR.....................................................     71858  6.0
AR.....................................................     71859  6.0
AR.....................................................     71860  10.5
AR.....................................................     71861  5.0
AR.....................................................     71862  6.0
AR.....................................................     71864  6.0
AR.....................................................     71865  8.3
AR.....................................................     71866  8.3
AR.....................................................     71901  1.0
AR.....................................................     71902  1.0
AR.....................................................     71903  1.0
AR.....................................................     71909  2.0
AR.....................................................     71910  2.0
AR.....................................................     71913  1.0
AR.....................................................     71914  1.0
AR.....................................................     71920  5.0
AR.....................................................     71921  5.0
AR.....................................................     71922  10.6
AR.....................................................     71923  4.0
AR.....................................................     71929  2.0
AR.....................................................     71932  7.0
AR.....................................................     71933  2.0
AR.....................................................     71935  10.0
AR.....................................................     71937  8.0
AR.....................................................     71940  10.6
AR.....................................................     71941  3.0
AR.....................................................     71942  3.0
AR.....................................................     71943  10.4
AR.....................................................     71944  10.6
AR.....................................................     71945  8.0
AR.....................................................     71949  2.0
AR.....................................................     71950  10.4
AR.....................................................     71951  1.0
AR.....................................................     71952  10.0
AR.....................................................     71953  7.0
AR.....................................................     71956  2.0
AR.....................................................     71957  10.4
AR.....................................................     71958  10.6
AR.....................................................     71959  10.0
AR.....................................................     71960  10.0
AR.....................................................     71961  10.0
AR.....................................................     71962  5.0
AR.....................................................     71964  2.0
AR.....................................................     71965  10.0
AR.....................................................     71966  10.0
AR.....................................................     71968  2.0
AR.....................................................     71969  10.0
AR.....................................................     71970  10.0
AR.....................................................     71971  10.6
AR.....................................................     71972  8.0
AR.....................................................     71973  10.6
AR.....................................................     71998  4.0
AR.....................................................     71999  4.0
AR.....................................................     72001  10.0
AR.....................................................     72002  1.0
AR.....................................................     72003  8.0
AR.....................................................     72004  3.0
AR.....................................................     72005  8.0
AR.....................................................     72006  10.0
AR.....................................................     72007  2.0
AR.....................................................     72010  5.0
AR.....................................................     72011  2.0
AR.....................................................     72012  2.0
AR.....................................................     72013  6.0
AR.....................................................     72014  8.0
AR.....................................................     72015  1.0
AR.....................................................     72016  2.0
AR.....................................................     72017  10.6
AR.....................................................     72018  1.0
AR.....................................................     72020  5.0
AR.....................................................     72021  7.0
AR.....................................................     72022  1.0
AR.....................................................     72023  1.0
AR.....................................................     72024  10.4
AR.....................................................     72025  10.0
AR.....................................................     72026  8.0
AR.....................................................     72027  8.4
AR.....................................................     72028  6.0
AR.....................................................     72029  10.6
AR.....................................................     72030  8.4
AR.....................................................     72031  10.0
AR.....................................................     72032  4.2
AR.....................................................     72033  4.2
AR.....................................................     72034  4.2
AR.....................................................     72035  4.2
AR.....................................................     72036  10.0
AR.....................................................     72037  2.0
AR.....................................................     72038  8.0
AR.....................................................     72039  5.0
AR.....................................................     72040  10.4
AR.....................................................     72041  10.6
AR.....................................................     72042  7.0
AR.....................................................     72043  7.0
AR.....................................................     72044  10.6
AR.....................................................     72045  2.0
AR.....................................................     72046  2.0
AR.....................................................     72047  5.2
AR.....................................................     72048  8.0
AR.....................................................     72051  10.0
AR.....................................................     72052  5.0
AR.....................................................     72053  1.0
AR.....................................................     72055  10.6
AR.....................................................     72057  2.0
AR.....................................................     72058  5.2
AR.....................................................     72059  10.0
AR.....................................................     72060  5.0
AR.....................................................     72061  5.2
AR.....................................................     72063  8.4
AR.....................................................     72064  10.6
AR.....................................................     72065  2.0
AR.....................................................     72066  10.4
AR.....................................................     72067  10.6
AR.....................................................     72068  5.0
AR.....................................................     72069  10.6
AR.....................................................     72070  2.0
AR.....................................................     72072  10.4
AR.....................................................     72073  8.0
AR.....................................................     72074  10.0
AR.....................................................     72075  7.0
AR.....................................................     72076  1.0
AR.....................................................     72078  1.0
AR.....................................................     72079  2.0
AR.....................................................     72080  8.4
AR.....................................................     72081  5.0
AR.....................................................     72082  5.0
AR.....................................................     72083  2.0
AR.....................................................     72084  3.0
AR.....................................................     72085  4.0
AR.....................................................     72086  2.0
AR.....................................................     72087  1.0
AR.....................................................     72088  10.0
AR.....................................................     72089  1.0
AR.....................................................     72099  1.0
AR.....................................................     72101  10.0
AR.....................................................     72102  2.0
AR.....................................................     72103  1.0
AR.....................................................     72104  7.3
AR.....................................................     72105  9.1
AR.....................................................     72106  5.1
AR.....................................................     72107  6.0
AR.....................................................     72108  7.0
AR.....................................................     72110  7.4
AR.....................................................     72111  5.2
AR.....................................................     72112  7.0
AR.....................................................     72113  2.0
AR.....................................................     72114  1.0
AR.....................................................     72115  1.0
AR.....................................................     72116  1.0
AR.....................................................     72117  1.0
AR.....................................................     72118  1.0
AR.....................................................     72119  1.0
AR.....................................................     72120  1.0
AR.....................................................     72121  5.0
AR.....................................................     72122  2.0
AR.....................................................     72123  10.0
AR.....................................................     72124  1.0
AR.....................................................     72125  10.4
AR.....................................................     72126  10.1
AR.....................................................     72127  6.0
AR.....................................................     72128  3.0
AR.....................................................     72129  3.0
AR.....................................................     72130  10.6
AR.....................................................     72131  9.0
AR.....................................................     72132  2.0
AR.....................................................     72133  3.0
AR.....................................................     72134  10.6
AR.....................................................     72135  2.0
AR.....................................................     72136  2.0
AR.....................................................     72137  5.0
AR.....................................................     72139  5.0
AR.....................................................     72140  8.0
AR.....................................................     72141  10.5
AR.....................................................     72142  2.0
AR.....................................................     72143  4.0
AR.....................................................     72145  4.0
AR.....................................................     72149  4.0
AR.....................................................     72150  2.0
AR.....................................................     72152  3.0
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[[Page 70051]]

 
AR.....................................................     72156  8.4
AR.....................................................     72157  8.4
AR.....................................................     72158  1.0
AR.....................................................     72160  7.0
AR.....................................................     72164  1.0
AR.....................................................     72165  5.0
AR.....................................................     72166  10.6
AR.....................................................     72167  2.0
AR.....................................................     72168  10.4
AR.....................................................     72169  7.0
AR.....................................................     72170  10.6
AR.....................................................     72173  5.1
AR.....................................................     72175  3.0
AR.....................................................     72176  2.0
AR.....................................................     72178  4.0
AR.....................................................     72179  8.0
AR.....................................................     72180  2.0
AR.....................................................     72181  5.2
AR.....................................................     72182  10.4
AR.....................................................     72183  1.0
AR.....................................................     72189  10.0
AR.....................................................     72190  1.0
AR.....................................................     72198  1.0
AR.....................................................     72199  1.0
AR.....................................................     72201  1.0
AR.....................................................     72202  1.0
AR.....................................................     72203  1.0
AR.....................................................     72204  1.0
AR.....................................................     72205  1.0
AR.....................................................     72206  1.0
AR.....................................................     72207  1.0
AR.....................................................     72209  1.0
AR.....................................................     72210  1.0
AR.....................................................     72211  1.0
AR.....................................................     72212  1.0
AR.....................................................     72214  1.0
AR.....................................................     72215  1.0
AR.....................................................     72216  1.0
AR.....................................................     72217  1.0
AR.....................................................     72219  1.0
AR.....................................................     72221  1.0
AR.....................................................     72222  1.0
AR.....................................................     72223  1.0
AR.....................................................     72225  1.0
AR.....................................................     72227  1.0
AR.....................................................     72231  1.0
AR.....................................................     72260  1.0
AR.....................................................     72295  1.0
AR.....................................................     72301  1.0
AR.....................................................     72303  1.0
AR.....................................................     72310  5.0
AR.....................................................     72311  8.0
AR.....................................................     72312  5.0
AR.....................................................     72313  10.6
AR.....................................................     72315  4.0
AR.....................................................     72316  4.0
AR.....................................................     72319  4.0
AR.....................................................     72320  8.0
AR.....................................................     72321  5.0
AR.....................................................     72322  5.0
AR.....................................................     72324  8.0
AR.....................................................     72325  1.0
AR.....................................................     72326  5.0
AR.....................................................     72327  2.0
AR.....................................................     72328  5.0
AR.....................................................     72329  10.6
AR.....................................................     72330  10.6
AR.....................................................     72331  2.0
AR.....................................................     72332  1.0
AR.....................................................     72333  5.0
AR.....................................................     72335  4.0
AR.....................................................     72336  4.0
AR.....................................................     72338  10.6
AR.....................................................     72339  1.0
AR.....................................................     72340  5.0
AR.....................................................     72341  8.0
AR.....................................................     72342  4.0
AR.....................................................     72346  2.0
AR.....................................................     72347  10.6
AR.....................................................     72348  2.0
AR.....................................................     72350  10.6
AR.....................................................     72351  10.6
AR.....................................................     72352  5.0
AR.....................................................     72353  5.0
AR.....................................................     72354  9.0
AR.....................................................     72355  5.0
AR.....................................................     72358  7.4
AR.....................................................     72359  4.0
AR.....................................................     72360  7.0
AR.....................................................     72364  1.0
AR.....................................................     72365  7.3
AR.....................................................     72366  5.0
AR.....................................................     72367  5.0
AR.....................................................     72368  9.0
AR.....................................................     72369  5.0
AR.....................................................     72370  7.4
AR.....................................................     72372  5.0
AR.....................................................     72373  2.0
AR.....................................................     72374  5.0
AR.....................................................     72376  1.0
AR.....................................................     72377  7.3
AR.....................................................     72379  10.6
AR.....................................................     72383  5.0
AR.....................................................     72384  1.0
AR.....................................................     72386  9.0
AR.....................................................     72387  7.4
AR.....................................................     72389  5.0
AR.....................................................     72390  4.0
AR.....................................................     72391  7.4
AR.....................................................     72392  5.0
AR.....................................................     72394  2.0
AR.....................................................     72395  10.6
AR.....................................................     72396  7.4
AR.....................................................     72401  1.0
AR.....................................................     72402  1.0
AR.....................................................     72403  1.0
AR.....................................................     72404  1.0
AR.....................................................     72410  3.0
AR.....................................................     72411  2.0
AR.....................................................     72412  5.0
AR.....................................................     72413  8.0
AR.....................................................     72414  2.0
AR.....................................................     72415  9.0
AR.....................................................     72416  2.0
AR.....................................................     72417  2.0
AR.....................................................     72419  2.0
AR.....................................................     72421  2.0
AR.....................................................     72422  7.0
AR.....................................................     72424  8.0
AR.....................................................     72425  5.0
AR.....................................................     72426  5.0
AR.....................................................     72427  2.0
AR.....................................................     72428  7.4
AR.....................................................     72429  10.4
AR.....................................................     72430  8.0
AR.....................................................     72431  7.0
AR.....................................................     72432  2.0
AR.....................................................     72433  7.3
AR.....................................................     72434  9.0
AR.....................................................     72435  8.0
AR.....................................................     72436  5.0
AR.....................................................     72437  2.0
AR.....................................................     72438  7.4
AR.....................................................     72439  1.0
AR.....................................................     72440  10.6
AR.....................................................     72441  9.2
AR.....................................................     72442  7.4
AR.....................................................     72443  5.0
AR.....................................................     72444  8.0
AR.....................................................     72445  3.0
AR.....................................................     72447  2.0
AR.....................................................     72449  8.0
AR.....................................................     72450  4.0
AR.....................................................     72451  4.0
AR.....................................................     72453  8.0
AR.....................................................     72454  7.0
AR.....................................................     72455  7.0
AR.....................................................     72456  9.2
AR.....................................................     72457  10.3
AR.....................................................     72458  9.0
AR.....................................................     72459  9.0
AR.....................................................     72460  8.0
AR.....................................................     72461  10.5
AR.....................................................     72462  8.0
AR.....................................................     72464  8.0
AR.....................................................     72465  3.0
AR.....................................................     72466  10.6
AR.....................................................     72467  2.0
AR.....................................................     72469  10.6
AR.....................................................     72470  8.0
AR.....................................................     72471  8.0
AR.....................................................     72472  7.3
AR.....................................................     72473  8.0
AR.....................................................     72474  4.0
AR.....................................................     72475  10.4
AR.....................................................     72476  7.3
AR.....................................................     72478  8.0
AR.....................................................     72479  10.4
AR.....................................................     72482  9.0
AR.....................................................     72501  4.0
AR.....................................................     72503  4.0
AR.....................................................     72512  10.0
AR.....................................................     72513  10.6
AR.....................................................     72515  10.5
AR.....................................................     72517  10.0
AR.....................................................     72519  10.5
AR.....................................................     72520  10.0
AR.....................................................     72521  10.2
AR.....................................................     72522  5.0
AR.....................................................     72523  8.0
AR.....................................................     72524  5.0
AR.....................................................     72525  7.0
AR.....................................................     72526  5.0
AR.....................................................     72527  5.0
AR.....................................................     72528  10.5
AR.....................................................     72529  7.0
AR.....................................................     72530  10.6
AR.....................................................     72531  10.5
AR.....................................................     72532  10.2
AR.....................................................     72533  10.0
AR.....................................................     72534  5.0
AR.....................................................     72536  10.0
AR.....................................................     72537  5.0
AR.....................................................     72538  10.5
AR.....................................................     72539  10.0
AR.....................................................     72540  10.0
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[[Page 70052]]

 
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AR.....................................................     72544  5.0
AR.....................................................     72545  7.0
AR.....................................................     72546  8.0
AR.....................................................     72550  5.0
AR.....................................................     72553  5.0
AR.....................................................     72554  10.0
AR.....................................................     72555  10.0
AR.....................................................     72556  10.0
AR.....................................................     72560  10.0
AR.....................................................     72561  10.0
AR.....................................................     72562  5.0
AR.....................................................     72564  5.0
AR.....................................................     72565  10.0
AR.....................................................     72566  10.5
AR.....................................................     72567  10.0
AR.....................................................     72568  5.0
AR.....................................................     72569  10.2
AR.....................................................     72571  5.0
AR.....................................................     72572  10.6
AR.....................................................     72573  10.0
AR.....................................................     72575  4.0
AR.....................................................     72576  10.5
AR.....................................................     72577  10.2
AR.....................................................     72578  10.5
AR.....................................................     72579  5.0
AR.....................................................     72581  10.6
AR.....................................................     72583  10.5
AR.....................................................     72584  10.0
AR.....................................................     72585  10.0
AR.....................................................     72587  10.0
AR.....................................................     72601  5.0
AR.....................................................     72602  5.0
AR.....................................................     72611  5.0
AR.....................................................     72613  10.0
AR.....................................................     72615  5.0
AR.....................................................     72616  7.0
AR.....................................................     72617  5.0
AR.....................................................     72619  10.5
AR.....................................................     72623  5.0
AR.....................................................     72624  5.0
AR.....................................................     72626  5.0
AR.....................................................     72628  10.5
AR.....................................................     72629  10.0
AR.....................................................     72630  5.0
AR.....................................................     72631  10.0
AR.....................................................     72632  10.0
AR.....................................................     72633  5.0
AR.....................................................     72634  10.5
AR.....................................................     72635  5.0
AR.....................................................     72636  6.0
AR.....................................................     72638  7.0
AR.....................................................     72639  10.0
AR.....................................................     72640  5.0
AR.....................................................     72641  5.0
AR.....................................................     72642  5.0
AR.....................................................     72644  5.0
AR.....................................................     72645  10.0
AR.....................................................     72648  5.0
AR.....................................................     72650  10.0
AR.....................................................     72651  5.0
AR.....................................................     72653  4.0
AR.....................................................     72654  4.0
AR.....................................................     72655  10.5
AR.....................................................     72657  10.0
AR.....................................................     72658  5.0
AR.....................................................     72659  5.0
AR.....................................................     72660  8.0
AR.....................................................     72661  10.5
AR.....................................................     72662  5.0
AR.....................................................     72663  10.0
AR.....................................................     72666  10.5
AR.....................................................     72668  10.5
AR.....................................................     72669  6.0
AR.....................................................     72670  5.0
AR.....................................................     72672  10.5
AR.....................................................     72675  6.0
AR.....................................................     72677  10.5
AR.....................................................     72679  5.0
AR.....................................................     72680  10.0
AR.....................................................     72682  10.0
AR.....................................................     72683  10.5
AR.....................................................     72685  5.0
AR.....................................................     72686  6.0
AR.....................................................     72687  10.5
AR.....................................................     72701  1.0
AR.....................................................     72702  1.0
AR.....................................................     72703  1.0
AR.....................................................     72704  1.0
AR.....................................................     72711  1.0
AR.....................................................     72712  1.0
AR.....................................................     72714  2.0
AR.....................................................     72715  2.0
AR.....................................................     72716  1.0
AR.....................................................     72717  2.0
AR.....................................................     72718  1.0
AR.....................................................     72719  2.0
AR.....................................................     72721  2.0
AR.....................................................     72722  2.0
AR.....................................................     72727  1.0
AR.....................................................     72728  1.0
AR.....................................................     72729  2.0
AR.....................................................     72730  1.0
AR.....................................................     72732  2.0
AR.....................................................     72733  2.0
AR.....................................................     72734  4.2
AR.....................................................     72735  1.0
AR.....................................................     72736  2.0
AR.....................................................     72737  1.0
AR.....................................................     72738  2.0
AR.....................................................     72739  2.0
AR.....................................................     72740  10.2
AR.....................................................     72741  1.0
AR.....................................................     72742  10.0
AR.....................................................     72744  2.0
AR.....................................................     72745  1.0
AR.....................................................     72747  2.0
AR.....................................................     72749  2.0
AR.....................................................     72751  2.0
AR.....................................................     72752  10.0
AR.....................................................     72753  2.0
AR.....................................................     72756  1.0
AR.....................................................     72757  1.0
AR.....................................................     72758  1.0
AR.....................................................     72760  10.0
AR.....................................................     72761  4.2
AR.....................................................     72762  1.0
AR.....................................................     72764  1.0
AR.....................................................     72765  1.0
AR.....................................................     72766  1.0
AR.....................................................     72768  2.0
AR.....................................................     72769  2.0
AR.....................................................     72770  1.0
AR.....................................................     72773  2.0
AR.....................................................     72774  2.0
AR.....................................................     72776  10.0
AR.....................................................     72801  4.0
AR.....................................................     72802  4.0
AR.....................................................     72811  4.0
AR.....................................................     72812  4.0
AR.....................................................     72820  7.3
AR.....................................................     72821  7.3
AR.....................................................     72823  5.0
AR.....................................................     72824  5.0
AR.....................................................     72826  9.1
AR.....................................................     72827  10.5
AR.....................................................     72828  10.5
AR.....................................................     72829  4.0
AR.....................................................     72830  7.0
AR.....................................................     72832  8.0
AR.....................................................     72833  10.5
AR.....................................................     72834  4.0
AR.....................................................     72835  10.6
AR.....................................................     72837  5.0
AR.....................................................     72838  10.5
AR.....................................................     72839  8.0
AR.....................................................     72840  8.0
AR.....................................................     72841  8.0
AR.....................................................     72842  5.0
AR.....................................................     72843  5.0
AR.....................................................     72845  8.0
AR.....................................................     72846  8.0
AR.....................................................     72847  5.0
AR.....................................................     72851  10.6
AR.....................................................     72852  8.0
AR.....................................................     72853  10.5
AR.....................................................     72854  8.0
AR.....................................................     72855  7.0
AR.....................................................     72856  5.0
AR.....................................................     72857  10.5
AR.....................................................     72858  5.0
AR.....................................................     72860  10.5
AR.....................................................     72863  10.6
AR.....................................................     72865  8.0
AR.....................................................     72901  1.0
AR.....................................................     72902  1.0
AR.....................................................     72903  1.0
AR.....................................................     72904  1.0
AR.....................................................     72905  2.0
AR.....................................................     72906  1.0
AR.....................................................     72908  1.0
AR.....................................................     72913  1.0
AR.....................................................     72914  1.0
AR.....................................................     72916  2.0
AR.....................................................     72917  1.0
AR.....................................................     72918  1.0
AR.....................................................     72919  1.0
AR.....................................................     72921  2.0
AR.....................................................     72923  1.0
AR.....................................................     72924  8.0
AR.....................................................     72926  8.0
AR.....................................................     72927  7.0
AR.....................................................     72928  2.0
AR.....................................................     72930  2.0
AR.....................................................     72932  2.0
AR.....................................................     72933  2.0
AR.....................................................     72934  2.0
AR.....................................................     72935  2.0
AR.....................................................     72936  2.0
AR.....................................................     72937  2.0
AR.....................................................     72938  2.0
AR.....................................................     72940  2.0
AR.....................................................     72941  2.0
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AR.....................................................     72944  8.0
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AR.....................................................     72948  2.0
AR.....................................................     72949  7.3
AR.....................................................     72950  8.0
AR.....................................................     72951  8.0
AR.....................................................     72952  2.0
AR.....................................................     72955  2.0
AR.....................................................     72956  1.0
AR.....................................................     72957  1.0
AR.....................................................     72958  7.0
AR.....................................................     72959  2.0
AZ.....................................................     85001  1.0
AZ.....................................................     85002  1.0
AZ.....................................................     85003  1.0
AZ.....................................................     85004  1.0
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AZ.....................................................     85027  1.0
AZ.....................................................     85028  1.0
AZ.....................................................     85029  1.0
AZ.....................................................     85030  1.0
AZ.....................................................     85031  1.0
AZ.....................................................     85032  1.0
AZ.....................................................     85033  1.0
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AZ.....................................................     85035  1.0
AZ.....................................................     85036  1.0
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AZ.....................................................     85045  1.0
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AZ.....................................................     85048  1.0
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AZ.....................................................     85055  1.0
AZ.....................................................     85060  1.0
AZ.....................................................     85061  1.0
AZ.....................................................     85062  1.0
AZ.....................................................     85063  1.0
AZ.....................................................     85064  1.0
AZ.....................................................     85065  1.0
AZ.....................................................     85066  1.0
AZ.....................................................     85067  1.0
AZ.....................................................     85068  1.0
AZ.....................................................     85069  1.0
AZ.....................................................     85070  10.4
AZ.....................................................     85071  1.0
AZ.....................................................     85072  1.0
AZ.....................................................     85073  1.0
AZ.....................................................     85074  1.0
AZ.....................................................     85075  1.0
AZ.....................................................     85076  1.0
AZ.....................................................     85077  1.0
AZ.....................................................     85078  1.0
AZ.....................................................     85079  1.0
AZ.....................................................     85080  1.0
AZ.....................................................     85082  1.0
AZ.....................................................     85085  1.0
AZ.....................................................     85086  2.0
AZ.....................................................     85087  2.0
AZ.....................................................     85098  1.0
AZ.....................................................     85099  1.0
AZ.....................................................     85201  1.0
AZ.....................................................     85202  1.0
AZ.....................................................     85203  1.0
AZ.....................................................     85204  1.0
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AZ.....................................................     85216  1.0
AZ.....................................................     85217  1.0
AZ.....................................................     85218  1.0
AZ.....................................................     85219  1.0
AZ.....................................................     85220  1.0
AZ.....................................................     85221  4.2
AZ.....................................................     85222  4.2
AZ.....................................................     85223  4.2
AZ.....................................................     85224  1.0
AZ.....................................................     85225  1.0
AZ.....................................................     85226  1.0
AZ.....................................................     85227  2.0
AZ.....................................................     85228  7.4
AZ.....................................................     85230  4.2
AZ.....................................................     85231  7.4
AZ.....................................................     85232  4.0
AZ.....................................................     85233  1.0
AZ.....................................................     85234  1.0
AZ.....................................................     85235  10.0
AZ.....................................................     85236  1.0
AZ.....................................................     85237  10.0
AZ.....................................................     85239  10.1
AZ.....................................................     85241  7.4
AZ.....................................................     85242  2.0
AZ.....................................................     85243  2.0
AZ.....................................................     85244  1.0
AZ.....................................................     85245  2.0
AZ.....................................................     85246  1.0
AZ.....................................................     85247  10.4
AZ.....................................................     85248  1.0
AZ.....................................................     85249  1.0
AZ.....................................................     85250  1.0
AZ.....................................................     85251  1.0
AZ.....................................................     85252  1.0
AZ.....................................................     85253  1.0
AZ.....................................................     85254  1.0
AZ.....................................................     85255  1.0
AZ.....................................................     85256  1.0
AZ.....................................................     85257  1.0
AZ.....................................................     85258  1.0
AZ.....................................................     85259  1.0
AZ.....................................................     85260  1.0
AZ.....................................................     85261  1.0
AZ.....................................................     85262  1.0
AZ.....................................................     85263  2.0
AZ.....................................................     85264  10.1
AZ.....................................................     85266  1.0
AZ.....................................................     85267  1.0
AZ.....................................................     85268  2.0
AZ.....................................................     85269  2.0
AZ.....................................................     85271  1.0
AZ.....................................................     85272  10.1
AZ.....................................................     85273  7.1
AZ.....................................................     85274  1.0
AZ.....................................................     85275  1.0
AZ.....................................................     85277  1.0
AZ.....................................................     85278  1.0
AZ.....................................................     85279  4.0
AZ.....................................................     85280  1.0
AZ.....................................................     85281  1.0
AZ.....................................................     85282  1.0
AZ.....................................................     85283  1.0
AZ.....................................................     85284  1.0
AZ.....................................................     85285  1.0
AZ.....................................................     85287  1.0
AZ.....................................................     85289  1.0
AZ.....................................................     85290  10.1
AZ.....................................................     85291  7.4
AZ.....................................................     85292  10.0
AZ.....................................................     85296  1.0
AZ.....................................................     85297  1.0
AZ.....................................................     85299  1.0
AZ.....................................................     85301  1.0
AZ.....................................................     85302  1.0
AZ.....................................................     85303  1.0
AZ.....................................................     85304  1.0
AZ.....................................................     85305  1.0
AZ.....................................................     85306  1.0
AZ.....................................................     85307  2.0
AZ.....................................................     85308  1.0
AZ.....................................................     85309  2.0
AZ.....................................................     85310  1.0
AZ.....................................................     85311  1.0
AZ.....................................................     85312  1.0
AZ.....................................................     85313  1.0
AZ.....................................................     85318  1.0
AZ.....................................................     85320  1.0
AZ.....................................................     85321  7.3
AZ.....................................................     85322  2.0
AZ.....................................................     85323  2.0
AZ.....................................................     85324  2.0
AZ.....................................................     85325  7.0
AZ.....................................................     85326  2.0
AZ.....................................................     85327  1.0
AZ.....................................................     85328  4.0
AZ.....................................................     85329  2.0
AZ.....................................................     85331  1.0
AZ.....................................................     85332  2.0
AZ.....................................................     85333  10.4
AZ.....................................................     85334  4.0
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AZ.....................................................     85338  2.0
AZ.....................................................     85339  1.0
AZ.....................................................     85340  2.0
AZ.....................................................     85341  2.0
AZ.....................................................     85342  1.0
AZ.....................................................     85343  2.0
AZ.....................................................     85344  7.0
AZ.....................................................     85345  1.0
AZ.....................................................     85346  7.0
AZ.....................................................     85347  10.4
AZ.....................................................     85348  10.3
AZ.....................................................     85349  2.0
AZ.....................................................     85350  2.0
AZ.....................................................     85351  1.0
AZ.....................................................     85352  10.1
AZ.....................................................     85353  1.0
AZ.....................................................     85354  2.0
AZ.....................................................     85355  2.0
AZ.....................................................     85356  10.1
AZ.....................................................     85357  10.3
AZ.....................................................     85358  1.0
AZ.....................................................     85359  7.0
AZ.....................................................     85360  4.0
AZ.....................................................     85361  1.0
AZ.....................................................     85362  2.0
AZ.....................................................     85363  1.0
AZ.....................................................     85364  1.0
AZ.....................................................     85365  1.0
AZ.....................................................     85366  1.0
AZ.....................................................     85367  2.0
AZ.....................................................     85369  1.0
AZ.....................................................     85371  7.0
AZ.....................................................     85372  1.0
AZ.....................................................     85373  1.0
AZ.....................................................     85374  1.0
AZ.....................................................     85375  1.0
AZ.....................................................     85376  1.0
AZ.....................................................     85377  1.0
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AZ.....................................................     85379  1.0
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AZ.....................................................     85381  1.0
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AZ.....................................................     85383  1.0
AZ.....................................................     85385  1.0
AZ.....................................................     85387  1.0
AZ.....................................................     85388  1.0
AZ.....................................................     85390  1.0
AZ.....................................................     85396  1.0
AZ.....................................................     85501  4.0
AZ.....................................................     85502  4.0
AZ.....................................................     85530  8.0
AZ.....................................................     85531  4.0
AZ.....................................................     85532  4.0
AZ.....................................................     85533  7.0
AZ.....................................................     85534  10.3
AZ.....................................................     85535  5.0
AZ.....................................................     85536  5.0
AZ.....................................................     85539  4.0
AZ.....................................................     85540  7.0
AZ.....................................................     85541  4.0
AZ.....................................................     85542  7.4
AZ.....................................................     85543  5.0
AZ.....................................................     85544  5.0
AZ.....................................................     85545  10.5
AZ.....................................................     85546  4.0
AZ.....................................................     85547  4.0
AZ.....................................................     85548  4.0
AZ.....................................................     85550  8.0
AZ.....................................................     85551  4.0
AZ.....................................................     85552  4.0
AZ.....................................................     85553  4.0
AZ.....................................................     85554  4.0
AZ.....................................................     85601  2.0
AZ.....................................................     85602  7.3
AZ.....................................................     85603  7.4
AZ.....................................................     85605  10.6
AZ.....................................................     85606  7.0
AZ.....................................................     85607  4.0
AZ.....................................................     85608  4.0
AZ.....................................................     85609  7.0
AZ.....................................................     85610  10.5
AZ.....................................................     85611  10.4
AZ.....................................................     85613  4.0
AZ.....................................................     85614  4.1
AZ.....................................................     85615  5.0
AZ.....................................................     85616  4.0
AZ.....................................................     85617  10.5
AZ.....................................................     85618  2.0
AZ.....................................................     85619  1.0
AZ.....................................................     85620  7.4
AZ.....................................................     85621  4.0
AZ.....................................................     85622  4.1
AZ.....................................................     85623  2.0
AZ.....................................................     85624  10.4
AZ.....................................................     85625  7.0
AZ.....................................................     85626  4.0
AZ.....................................................     85627  7.3
AZ.....................................................     85628  4.0
AZ.....................................................     85629  2.0
AZ.....................................................     85630  7.3
AZ.....................................................     85631  7.3
AZ.....................................................     85632  10.6
AZ.....................................................     85633  2.0
AZ.....................................................     85634  10.4
AZ.....................................................     85635  4.0
AZ.....................................................     85636  4.0
AZ.....................................................     85637  10.4
AZ.....................................................     85638  10.5
AZ.....................................................     85639  10.4
AZ.....................................................     85640  10.5
AZ.....................................................     85641  2.0
AZ.....................................................     85643  7.0
AZ.....................................................     85644  7.0
AZ.....................................................     85645  5.1
AZ.....................................................     85646  10.5
AZ.....................................................     85648  4.0
AZ.....................................................     85650  4.0
AZ.....................................................     85652  1.0
AZ.....................................................     85653  2.0
AZ.....................................................     85654  2.0
AZ.....................................................     85655  4.0
AZ.....................................................     85662  4.0
AZ.....................................................     85670  4.0
AZ.....................................................     85671  4.0
AZ.....................................................     85701  1.0
AZ.....................................................     85702  1.0
AZ.....................................................     85703  1.0
AZ.....................................................     85704  1.0
AZ.....................................................     85705  1.0
AZ.....................................................     85706  1.0
AZ.....................................................     85707  1.0
AZ.....................................................     85708  1.0
AZ.....................................................     85709  1.0
AZ.....................................................     85710  1.0
AZ.....................................................     85711  1.0
AZ.....................................................     85712  1.0
AZ.....................................................     85713  1.0
AZ.....................................................     85714  1.0
AZ.....................................................     85715  1.0
AZ.....................................................     85716  1.0
AZ.....................................................     85717  1.0
AZ.....................................................     85718  1.0
AZ.....................................................     85719  1.0
AZ.....................................................     85720  1.0
AZ.....................................................     85721  1.0
AZ.....................................................     85722  1.0
AZ.....................................................     85723  1.0
AZ.....................................................     85724  1.0
AZ.....................................................     85725  1.0
AZ.....................................................     85726  1.0
AZ.....................................................     85728  1.0
AZ.....................................................     85730  1.0
AZ.....................................................     85731  1.0
AZ.....................................................     85732  1.0
AZ.....................................................     85733  1.0
AZ.....................................................     85734  1.0
AZ.....................................................     85735  1.0
AZ.....................................................     85736  2.0
AZ.....................................................     85737  1.0
AZ.....................................................     85738  1.0
AZ.....................................................     85739  2.0
AZ.....................................................     85740  1.0
AZ.....................................................     85741  1.0
AZ.....................................................     85742  1.0
AZ.....................................................     85743  1.0
AZ.....................................................     85744  2.0
AZ.....................................................     85745  1.0
AZ.....................................................     85746  1.0
AZ.....................................................     85747  2.0
AZ.....................................................     85748  1.0
AZ.....................................................     85749  1.0
AZ.....................................................     85750  1.0
AZ.....................................................     85751  1.0
AZ.....................................................     85752  1.0
AZ.....................................................     85754  1.0
AZ.....................................................     85755  1.0
AZ.....................................................     85757  1.0
AZ.....................................................     85775  1.0
AZ.....................................................     85777  1.0
AZ.....................................................     85901  7.0
AZ.....................................................     85902  7.0
AZ.....................................................     85911  7.0
AZ.....................................................     85912  7.0
AZ.....................................................     85920  7.0
AZ.....................................................     85922  7.0
AZ.....................................................     85923  7.0
AZ.....................................................     85924  10.6
AZ.....................................................     85925  7.0
AZ.....................................................     85926  7.0
AZ.....................................................     85927  7.0
AZ.....................................................     85928  10.6
AZ.....................................................     85929  7.0
AZ.....................................................     85930  7.0
AZ.....................................................     85931  7.0
AZ.....................................................     85932  7.0
AZ.....................................................     85933  10.6
AZ.....................................................     85934  7.0
AZ.....................................................     85935  7.0
AZ.....................................................     85936  7.0
AZ.....................................................     85937  7.0
AZ.....................................................     85938  7.0
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AZ.....................................................     86002  1.0
AZ.....................................................     86003  1.0
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AZ.....................................................     86011  1.0
AZ.....................................................     86015  1.0
AZ.....................................................     86016  1.0
AZ.....................................................     86017  7.0
AZ.....................................................     86018  10.4
AZ.....................................................     86020  7.3
AZ.....................................................     86021  9.0
AZ.....................................................     86022  10.6
AZ.....................................................     86023  10.4
AZ.....................................................     86024  2.1
AZ.....................................................     86025  7.0
AZ.....................................................     86028  7.0
AZ.....................................................     86029  7.0
AZ.....................................................     86030  10.0
AZ.....................................................     86031  7.0
AZ.....................................................     86032  7.0
AZ.....................................................     86033  7.0
AZ.....................................................     86034  10.0
AZ.....................................................     86035  2.0
AZ.....................................................     86036  10.6
AZ.....................................................     86038  2.1
AZ.....................................................     86039  10.0
AZ.....................................................     86040  7.0
AZ.....................................................     86042  10.0
AZ.....................................................     86043  10.0
AZ.....................................................     86044  8.0
AZ.....................................................     86045  7.3
AZ.....................................................     86046  10.4
AZ.....................................................     86047  7.0
AZ.....................................................     86052  10.6
AZ.....................................................     86053  8.0
AZ.....................................................     86054  9.0
AZ.....................................................     86301  1.0
AZ.....................................................     86302  1.0
AZ.....................................................     86303  1.0
AZ.....................................................     86304  1.0
AZ.....................................................     86305  1.0
AZ.....................................................     86312  1.0
AZ.....................................................     86313  1.0
AZ.....................................................     86314  1.0
AZ.....................................................     86320  10.4
AZ.....................................................     86321  10.4
AZ.....................................................     86322  10.5
AZ.....................................................     86323  2.0
AZ.....................................................     86324  4.0
AZ.....................................................     86325  9.0
AZ.....................................................     86326  4.0
AZ.....................................................     86327  2.0
AZ.....................................................     86329  2.0
AZ.....................................................     86330  1.0
AZ.....................................................     86331  4.0
AZ.....................................................     86332  2.0
AZ.....................................................     86333  2.0
AZ.....................................................     86334  2.0
AZ.....................................................     86335  10.5
AZ.....................................................     86336  7.0
AZ.....................................................     86337  10.4
AZ.....................................................     86338  1.0
AZ.....................................................     86339  7.0
AZ.....................................................     86340  7.0
AZ.....................................................     86341  9.0
AZ.....................................................     86342  10.5
AZ.....................................................     86343  2.0
AZ.....................................................     86351  9.0
AZ.....................................................     86401  4.0
AZ.....................................................     86402  4.0
AZ.....................................................     86403  4.0
AZ.....................................................     86404  4.0
AZ.....................................................     86405  4.0
AZ.....................................................     86406  4.0
AZ.....................................................     86409  4.0
AZ.....................................................     86411  4.0
AZ.....................................................     86412  4.0
AZ.....................................................     86413  5.0
AZ.....................................................     86426  8.2
AZ.....................................................     86427  8.2
AZ.....................................................     86429  8.4
AZ.....................................................     86430  8.4
AZ.....................................................     86431  4.0
AZ.....................................................     86432  9.0
AZ.....................................................     86433  8.2
AZ.....................................................     86434  5.0
AZ.....................................................     86435  10.4
AZ.....................................................     86436  8.2
AZ.....................................................     86437  4.0
AZ.....................................................     86438  8.2
AZ.....................................................     86439  8.2
AZ.....................................................     86440  9.2
AZ.....................................................     86441  5.0
AZ.....................................................     86442  8.2
AZ.....................................................     86443  5.0
AZ.....................................................     86444  5.0
AZ.....................................................     86445  5.0
AZ.....................................................     86446  8.2
AZ.....................................................     86502  10.5
AZ.....................................................     86503  7.0
AZ.....................................................     86504  7.4
AZ.....................................................     86505  7.4
AZ.....................................................     86506  7.4
AZ.....................................................     86507  10.6
AZ.....................................................     86508  7.4
AZ.....................................................     86510  10.0
AZ.....................................................     86511  7.4
AZ.....................................................     86512  10.5
AZ.....................................................     86514  10.4
AZ.....................................................     86515  7.4
AZ.....................................................     86520  10.0
AZ.....................................................     86535  8.0
AZ.....................................................     86538  8.0
AZ.....................................................     86540  7.0
AZ.....................................................     86544  10.4
AZ.....................................................     86545  10.4
AZ.....................................................     86547  8.0
AZ.....................................................     86556  10.6
CA.....................................................     90001  1.0
CA.....................................................     90002  1.0
CA.....................................................     90003  1.0
CA.....................................................     90004  1.0
CA.....................................................     90005  1.0
CA.....................................................     90006  1.0
CA.....................................................     90007  1.0
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CA.....................................................     90009  1.0
CA.....................................................     90010  1.0
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CA.....................................................     90020  1.0
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CA.....................................................     90023  1.0
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CA.....................................................     90027  1.0
CA.....................................................     90028  1.0
CA.....................................................     90029  1.0
CA.....................................................     90030  1.0
CA.....................................................     90031  1.0
CA.....................................................     90032  1.0
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CA.....................................................     90038  1.0
CA.....................................................     90039  1.0
CA.....................................................     90040  1.0
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CA.....................................................     90086  1.0
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CA.....................................................     90201  1.0
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CA.....................................................     90606  1.0
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CA.....................................................     90612  1.0
CA.....................................................     90620  1.0
CA.....................................................     90621  1.0
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CA.....................................................     90671  1.0
CA.....................................................     90680  1.0
CA.....................................................     90701  1.0
CA.....................................................     90702  1.0
CA.....................................................     90703  1.0
CA.....................................................     90704  7.3
CA.....................................................     90706  1.0
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CA.....................................................     90842  1.0
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CA.....................................................     91224  1.0
CA.....................................................     91225  1.0
CA.....................................................     91226  1.0
CA.....................................................     91301  1.1
CA.....................................................     91302  1.0
CA.....................................................     91303  1.0
CA.....................................................     91304  1.0
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CA.....................................................     91306  1.0
CA.....................................................     91307  1.0
CA.....................................................     91308  1.0
CA.....................................................     91309  1.0
CA.....................................................     91310  2.0
CA.....................................................     91311  1.0
CA.....................................................     91312  1.0
CA.....................................................     91313  1.0
CA.....................................................     91316  1.0
CA.....................................................     91319  1.1
CA.....................................................     91320  1.1
CA.....................................................     91321  2.0
CA.....................................................     91322  2.0
CA.....................................................     91324  1.0
CA.....................................................     91325  1.0
CA.....................................................     91326  1.0
CA.....................................................     91327  1.0
CA.....................................................     91328  1.0
CA.....................................................     91329  1.0
CA.....................................................     91330  1.0
CA.....................................................     91331  1.0
CA.....................................................     91333  1.0
CA.....................................................     91334  1.0
CA.....................................................     91335  1.0
CA.....................................................     91337  1.0
CA.....................................................     91340  1.0
CA.....................................................     91341  1.0
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CA.....................................................     91343  1.0
CA.....................................................     91344  1.0
CA.....................................................     91345  1.0
CA.....................................................     91346  1.0
CA.....................................................     91350  2.0
CA.....................................................     91351  2.0
CA.....................................................     91352  1.0
CA.....................................................     91353  1.0
CA.....................................................     91354  2.0
CA.....................................................     91355  2.0
CA.....................................................     91356  1.0
CA.....................................................     91357  1.0
CA.....................................................     91358  1.1
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CA.....................................................     91360  1.1
CA.....................................................     91361  1.1
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CA.....................................................     91363  1.1
CA.....................................................     91364  1.0
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CA.....................................................     91372  1.0
CA.....................................................     91376  1.1
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CA.....................................................     91380  2.0
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CA.....................................................     91386  2.0
CA.....................................................     91387  2.0
CA.....................................................     91388  1.0
CA.....................................................     91390  2.0
CA.....................................................     91392  1.0
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CA.....................................................     91426  1.0
CA.....................................................     91436  1.0
CA.....................................................     91470  1.0
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CA.....................................................     91905  2.0
CA.....................................................     91906  2.0
CA.....................................................     91908  1.0
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CA.....................................................     91916  2.0
CA.....................................................     91917  2.0
CA.....................................................     91921  1.0
CA.....................................................     91931  2.0
CA.....................................................     91932  1.0
CA.....................................................     91933  1.0
CA.....................................................     91934  2.0
CA.....................................................     91935  1.0
CA.....................................................     91941  1.0
CA.....................................................     91942  1.0
CA.....................................................     91943  1.0
CA.....................................................     91944  1.0
CA.....................................................     91945  1.0
CA.....................................................     91946  1.0
CA.....................................................     91947  1.0
CA.....................................................     91948  2.0
CA.....................................................     91950  1.0
CA.....................................................     91951  1.0
CA.....................................................     91962  2.0
CA.....................................................     91963  2.0
CA.....................................................     91976  1.0
CA.....................................................     91977  1.0
CA.....................................................     91978  1.0
CA.....................................................     91979  1.0
CA.....................................................     91980  2.0
CA.....................................................     91987  2.0
CA.....................................................     91990  2.0
CA.....................................................     92003  1.0
CA.....................................................     92004  10.4
CA.....................................................     92007  1.0
CA.....................................................     92008  1.0
CA.....................................................     92009  1.0
CA.....................................................     92010  1.0
CA.....................................................     92011  1.0
CA.....................................................     92013  1.0
CA.....................................................     92014  1.0
CA.....................................................     92018  1.0
CA.....................................................     92019  1.0
CA.....................................................     92020  1.0
CA.....................................................     92021  1.0
CA.....................................................     92022  1.0
CA.....................................................     92023  1.0
CA.....................................................     92024  1.0
CA.....................................................     92025  1.0
CA.....................................................     92026  1.0
CA.....................................................     92027  1.0
CA.....................................................     92028  1.0
CA.....................................................     92029  1.0
CA.....................................................     92030  1.0
CA.....................................................     92033  1.0
CA.....................................................     92036  10.1
CA.....................................................     92037  1.0
CA.....................................................     92038  1.0
CA.....................................................     92039  1.0
CA.....................................................     92040  1.0
CA.....................................................     92046  1.0
CA.....................................................     92049  1.0
CA.....................................................     92051  1.0
CA.....................................................     92052  1.0
CA.....................................................     92054  1.0
CA.....................................................     92055  1.0
CA.....................................................     92056  1.0
CA.....................................................     92057  1.0
CA.....................................................     92058  1.0
CA.....................................................     92059  2.0
CA.....................................................     92060  2.0
CA.....................................................     92061  2.0
CA.....................................................     92064  1.0
CA.....................................................     92065  2.0
CA.....................................................     92066  10.1
CA.....................................................     92067  1.0
CA.....................................................     92068  1.0
CA.....................................................     92069  1.0
CA.....................................................     92070  10.1
CA.....................................................     92071  1.0
CA.....................................................     92072  1.0
CA.....................................................     92074  1.0
CA.....................................................     92075  1.0
CA.....................................................     92078  1.0
CA.....................................................     92079  1.0
CA.....................................................     92081  1.0
CA.....................................................     92082  2.0
CA.....................................................     92083  1.0
CA.....................................................     92084  1.0
CA.....................................................     92085  1.0
CA.....................................................     92086  10.1
CA.....................................................     92088  1.0
CA.....................................................     92090  1.0
CA.....................................................     92091  1.0
CA.....................................................     92092  1.0
CA.....................................................     92093  1.0
CA.....................................................     92096  1.0
CA.....................................................     92101  1.0
CA.....................................................     92102  1.0
CA.....................................................     92103  1.0
CA.....................................................     92104  1.0
CA.....................................................     92105  1.0
CA.....................................................     92106  1.0
CA.....................................................     92107  1.0
CA.....................................................     92108  1.0
CA.....................................................     92109  1.0
CA.....................................................     92110  1.0
CA.....................................................     92111  1.0
CA.....................................................     92112  1.0
CA.....................................................     92113  1.0
CA.....................................................     92114  1.0
CA.....................................................     92115  1.0
CA.....................................................     92116  1.0
CA.....................................................     92117  1.0
CA.....................................................     92118  1.0
CA.....................................................     92119  1.0
CA.....................................................     92120  1.0
CA.....................................................     92121  1.0
CA.....................................................     92122  1.0
CA.....................................................     92123  1.0
CA.....................................................     92124  1.0
CA.....................................................     92126  1.0
CA.....................................................     92127  1.0
CA.....................................................     92128  1.0
CA.....................................................     92129  1.0
CA.....................................................     92130  1.0
CA.....................................................     92131  1.0
CA.....................................................     92132  1.0
CA.....................................................     92133  1.0
CA.....................................................     92134  1.0
CA.....................................................     92135  1.0
CA.....................................................     92136  1.0
CA.....................................................     92137  1.0
CA.....................................................     92138  1.0
CA.....................................................     92139  1.0
CA.....................................................     92140  1.0
CA.....................................................     92142  1.0
CA.....................................................     92143  1.0
CA.....................................................     92145  1.0
CA.....................................................     92147  1.0
CA.....................................................     92149  1.0
CA.....................................................     92150  1.0
CA.....................................................     92152  1.0
CA.....................................................     92153  1.0
CA.....................................................     92154  1.0
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[[Page 70059]]

 
CA.....................................................     92158  1.0
CA.....................................................     92159  1.0
CA.....................................................     92160  1.0
CA.....................................................     92161  1.0
CA.....................................................     92162  1.0
CA.....................................................     92163  1.0
CA.....................................................     92164  1.0
CA.....................................................     92165  1.0
CA.....................................................     92166  1.0
CA.....................................................     92167  1.0
CA.....................................................     92168  1.0
CA.....................................................     92169  1.0
CA.....................................................     92170  1.0
CA.....................................................     92171  1.0
CA.....................................................     92172  1.0
CA.....................................................     92173  1.0
CA.....................................................     92174  1.0
CA.....................................................     92175  1.0
CA.....................................................     92176  1.0
CA.....................................................     92177  1.0
CA.....................................................     92178  1.0
CA.....................................................     92179  1.0
CA.....................................................     92182  1.0
CA.....................................................     92184  1.0
CA.....................................................     92186  1.0
CA.....................................................     92187  1.0
CA.....................................................     92190  1.0
CA.....................................................     92191  1.0
CA.....................................................     92192  1.0
CA.....................................................     92193  1.0
CA.....................................................     92194  1.0
CA.....................................................     92195  1.0
CA.....................................................     92196  1.0
CA.....................................................     92197  1.0
CA.....................................................     92198  1.0
CA.....................................................     92199  1.0
CA.....................................................     92201  1.0
CA.....................................................     92202  1.0
CA.....................................................     92203  1.0
CA.....................................................     92210  1.0
CA.....................................................     92211  1.0
CA.....................................................     92220  1.0
CA.....................................................     92222  1.0
CA.....................................................     92223  1.0
CA.....................................................     92225  4.0
CA.....................................................     92226  4.0
CA.....................................................     92227  4.2
CA.....................................................     92230  1.0
CA.....................................................     92231  4.2
CA.....................................................     92232  4.2
CA.....................................................     92233  7.3
CA.....................................................     92234  1.0
CA.....................................................     92235  1.0
CA.....................................................     92236  1.0
CA.....................................................     92239  9.2
CA.....................................................     92240  2.0
CA.....................................................     92241  2.0
CA.....................................................     92242  8.0
CA.....................................................     92243  1.0
CA.....................................................     92244  1.0
CA.....................................................     92247  1.0
CA.....................................................     92248  1.0
CA.....................................................     92249  1.0
CA.....................................................     92250  7.1
CA.....................................................     92251  1.0
CA.....................................................     92252  4.2
CA.....................................................     92253  1.0
CA.....................................................     92254  2.0
CA.....................................................     92255  1.0
CA.....................................................     92256  2.0
CA.....................................................     92257  10.6
CA.....................................................     92258  2.0
CA.....................................................     92259  9.1
CA.....................................................     92260  1.0
CA.....................................................     92261  1.0
CA.....................................................     92262  1.0
CA.....................................................     92263  1.0
CA.....................................................     92264  1.0
CA.....................................................     92266  1.0
CA.....................................................     92267  10.6
CA.....................................................     92268  4.2
CA.....................................................     92270  1.0
CA.....................................................     92273  1.0
CA.....................................................     92274  2.0
CA.....................................................     92275  2.0
CA.....................................................     92276  1.0
CA.....................................................     92277  5.0
CA.....................................................     92278  4.0
CA.....................................................     92280  10.6
CA.....................................................     92281  10.5
CA.....................................................     92282  2.0
CA.....................................................     92283  1.0
CA.....................................................     92284  4.2
CA.....................................................     92285  2.0
CA.....................................................     92286  4.2
CA.....................................................     92292  1.0
CA.....................................................     92301  1.0
CA.....................................................     92304  7.0
CA.....................................................     92305  2.0
CA.....................................................     92307  1.0
CA.....................................................     92308  1.0
CA.....................................................     92309  7.0
CA.....................................................     92310  7.0
CA.....................................................     92311  4.0
CA.....................................................     92312  4.0
CA.....................................................     92313  1.0
CA.....................................................     92314  4.0
CA.....................................................     92315  4.0
CA.....................................................     92316  1.0
CA.....................................................     92317  4.1
CA.....................................................     92318  1.0
CA.....................................................     92320  1.0
CA.....................................................     92321  4.1
CA.....................................................     92322  4.1
CA.....................................................     92323  7.0
CA.....................................................     92324  1.0
CA.....................................................     92325  4.1
CA.....................................................     92326  1.0
CA.....................................................     92327  1.0
CA.....................................................     92328  5.0
CA.....................................................     92329  3.0
CA.....................................................     92332  7.0
CA.....................................................     92333  4.0
CA.....................................................     92334  1.0
CA.....................................................     92335  1.0
CA.....................................................     92336  1.0
CA.....................................................     92337  1.0
CA.....................................................     92338  7.0
CA.....................................................     92339  2.0
CA.....................................................     92340  1.0
CA.....................................................     92341  4.0
CA.....................................................     92342  6.1
CA.....................................................     92344  1.0
CA.....................................................     92345  1.0
CA.....................................................     92346  1.0
CA.....................................................     92347  5.0
CA.....................................................     92350  1.0
CA.....................................................     92352  4.1
CA.....................................................     92354  1.0
CA.....................................................     92356  1.0
CA.....................................................     92357  1.0
CA.....................................................     92358  2.0
CA.....................................................     92359  1.0
CA.....................................................     92363  7.0
CA.....................................................     92364  7.0
CA.....................................................     92365  7.0
CA.....................................................     92366  7.0
CA.....................................................     92368  2.0
CA.....................................................     92369  1.0
CA.....................................................     92371  3.0
CA.....................................................     92372  3.0
CA.....................................................     92373  1.0
CA.....................................................     92374  1.0
CA.....................................................     92375  1.0
CA.....................................................     92376  1.0
CA.....................................................     92377  1.0
CA.....................................................     92378  1.0
CA.....................................................     92382  2.0
CA.....................................................     92384  5.0
CA.....................................................     92385  2.0
CA.....................................................     92386  4.0
CA.....................................................     92389  5.0
CA.....................................................     92391  1.0
CA.....................................................     92392  1.0
CA.....................................................     92393  1.0
CA.....................................................     92394  1.0
CA.....................................................     92395  1.0
CA.....................................................     92397  2.0
CA.....................................................     92398  7.0
CA.....................................................     92399  1.0
CA.....................................................     92401  1.0
CA.....................................................     92402  1.0
CA.....................................................     92403  1.0
CA.....................................................     92404  1.0
CA.....................................................     92405  1.0
CA.....................................................     92406  1.0
CA.....................................................     92407  1.0
CA.....................................................     92408  1.0
CA.....................................................     92410  1.0
CA.....................................................     92411  1.0
CA.....................................................     92412  1.0
CA.....................................................     92413  1.0
CA.....................................................     92414  1.0
CA.....................................................     92415  1.0
CA.....................................................     92418  1.0
CA.....................................................     92420  1.0
CA.....................................................     92423  1.0
CA.....................................................     92424  1.0
CA.....................................................     92427  1.0
CA.....................................................     92501  1.0
CA.....................................................     92502  1.0
CA.....................................................     92503  1.0
CA.....................................................     92504  1.0
CA.....................................................     92505  1.0
CA.....................................................     92506  1.0
CA.....................................................     92507  1.0
CA.....................................................     92508  1.0
CA.....................................................     92509  1.0
CA.....................................................     92513  1.0
CA.....................................................     92514  1.0
CA.....................................................     92515  1.0
CA.....................................................     92516  1.0
CA.....................................................     92517  1.0
CA.....................................................     92518  2.0
CA.....................................................     92519  1.0
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[[Page 70060]]

 
CA.....................................................     92530  1.0
CA.....................................................     92531  1.0
CA.....................................................     92532  1.0
CA.....................................................     92536  3.0
CA.....................................................     92539  10.4
CA.....................................................     92543  1.0
CA.....................................................     92544  1.0
CA.....................................................     92545  1.0
CA.....................................................     92546  1.0
CA.....................................................     92548  1.0
CA.....................................................     92549  10.4
CA.....................................................     92551  1.0
CA.....................................................     92552  1.0
CA.....................................................     92553  1.0
CA.....................................................     92554  1.0
CA.....................................................     92555  1.0
CA.....................................................     92556  1.0
CA.....................................................     92557  1.0
CA.....................................................     92561  3.0
CA.....................................................     92562  1.0
CA.....................................................     92563  1.0
CA.....................................................     92564  1.0
CA.....................................................     92567  1.0
CA.....................................................     92570  1.0
CA.....................................................     92571  1.0
CA.....................................................     92572  1.0
CA.....................................................     92581  1.0
CA.....................................................     92582  1.0
CA.....................................................     92583  1.0
CA.....................................................     92584  1.0
CA.....................................................     92585  1.0
CA.....................................................     92586  1.0
CA.....................................................     92587  1.0
CA.....................................................     92589  1.0
CA.....................................................     92590  1.0
CA.....................................................     92591  1.0
CA.....................................................     92592  1.0
CA.....................................................     92593  1.0
CA.....................................................     92595  1.0
CA.....................................................     92596  1.0
CA.....................................................     92599  1.0
CA.....................................................     92602  1.0
CA.....................................................     92603  1.0
CA.....................................................     92604  1.0
CA.....................................................     92605  1.0
CA.....................................................     92606  1.0
CA.....................................................     92607  1.1
CA.....................................................     92609  1.1
CA.....................................................     92610  1.1
CA.....................................................     92612  1.0
CA.....................................................     92614  1.0
CA.....................................................     92615  1.0
CA.....................................................     92616  1.0
CA.....................................................     92617  1.0
CA.....................................................     92618  1.0
CA.....................................................     92619  1.0
CA.....................................................     92620  1.0
CA.....................................................     92623  1.0
CA.....................................................     92624  1.1
CA.....................................................     92625  1.0
CA.....................................................     92626  1.0
CA.....................................................     92627  1.0
CA.....................................................     92628  1.0
CA.....................................................     92629  1.1
CA.....................................................     92630  1.1
CA.....................................................     92637  1.1
CA.....................................................     92646  1.0
CA.....................................................     92647  1.0
CA.....................................................     92648  1.0
CA.....................................................     92649  1.0
CA.....................................................     92650  1.0
CA.....................................................     92651  1.1
CA.....................................................     92652  1.1
CA.....................................................     92653  1.1
CA.....................................................     92654  1.1
CA.....................................................     92655  1.0
CA.....................................................     92656  1.1
CA.....................................................     92657  1.0
CA.....................................................     92658  1.0
CA.....................................................     92659  1.0
CA.....................................................     92660  1.0
CA.....................................................     92661  1.0
CA.....................................................     92662  1.0
CA.....................................................     92663  1.0
CA.....................................................     92672  1.1
CA.....................................................     92673  1.1
CA.....................................................     92674  1.1
CA.....................................................     92675  1.1
CA.....................................................     92676  2.0
CA.....................................................     92677  1.1
CA.....................................................     92678  1.1
CA.....................................................     92679  1.1
CA.....................................................     92683  1.0
CA.....................................................     92684  1.0
CA.....................................................     92685  1.0
CA.....................................................     92688  1.1
CA.....................................................     92690  1.1
CA.....................................................     92691  1.1
CA.....................................................     92692  1.1
CA.....................................................     92693  1.1
CA.....................................................     92694  1.1
CA.....................................................     92697  1.0
CA.....................................................     92698  1.0
CA.....................................................     92701  1.0
CA.....................................................     92702  1.0
CA.....................................................     92703  1.0
CA.....................................................     92704  1.0
CA.....................................................     92705  1.0
CA.....................................................     92706  1.0
CA.....................................................     92707  1.0
CA.....................................................     92708  1.0
CA.....................................................     92709  1.0
CA.....................................................     92710  1.0
CA.....................................................     92711  1.0
CA.....................................................     92712  1.0
CA.....................................................     92725  1.0
CA.....................................................     92728  1.0
CA.....................................................     92735  1.0
CA.....................................................     92780  1.0
CA.....................................................     92781  1.0
CA.....................................................     92782  1.0
CA.....................................................     92799  1.0
CA.....................................................     92801  1.0
CA.....................................................     92802  1.0
CA.....................................................     92803  1.0
CA.....................................................     92804  1.0
CA.....................................................     92805  1.0
CA.....................................................     92806  1.0
CA.....................................................     92807  1.0
CA.....................................................     92808  1.0
CA.....................................................     92809  1.0
CA.....................................................     92811  1.0
CA.....................................................     92812  1.0
CA.....................................................     92814  1.0
CA.....................................................     92815  1.0
CA.....................................................     92816  1.0
CA.....................................................     92817  1.0
CA.....................................................     92821  1.0
CA.....................................................     92822  1.0
CA.....................................................     92823  1.0
CA.....................................................     92825  1.0
CA.....................................................     92831  1.0
CA.....................................................     92832  1.0
CA.....................................................     92833  1.0
CA.....................................................     92834  1.0
CA.....................................................     92835  1.0
CA.....................................................     92836  1.0
CA.....................................................     92837  1.0
CA.....................................................     92838  1.0
CA.....................................................     92840  1.0
CA.....................................................     92841  1.0
CA.....................................................     92842  1.0
CA.....................................................     92843  1.0
CA.....................................................     92844  1.0
CA.....................................................     92845  1.0
CA.....................................................     92846  1.0
CA.....................................................     92850  1.0
CA.....................................................     92856  1.0
CA.....................................................     92857  1.0
CA.....................................................     92859  1.0
CA.....................................................     92860  1.0
CA.....................................................     92861  1.0
CA.....................................................     92862  1.0
CA.....................................................     92863  1.0
CA.....................................................     92864  1.0
CA.....................................................     92865  1.0
CA.....................................................     92866  1.0
CA.....................................................     92867  1.0
CA.....................................................     92868  1.0
CA.....................................................     92869  1.0
CA.....................................................     92870  1.0
CA.....................................................     92871  1.0
CA.....................................................     92877  1.0
CA.....................................................     92878  1.0
CA.....................................................     92879  1.0
CA.....................................................     92880  1.0
CA.....................................................     92881  1.0
CA.....................................................     92882  1.0
CA.....................................................     92883  1.0
CA.....................................................     92885  1.0
CA.....................................................     92886  1.0
CA.....................................................     92887  1.0
CA.....................................................     92899  1.0
CA.....................................................     93001  1.0
CA.....................................................     93002  1.0
CA.....................................................     93003  1.0
CA.....................................................     93004  1.0
CA.....................................................     93005  1.0
CA.....................................................     93006  1.0
CA.....................................................     93007  1.0
CA.....................................................     93009  1.0
CA.....................................................     93010  1.0
CA.....................................................     93011  1.0
CA.....................................................     93012  1.0
CA.....................................................     93013  1.0
CA.....................................................     93014  1.0
CA.....................................................     93015  4.2
CA.....................................................     93016  4.2
CA.....................................................     93020  1.1
CA.....................................................     93021  1.1
CA.....................................................     93022  1.0
CA.....................................................     93023  1.0
CA.....................................................     93024  1.0
CA.....................................................     93030  1.0
CA.....................................................     93031  1.0
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[[Page 70061]]

 
CA.....................................................     93034  1.0
CA.....................................................     93035  1.0
CA.....................................................     93036  1.0
CA.....................................................     93040  4.2
CA.....................................................     93041  1.0
CA.....................................................     93042  1.0
CA.....................................................     93043  1.0
CA.....................................................     93044  1.0
CA.....................................................     93060  2.0
CA.....................................................     93061  2.0
CA.....................................................     93062  2.0
CA.....................................................     93063  2.0
CA.....................................................     93064  2.0
CA.....................................................     93065  2.0
CA.....................................................     93066  1.0
CA.....................................................     93067  1.0
CA.....................................................     93093  2.0
CA.....................................................     93094  2.0
CA.....................................................     93099  2.0
CA.....................................................     93101  1.0
CA.....................................................     93102  1.0
CA.....................................................     93103  1.0
CA.....................................................     93105  1.0
CA.....................................................     93106  1.0
CA.....................................................     93107  1.0
CA.....................................................     93108  1.0
CA.....................................................     93109  1.0
CA.....................................................     93110  1.0
CA.....................................................     93111  1.0
CA.....................................................     93116  1.0
CA.....................................................     93117  1.0
CA.....................................................     93118  1.0
CA.....................................................     93120  1.0
CA.....................................................     93121  1.0
CA.....................................................     93130  1.0
CA.....................................................     93140  1.0
CA.....................................................     93150  1.0
CA.....................................................     93160  1.0
CA.....................................................     93190  1.0
CA.....................................................     93199  1.0
CA.....................................................     93201  6.0
CA.....................................................     93202  4.0
CA.....................................................     93203  2.0
CA.....................................................     93204  4.0
CA.....................................................     93205  7.3
CA.....................................................     93206  10.1
CA.....................................................     93207  2.0
CA.....................................................     93208  2.0
CA.....................................................     93210  4.2
CA.....................................................     93212  4.0
CA.....................................................     93215  4.2
CA.....................................................     93216  4.2
CA.....................................................     93218  2.0
CA.....................................................     93219  6.0
CA.....................................................     93220  1.0
CA.....................................................     93221  1.0
CA.....................................................     93222  3.0
CA.....................................................     93223  1.0
CA.....................................................     93224  2.0
CA.....................................................     93225  3.0
CA.....................................................     93226  2.0
CA.....................................................     93227  1.0
CA.....................................................     93230  4.0
CA.....................................................     93232  4.0
CA.....................................................     93234  7.3
CA.....................................................     93235  2.0
CA.....................................................     93237  10.1
CA.....................................................     93238  2.0
CA.....................................................     93239  10.5
CA.....................................................     93240  7.3
CA.....................................................     93241  1.0
CA.....................................................     93242  10.4
CA.....................................................     93243  2.0
CA.....................................................     93244  10.1
CA.....................................................     93245  4.0
CA.....................................................     93246  4.0
CA.....................................................     93247  4.2
CA.....................................................     93249  10.4
CA.....................................................     93250  5.0
CA.....................................................     93251  2.0
CA.....................................................     93252  2.0
CA.....................................................     93254  10.4
CA.....................................................     93255  2.0
CA.....................................................     93256  9.1
CA.....................................................     93257  1.0
CA.....................................................     93258  1.0
CA.....................................................     93260  2.0
CA.....................................................     93261  6.0
CA.....................................................     93262  10.1
CA.....................................................     93263  2.0
CA.....................................................     93265  2.0
CA.....................................................     93266  10.5
CA.....................................................     93267  1.0
CA.....................................................     93268  4.2
CA.....................................................     93270  2.0
CA.....................................................     93271  10.1
CA.....................................................     93272  10.4
CA.....................................................     93274  4.2
CA.....................................................     93275  4.2
CA.....................................................     93276  2.0
CA.....................................................     93277  1.0
CA.....................................................     93278  1.0
CA.....................................................     93279  1.0
CA.....................................................     93280  4.2
CA.....................................................     93282  4.0
CA.....................................................     93283  7.3
CA.....................................................     93285  2.0
CA.....................................................     93286  9.1
CA.....................................................     93287  2.0
CA.....................................................     93290  1.0
CA.....................................................     93291  1.0
CA.....................................................     93292  1.0
CA.....................................................     93301  1.0
CA.....................................................     93302  1.0
CA.....................................................     93303  1.0
CA.....................................................     93304  1.0
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CA.....................................................     93306  1.0
CA.....................................................     93307  1.0
CA.....................................................     93308  1.0
CA.....................................................     93309  1.0
CA.....................................................     93311  1.0
CA.....................................................     93312  1.0
CA.....................................................     93313  1.0
CA.....................................................     93314  1.0
CA.....................................................     93380  1.0
CA.....................................................     93381  1.0
CA.....................................................     93382  1.0
CA.....................................................     93383  1.0
CA.....................................................     93384  1.0
CA.....................................................     93385  1.0
CA.....................................................     93386  1.0
CA.....................................................     93387  1.0
CA.....................................................     93388  1.0
CA.....................................................     93389  1.0
CA.....................................................     93390  1.0
CA.....................................................     93401  1.0
CA.....................................................     93402  2.0
CA.....................................................     93403  1.0
CA.....................................................     93405  1.0
CA.....................................................     93406  1.0
CA.....................................................     93407  1.0
CA.....................................................     93408  1.0
CA.....................................................     93409  1.0
CA.....................................................     93410  1.0
CA.....................................................     93412  2.0
CA.....................................................     93420  4.2
CA.....................................................     93421  4.2
CA.....................................................     93422  1.0
CA.....................................................     93423  1.0
CA.....................................................     93424  1.0
CA.....................................................     93426  6.0
CA.....................................................     93427  4.2
CA.....................................................     93428  7.0
CA.....................................................     93429  1.0
CA.....................................................     93430  2.0
CA.....................................................     93432  1.0
CA.....................................................     93433  4.2
CA.....................................................     93434  2.0
CA.....................................................     93435  2.0
CA.....................................................     93436  1.0
CA.....................................................     93437  1.0
CA.....................................................     93438  1.0
CA.....................................................     93440  1.0
CA.....................................................     93441  4.2
CA.....................................................     93442  2.0
CA.....................................................     93443  2.0
CA.....................................................     93444  1.0
CA.....................................................     93445  4.2
CA.....................................................     93446  1.0
CA.....................................................     93447  1.0
CA.....................................................     93448  4.2
CA.....................................................     93449  4.2
CA.....................................................     93450  6.0
CA.....................................................     93451  2.0
CA.....................................................     93452  10.4
CA.....................................................     93453  1.0
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CA.....................................................     93463  4.2
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CA.....................................................     93465  1.0
CA.....................................................     93475  1.0
CA.....................................................     93483  4.2
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CA.....................................................     93502  10.4
CA.....................................................     93504  9.0
CA.....................................................     93505  9.0
CA.....................................................     93510  2.0
CA.....................................................     93512  10.6
CA.....................................................     93513  5.0
CA.....................................................     93514  4.0
CA.....................................................     93515  4.0
CA.....................................................     93516  10.6
CA.....................................................     93517  10.6
CA.....................................................     93518  7.3
CA.....................................................     93519  9.0
CA.....................................................     93522  4.0
CA.....................................................     93523  7.0
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[[Page 70062]]

 
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CA.....................................................     93534  1.1
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CA.....................................................     93536  1.1
CA.....................................................     93539  1.1
CA.....................................................     93541  10.6
CA.....................................................     93542  4.0
CA.....................................................     93543  1.1
CA.....................................................     93544  3.0
CA.....................................................     93545  10.5
CA.....................................................     93546  7.0
CA.....................................................     93549  4.0
CA.....................................................     93550  1.1
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CA.....................................................     93553  2.1
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CA.....................................................     93560  3.0
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CA.....................................................     93563  2.0
CA.....................................................     93581  4.0
CA.....................................................     93584  1.1
CA.....................................................     93586  1.1
CA.....................................................     93590  1.1
CA.....................................................     93591  2.1
CA.....................................................     93592  10.5
CA.....................................................     93596  10.6
CA.....................................................     93599  1.1
CA.....................................................     93601  10.6
CA.....................................................     93602  2.0
CA.....................................................     93603  2.0
CA.....................................................     93604  10.4
CA.....................................................     93605  2.0
CA.....................................................     93606  1.0
CA.....................................................     93607  10.4
CA.....................................................     93608  7.3
CA.....................................................     93609  2.0
CA.....................................................     93610  7.0
CA.....................................................     93611  1.0
CA.....................................................     93612  1.0
CA.....................................................     93613  1.0
CA.....................................................     93614  3.0
CA.....................................................     93615  4.2
CA.....................................................     93616  2.0
CA.....................................................     93618  4.2
CA.....................................................     93619  4.2
CA.....................................................     93620  9.2
CA.....................................................     93621  2.0
CA.....................................................     93622  7.3
CA.....................................................     93623  10.0
CA.....................................................     93624  7.3
CA.....................................................     93625  4.1
CA.....................................................     93626  2.0
CA.....................................................     93627  7.3
CA.....................................................     93628  2.0
CA.....................................................     93630  2.0
CA.....................................................     93631  4.1
CA.....................................................     93633  2.0
CA.....................................................     93634  2.0
CA.....................................................     93635  4.2
CA.....................................................     93637  1.0
CA.....................................................     93638  1.0
CA.....................................................     93639  1.0
CA.....................................................     93640  7.3
CA.....................................................     93641  2.0
CA.....................................................     93642  2.0
CA.....................................................     93643  10.4
CA.....................................................     93644  7.0
CA.....................................................     93645  3.0
CA.....................................................     93646  7.4
CA.....................................................     93647  4.2
CA.....................................................     93648  3.0
CA.....................................................     93649  4.2
CA.....................................................     93650  1.0
CA.....................................................     93651  2.0
CA.....................................................     93652  2.0
CA.....................................................     93653  3.0
CA.....................................................     93654  4.2
CA.....................................................     93656  10.4
CA.....................................................     93657  2.0
CA.....................................................     93660  7.3
CA.....................................................     93661  9.2
CA.....................................................     93662  4.1
CA.....................................................     93664  2.0
CA.....................................................     93665  9.2
CA.....................................................     93666  4.2
CA.....................................................     93667  2.0
CA.....................................................     93668  7.3
CA.....................................................     93669  10.4
CA.....................................................     93670  4.2
CA.....................................................     93673  4.1
CA.....................................................     93675  2.0
CA.....................................................     93701  1.0
CA.....................................................     93702  1.0
CA.....................................................     93703  1.0
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CA.....................................................     93844  1.0
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CA.....................................................     93902  1.0
CA.....................................................     93905  1.0
CA.....................................................     93906  1.0
CA.....................................................     93907  1.0
CA.....................................................     93908  1.0
CA.....................................................     93912  1.0
CA.....................................................     93915  1.0
CA.....................................................     93920  10.1
CA.....................................................     93921  1.0
CA.....................................................     93922  1.0
CA.....................................................     93923  1.0
CA.....................................................     93924  1.0
CA.....................................................     93925  2.0
CA.....................................................     93926  2.0
CA.....................................................     93927  4.2
CA.....................................................     93928  6.0
CA.....................................................     93930  4.2
CA.....................................................     93932  6.0
CA.....................................................     93933  1.0
CA.....................................................     93940  1.0
CA.....................................................     93942  1.0
CA.....................................................     93943  1.0
CA.....................................................     93944  1.0
CA.....................................................     93950  1.0
CA.....................................................     93953  1.0
CA.....................................................     93954  4.2
CA.....................................................     93955  1.0
CA.....................................................     93960  2.0
CA.....................................................     93962  1.0
CA.....................................................     94002  1.0
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CA.....................................................     94022  1.0
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CA.....................................................     94307  1.0
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CA.....................................................     94309  1.0
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CA.....................................................     94497  1.0
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CA.....................................................     94502  1.0
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CA.....................................................     94506  1.0
CA.....................................................     94507  1.0
CA.....................................................     94508  10.6
CA.....................................................     94509  1.1
CA.....................................................     94510  1.0
CA.....................................................     94511  1.1
CA.....................................................     94512  7.0
CA.....................................................     94513  1.1
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CA.....................................................     94553  1.0
CA.....................................................     94555  1.0
CA.....................................................     94556  1.0
CA.....................................................     94557  1.0
CA.....................................................     94558  1.0
CA.....................................................     94559  1.0
CA.....................................................     94560  1.0
CA.....................................................     94561  1.1
CA.....................................................     94562  7.3
CA.....................................................     94563  1.0
CA.....................................................     94564  1.0
CA.....................................................     94565  1.1
CA.....................................................     94566  1.0
CA.....................................................     94567  10.4
CA.....................................................     94568  1.0
CA.....................................................     94569  1.0
CA.....................................................     94570  1.0
CA.....................................................     94571  7.0
CA.....................................................     94572  1.0
CA.....................................................     94573  7.3
CA.....................................................     94574  7.3
CA.....................................................     94575  1.0
CA.....................................................     94576  10.6
CA.....................................................     94577  1.0
CA.....................................................     94578  1.0
CA.....................................................     94579  1.0
CA.....................................................     94580  1.0
CA.....................................................     94581  1.0
CA.....................................................     94582  1.0
CA.....................................................     94583  1.0
CA.....................................................     94585  1.0
CA.....................................................     94586  1.0
CA.....................................................     94587  1.0
CA.....................................................     94588  1.0
CA.....................................................     94589  1.0
CA.....................................................     94590  1.0
CA.....................................................     94591  1.0
CA.....................................................     94592  10.4
CA.....................................................     94595  1.0
CA.....................................................     94596  1.0
CA.....................................................     94597  1.0
CA.....................................................     94598  1.0
CA.....................................................     94599  9.1
CA.....................................................     94601  1.0
CA.....................................................     94602  1.0
CA.....................................................     94603  1.0
CA.....................................................     94604  1.0
CA.....................................................     94605  1.0
CA.....................................................     94606  1.0
CA.....................................................     94607  1.0
CA.....................................................     94608  1.0
CA.....................................................     94609  1.0
CA.....................................................     94610  1.0
CA.....................................................     94611  1.0
CA.....................................................     94612  1.0
CA.....................................................     94613  1.0
CA.....................................................     94614  1.0
CA.....................................................     94615  1.0
CA.....................................................     94617  1.0
CA.....................................................     94618  1.0
CA.....................................................     94619  1.0
CA.....................................................     94620  1.0
CA.....................................................     94621  1.0
CA.....................................................     94622  1.0
CA.....................................................     94623  1.0
CA.....................................................     94624  1.0
CA.....................................................     94625  1.0
CA.....................................................     94626  1.0
CA.....................................................     94627  1.0
CA.....................................................     94643  1.0
CA.....................................................     94649  1.0
CA.....................................................     94659  1.0
CA.....................................................     94660  1.0
CA.....................................................     94661  1.0
CA.....................................................     94662  1.0
CA.....................................................     94666  1.0
CA.....................................................     94701  1.0
CA.....................................................     94702  1.0
CA.....................................................     94703  1.0
CA.....................................................     94704  1.0
CA.....................................................     94705  1.0
CA.....................................................     94706  1.0
CA.....................................................     94707  1.0
CA.....................................................     94708  1.0
CA.....................................................     94709  1.0
CA.....................................................     94710  1.0
CA.....................................................     94712  1.0
CA.....................................................     94720  1.0
CA.....................................................     94801  1.0
CA.....................................................     94802  1.0
CA.....................................................     94803  1.0
CA.....................................................     94804  1.0
CA.....................................................     94805  1.0
CA.....................................................     94806  1.0
CA.....................................................     94807  1.0
CA.....................................................     94808  1.0
CA.....................................................     94820  1.0
CA.....................................................     94850  1.0
CA.....................................................     94875  1.0
CA.....................................................     94901  1.1
CA.....................................................     94903  1.1
CA.....................................................     94904  1.1
CA.....................................................     94912  1.1
CA.....................................................     94913  1.1
CA.....................................................     94914  1.1
CA.....................................................     94915  1.1
CA.....................................................     94920  1.1
CA.....................................................     94922  2.0
CA.....................................................     94923  2.0
CA.....................................................     94924  10.4
CA.....................................................     94925  1.1
CA.....................................................     94926  1.0
CA.....................................................     94927  1.0
CA.....................................................     94928  1.0
CA.....................................................     94929  10.4
CA.....................................................     94930  1.1
CA.....................................................     94931  1.0
CA.....................................................     94933  1.1
CA.....................................................     94937  10.1
CA.....................................................     94938  1.1
CA.....................................................     94939  1.1
CA.....................................................     94940  10.4
CA.....................................................     94941  1.1
CA.....................................................     94942  1.1
CA.....................................................     94945  1.1
CA.....................................................     94946  10.4
CA.....................................................     94947  1.1
CA.....................................................     94948  1.1
CA.....................................................     94949  1.1
CA.....................................................     94950  10.4
CA.....................................................     94951  1.0
CA.....................................................     94952  1.0
CA.....................................................     94953  1.0
CA.....................................................     94954  1.0
CA.....................................................     94955  1.0
CA.....................................................     94956  10.1
CA.....................................................     94957  1.1
CA.....................................................     94960  1.1
CA.....................................................     94963  1.1
CA.....................................................     94964  1.1
CA.....................................................     94965  1.1
CA.....................................................     94966  1.1
CA.....................................................     94970  10.4
CA.....................................................     94971  10.4
CA.....................................................     94972  2.0
CA.....................................................     94973  1.1
CA.....................................................     94974  1.1
CA.....................................................     94975  1.0
CA.....................................................     94976  1.1
CA.....................................................     94977  1.1
CA.....................................................     94978  1.1
CA.....................................................     94979  1.1
CA.....................................................     94998  1.1
CA.....................................................     94999  1.0
CA.....................................................     95001  1.0
CA.....................................................     95002  1.0
CA.....................................................     95003  1.0
CA.....................................................     95004  3.0
CA.....................................................     95005  1.0
CA.....................................................     95006  1.0
CA.....................................................     95007  1.0
CA.....................................................     95008  1.0
CA.....................................................     95009  1.0
CA.....................................................     95010  1.0
CA.....................................................     95011  1.0
CA.....................................................     95012  1.0
CA.....................................................     95013  2.0
CA.....................................................     95014  1.0
CA.....................................................     95015  1.0
CA.....................................................     95017  2.0
CA.....................................................     95018  1.0
CA.....................................................     95019  1.1

[[Page 70065]]

 
CA.....................................................     95020  2.0
CA.....................................................     95021  2.0
CA.....................................................     95023  4.2
CA.....................................................     95024  4.2
CA.....................................................     95026  2.0
CA.....................................................     95030  1.0
CA.....................................................     95031  1.0
CA.....................................................     95032  1.0
CA.....................................................     95033  2.0
CA.....................................................     95035  1.0
CA.....................................................     95036  1.0
CA.....................................................     95037  2.0
CA.....................................................     95038  2.0
CA.....................................................     95039  1.1
CA.....................................................     95041  1.0
CA.....................................................     95042  1.0
CA.....................................................     95043  4.2
CA.....................................................     95044  2.0
CA.....................................................     95045  10.4
CA.....................................................     95046  2.0
CA.....................................................     95050  1.0
CA.....................................................     95051  1.0
CA.....................................................     95052  1.0
CA.....................................................     95053  1.0
CA.....................................................     95054  1.0
CA.....................................................     95055  1.0
CA.....................................................     95056  1.0
CA.....................................................     95060  1.0
CA.....................................................     95061  1.0
CA.....................................................     95062  1.0
CA.....................................................     95063  1.0
CA.....................................................     95064  1.0
CA.....................................................     95065  1.0
CA.....................................................     95066  1.0
CA.....................................................     95067  1.0
CA.....................................................     95070  1.0
CA.....................................................     95071  1.0
CA.....................................................     95073  1.0
CA.....................................................     95075  4.2
CA.....................................................     95076  1.1
CA.....................................................     95077  1.1
CA.....................................................     95101  1.0
CA.....................................................     95102  1.0
CA.....................................................     95103  1.0
CA.....................................................     95106  1.0
CA.....................................................     95108  1.0
CA.....................................................     95109  1.0
CA.....................................................     95110  1.0
CA.....................................................     95111  1.0
CA.....................................................     95112  1.0
CA.....................................................     95113  1.0
CA.....................................................     95114  1.0
CA.....................................................     95115  1.0
CA.....................................................     95116  1.0
CA.....................................................     95117  1.0
CA.....................................................     95118  1.0
CA.....................................................     95119  1.0
CA.....................................................     95120  1.0
CA.....................................................     95121  1.0
CA.....................................................     95122  1.0
CA.....................................................     95123  1.0
CA.....................................................     95124  1.0
CA.....................................................     95125  1.0
CA.....................................................     95126  1.0
CA.....................................................     95127  1.0
CA.....................................................     95128  1.0
CA.....................................................     95129  1.0
CA.....................................................     95130  1.0
CA.....................................................     95131  1.0
CA.....................................................     95132  1.0
CA.....................................................     95133  1.0
CA.....................................................     95134  1.0
CA.....................................................     95135  1.0
CA.....................................................     95136  1.0
CA.....................................................     95137  1.0
CA.....................................................     95138  1.0
CA.....................................................     95139  1.0
CA.....................................................     95140  1.0
CA.....................................................     95141  1.0
CA.....................................................     95142  1.0
CA.....................................................     95148  1.0
CA.....................................................     95150  1.0
CA.....................................................     95151  1.0
CA.....................................................     95152  1.0
CA.....................................................     95153  1.0
CA.....................................................     95154  1.0
CA.....................................................     95155  1.0
CA.....................................................     95156  1.0
CA.....................................................     95157  1.0
CA.....................................................     95158  1.0
CA.....................................................     95159  1.0
CA.....................................................     95160  1.0
CA.....................................................     95161  1.0
CA.....................................................     95164  1.0
CA.....................................................     95170  1.0
CA.....................................................     95171  1.0
CA.....................................................     95172  1.0
CA.....................................................     95173  1.0
CA.....................................................     95190  1.0
CA.....................................................     95191  1.0
CA.....................................................     95192  1.0
CA.....................................................     95193  1.0
CA.....................................................     95194  1.0
CA.....................................................     95196  1.0
CA.....................................................     95201  1.0
CA.....................................................     95202  1.0
CA.....................................................     95203  1.0
CA.....................................................     95204  1.0
CA.....................................................     95205  1.0
CA.....................................................     95206  1.0
CA.....................................................     95207  1.0
CA.....................................................     95208  1.0
CA.....................................................     95209  1.0
CA.....................................................     95210  1.0
CA.....................................................     95211  1.0
CA.....................................................     95212  1.0
CA.....................................................     95213  1.0
CA.....................................................     95215  1.0
CA.....................................................     95219  1.0
CA.....................................................     95220  3.0
CA.....................................................     95221  7.0
CA.....................................................     95222  7.0
CA.....................................................     95223  10.6
CA.....................................................     95224  10.6
CA.....................................................     95225  10.4
CA.....................................................     95226  10.4
CA.....................................................     95227  3.0
CA.....................................................     95228  10.5
CA.....................................................     95229  7.0
CA.....................................................     95230  2.0
CA.....................................................     95231  1.0
CA.....................................................     95232  10.0
CA.....................................................     95233  10.6
CA.....................................................     95234  1.0
CA.....................................................     95236  2.0
CA.....................................................     95237  2.0
CA.....................................................     95240  1.0
CA.....................................................     95241  1.0
CA.....................................................     95242  1.0
CA.....................................................     95245  10.6
CA.....................................................     95246  10.6
CA.....................................................     95247  7.0
CA.....................................................     95248  10.6
CA.....................................................     95249  10.6
CA.....................................................     95250  10.6
CA.....................................................     95251  7.0
CA.....................................................     95252  10.4
CA.....................................................     95253  1.0
CA.....................................................     95254  10.4
CA.....................................................     95255  10.0
CA.....................................................     95257  10.0
CA.....................................................     95258  1.0
CA.....................................................     95267  1.0
CA.....................................................     95269  1.0
CA.....................................................     95290  1.0
CA.....................................................     95296  1.0
CA.....................................................     95297  1.0
CA.....................................................     95298  1.0
CA.....................................................     95301  1.0
CA.....................................................     95303  1.0
CA.....................................................     95304  9.1
CA.....................................................     95305  10.5
CA.....................................................     95306  10.0
CA.....................................................     95307  1.0
CA.....................................................     95309  4.0
CA.....................................................     95310  4.0
CA.....................................................     95311  10.4
CA.....................................................     95312  1.0
CA.....................................................     95313  10.6
CA.....................................................     95314  5.0
CA.....................................................     95315  1.0
CA.....................................................     95316  1.0
CA.....................................................     95317  10.1
CA.....................................................     95318  10.0
CA.....................................................     95319  1.0
CA.....................................................     95320  3.0
CA.....................................................     95321  10.5
CA.....................................................     95322  7.3
CA.....................................................     95323  2.0
CA.....................................................     95324  7.3
CA.....................................................     95325  10.0
CA.....................................................     95326  1.0
CA.....................................................     95327  9.1
CA.....................................................     95328  1.0
CA.....................................................     95329  9.1
CA.....................................................     95330  1.0
CA.....................................................     95333  10.4
CA.....................................................     95334  4.2
CA.....................................................     95335  5.0
CA.....................................................     95336  1.0
CA.....................................................     95337  1.0
CA.....................................................     95338  10.0
CA.....................................................     95340  1.0
CA.....................................................     95341  1.0
CA.....................................................     95342  1.0
CA.....................................................     95343  1.0
CA.....................................................     95344  1.0
CA.....................................................     95345  10.0
CA.....................................................     95346  5.0
CA.....................................................     95347  10.5
CA.....................................................     95348  1.0
CA.....................................................     95350  1.0
CA.....................................................     95351  1.0
CA.....................................................     95352  1.0
CA.....................................................     95353  1.0
CA.....................................................     95354  1.0
CA.....................................................     95355  1.0

[[Page 70066]]

 
CA.....................................................     95356  1.0
CA.....................................................     95357  1.0
CA.....................................................     95358  1.0
CA.....................................................     95360  9.1
CA.....................................................     95361  4.1
CA.....................................................     95363  4.2
CA.....................................................     95364  5.0
CA.....................................................     95365  1.0
CA.....................................................     95366  1.0
CA.....................................................     95367  1.0
CA.....................................................     95368  1.0
CA.....................................................     95369  10.4
CA.....................................................     95370  4.0
CA.....................................................     95372  5.0
CA.....................................................     95373  4.0
CA.....................................................     95374  7.3
CA.....................................................     95375  5.0
CA.....................................................     95376  1.0
CA.....................................................     95377  1.0
CA.....................................................     95378  1.0
CA.....................................................     95379  5.0
CA.....................................................     95380  1.0
CA.....................................................     95381  1.0
CA.....................................................     95382  1.0
CA.....................................................     95383  5.0
CA.....................................................     95385  10.4
CA.....................................................     95386  2.0
CA.....................................................     95387  4.2
CA.....................................................     95388  1.0
CA.....................................................     95389  10.0
CA.....................................................     95391  1.0
CA.....................................................     95397  1.0
CA.....................................................     95401  1.0
CA.....................................................     95402  1.0
CA.....................................................     95403  1.0
CA.....................................................     95404  1.0
CA.....................................................     95405  1.0
CA.....................................................     95406  1.0
CA.....................................................     95407  1.0
CA.....................................................     95408  1.0
CA.....................................................     95409  1.0
CA.....................................................     95410  10.3
CA.....................................................     95412  10.4
CA.....................................................     95415  10.5
CA.....................................................     95416  4.2
CA.....................................................     95417  10.0
CA.....................................................     95418  4.0
CA.....................................................     95419  1.0
CA.....................................................     95420  10.3
CA.....................................................     95421  10.4
CA.....................................................     95422  4.0
CA.....................................................     95423  7.4
CA.....................................................     95424  4.0
CA.....................................................     95425  2.0
CA.....................................................     95426  10.4
CA.....................................................     95427  10.5
CA.....................................................     95428  10.0
CA.....................................................     95429  10.0
CA.....................................................     95430  1.0
CA.....................................................     95431  4.2
CA.....................................................     95432  10.3
CA.....................................................     95433  4.2
CA.....................................................     95435  4.0
CA.....................................................     95436  2.0
CA.....................................................     95437  7.0
CA.....................................................     95439  1.0
CA.....................................................     95441  2.0
CA.....................................................     95442  4.2
CA.....................................................     95443  4.0
CA.....................................................     95444  1.0
CA.....................................................     95445  10.0
CA.....................................................     95446  2.0
CA.....................................................     95448  1.0
CA.....................................................     95449  10.2
CA.....................................................     95450  10.4
CA.....................................................     95451  6.0
CA.....................................................     95452  4.2
CA.....................................................     95453  4.0
CA.....................................................     95454  10.0
CA.....................................................     95456  10.3
CA.....................................................     95457  4.0
CA.....................................................     95458  4.0
CA.....................................................     95459  10.0
CA.....................................................     95460  10.3
CA.....................................................     95461  10.4
CA.....................................................     95462  2.0
CA.....................................................     95463  10.5
CA.....................................................     95464  4.0
CA.....................................................     95465  2.0
CA.....................................................     95466  10.5
CA.....................................................     95467  10.0
CA.....................................................     95468  10.0
CA.....................................................     95469  5.0
CA.....................................................     95470  4.0
CA.....................................................     95471  2.0
CA.....................................................     95472  1.0
CA.....................................................     95473  1.0
CA.....................................................     95476  4.2
CA.....................................................     95480  10.4
CA.....................................................     95481  4.0
CA.....................................................     95482  4.0
CA.....................................................     95485  10.5
CA.....................................................     95486  10.4
CA.....................................................     95487  4.2
CA.....................................................     95488  10.0
CA.....................................................     95490  7.4
CA.....................................................     95492  1.0
CA.....................................................     95493  10.5
CA.....................................................     95494  10.5
CA.....................................................     95497  10.4
CA.....................................................     95501  4.0
CA.....................................................     95502  4.0
CA.....................................................     95503  4.0
CA.....................................................     95511  10.0
CA.....................................................     95514  10.0
CA.....................................................     95518  4.0
CA.....................................................     95519  4.0
CA.....................................................     95521  4.0
CA.....................................................     95524  4.0
CA.....................................................     95525  5.0
CA.....................................................     95526  4.0
CA.....................................................     95527  10.0
CA.....................................................     95528  4.0
CA.....................................................     95531  4.0
CA.....................................................     95532  4.0
CA.....................................................     95534  4.0
CA.....................................................     95536  10.5
CA.....................................................     95537  4.0
CA.....................................................     95538  4.0
CA.....................................................     95540  4.0
CA.....................................................     95542  10.0
CA.....................................................     95543  5.0
CA.....................................................     95545  10.0
CA.....................................................     95546  10.5
CA.....................................................     95547  4.0
CA.....................................................     95548  10.5
CA.....................................................     95549  4.0
CA.....................................................     95550  5.0
CA.....................................................     95551  4.0
CA.....................................................     95552  10.6
CA.....................................................     95553  10.0
CA.....................................................     95554  10.0
CA.....................................................     95555  10.2
CA.....................................................     95556  10.5
CA.....................................................     95558  10.5
CA.....................................................     95559  10.0
CA.....................................................     95560  10.0
CA.....................................................     95562  7.4
CA.....................................................     95563  10.0
CA.....................................................     95564  4.0
CA.....................................................     95565  7.4
CA.....................................................     95567  5.0
CA.....................................................     95568  10.0
CA.....................................................     95569  10.0
CA.....................................................     95570  10.2
CA.....................................................     95571  10.0
CA.....................................................     95573  10.5
CA.....................................................     95585  10.0
CA.....................................................     95587  10.0
CA.....................................................     95589  10.0
CA.....................................................     95595  10.6
CA.....................................................     95601  7.0
CA.....................................................     95602  2.0
CA.....................................................     95603  1.0
CA.....................................................     95604  1.0
CA.....................................................     95605  1.0
CA.....................................................     95606  10.5
CA.....................................................     95607  10.5
CA.....................................................     95608  1.0
CA.....................................................     95609  1.0
CA.....................................................     95610  1.0
CA.....................................................     95611  1.0
CA.....................................................     95612  10.1
CA.....................................................     95613  4.2
CA.....................................................     95614  2.0
CA.....................................................     95615  10.4
CA.....................................................     95616  1.0
CA.....................................................     95617  1.0
CA.....................................................     95618  1.0
CA.....................................................     95619  4.2
CA.....................................................     95620  4.2
CA.....................................................     95621  1.0
CA.....................................................     95623  2.0
CA.....................................................     95624  1.0
CA.....................................................     95625  1.0
CA.....................................................     95626  1.0
CA.....................................................     95627  10.5
CA.....................................................     95628  1.0
CA.....................................................     95629  10.4
CA.....................................................     95630  1.0
CA.....................................................     95631  2.0
CA.....................................................     95632  1.0
CA.....................................................     95633  2.0
CA.....................................................     95634  2.0
CA.....................................................     95635  2.0
CA.....................................................     95636  5.2
CA.....................................................     95637  10.5
CA.....................................................     95638  2.0
CA.....................................................     95639  1.0
CA.....................................................     95640  7.0
CA.....................................................     95641  10.6
CA.....................................................     95642  7.0
CA.....................................................     95644  9.0
CA.....................................................     95645  6.0
CA.....................................................     95646  9.0
CA.....................................................     95648  2.0
CA.....................................................     95650  1.0

[[Page 70067]]

 
CA.....................................................     95651  2.0
CA.....................................................     95652  1.0
CA.....................................................     95653  10.5
CA.....................................................     95654  7.0
CA.....................................................     95655  2.0
CA.....................................................     95656  5.2
CA.....................................................     95658  1.0
CA.....................................................     95659  2.0
CA.....................................................     95660  1.0
CA.....................................................     95661  1.0
CA.....................................................     95662  1.0
CA.....................................................     95663  1.0
CA.....................................................     95664  2.0
CA.....................................................     95665  10.6
CA.....................................................     95666  9.0
CA.....................................................     95667  4.2
CA.....................................................     95668  2.0
CA.....................................................     95669  7.0
CA.....................................................     95670  1.0
CA.....................................................     95671  1.0
CA.....................................................     95672  2.0
CA.....................................................     95673  1.0
CA.....................................................     95674  2.0
CA.....................................................     95675  7.0
CA.....................................................     95676  6.0
CA.....................................................     95677  1.0
CA.....................................................     95678  1.0
CA.....................................................     95679  10.5
CA.....................................................     95680  10.4
CA.....................................................     95681  2.0
CA.....................................................     95682  2.0
CA.....................................................     95683  2.0
CA.....................................................     95684  5.2
CA.....................................................     95685  7.0
CA.....................................................     95686  1.0
CA.....................................................     95687  1.0
CA.....................................................     95688  1.0
CA.....................................................     95689  10.4
CA.....................................................     95690  10.4
CA.....................................................     95691  1.0
CA.....................................................     95692  3.0
CA.....................................................     95693  2.0
CA.....................................................     95694  7.3
CA.....................................................     95695  4.2
CA.....................................................     95696  1.0
CA.....................................................     95697  4.2
CA.....................................................     95698  6.0
CA.....................................................     95699  7.0
CA.....................................................     95701  2.0
CA.....................................................     95703  2.0
CA.....................................................     95709  4.2
CA.....................................................     95712  4.2
CA.....................................................     95713  2.0
CA.....................................................     95714  2.0
CA.....................................................     95715  2.0
CA.....................................................     95717  2.0
CA.....................................................     95720  2.0
CA.....................................................     95721  5.0
CA.....................................................     95722  2.0
CA.....................................................     95724  2.0
CA.....................................................     95726  4.2
CA.....................................................     95728  5.0
CA.....................................................     95735  2.0
CA.....................................................     95736  2.0
CA.....................................................     95741  1.0
CA.....................................................     95742  1.0
CA.....................................................     95743  1.0
CA.....................................................     95746  1.0
CA.....................................................     95747  1.0
CA.....................................................     95757  1.0
CA.....................................................     95758  1.0
CA.....................................................     95759  1.0
CA.....................................................     95762  1.0
CA.....................................................     95763  1.0
CA.....................................................     95765  1.0
CA.....................................................     95776  4.2
CA.....................................................     95798  1.0
CA.....................................................     95799  1.0
CA.....................................................     95812  1.0
CA.....................................................     95813  1.0
CA.....................................................     95814  1.0
CA.....................................................     95815  1.0
CA.....................................................     95816  1.0
CA.....................................................     95817  1.0
CA.....................................................     95818  1.0
CA.....................................................     95819  1.0
CA.....................................................     95820  1.0
CA.....................................................     95821  1.0
CA.....................................................     95822  1.0
CA.....................................................     95823  1.0
CA.....................................................     95824  1.0
CA.....................................................     95825  1.0
CA.....................................................     95826  1.0
CA.....................................................     95827  1.0
CA.....................................................     95828  1.0
CA.....................................................     95829  1.0
CA.....................................................     95830  1.0
CA.....................................................     95831  1.0
CA.....................................................     95832  1.0
CA.....................................................     95833  1.0
CA.....................................................     95834  1.0
CA.....................................................     95835  2.0
CA.....................................................     95836  2.0
CA.....................................................     95837  2.0
CA.....................................................     95838  1.0
CA.....................................................     95840  1.0
CA.....................................................     95841  1.0
CA.....................................................     95842  1.0
CA.....................................................     95843  1.0
CA.....................................................     95851  1.0
CA.....................................................     95852  1.0
CA.....................................................     95853  1.0
CA.....................................................     95857  1.0
CA.....................................................     95860  1.0
CA.....................................................     95864  1.0
CA.....................................................     95865  1.0
CA.....................................................     95866  1.0
CA.....................................................     95867  1.0
CA.....................................................     95873  1.0
CA.....................................................     95887  1.0
CA.....................................................     95894  1.0
CA.....................................................     95899  1.0
CA.....................................................     95901  1.0
CA.....................................................     95903  7.0
CA.....................................................     95910  10.4
CA.....................................................     95912  10.6
CA.....................................................     95913  7.3
CA.....................................................     95914  5.0
CA.....................................................     95915  10.0
CA.....................................................     95916  5.2
CA.....................................................     95917  10.6
CA.....................................................     95918  2.0
CA.....................................................     95919  10.4
CA.....................................................     95920  10.4
CA.....................................................     95922  10.4
CA.....................................................     95923  10.0
CA.....................................................     95924  4.2
CA.....................................................     95925  10.4
CA.....................................................     95926  1.0
CA.....................................................     95927  1.0
CA.....................................................     95928  1.0
CA.....................................................     95929  1.0
CA.....................................................     95930  5.2
CA.....................................................     95932  7.0
CA.....................................................     95934  10.0
CA.....................................................     95935  10.4
CA.....................................................     95936  10.4
CA.....................................................     95937  6.0
CA.....................................................     95938  1.0
CA.....................................................     95939  10.6
CA.....................................................     95940  4.2
CA.....................................................     95941  5.2
CA.....................................................     95942  2.0
CA.....................................................     95943  10.4
CA.....................................................     95944  10.4
CA.....................................................     95945  4.2
CA.....................................................     95946  5.0
CA.....................................................     95947  10.0
CA.....................................................     95948  7.3
CA.....................................................     95949  4.2
CA.....................................................     95950  10.6
CA.....................................................     95951  2.0
CA.....................................................     95953  2.0
CA.....................................................     95954  4.1
CA.....................................................     95955  10.6
CA.....................................................     95956  10.0
CA.....................................................     95957  10.4
CA.....................................................     95958  4.2
CA.....................................................     95959  4.2
CA.....................................................     95960  5.0
CA.....................................................     95961  1.0
CA.....................................................     95962  2.0
CA.....................................................     95963  7.3
CA.....................................................     95965  4.2
CA.....................................................     95966  4.2
CA.....................................................     95967  4.1
CA.....................................................     95968  4.2
CA.....................................................     95969  4.1
CA.....................................................     95970  10.6
CA.....................................................     95971  10.0
CA.....................................................     95972  10.4
CA.....................................................     95973  1.0
CA.....................................................     95974  4.2
CA.....................................................     95975  5.0
CA.....................................................     95976  1.0
CA.....................................................     95977  5.0
CA.....................................................     95978  4.1
CA.....................................................     95979  10.6
CA.....................................................     95980  10.0
CA.....................................................     95981  10.4
CA.....................................................     95982  1.0
CA.....................................................     95983  10.0
CA.....................................................     95984  10.0
CA.....................................................     95986  4.2
CA.....................................................     95987  7.0
CA.....................................................     95988  7.0
CA.....................................................     95991  1.0
CA.....................................................     95992  1.0
CA.....................................................     95993  1.0
CA.....................................................     96001  1.0
CA.....................................................     96002  1.0
CA.....................................................     96003  1.0
CA.....................................................     96006  10.0
CA.....................................................     96007  1.0
CA.....................................................     96008  2.0
CA.....................................................     96009  10.0
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[[Page 70068]]

 
CA.....................................................     96011  2.0
CA.....................................................     96013  7.3
CA.....................................................     96014  10.6
CA.....................................................     96015  10.3
CA.....................................................     96016  10.3
CA.....................................................     96017  2.0
CA.....................................................     96019  1.0
CA.....................................................     96020  10.0
CA.....................................................     96021  7.4
CA.....................................................     96022  2.0
CA.....................................................     96023  10.5
CA.....................................................     96024  10.0
CA.....................................................     96025  10.6
CA.....................................................     96027  10.6
CA.....................................................     96028  10.3
CA.....................................................     96029  7.4
CA.....................................................     96031  10.6
CA.....................................................     96032  10.6
CA.....................................................     96033  2.0
CA.....................................................     96034  8.0
CA.....................................................     96035  7.2
CA.....................................................     96037  10.6
CA.....................................................     96038  8.0
CA.....................................................     96039  10.0
CA.....................................................     96040  10.3
CA.....................................................     96041  10.0
CA.....................................................     96044  8.0
CA.....................................................     96046  10.0
CA.....................................................     96047  2.0
CA.....................................................     96048  10.0
CA.....................................................     96049  1.0
CA.....................................................     96050  10.0
CA.....................................................     96051  2.0
CA.....................................................     96052  10.0
CA.....................................................     96054  10.0
CA.....................................................     96055  7.2
CA.....................................................     96056  10.0
CA.....................................................     96057  10.6
CA.....................................................     96058  10.5
CA.....................................................     96059  5.0
CA.....................................................     96061  5.0
CA.....................................................     96062  2.0
CA.....................................................     96063  5.0
CA.....................................................     96064  8.0
CA.....................................................     96065  2.0
CA.....................................................     96067  7.0
CA.....................................................     96068  10.0
CA.....................................................     96069  2.0
CA.....................................................     96070  2.0
CA.....................................................     96071  7.3
CA.....................................................     96073  2.0
CA.....................................................     96074  7.4
CA.....................................................     96075  5.0
CA.....................................................     96076  2.0
CA.....................................................     96078  7.2
CA.....................................................     96079  1.0
CA.....................................................     96080  4.0
CA.....................................................     96084  2.0
CA.....................................................     96085  10.6
CA.....................................................     96086  10.0
CA.....................................................     96087  2.0
CA.....................................................     96088  2.0
CA.....................................................     96089  1.0
CA.....................................................     96090  7.2
CA.....................................................     96091  10.0
CA.....................................................     96092  7.4
CA.....................................................     96093  10.0
CA.....................................................     96094  7.0
CA.....................................................     96095  2.0
CA.....................................................     96096  2.0
CA.....................................................     96097  7.0
CA.....................................................     96099  1.0
CA.....................................................     96101  7.0
CA.....................................................     96103  10.0
CA.....................................................     96104  10.6
CA.....................................................     96105  7.0
CA.....................................................     96106  10.0
CA.....................................................     96107  10.6
CA.....................................................     96108  10.3
CA.....................................................     96109  10.4
CA.....................................................     96110  10.6
CA.....................................................     96111  5.0
CA.....................................................     96112  10.6
CA.....................................................     96113  10.4
CA.....................................................     96114  8.0
CA.....................................................     96115  10.6
CA.....................................................     96116  10.3
CA.....................................................     96117  8.0
CA.....................................................     96118  10.4
CA.....................................................     96119  10.0
CA.....................................................     96120  10.5
CA.....................................................     96121  10.4
CA.....................................................     96122  7.0
CA.....................................................     96123  10.0
CA.....................................................     96124  10.4
CA.....................................................     96125  10.4
CA.....................................................     96126  10.4
CA.....................................................     96127  8.0
CA.....................................................     96128  8.0
CA.....................................................     96129  7.0
CA.....................................................     96130  8.0
CA.....................................................     96132  10.0
CA.....................................................     96133  10.6
CA.....................................................     96134  10.5
CA.....................................................     96135  7.0
CA.....................................................     96136  8.0
CA.....................................................     96137  10.0
CA.....................................................     96140  4.2
CA.....................................................     96141  5.0
CA.....................................................     96142  5.0
CA.....................................................     96143  4.2
CA.....................................................     96145  4.2
CA.....................................................     96146  2.0
CA.....................................................     96148  4.2
CA.....................................................     96150  4.0
CA.....................................................     96151  4.0
CA.....................................................     96152  4.0
CA.....................................................     96154  4.0
CA.....................................................     96155  4.0
CA.....................................................     96156  4.0
CA.....................................................     96157  4.0
CA.....................................................     96158  4.0
CA.....................................................     96160  7.3
CA.....................................................     96161  7.3
CA.....................................................     96162  5.0
CO.....................................................     80001  1.0
CO.....................................................     80002  1.0
CO.....................................................     80003  1.0
CO.....................................................     80004  1.0
CO.....................................................     80005  1.0
CO.....................................................     80006  1.0
CO.....................................................     80007  1.0
CO.....................................................     80010  1.0
CO.....................................................     80011  1.0
CO.....................................................     80012  1.0
CO.....................................................     80013  1.0
CO.....................................................     80014  1.0
CO.....................................................     80015  1.0
CO.....................................................     80016  1.0
CO.....................................................     80017  1.0
CO.....................................................     80018  1.0
CO.....................................................     80019  1.0
CO.....................................................     80020  1.0
CO.....................................................     80021  1.0
CO.....................................................     80022  1.0
CO.....................................................     80024  1.0
CO.....................................................     80025  1.0
CO.....................................................     80026  2.1
CO.....................................................     80027  2.1
CO.....................................................     80028  2.1
CO.....................................................     80030  1.0
CO.....................................................     80031  1.0
CO.....................................................     80033  1.0
CO.....................................................     80034  1.0
CO.....................................................     80035  1.0
CO.....................................................     80036  1.0
CO.....................................................     80037  1.0
CO.....................................................     80038  1.0
CO.....................................................     80040  1.0
CO.....................................................     80041  1.0
CO.....................................................     80042  1.0
CO.....................................................     80044  1.0
CO.....................................................     80045  1.0
CO.....................................................     80046  1.0
CO.....................................................     80047  1.0
CO.....................................................     80101  10.4
CO.....................................................     80102  2.0
CO.....................................................     80103  2.0
CO.....................................................     80104  2.0
CO.....................................................     80105  2.0
CO.....................................................     80106  2.0
CO.....................................................     80107  2.0
CO.....................................................     80108  2.0
CO.....................................................     80109  2.0
CO.....................................................     80110  1.0
CO.....................................................     80111  1.0
CO.....................................................     80112  1.0
CO.....................................................     80113  1.0
CO.....................................................     80116  2.0
CO.....................................................     80117  2.0
CO.....................................................     80118  2.0
CO.....................................................     80120  1.0
CO.....................................................     80121  1.0
CO.....................................................     80122  1.0
CO.....................................................     80123  1.0
CO.....................................................     80124  1.0
CO.....................................................     80125  2.0
CO.....................................................     80126  1.0
CO.....................................................     80127  1.0
CO.....................................................     80128  1.0
CO.....................................................     80129  1.0
CO.....................................................     80130  1.0
CO.....................................................     80131  2.0
CO.....................................................     80132  1.0
CO.....................................................     80133  1.0
CO.....................................................     80134  1.0
CO.....................................................     80135  2.0
CO.....................................................     80136  2.0
CO.....................................................     80137  2.0
CO.....................................................     80138  1.0
CO.....................................................     80150  1.0
CO.....................................................     80151  1.0
CO.....................................................     80154  1.0
CO.....................................................     80155  1.0
CO.....................................................     80160  1.0
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[[Page 70069]]

 
CO.....................................................     80163  1.0
CO.....................................................     80165  1.0
CO.....................................................     80166  1.0
CO.....................................................     80201  1.0
CO.....................................................     80202  1.0
CO.....................................................     80203  1.0
CO.....................................................     80204  1.0
CO.....................................................     80205  1.0
CO.....................................................     80206  1.0
CO.....................................................     80207  1.0
CO.....................................................     80208  1.0
CO.....................................................     80209  1.0
CO.....................................................     80210  1.0
CO.....................................................     80211  1.0
CO.....................................................     80212  1.0
CO.....................................................     80214  1.0
CO.....................................................     80215  1.0
CO.....................................................     80216  1.0
CO.....................................................     80217  1.0
CO.....................................................     80218  1.0
CO.....................................................     80219  1.0
CO.....................................................     80220  1.0
CO.....................................................     80221  1.0
CO.....................................................     80222  1.0
CO.....................................................     80223  1.0
CO.....................................................     80224  1.0
CO.....................................................     80225  1.0
CO.....................................................     80226  1.0
CO.....................................................     80227  1.0
CO.....................................................     80228  1.0
CO.....................................................     80229  1.0
CO.....................................................     80230  1.0
CO.....................................................     80231  1.0
CO.....................................................     80232  1.0
CO.....................................................     80233  1.0
CO.....................................................     80234  1.0
CO.....................................................     80235  1.0
CO.....................................................     80236  1.0
CO.....................................................     80237  1.0
CO.....................................................     80238  1.0
CO.....................................................     80239  1.0
CO.....................................................     80241  1.0
CO.....................................................     80243  1.0
CO.....................................................     80244  1.0
CO.....................................................     80246  1.0
CO.....................................................     80247  1.0
CO.....................................................     80248  1.0
CO.....................................................     80249  1.0
CO.....................................................     80250  1.0
CO.....................................................     80251  1.0
CO.....................................................     80252  1.0
CO.....................................................     80255  1.0
CO.....................................................     80256  1.0
CO.....................................................     80257  1.0
CO.....................................................     80259  1.0
CO.....................................................     80260  1.0
CO.....................................................     80261  1.0
CO.....................................................     80262  1.0
CO.....................................................     80263  1.0
CO.....................................................     80264  1.0
CO.....................................................     80265  1.0
CO.....................................................     80266  1.0
CO.....................................................     80270  1.0
CO.....................................................     80271  1.0
CO.....................................................     80273  1.0
CO.....................................................     80274  1.0
CO.....................................................     80275  1.0
CO.....................................................     80279  1.0
CO.....................................................     80280  1.0
CO.....................................................     80281  1.0
CO.....................................................     80285  1.0
CO.....................................................     80290  1.0
CO.....................................................     80291  1.0
CO.....................................................     80292  1.0
CO.....................................................     80293  1.0
CO.....................................................     80294  1.0
CO.....................................................     80295  1.0
CO.....................................................     80299  1.0
CO.....................................................     80301  1.0
CO.....................................................     80302  1.0
CO.....................................................     80303  1.0
CO.....................................................     80304  1.0
CO.....................................................     80305  1.0
CO.....................................................     80306  1.0
CO.....................................................     80307  1.0
CO.....................................................     80308  1.0
CO.....................................................     80309  1.0
CO.....................................................     80310  1.0
CO.....................................................     80314  1.0
CO.....................................................     80321  1.0
CO.....................................................     80322  1.0
CO.....................................................     80323  1.0
CO.....................................................     80328  1.0
CO.....................................................     80329  1.0
CO.....................................................     80401  1.0
CO.....................................................     80402  1.0
CO.....................................................     80403  1.0
CO.....................................................     80419  1.0
CO.....................................................     80420  10.3
CO.....................................................     80421  2.0
CO.....................................................     80422  10.1
CO.....................................................     80423  5.0
CO.....................................................     80424  7.4
CO.....................................................     80425  2.0
CO.....................................................     80426  5.0
CO.....................................................     80427  10.1
CO.....................................................     80428  8.0
CO.....................................................     80429  7.4
CO.....................................................     80430  10.0
CO.....................................................     80432  10.3
CO.....................................................     80433  2.0
CO.....................................................     80434  10.0
CO.....................................................     80435  4.0
CO.....................................................     80436  10.4
CO.....................................................     80437  2.0
CO.....................................................     80438  10.4
CO.....................................................     80439  2.0
CO.....................................................     80440  10.3
CO.....................................................     80442  10.0
CO.....................................................     80443  4.0
CO.....................................................     80444  10.4
CO.....................................................     80446  10.0
CO.....................................................     80447  10.0
CO.....................................................     80448  2.0
CO.....................................................     80449  10.0
CO.....................................................     80451  10.0
CO.....................................................     80452  10.4
CO.....................................................     80453  1.0
CO.....................................................     80454  1.0
CO.....................................................     80455  2.0
CO.....................................................     80456  10.0
CO.....................................................     80457  2.0
CO.....................................................     80459  10.5
CO.....................................................     80461  7.4
CO.....................................................     80463  5.0
CO.....................................................     80465  1.0
CO.....................................................     80466  2.1
CO.....................................................     80467  8.0
CO.....................................................     80468  10.5
CO.....................................................     80469  8.0
CO.....................................................     80470  2.0
CO.....................................................     80471  1.0
CO.....................................................     80473  10.0
CO.....................................................     80474  1.0
CO.....................................................     80475  2.0
CO.....................................................     80476  10.4
CO.....................................................     80477  7.0
CO.....................................................     80478  10.0
CO.....................................................     80479  8.0
CO.....................................................     80480  10.0
CO.....................................................     80481  2.0
CO.....................................................     80482  10.0
CO.....................................................     80483  8.0
CO.....................................................     80487  7.0
CO.....................................................     80488  7.0
CO.....................................................     80497  4.0
CO.....................................................     80498  4.0
CO.....................................................     80501  1.0
CO.....................................................     80502  1.0
CO.....................................................     80503  1.0
CO.....................................................     80504  1.0
CO.....................................................     80510  2.0
CO.....................................................     80511  7.3
CO.....................................................     80512  2.0
CO.....................................................     80513  1.0
CO.....................................................     80514  3.0
CO.....................................................     80515  9.1
CO.....................................................     80516  2.1
CO.....................................................     80517  7.3
CO.....................................................     80520  2.0
CO.....................................................     80521  1.0
CO.....................................................     80522  1.0
CO.....................................................     80523  1.0
CO.....................................................     80524  1.0
CO.....................................................     80525  1.0
CO.....................................................     80526  1.0
CO.....................................................     80527  1.0
CO.....................................................     80528  1.0
CO.....................................................     80530  3.0
CO.....................................................     80532  9.1
CO.....................................................     80533  1.0
CO.....................................................     80534  9.1
CO.....................................................     80535  1.0
CO.....................................................     80536  2.0
CO.....................................................     80537  1.0
CO.....................................................     80538  1.0
CO.....................................................     80539  1.0
CO.....................................................     80540  2.0
CO.....................................................     80541  1.0
CO.....................................................     80542  9.1
CO.....................................................     80543  9.1
CO.....................................................     80544  1.0
CO.....................................................     80545  2.0
CO.....................................................     80546  2.0
CO.....................................................     80547  1.0
CO.....................................................     80549  2.0
CO.....................................................     80550  2.0
CO.....................................................     80551  2.0
CO.....................................................     80553  1.0
CO.....................................................     80601  2.0
CO.....................................................     80602  1.0
CO.....................................................     80603  2.0
CO.....................................................     80610  2.1
CO.....................................................     80611  10.4
CO.....................................................     80612  10.4
CO.....................................................     80614  1.0
CO.....................................................     80615  2.0

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CO.....................................................     80620  1.0
CO.....................................................     80621  2.0
CO.....................................................     80622  2.0
CO.....................................................     80623  3.0
CO.....................................................     80624  2.0
CO.....................................................     80631  1.0
CO.....................................................     80632  1.0
CO.....................................................     80633  1.0
CO.....................................................     80634  1.0
CO.....................................................     80638  1.0
CO.....................................................     80639  1.0
CO.....................................................     80640  2.0
CO.....................................................     80642  2.0
CO.....................................................     80643  2.0
CO.....................................................     80644  2.0
CO.....................................................     80645  1.0
CO.....................................................     80646  1.0
CO.....................................................     80648  10.4
CO.....................................................     80649  5.0
CO.....................................................     80650  2.1
CO.....................................................     80651  3.0
CO.....................................................     80652  2.0
CO.....................................................     80653  5.0
CO.....................................................     80654  10.5
CO.....................................................     80701  4.0
CO.....................................................     80705  4.0
CO.....................................................     80720  10.0
CO.....................................................     80721  10.0
CO.....................................................     80722  5.0
CO.....................................................     80723  7.2
CO.....................................................     80726  10.5
CO.....................................................     80727  7.0
CO.....................................................     80728  10.2
CO.....................................................     80729  10.4
CO.....................................................     80731  10.0
CO.....................................................     80732  10.4
CO.....................................................     80733  10.3
CO.....................................................     80734  10.0
CO.....................................................     80735  10.0
CO.....................................................     80736  5.0
CO.....................................................     80737  10.0
CO.....................................................     80740  10.6
CO.....................................................     80741  5.0
CO.....................................................     80742  10.4
CO.....................................................     80743  10.6
CO.....................................................     80744  10.0
CO.....................................................     80745  10.5
CO.....................................................     80746  10.0
CO.....................................................     80747  10.5
CO.....................................................     80749  10.0
CO.....................................................     80750  5.0
CO.....................................................     80751  4.0
CO.....................................................     80754  10.4
CO.....................................................     80755  10.0
CO.....................................................     80757  10.6
CO.....................................................     80758  10.0
CO.....................................................     80759  7.0
CO.....................................................     80801  10.6
CO.....................................................     80802  10.0
CO.....................................................     80804  10.0
CO.....................................................     80805  7.0
CO.....................................................     80807  7.0
CO.....................................................     80808  2.0
CO.....................................................     80809  2.0
CO.....................................................     80810  10.0
CO.....................................................     80812  10.6
CO.....................................................     80813  10.0
CO.....................................................     80814  2.0
CO.....................................................     80815  10.0
CO.....................................................     80816  2.0
CO.....................................................     80817  1.0
CO.....................................................     80818  10.0
CO.....................................................     80819  2.0
CO.....................................................     80820  10.0
CO.....................................................     80821  10.0
CO.....................................................     80822  7.0
CO.....................................................     80823  10.0
CO.....................................................     80824  7.0
CO.....................................................     80825  10.0
CO.....................................................     80826  10.0
CO.....................................................     80827  10.0
CO.....................................................     80828  10.0
CO.....................................................     80829  1.0
CO.....................................................     80830  10.4
CO.....................................................     80831  2.0
CO.....................................................     80832  2.0
CO.....................................................     80833  2.0
CO.....................................................     80834  10.0
CO.....................................................     80835  10.4
CO.....................................................     80836  10.6
CO.....................................................     80840  1.0
CO.....................................................     80841  1.0
CO.....................................................     80860  2.0
CO.....................................................     80861  10.6
CO.....................................................     80862  10.0
CO.....................................................     80863  2.0
CO.....................................................     80864  2.0
CO.....................................................     80866  2.0
CO.....................................................     80901  1.0
CO.....................................................     80903  1.0
CO.....................................................     80904  1.0
CO.....................................................     80905  1.0
CO.....................................................     80906  1.0
CO.....................................................     80907  1.0
CO.....................................................     80908  2.0
CO.....................................................     80909  1.0
CO.....................................................     80910  1.0
CO.....................................................     80911  1.0
CO.....................................................     80912  2.0
CO.....................................................     80913  1.0
CO.....................................................     80914  1.0
CO.....................................................     80915  1.0
CO.....................................................     80916  1.0
CO.....................................................     80917  1.0
CO.....................................................     80918  1.0
CO.....................................................     80919  1.0
CO.....................................................     80920  1.0
CO.....................................................     80921  1.0
CO.....................................................     80922  1.0
CO.....................................................     80925  2.0
CO.....................................................     80926  1.0
CO.....................................................     80928  2.0
CO.....................................................     80929  2.0
CO.....................................................     80930  2.0
CO.....................................................     80931  1.0
CO.....................................................     80932  1.0
CO.....................................................     80933  1.0
CO.....................................................     80934  1.0
CO.....................................................     80935  1.0
CO.....................................................     80936  1.0
CO.....................................................     80937  1.0
CO.....................................................     80940  1.0
CO.....................................................     80941  1.0
CO.....................................................     80942  1.0
CO.....................................................     80943  1.0
CO.....................................................     80944  1.0
CO.....................................................     80945  1.0
CO.....................................................     80946  1.0
CO.....................................................     80947  1.0
CO.....................................................     80949  1.0
CO.....................................................     80950  1.0
CO.....................................................     80960  1.0
CO.....................................................     80962  1.0
CO.....................................................     80970  1.0
CO.....................................................     80977  2.0
CO.....................................................     80995  1.0
CO.....................................................     80997  1.0
CO.....................................................     81001  1.0
CO.....................................................     81002  1.0
CO.....................................................     81003  1.0
CO.....................................................     81004  1.0
CO.....................................................     81005  1.0
CO.....................................................     81006  1.0
CO.....................................................     81007  1.0
CO.....................................................     81008  1.0
CO.....................................................     81009  1.0
CO.....................................................     81010  1.0
CO.....................................................     81011  1.0
CO.....................................................     81012  1.0
CO.....................................................     81019  2.0
CO.....................................................     81020  7.0
CO.....................................................     81021  10.0
CO.....................................................     81022  2.0
CO.....................................................     81023  2.0
CO.....................................................     81024  7.0
CO.....................................................     81025  2.0
CO.....................................................     81027  10.6
CO.....................................................     81029  10.0
CO.....................................................     81030  7.0
CO.....................................................     81033  10.6
CO.....................................................     81034  10.6
CO.....................................................     81036  10.0
CO.....................................................     81038  7.0
CO.....................................................     81039  10.4
CO.....................................................     81040  10.3
CO.....................................................     81041  10.3
CO.....................................................     81043  10.6
CO.....................................................     81044  7.0
CO.....................................................     81045  10.0
CO.....................................................     81046  7.0
CO.....................................................     81047  10.6
CO.....................................................     81049  10.6
CO.....................................................     81050  7.0
CO.....................................................     81052  7.0
CO.....................................................     81054  7.0
CO.....................................................     81055  10.6
CO.....................................................     81057  7.0
CO.....................................................     81058  10.6
CO.....................................................     81059  10.6
CO.....................................................     81062  10.6
CO.....................................................     81063  10.6
CO.....................................................     81064  10.0
CO.....................................................     81067  7.0
CO.....................................................     81069  2.0
CO.....................................................     81071  10.0
CO.....................................................     81073  10.0
CO.....................................................     81076  10.6
CO.....................................................     81077  7.0
CO.....................................................     81081  10.6
CO.....................................................     81082  7.0
CO.....................................................     81084  10.0
CO.....................................................     81087  10.0
CO.....................................................     81089  7.0
CO.....................................................     81090  10.0
CO.....................................................     81091  8.0
CO.....................................................     81092  8.0
CO.....................................................     81101  7.0

[[Page 70071]]

 
CO.....................................................     81102  7.0
CO.....................................................     81120  10.6
CO.....................................................     81121  10.0
CO.....................................................     81122  5.0
CO.....................................................     81123  10.6
CO.....................................................     81124  10.3
CO.....................................................     81125  10.0
CO.....................................................     81126  10.0
CO.....................................................     81127  10.0
CO.....................................................     81128  10.0
CO.....................................................     81129  10.6
CO.....................................................     81130  10.0
CO.....................................................     81131  10.0
CO.....................................................     81132  10.6
CO.....................................................     81133  10.6
CO.....................................................     81134  10.0
CO.....................................................     81135  7.0
CO.....................................................     81136  8.0
CO.....................................................     81137  10.5
CO.....................................................     81138  10.0
CO.....................................................     81140  10.3
CO.....................................................     81141  10.6
CO.....................................................     81143  10.0
CO.....................................................     81144  7.0
CO.....................................................     81146  8.0
CO.....................................................     81147  10.0
CO.....................................................     81148  10.6
CO.....................................................     81149  10.0
CO.....................................................     81151  10.6
CO.....................................................     81152  10.0
CO.....................................................     81153  10.0
CO.....................................................     81154  10.0
CO.....................................................     81155  10.0
CO.....................................................     81157  10.0
CO.....................................................     81201  7.0
CO.....................................................     81210  8.0
CO.....................................................     81211  7.0
CO.....................................................     81212  4.0
CO.....................................................     81215  4.0
CO.....................................................     81220  10.6
CO.....................................................     81221  5.0
CO.....................................................     81222  10.6
CO.....................................................     81223  10.6
CO.....................................................     81224  10.0
CO.....................................................     81225  10.0
CO.....................................................     81226  5.0
CO.....................................................     81227  7.0
CO.....................................................     81228  7.4
CO.....................................................     81230  7.0
CO.....................................................     81231  8.0
CO.....................................................     81232  10.6
CO.....................................................     81233  10.6
CO.....................................................     81235  10.0
CO.....................................................     81236  8.0
CO.....................................................     81237  8.0
CO.....................................................     81239  8.0
CO.....................................................     81240  3.0
CO.....................................................     81241  8.0
CO.....................................................     81242  7.0
CO.....................................................     81243  10.6
CO.....................................................     81244  5.0
CO.....................................................     81246  4.0
CO.....................................................     81247  8.0
CO.....................................................     81248  10.0
CO.....................................................     81251  7.4
CO.....................................................     81252  10.0
CO.....................................................     81253  10.0
CO.....................................................     81290  5.0
CO.....................................................     81301  4.0
CO.....................................................     81302  4.0
CO.....................................................     81303  5.0
CO.....................................................     81320  10.6
CO.....................................................     81321  7.0
CO.....................................................     81323  10.3
CO.....................................................     81324  10.6
CO.....................................................     81325  10.0
CO.....................................................     81326  5.0
CO.....................................................     81327  8.0
CO.....................................................     81328  10.6
CO.....................................................     81329  5.0
CO.....................................................     81330  10.6
CO.....................................................     81331  8.0
CO.....................................................     81332  10.6
CO.....................................................     81334  10.3
CO.....................................................     81335  8.0
CO.....................................................     81401  4.0
CO.....................................................     81402  4.0
CO.....................................................     81410  10.6
CO.....................................................     81411  10.0
CO.....................................................     81413  10.6
CO.....................................................     81414  10.6
CO.....................................................     81415  10.6
CO.....................................................     81416  7.4
CO.....................................................     81418  10.6
CO.....................................................     81419  10.6
CO.....................................................     81420  10.6
CO.....................................................     81422  10.0
CO.....................................................     81423  10.0
CO.....................................................     81424  10.0
CO.....................................................     81425  5.0
CO.....................................................     81426  10.0
CO.....................................................     81427  10.0
CO.....................................................     81428  10.0
CO.....................................................     81429  10.0
CO.....................................................     81430  10.0
CO.....................................................     81431  10.0
CO.....................................................     81432  10.0
CO.....................................................     81433  10.0
CO.....................................................     81434  10.6
CO.....................................................     81435  10.0
CO.....................................................     81501  1.0
CO.....................................................     81502  1.0
CO.....................................................     81503  1.0
CO.....................................................     81504  1.0
CO.....................................................     81505  1.0
CO.....................................................     81506  1.0
CO.....................................................     81520  1.0
CO.....................................................     81521  2.0
CO.....................................................     81522  2.0
CO.....................................................     81523  2.0
CO.....................................................     81524  2.0
CO.....................................................     81525  2.0
CO.....................................................     81526  1.0
CO.....................................................     81527  2.0
CO.....................................................     81601  7.0
CO.....................................................     81602  7.0
CO.....................................................     81610  10.0
CO.....................................................     81611  7.0
CO.....................................................     81612  7.0
CO.....................................................     81615  10.3
CO.....................................................     81620  4.0
CO.....................................................     81621  8.0
CO.....................................................     81623  7.0
CO.....................................................     81624  2.0
CO.....................................................     81625  7.0
CO.....................................................     81626  7.0
CO.....................................................     81630  2.0
CO.....................................................     81631  4.0
CO.....................................................     81632  4.0
CO.....................................................     81633  10.0
CO.....................................................     81635  7.0
CO.....................................................     81636  7.0
CO.....................................................     81637  5.0
CO.....................................................     81638  8.0
CO.....................................................     81639  8.0
CO.....................................................     81640  10.0
CO.....................................................     81641  10.0
CO.....................................................     81642  8.0
CO.....................................................     81643  2.0
CO.....................................................     81645  4.0
CO.....................................................     81646  2.0
CO.....................................................     81647  8.0
CO.....................................................     81648  10.0
CO.....................................................     81649  4.0
CO.....................................................     81650  7.0
CO.....................................................     81652  8.0
CO.....................................................     81653  8.0
CO.....................................................     81654  10.3
CO.....................................................     81655  4.0
CO.....................................................     81656  8.0
CO.....................................................     81657  4.0
CO.....................................................     81658  4.0
CT.....................................................     06001  1.0
CT.....................................................     06002  1.0
CT.....................................................     06006  1.0
CT.....................................................     06010  1.0
CT.....................................................     06011  1.0
CT.....................................................     06013  1.0
CT.....................................................     06016  1.0
CT.....................................................     06018  10.0
CT.....................................................     06019  2.0
CT.....................................................     06020  2.0
CT.....................................................     06021  3.0
CT.....................................................     06022  1.0
CT.....................................................     06023  1.0
CT.....................................................     06024  10.0
CT.....................................................     06025  1.0
CT.....................................................     06026  1.0
CT.....................................................     06027  2.0
CT.....................................................     06028  1.0
CT.....................................................     06029  1.0
CT.....................................................     06030  1.0
CT.....................................................     06031  10.0
CT.....................................................     06032  1.0
CT.....................................................     06033  1.0
CT.....................................................     06034  1.0
CT.....................................................     06035  1.0
CT.....................................................     06037  1.0
CT.....................................................     06039  10.0
CT.....................................................     06040  1.0
CT.....................................................     06041  1.0
CT.....................................................     06042  1.0
CT.....................................................     06043  1.0
CT.....................................................     06045  1.0
CT.....................................................     06050  1.0
CT.....................................................     06051  1.0
CT.....................................................     06052  1.0
CT.....................................................     06053  1.0
CT.....................................................     06057  2.0
CT.....................................................     06058  10.5
CT.....................................................     06059  2.0
CT.....................................................     06060  1.0
CT.....................................................     06061  2.0
CT.....................................................     06062  1.0
CT.....................................................     06063  2.0
CT.....................................................     06064  1.0
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CT.....................................................     06066  1.0
CT.....................................................     06067  1.0
CT.....................................................     06068  10.0
CT.....................................................     06069  10.0
CT.....................................................     06070  1.0
CT.....................................................     06071  1.0
CT.....................................................     06072  1.0
CT.....................................................     06073  1.0
CT.....................................................     06074  1.0
CT.....................................................     06075  2.0
CT.....................................................     06076  2.0
CT.....................................................     06077  2.0
CT.....................................................     06078  1.0
CT.....................................................     06079  10.0
CT.....................................................     06080  1.0
CT.....................................................     06081  1.0
CT.....................................................     06082  1.0
CT.....................................................     06083  1.0
CT.....................................................     06084  1.0
CT.....................................................     06085  1.0
CT.....................................................     06087  1.0
CT.....................................................     06088  1.0
CT.....................................................     06089  1.0
CT.....................................................     06090  1.0
CT.....................................................     06091  2.0
CT.....................................................     06092  1.0
CT.....................................................     06093  1.0
CT.....................................................     06094  9.1
CT.....................................................     06095  1.0
CT.....................................................     06096  1.0
CT.....................................................     06098  9.1
CT.....................................................     06101  1.0
CT.....................................................     06102  1.0
CT.....................................................     06103  1.0
CT.....................................................     06104  1.0
CT.....................................................     06105  1.0
CT.....................................................     06106  1.0
CT.....................................................     06107  1.0
CT.....................................................     06108  1.0
CT.....................................................     06109  1.0
CT.....................................................     06110  1.0
CT.....................................................     06111  1.0
CT.....................................................     06112  1.0
CT.....................................................     06114  1.0
CT.....................................................     06115  1.0
CT.....................................................     06117  1.0
CT.....................................................     06118  1.0
CT.....................................................     06119  1.0
CT.....................................................     06120  1.0
CT.....................................................     06123  1.0
CT.....................................................     06126  1.0
CT.....................................................     06127  1.0
CT.....................................................     06128  1.0
CT.....................................................     06129  1.0
CT.....................................................     06131  1.0
CT.....................................................     06132  1.0
CT.....................................................     06133  1.0
CT.....................................................     06134  1.0
CT.....................................................     06137  1.0
CT.....................................................     06138  1.0
CT.....................................................     06140  1.0
CT.....................................................     06141  1.0
CT.....................................................     06142  1.0
CT.....................................................     06143  1.0
CT.....................................................     06144  1.0
CT.....................................................     06145  1.0
CT.....................................................     06146  1.0
CT.....................................................     06147  1.0
CT.....................................................     06150  1.0
CT.....................................................     06151  1.0
CT.....................................................     06152  1.0
CT.....................................................     06153  1.0
CT.....................................................     06154  1.0
CT.....................................................     06155  1.0
CT.....................................................     06156  1.0
CT.....................................................     06160  1.0
CT.....................................................     06161  1.0
CT.....................................................     06167  1.0
CT.....................................................     06176  1.0
CT.....................................................     06180  1.0
CT.....................................................     06183  1.0
CT.....................................................     06199  1.0
CT.....................................................     06226  4.0
CT.....................................................     06230  10.5
CT.....................................................     06231  2.0
CT.....................................................     06232  2.0
CT.....................................................     06233  6.1
CT.....................................................     06234  4.2
CT.....................................................     06235  6.1
CT.....................................................     06237  2.0
CT.....................................................     06238  4.1
CT.....................................................     06239  4.2
CT.....................................................     06241  6.1
CT.....................................................     06242  3.0
CT.....................................................     06243  6.1
CT.....................................................     06244  3.0
CT.....................................................     06245  1.0
CT.....................................................     06246  1.0
CT.....................................................     06247  6.1
CT.....................................................     06248  2.0
CT.....................................................     06249  3.0
CT.....................................................     06250  4.0
CT.....................................................     06251  4.1
CT.....................................................     06254  2.0
CT.....................................................     06255  1.0
CT.....................................................     06256  4.0
CT.....................................................     06258  10.5
CT.....................................................     06259  10.5
CT.....................................................     06260  1.0
CT.....................................................     06262  1.0
CT.....................................................     06263  6.1
CT.....................................................     06264  6.1
CT.....................................................     06265  4.1
CT.....................................................     06266  4.0
CT.....................................................     06267  10.5
CT.....................................................     06268  4.1
CT.....................................................     06269  4.1
CT.....................................................     06277  2.0
CT.....................................................     06278  3.0
CT.....................................................     06279  4.1
CT.....................................................     06280  4.0
CT.....................................................     06281  3.0
CT.....................................................     06282  3.0
CT.....................................................     06320  1.0
CT.....................................................     06330  1.0
CT.....................................................     06331  2.0
CT.....................................................     06332  2.0
CT.....................................................     06333  1.0
CT.....................................................     06334  2.0
CT.....................................................     06335  1.0
CT.....................................................     06336  2.0
CT.....................................................     06338  1.0
CT.....................................................     06339  1.0
CT.....................................................     06340  1.0
CT.....................................................     06349  1.0
CT.....................................................     06350  1.0
CT.....................................................     06351  1.0
CT.....................................................     06353  1.0
CT.....................................................     06354  4.2
CT.....................................................     06355  1.0
CT.....................................................     06357  1.0
CT.....................................................     06359  2.0
CT.....................................................     06360  1.0
CT.....................................................     06365  2.0
CT.....................................................     06370  1.0
CT.....................................................     06371  1.0
CT.....................................................     06372  1.0
CT.....................................................     06373  6.1
CT.....................................................     06374  2.0
CT.....................................................     06375  1.0
CT.....................................................     06376  1.0
CT.....................................................     06377  6.1
CT.....................................................     06378  1.0
CT.....................................................     06379  4.1
CT.....................................................     06380  1.0
CT.....................................................     06382  1.0
CT.....................................................     06383  1.0
CT.....................................................     06384  2.0
CT.....................................................     06385  1.0
CT.....................................................     06386  1.0
CT.....................................................     06387  2.0
CT.....................................................     06388  1.0
CT.....................................................     06389  2.0
CT.....................................................     06401  1.0
CT.....................................................     06403  1.0
CT.....................................................     06404  1.0
CT.....................................................     06405  1.0
CT.....................................................     06408  1.0
CT.....................................................     06409  1.0
CT.....................................................     06410  1.0
CT.....................................................     06411  1.0
CT.....................................................     06412  1.0
CT.....................................................     06413  1.0
CT.....................................................     06414  2.0
CT.....................................................     06415  2.0
CT.....................................................     06416  1.0
CT.....................................................     06417  1.0
CT.....................................................     06418  1.0
CT.....................................................     06419  2.1
CT.....................................................     06420  2.1
CT.....................................................     06422  1.0
CT.....................................................     06423  2.0
CT.....................................................     06424  2.0
CT.....................................................     06426  1.0
CT.....................................................     06430  1.0
CT.....................................................     06431  1.0
CT.....................................................     06432  1.0
CT.....................................................     06436  1.0
CT.....................................................     06437  1.0
CT.....................................................     06438  2.0
CT.....................................................     06439  1.0
CT.....................................................     06440  1.0
CT.....................................................     06441  2.0
CT.....................................................     06442  1.0
CT.....................................................     06443  1.0
CT.....................................................     06444  1.0
CT.....................................................     06447  1.0
CT.....................................................     06450  1.0
CT.....................................................     06451  1.0
CT.....................................................     06454  1.0
CT.....................................................     06455  1.0
CT.....................................................     06456  2.0
CT.....................................................     06457  1.0
CT.....................................................     06459  1.0
CT.....................................................     06460  1.0
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CT.....................................................     06469  2.0
CT.....................................................     06470  1.0
CT.....................................................     06471  1.0
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CT.....................................................     06473  1.0
CT.....................................................     06474  2.0
CT.....................................................     06475  1.0
CT.....................................................     06477  1.0
CT.....................................................     06478  1.0
CT.....................................................     06479  1.0
CT.....................................................     06480  1.0
CT.....................................................     06481  1.0
CT.....................................................     06482  1.0
CT.....................................................     06483  1.0
CT.....................................................     06484  1.0
CT.....................................................     06487  1.0
CT.....................................................     06488  1.0
CT.....................................................     06489  1.0
CT.....................................................     06490  1.0
CT.....................................................     06491  1.0
CT.....................................................     06492  1.0
CT.....................................................     06493  1.0
CT.....................................................     06494  1.0
CT.....................................................     06495  1.0
CT.....................................................     06497  1.0
CT.....................................................     06498  1.0
CT.....................................................     06501  1.0
CT.....................................................     06502  1.0
CT.....................................................     06503  1.0
CT.....................................................     06504  1.0
CT.....................................................     06505  1.0
CT.....................................................     06506  1.0
CT.....................................................     06507  1.0
CT.....................................................     06508  1.0
CT.....................................................     06509  1.0
CT.....................................................     06510  1.0
CT.....................................................     06511  1.0
CT.....................................................     06512  1.0
CT.....................................................     06513  1.0
CT.....................................................     06514  1.0
CT.....................................................     06515  1.0
CT.....................................................     06516  1.0
CT.....................................................     06517  1.0
CT.....................................................     06518  1.0
CT.....................................................     06519  1.0
CT.....................................................     06520  1.0
CT.....................................................     06521  1.0
CT.....................................................     06524  1.0
CT.....................................................     06525  1.0
CT.....................................................     06530  1.0
CT.....................................................     06531  1.0
CT.....................................................     06532  1.0
CT.....................................................     06533  1.0
CT.....................................................     06534  1.0
CT.....................................................     06535  1.0
CT.....................................................     06536  1.0
CT.....................................................     06537  1.0
CT.....................................................     06538  1.0
CT.....................................................     06540  1.0
CT.....................................................     06601  1.0
CT.....................................................     06602  1.0
CT.....................................................     06604  1.0
CT.....................................................     06605  1.0
CT.....................................................     06606  1.0
CT.....................................................     06607  1.0
CT.....................................................     06608  1.0
CT.....................................................     06610  1.0
CT.....................................................     06611  1.0
CT.....................................................     06612  1.0
CT.....................................................     06614  1.0
CT.....................................................     06615  1.0
CT.....................................................     06650  1.0
CT.....................................................     06673  1.0
CT.....................................................     06699  1.0
CT.....................................................     06701  1.0
CT.....................................................     06702  1.0
CT.....................................................     06703  1.0
CT.....................................................     06704  1.0
CT.....................................................     06705  1.0
CT.....................................................     06706  1.0
CT.....................................................     06708  1.0
CT.....................................................     06710  1.0
CT.....................................................     06712  1.0
CT.....................................................     06716  1.0
CT.....................................................     06720  1.0
CT.....................................................     06721  1.0
CT.....................................................     06722  1.0
CT.....................................................     06723  1.0
CT.....................................................     06724  1.0
CT.....................................................     06725  1.0
CT.....................................................     06726  1.0
CT.....................................................     06749  1.0
CT.....................................................     06750  6.0
CT.....................................................     06751  3.0
CT.....................................................     06752  2.1
CT.....................................................     06753  3.0
CT.....................................................     06754  3.0
CT.....................................................     06755  1.0
CT.....................................................     06756  6.0
CT.....................................................     06757  10.4
CT.....................................................     06758  3.0
CT.....................................................     06759  4.2
CT.....................................................     06762  1.0
CT.....................................................     06763  3.0
CT.....................................................     06770  1.0
CT.....................................................     06776  1.0
CT.....................................................     06777  10.4
CT.....................................................     06778  4.2
CT.....................................................     06779  1.0
CT.....................................................     06781  1.0
CT.....................................................     06782  1.0
CT.....................................................     06783  3.0
CT.....................................................     06784  2.1
CT.....................................................     06785  10.4
CT.....................................................     06786  1.0
CT.....................................................     06787  1.0
CT.....................................................     06790  4.2
CT.....................................................     06791  4.2
CT.....................................................     06792  4.2
CT.....................................................     06793  10.4
CT.....................................................     06794  10.4
CT.....................................................     06795  1.0
CT.....................................................     06796  10.4
CT.....................................................     06798  2.0
CT.....................................................     06801  1.0
CT.....................................................     06804  1.0
CT.....................................................     06807  1.0
CT.....................................................     06810  1.0
CT.....................................................     06811  1.0
CT.....................................................     06812  1.0
CT.....................................................     06813  1.0
CT.....................................................     06814  1.0
CT.....................................................     06816  1.0
CT.....................................................     06817  1.0
CT.....................................................     06820  1.0
CT.....................................................     06824  1.0
CT.....................................................     06825  1.0
CT.....................................................     06828  1.0
CT.....................................................     06829  1.0
CT.....................................................     06830  1.0
CT.....................................................     06831  1.0
CT.....................................................     06832  1.0
CT.....................................................     06836  1.0
CT.....................................................     06838  1.0
CT.....................................................     06840  1.0
CT.....................................................     06842  1.0
CT.....................................................     06850  1.0
CT.....................................................     06851  1.0
CT.....................................................     06852  1.0
CT.....................................................     06853  1.0
CT.....................................................     06854  1.0
CT.....................................................     06855  1.0
CT.....................................................     06856  1.0
CT.....................................................     06857  1.0
CT.....................................................     06858  1.0
CT.....................................................     06859  1.0
CT.....................................................     06860  1.0
CT.....................................................     06870  1.0
CT.....................................................     06875  2.0
CT.....................................................     06876  2.0
CT.....................................................     06877  1.0
CT.....................................................     06878  1.0
CT.....................................................     06879  1.0
CT.....................................................     06880  1.0
CT.....................................................     06881  1.0
CT.....................................................     06883  1.0
CT.....................................................     06888  1.0
CT.....................................................     06889  1.0
CT.....................................................     06890  1.0
CT.....................................................     06896  2.0
CT.....................................................     06897  1.0
CT.....................................................     06901  1.0
CT.....................................................     06902  1.0
CT.....................................................     06903  1.0
CT.....................................................     06904  1.0
CT.....................................................     06905  1.0
CT.....................................................     06906  1.0
CT.....................................................     06907  1.0
CT.....................................................     06910  1.0
CT.....................................................     06911  1.0
CT.....................................................     06912  1.0
CT.....................................................     06913  1.0
CT.....................................................     06914  1.0
CT.....................................................     06920  1.0
CT.....................................................     06921  1.0
CT.....................................................     06922  1.0
CT.....................................................     06925  1.0
CT.....................................................     06926  1.0
CT.....................................................     06927  1.0
CT.....................................................     06928  1.0
DC.....................................................     20001  1.0
DC.....................................................     20002  1.0
DC.....................................................     20003  1.0
DC.....................................................     20004  1.0
DC.....................................................     20005  1.0
DC.....................................................     20006  1.0
DC.....................................................     20007  1.0
DC.....................................................     20008  1.0
DC.....................................................     20009  1.0
DC.....................................................     20010  1.0
DC.....................................................     20011  1.0
DC.....................................................     20012  1.0
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DC.....................................................     20030  1.0
DC.....................................................     20032  1.0
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DC.....................................................     20088  1.0
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DC.....................................................     20097  1.0
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DC.....................................................     20099  1.0
DC.....................................................     20201  1.0
DC.....................................................     20202  1.0
DC.....................................................     20203  1.0
DC.....................................................     20204  1.0
DC.....................................................     20206  1.0
DC.....................................................     20207  1.0
DC.....................................................     20208  1.0
DC.....................................................     20210  1.0
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DC.....................................................     20213  1.0
DC.....................................................     20214  1.0
DC.....................................................     20215  1.0
DC.....................................................     20216  1.0
DC.....................................................     20217  1.0
DC.....................................................     20218  1.0
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DC.....................................................     20220  1.0
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DC.....................................................     20232  1.0
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DC.....................................................     20260  1.0
DC.....................................................     20261  1.0
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DC.....................................................     20268  1.0
DC.....................................................     20270  1.0
DC.....................................................     20277  1.0
DC.....................................................     20289  1.0
DC.....................................................     20299  1.0
DC.....................................................     20301  1.0
DC.....................................................     20303  1.0
DC.....................................................     20306  1.0
DC.....................................................     20307  1.0
DC.....................................................     20310  1.0
DC.....................................................     20314  1.0
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DC.....................................................     20319  1.0
DC.....................................................     20330  1.0
DC.....................................................     20332  1.0
DC.....................................................     20336  1.0
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DC.....................................................     20340  1.0
DC.....................................................     20350  1.0
DC.....................................................     20355  1.0
DC.....................................................     20370  1.0
DC.....................................................     20372  1.0
DC.....................................................     20373  1.0
DC.....................................................     20374  1.0
DC.....................................................     20375  1.0
DC.....................................................     20376  1.0
DC.....................................................     20380  1.0
DC.....................................................     20388  1.0
DC.....................................................     20389  1.0
DC.....................................................     20390  1.0
DC.....................................................     20391  1.0
DC.....................................................     20392  1.0
DC.....................................................     20393  1.0
DC.....................................................     20394  1.0
DC.....................................................     20395  1.0
DC.....................................................     20398  1.0
DC.....................................................     20401  1.0
DC.....................................................     20402  1.0
DC.....................................................     20403  1.0
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DC.....................................................     20406  1.0
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DC.....................................................     20408  1.0
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DC.....................................................     20410  1.0
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DC.....................................................     20427  1.0
DC.....................................................     20428  1.0
DC.....................................................     20429  1.0
DC.....................................................     20431  1.0
DC.....................................................     20433  1.0
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DC.....................................................     20439  1.0
DC.....................................................     20440  1.0
DC.....................................................     20441  1.0
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DC.....................................................     20460  1.0
DC.....................................................     20463  1.0
DC.....................................................     20468  1.0
DC.....................................................     20469  1.0
DC.....................................................     20470  1.0
DC.....................................................     20472  1.0
DC.....................................................     20500  1.0
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DC.....................................................     20560  1.0
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DC.....................................................     20590  1.0
DC.....................................................     20591  1.0
DC.....................................................     20593  1.0
DC.....................................................     20594  1.0
DC.....................................................     20597  1.0
DC.....................................................     20599  1.0
DC.....................................................     56901  1.0
DC.....................................................     56915  1.0
DC.....................................................     56920  1.0
DE.....................................................     19701  1.0
DE.....................................................     19702  1.0
DE.....................................................     19703  1.0
DE.....................................................     19706  1.0
DE.....................................................     19707  1.0
DE.....................................................     19708  1.0
DE.....................................................     19709  2.0
DE.....................................................     19710  1.0
DE.....................................................     19711  1.0
DE.....................................................     19712  1.0
DE.....................................................     19713  1.0
DE.....................................................     19714  1.0
DE.....................................................     19715  1.0
DE.....................................................     19716  1.0
DE.....................................................     19717  1.0
DE.....................................................     19718  1.0
DE.....................................................     19720  1.0
DE.....................................................     19721  1.0
DE.....................................................     19725  1.0
DE.....................................................     19726  1.0
DE.....................................................     19730  2.0
DE.....................................................     19731  2.0
DE.....................................................     19732  1.0
DE.....................................................     19733  1.0
DE.....................................................     19734  2.0
DE.....................................................     19735  1.0
DE.....................................................     19736  1.0
DE.....................................................     19801  1.0
DE.....................................................     19802  1.0
DE.....................................................     19803  1.0
DE.....................................................     19804  1.0
DE.....................................................     19805  1.0
DE.....................................................     19806  1.0
DE.....................................................     19807  1.0
DE.....................................................     19808  1.0
DE.....................................................     19809  1.0
DE.....................................................     19810  1.0
DE.....................................................     19850  1.0
DE.....................................................     19880  1.0
DE.....................................................     19884  1.0
DE.....................................................     19885  1.0
DE.....................................................     19886  1.0
DE.....................................................     19887  1.0
DE.....................................................     19889  1.0
DE.....................................................     19890  1.0
DE.....................................................     19891  1.0
DE.....................................................     19892  1.0
DE.....................................................     19893  1.0
DE.....................................................     19894  1.0
DE.....................................................     19895  1.0
DE.....................................................     19896  1.0
DE.....................................................     19897  1.0
DE.....................................................     19898  1.0
DE.....................................................     19899  1.0
DE.....................................................     19901  1.0
DE.....................................................     19902  1.0
DE.....................................................     19903  1.0
DE.....................................................     19904  1.0
DE.....................................................     19905  1.0
DE.....................................................     19906  1.0
DE.....................................................     19930  7.4
DE.....................................................     19931  4.0
DE.....................................................     19933  10.5
DE.....................................................     19934  1.0
DE.....................................................     19936  1.0
DE.....................................................     19938  2.1
DE.....................................................     19939  7.4
DE.....................................................     19940  1.0
DE.....................................................     19941  6.0
DE.....................................................     19943  2.0
DE.....................................................     19944  7.4
DE.....................................................     19945  7.2
DE.....................................................     19946  2.0
DE.....................................................     19947  7.4
DE.....................................................     19950  10.5
DE.....................................................     19951  5.0
DE.....................................................     19952  2.0
DE.....................................................     19953  2.0
DE.....................................................     19954  2.0
DE.....................................................     19955  2.1
DE.....................................................     19956  4.0
DE.....................................................     19958  4.0
DE.....................................................     19960  4.2
DE.....................................................     19961  1.0
DE.....................................................     19962  1.0
DE.....................................................     19963  4.2
DE.....................................................     19964  2.0
DE.....................................................     19966  5.0
DE.....................................................     19967  7.4
DE.....................................................     19968  5.0
DE.....................................................     19969  4.0
DE.....................................................     19970  7.4
DE.....................................................     19971  4.0
DE.....................................................     19973  4.0
DE.....................................................     19975  4.2
DE.....................................................     19977  2.1
DE.....................................................     19979  1.0
DE.....................................................     19980  2.0
FL.....................................................     32003  1.0
FL.....................................................     32004  1.0
FL.....................................................     32006  1.0
FL.....................................................     32007  4.0
FL.....................................................     32008  10.5
FL.....................................................     32009  2.0
FL.....................................................     32011  2.0
FL.....................................................     32013  10.0
FL.....................................................     32024  5.0
FL.....................................................     32025  4.0
FL.....................................................     32026  9.0
FL.....................................................     32030  1.0
FL.....................................................     32033  2.1
FL.....................................................     32034  4.2
FL.....................................................     32035  4.2
FL.....................................................     32038  5.2
FL.....................................................     32040  7.1
FL.....................................................     32041  2.0
FL.....................................................     32042  2.0
FL.....................................................     32043  1.0
FL.....................................................     32044  2.0
FL.....................................................     32046  2.0
FL.....................................................     32050  1.0
FL.....................................................     32052  7.0
FL.....................................................     32053  10.4
FL.....................................................     32054  7.3
FL.....................................................     32055  4.0
FL.....................................................     32056  4.0
FL.....................................................     32058  8.3
FL.....................................................     32059  10.6
FL.....................................................     32060  7.4
FL.....................................................     32061  4.0
FL.....................................................     32062  6.0
FL.....................................................     32063  7.1
FL.....................................................     32064  7.0
FL.....................................................     32065  1.0
FL.....................................................     32066  10.0
FL.....................................................     32067  1.0
FL.....................................................     32068  1.0
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FL.....................................................     32072  8.1
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FL.....................................................     32086  1.0
FL.....................................................     32087  8.1
FL.....................................................     32091  7.3
FL.....................................................     32092  1.0
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FL.....................................................     32097  2.0
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FL.....................................................     32102  3.0
FL.....................................................     32105  2.0
FL.....................................................     32110  4.1
FL.....................................................     32111  1.0
FL.....................................................     32112  7.4
FL.....................................................     32113  2.1
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FL.....................................................     32130  1.1
FL.....................................................     32131  4.0
FL.....................................................     32132  1.0
FL.....................................................     32133  2.0
FL.....................................................     32134  2.0
FL.....................................................     32135  1.0
FL.....................................................     32136  1.0
FL.....................................................     32137  4.1
FL.....................................................     32138  5.0
FL.....................................................     32139  7.4
FL.....................................................     32140  5.0
FL.....................................................     32141  1.0
FL.....................................................     32142  1.0
FL.....................................................     32145  2.1
FL.....................................................     32147  5.0
FL.....................................................     32148  5.0
FL.....................................................     32149  5.0
FL.....................................................     32151  4.1
FL.....................................................     32157  6.0
FL.....................................................     32158  2.0
FL.....................................................     32159  2.0
FL.....................................................     32160  2.0
FL.....................................................     32162  2.0
FL.....................................................     32164  4.1
FL.....................................................     32168  1.0
FL.....................................................     32169  1.0
FL.....................................................     32170  1.0
FL.....................................................     32173  1.0
FL.....................................................     32174  1.0
FL.....................................................     32175  1.0
FL.....................................................     32176  1.0
FL.....................................................     32177  4.0
FL.....................................................     32178  4.0
FL.....................................................     32179  2.0
FL.....................................................     32180  2.0
FL.....................................................     32181  6.0
FL.....................................................     32182  2.0
FL.....................................................     32183  2.0
FL.....................................................     32185  5.0
FL.....................................................     32187  4.0
FL.....................................................     32189  5.0
FL.....................................................     32190  3.0
FL.....................................................     32192  2.0
FL.....................................................     32193  7.4
FL.....................................................     32195  2.0
FL.....................................................     32198  1.0
FL.....................................................     32201  1.0
FL.....................................................     32202  1.0
FL.....................................................     32203  1.0
FL.....................................................     32204  1.0
FL.....................................................     32205  1.0
FL.....................................................     32206  1.0
FL.....................................................     32207  1.0
FL.....................................................     32208  1.0
FL.....................................................     32209  1.0
FL.....................................................     32210  1.0
FL.....................................................     32211  1.0
FL.....................................................     32212  1.0
FL.....................................................     32214  1.0
FL.....................................................     32215  2.0
FL.....................................................     32216  1.0
FL.....................................................     32217  1.0
FL.....................................................     32218  1.0
FL.....................................................     32219  1.0
FL.....................................................     32220  1.0
FL.....................................................     32221  1.0
FL.....................................................     32222  1.0
FL.....................................................     32223  1.0
FL.....................................................     32224  1.0
FL.....................................................     32225  1.0
FL.....................................................     32226  2.0
FL.....................................................     32227  1.0
FL.....................................................     32228  1.0
FL.....................................................     32229  1.0
FL.....................................................     32230  1.0
FL.....................................................     32231  1.0
FL.....................................................     32232  1.0
FL.....................................................     32233  1.0
FL.....................................................     32234  2.0
FL.....................................................     32235  1.0
FL.....................................................     32236  1.0
FL.....................................................     32237  1.0
FL.....................................................     32238  1.0
FL.....................................................     32239  1.0
FL.....................................................     32240  1.0
FL.....................................................     32241  1.0
FL.....................................................     32244  1.0
FL.....................................................     32245  1.0
FL.....................................................     32246  1.0
FL.....................................................     32247  1.0
FL.....................................................     32250  1.0
FL.....................................................     32254  1.0
FL.....................................................     32255  1.0
FL.....................................................     32256  1.0
FL.....................................................     32257  1.0
FL.....................................................     32258  1.0
FL.....................................................     32259  1.0
FL.....................................................     32260  1.0
FL.....................................................     32266  1.0
FL.....................................................     32267  1.0
FL.....................................................     32276  1.0
FL.....................................................     32277  1.0
FL.....................................................     32290  1.0
FL.....................................................     32301  1.0
FL.....................................................     32302  1.0
FL.....................................................     32303  1.0
FL.....................................................     32304  1.0
FL.....................................................     32305  1.0
FL.....................................................     32306  1.0
FL.....................................................     32307  1.0
FL.....................................................     32308  1.0
FL.....................................................     32309  1.0
FL.....................................................     32310  1.0
FL.....................................................     32311  1.0
FL.....................................................     32312  1.0
FL.....................................................     32313  1.0
FL.....................................................     32314  1.0
FL.....................................................     32315  1.0
FL.....................................................     32316  1.0
FL.....................................................     32317  1.0
FL.....................................................     32318  1.0
FL.....................................................     32320  7.0
FL.....................................................     32321  10.4
FL.....................................................     32322  10.6
FL.....................................................     32323  10.6
FL.....................................................     32324  7.3
FL.....................................................     32326  2.0
FL.....................................................     32327  2.0
FL.....................................................     32328  10.3
FL.....................................................     32329  7.0
FL.....................................................     32330  4.1
FL.....................................................     32331  10.0
FL.....................................................     32332  2.0
FL.....................................................     32333  2.0
FL.....................................................     32334  10.1
FL.....................................................     32335  10.1
FL.....................................................     32336  2.0
FL.....................................................     32337  1.0
FL.....................................................     32340  7.0
FL.....................................................     32341  7.0
FL.....................................................     32343  2.0
FL.....................................................     32344  10.1
FL.....................................................     32345  10.1
FL.....................................................     32346  2.0
FL.....................................................     32347  7.0
FL.....................................................     32348  7.0
FL.....................................................     32350  10.4
FL.....................................................     32351  4.1
FL.....................................................     32352  2.0
FL.....................................................     32353  4.1
FL.....................................................     32355  2.0
FL.....................................................     32356  8.0
FL.....................................................     32357  10.0
FL.....................................................     32358  2.0
FL.....................................................     32359  8.0
FL.....................................................     32360  10.1
FL.....................................................     32361  2.0
FL.....................................................     32362  1.0
FL.....................................................     32395  1.0
FL.....................................................     32399  1.0
FL.....................................................     32401  1.0
FL.....................................................     32402  1.0
FL.....................................................     32403  1.0
FL.....................................................     32404  1.0
FL.....................................................     32405  1.0
FL.....................................................     32406  1.0
FL.....................................................     32407  1.0
FL.....................................................     32408  1.0
FL.....................................................     32409  1.0
FL.....................................................     32410  1.0
FL.....................................................     32411  1.0

[[Page 70077]]

 
FL.....................................................     32412  1.0
FL.....................................................     32413  1.0
FL.....................................................     32417  1.0
FL.....................................................     32420  8.0
FL.....................................................     32421  10.6
FL.....................................................     32422  8.0
FL.....................................................     32423  9.0
FL.....................................................     32424  7.0
FL.....................................................     32425  9.0
FL.....................................................     32426  9.0
FL.....................................................     32427  9.0
FL.....................................................     32428  7.0
FL.....................................................     32430  10.6
FL.....................................................     32431  10.6
FL.....................................................     32432  8.0
FL.....................................................     32433  8.0
FL.....................................................     32434  8.0
FL.....................................................     32435  7.0
FL.....................................................     32437  2.0
FL.....................................................     32438  2.0
FL.....................................................     32439  2.0
FL.....................................................     32440  10.6
FL.....................................................     32442  8.0
FL.....................................................     32443  8.0
FL.....................................................     32444  1.0
FL.....................................................     32445  9.0
FL.....................................................     32446  8.0
FL.....................................................     32447  8.0
FL.....................................................     32448  7.0
FL.....................................................     32449  10.6
FL.....................................................     32452  9.0
FL.....................................................     32454  10.4
FL.....................................................     32455  10.5
FL.....................................................     32456  7.3
FL.....................................................     32457  7.3
FL.....................................................     32459  10.4
FL.....................................................     32460  10.6
FL.....................................................     32461  1.0
FL.....................................................     32462  2.0
FL.....................................................     32463  7.0
FL.....................................................     32464  10.0
FL.....................................................     32465  10.4
FL.....................................................     32466  1.0
FL.....................................................     32501  1.0
FL.....................................................     32502  1.0
FL.....................................................     32503  1.0
FL.....................................................     32504  1.0
FL.....................................................     32505  1.0
FL.....................................................     32506  1.0
FL.....................................................     32507  1.0
FL.....................................................     32508  1.0
FL.....................................................     32509  1.0
FL.....................................................     32511  1.0
FL.....................................................     32512  1.0
FL.....................................................     32513  1.0
FL.....................................................     32514  1.0
FL.....................................................     32516  1.0
FL.....................................................     32520  1.0
FL.....................................................     32521  1.0
FL.....................................................     32522  1.0
FL.....................................................     32523  1.0
FL.....................................................     32524  1.0
FL.....................................................     32526  1.0
FL.....................................................     32530  2.0
FL.....................................................     32531  5.1
FL.....................................................     32533  1.0
FL.....................................................     32534  1.0
FL.....................................................     32535  9.1
FL.....................................................     32536  2.0
FL.....................................................     32537  2.0
FL.....................................................     32538  2.0
FL.....................................................     32539  2.0
FL.....................................................     32540  1.0
FL.....................................................     32541  1.0
FL.....................................................     32542  1.0
FL.....................................................     32544  1.0
FL.....................................................     32547  1.0
FL.....................................................     32548  1.0
FL.....................................................     32549  1.0
FL.....................................................     32550  10.4
FL.....................................................     32559  1.0
FL.....................................................     32560  1.0
FL.....................................................     32561  1.0
FL.....................................................     32562  1.0
FL.....................................................     32563  1.0
FL.....................................................     32564  5.1
FL.....................................................     32565  2.0
FL.....................................................     32566  1.0
FL.....................................................     32567  2.0
FL.....................................................     32568  2.0
FL.....................................................     32569  1.0
FL.....................................................     32570  1.0
FL.....................................................     32571  1.0
FL.....................................................     32572  1.0
FL.....................................................     32573  1.0
FL.....................................................     32574  1.0
FL.....................................................     32575  1.0
FL.....................................................     32576  1.0
FL.....................................................     32577  2.0
FL.....................................................     32578  1.0
FL.....................................................     32579  1.0
FL.....................................................     32580  1.0
FL.....................................................     32581  1.0
FL.....................................................     32582  1.0
FL.....................................................     32583  2.0
FL.....................................................     32588  1.0
FL.....................................................     32589  1.0
FL.....................................................     32590  1.0
FL.....................................................     32591  1.0
FL.....................................................     32592  1.0
FL.....................................................     32593  1.0
FL.....................................................     32594  1.0
FL.....................................................     32595  1.0
FL.....................................................     32596  1.0
FL.....................................................     32597  1.0
FL.....................................................     32598  1.0
FL.....................................................     32601  1.0
FL.....................................................     32602  1.0
FL.....................................................     32603  1.0
FL.....................................................     32604  1.0
FL.....................................................     32605  1.0
FL.....................................................     32606  1.0
FL.....................................................     32607  1.0
FL.....................................................     32608  1.0
FL.....................................................     32609  1.0
FL.....................................................     32610  1.0
FL.....................................................     32611  1.0
FL.....................................................     32612  1.0
FL.....................................................     32613  1.0
FL.....................................................     32614  1.0
FL.....................................................     32615  2.0
FL.....................................................     32616  2.0
FL.....................................................     32617  2.0
FL.....................................................     32618  2.0
FL.....................................................     32619  10.4
FL.....................................................     32621  2.0
FL.....................................................     32622  2.0
FL.....................................................     32625  10.0
FL.....................................................     32626  10.0
FL.....................................................     32627  1.0
FL.....................................................     32628  7.0
FL.....................................................     32631  2.0
FL.....................................................     32633  2.0
FL.....................................................     32634  2.0
FL.....................................................     32635  1.0
FL.....................................................     32639  10.0
FL.....................................................     32640  2.0
FL.....................................................     32641  1.0
FL.....................................................     32643  2.0
FL.....................................................     32644  10.0
FL.....................................................     32648  10.6
FL.....................................................     32653  1.0
FL.....................................................     32654  2.0
FL.....................................................     32655  2.0
FL.....................................................     32656  2.0
FL.....................................................     32658  2.0
FL.....................................................     32662  2.0
FL.....................................................     32663  2.0
FL.....................................................     32664  2.0
FL.....................................................     32666  2.0
FL.....................................................     32667  2.0
FL.....................................................     32668  3.0
FL.....................................................     32669  2.0
FL.....................................................     32680  7.0
FL.....................................................     32681  2.0
FL.....................................................     32683  10.0
FL.....................................................     32686  2.0
FL.....................................................     32692  7.0
FL.....................................................     32693  10.4
FL.....................................................     32694  2.0
FL.....................................................     32696  2.0
FL.....................................................     32697  7.3
FL.....................................................     32701  1.0
FL.....................................................     32702  1.0
FL.....................................................     32703  1.0
FL.....................................................     32704  1.0
FL.....................................................     32706  1.1
FL.....................................................     32707  1.0
FL.....................................................     32708  1.0
FL.....................................................     32709  1.0
FL.....................................................     32710  1.0
FL.....................................................     32712  1.0
FL.....................................................     32713  1.1
FL.....................................................     32714  1.0
FL.....................................................     32715  1.0
FL.....................................................     32716  1.0
FL.....................................................     32718  1.0
FL.....................................................     32719  1.0
FL.....................................................     32720  1.1
FL.....................................................     32721  1.1
FL.....................................................     32722  1.1
FL.....................................................     32723  1.1
FL.....................................................     32724  1.1
FL.....................................................     32725  1.1
FL.....................................................     32726  1.0
FL.....................................................     32727  1.0
FL.....................................................     32728  1.1
FL.....................................................     32730  1.0
FL.....................................................     32732  2.0
FL.....................................................     32733  1.0
FL.....................................................     32735  1.0
FL.....................................................     32736  3.0
FL.....................................................     32738  1.1
FL.....................................................     32739  1.1
FL.....................................................     32744  1.1
FL.....................................................     32745  1.0
FL.....................................................     32746  1.0

[[Page 70078]]

 
FL.....................................................     32747  1.0
FL.....................................................     32750  1.0
FL.....................................................     32751  1.0
FL.....................................................     32752  1.0
FL.....................................................     32753  1.1
FL.....................................................     32754  1.0
FL.....................................................     32756  1.0
FL.....................................................     32757  1.0
FL.....................................................     32759  1.0
FL.....................................................     32762  1.0
FL.....................................................     32763  1.1
FL.....................................................     32764  2.0
FL.....................................................     32765  1.0
FL.....................................................     32766  1.0
FL.....................................................     32767  3.0
FL.....................................................     32768  1.0
FL.....................................................     32771  1.0
FL.....................................................     32772  1.0
FL.....................................................     32773  1.0
FL.....................................................     32774  1.1
FL.....................................................     32775  1.0
FL.....................................................     32776  2.0
FL.....................................................     32777  1.0
FL.....................................................     32778  1.0
FL.....................................................     32779  1.0
FL.....................................................     32780  1.0
FL.....................................................     32781  1.0
FL.....................................................     32782  1.0
FL.....................................................     32783  1.0
FL.....................................................     32784  1.0
FL.....................................................     32789  1.0
FL.....................................................     32790  1.0
FL.....................................................     32791  1.0
FL.....................................................     32792  1.0
FL.....................................................     32793  1.0
FL.....................................................     32794  1.0
FL.....................................................     32795  1.0
FL.....................................................     32796  1.0
FL.....................................................     32798  1.0
FL.....................................................     32799  1.0
FL.....................................................     32801  1.0
FL.....................................................     32802  1.0
FL.....................................................     32803  1.0
FL.....................................................     32804  1.0
FL.....................................................     32805  1.0
FL.....................................................     32806  1.0
FL.....................................................     32807  1.0
FL.....................................................     32808  1.0
FL.....................................................     32809  1.0
FL.....................................................     32810  1.0
FL.....................................................     32811  1.0
FL.....................................................     32812  1.0
FL.....................................................     32814  1.0
FL.....................................................     32815  1.0
FL.....................................................     32816  1.0
FL.....................................................     32817  1.0
FL.....................................................     32818  1.0
FL.....................................................     32819  1.0
FL.....................................................     32820  1.0
FL.....................................................     32821  2.0
FL.....................................................     32822  1.0
FL.....................................................     32824  2.0
FL.....................................................     32825  1.0
FL.....................................................     32826  1.0
FL.....................................................     32827  1.0
FL.....................................................     32828  1.0
FL.....................................................     32829  1.0
FL.....................................................     32830  1.0
FL.....................................................     32831  2.0
FL.....................................................     32832  2.0
FL.....................................................     32833  2.0
FL.....................................................     32834  1.0
FL.....................................................     32835  1.0
FL.....................................................     32836  1.0
FL.....................................................     32837  2.0
FL.....................................................     32839  1.0
FL.....................................................     32853  1.0
FL.....................................................     32854  1.0
FL.....................................................     32855  1.0
FL.....................................................     32856  1.0
FL.....................................................     32857  1.0
FL.....................................................     32858  1.0
FL.....................................................     32859  1.0
FL.....................................................     32860  1.0
FL.....................................................     32861  1.0
FL.....................................................     32862  1.0
FL.....................................................     32867  1.0
FL.....................................................     32868  1.0
FL.....................................................     32869  1.0
FL.....................................................     32872  1.0
FL.....................................................     32877  2.0
FL.....................................................     32878  1.0
FL.....................................................     32885  1.0
FL.....................................................     32886  1.0
FL.....................................................     32887  2.0
FL.....................................................     32890  1.0
FL.....................................................     32891  1.0
FL.....................................................     32893  1.0
FL.....................................................     32896  1.0
FL.....................................................     32897  1.0
FL.....................................................     32898  1.0
FL.....................................................     32899  1.0
FL.....................................................     32901  1.0
FL.....................................................     32902  1.0
FL.....................................................     32903  1.0
FL.....................................................     32904  1.0
FL.....................................................     32905  1.0
FL.....................................................     32906  1.0
FL.....................................................     32907  1.0
FL.....................................................     32908  1.0
FL.....................................................     32909  1.0
FL.....................................................     32910  1.0
FL.....................................................     32911  1.0
FL.....................................................     32912  1.0
FL.....................................................     32919  1.0
FL.....................................................     32920  1.0
FL.....................................................     32922  1.0
FL.....................................................     32923  1.0
FL.....................................................     32924  1.0
FL.....................................................     32925  1.0
FL.....................................................     32926  1.0
FL.....................................................     32927  1.0
FL.....................................................     32931  1.0
FL.....................................................     32932  1.0
FL.....................................................     32934  1.0
FL.....................................................     32935  1.0
FL.....................................................     32936  1.0
FL.....................................................     32937  1.0
FL.....................................................     32940  1.0
FL.....................................................     32941  1.0
FL.....................................................     32948  2.0
FL.....................................................     32949  1.0
FL.....................................................     32950  2.0
FL.....................................................     32951  1.0
FL.....................................................     32952  1.0
FL.....................................................     32953  1.0
FL.....................................................     32954  1.0
FL.....................................................     32955  1.0
FL.....................................................     32956  1.0
FL.....................................................     32957  1.0
FL.....................................................     32958  1.0
FL.....................................................     32959  1.0
FL.....................................................     32960  1.0
FL.....................................................     32961  1.0
FL.....................................................     32962  1.0
FL.....................................................     32963  1.0
FL.....................................................     32964  1.0
FL.....................................................     32965  1.0
FL.....................................................     32966  1.0
FL.....................................................     32967  1.0
FL.....................................................     32968  1.0
FL.....................................................     32969  1.0
FL.....................................................     32970  1.0
FL.....................................................     32971  1.0
FL.....................................................     32976  1.0
FL.....................................................     32978  1.0
FL.....................................................     33001  7.0
FL.....................................................     33002  1.0
FL.....................................................     33004  1.0
FL.....................................................     33008  1.0
FL.....................................................     33009  1.0
FL.....................................................     33010  1.0
FL.....................................................     33011  1.0
FL.....................................................     33012  1.0
FL.....................................................     33013  1.0
FL.....................................................     33014  1.0
FL.....................................................     33015  1.0
FL.....................................................     33016  1.0
FL.....................................................     33017  1.0
FL.....................................................     33018  1.0
FL.....................................................     33019  1.0
FL.....................................................     33020  1.0
FL.....................................................     33021  1.0
FL.....................................................     33022  1.0
FL.....................................................     33023  1.0
FL.....................................................     33024  1.0
FL.....................................................     33025  1.0
FL.....................................................     33026  1.0
FL.....................................................     33027  1.0
FL.....................................................     33028  1.0
FL.....................................................     33029  1.0
FL.....................................................     33030  1.0
FL.....................................................     33031  2.0
FL.....................................................     33032  1.0
FL.....................................................     33033  1.0
FL.....................................................     33034  1.0
FL.....................................................     33035  1.0
FL.....................................................     33036  4.0
FL.....................................................     33037  4.0
FL.....................................................     33039  2.0
FL.....................................................     33040  4.0
FL.....................................................     33041  4.0
FL.....................................................     33042  7.2
FL.....................................................     33043  7.2
FL.....................................................     33044  7.2
FL.....................................................     33045  4.0
FL.....................................................     33050  7.0
FL.....................................................     33051  7.0
FL.....................................................     33052  7.0
FL.....................................................     33054  1.0
FL.....................................................     33055  1.0
FL.....................................................     33056  1.0
FL.....................................................     33060  1.0
FL.....................................................     33061  1.0
FL.....................................................     33062  1.0
FL.....................................................     33063  1.0
FL.....................................................     33064  1.0

[[Page 70079]]

 
FL.....................................................     33065  1.0
FL.....................................................     33066  1.0
FL.....................................................     33067  1.0
FL.....................................................     33068  1.0
FL.....................................................     33069  1.0
FL.....................................................     33070  4.0
FL.....................................................     33071  1.0
FL.....................................................     33072  1.0
FL.....................................................     33073  1.0
FL.....................................................     33074  1.0
FL.....................................................     33075  1.0
FL.....................................................     33076  1.0
FL.....................................................     33077  1.0
FL.....................................................     33081  1.0
FL.....................................................     33082  1.0
FL.....................................................     33083  1.0
FL.....................................................     33084  1.0
FL.....................................................     33090  1.0
FL.....................................................     33092  1.0
FL.....................................................     33093  1.0
FL.....................................................     33097  1.0
FL.....................................................     33101  1.0
FL.....................................................     33102  1.0
FL.....................................................     33107  1.0
FL.....................................................     33109  1.0
FL.....................................................     33110  1.0
FL.....................................................     33111  1.0
FL.....................................................     33112  1.0
FL.....................................................     33114  1.0
FL.....................................................     33116  1.0
FL.....................................................     33119  1.0
FL.....................................................     33121  1.0
FL.....................................................     33122  1.0
FL.....................................................     33124  1.0
FL.....................................................     33125  1.0
FL.....................................................     33126  1.0
FL.....................................................     33127  1.0
FL.....................................................     33128  1.0
FL.....................................................     33129  1.0
FL.....................................................     33130  1.0
FL.....................................................     33131  1.0
FL.....................................................     33132  1.0
FL.....................................................     33133  1.0
FL.....................................................     33134  1.0
FL.....................................................     33135  1.0
FL.....................................................     33136  1.0
FL.....................................................     33137  1.0
FL.....................................................     33138  1.0
FL.....................................................     33139  1.0
FL.....................................................     33140  1.0
FL.....................................................     33141  1.0
FL.....................................................     33142  1.0
FL.....................................................     33143  1.0
FL.....................................................     33144  1.0
FL.....................................................     33145  1.0
FL.....................................................     33146  1.0
FL.....................................................     33147  1.0
FL.....................................................     33148  1.0
FL.....................................................     33149  2.0
FL.....................................................     33150  1.0
FL.....................................................     33151  1.0
FL.....................................................     33152  1.0
FL.....................................................     33153  1.0
FL.....................................................     33154  1.0
FL.....................................................     33155  1.0
FL.....................................................     33156  1.0
FL.....................................................     33157  1.0
FL.....................................................     33158  1.0
FL.....................................................     33159  1.0
FL.....................................................     33160  1.0
FL.....................................................     33161  1.0
FL.....................................................     33162  1.0
FL.....................................................     33163  1.0
FL.....................................................     33164  1.0
FL.....................................................     33165  1.0
FL.....................................................     33166  1.0
FL.....................................................     33167  1.0
FL.....................................................     33168  1.0
FL.....................................................     33169  1.0
FL.....................................................     33170  1.0
FL.....................................................     33172  1.0
FL.....................................................     33173  1.0
FL.....................................................     33174  1.0
FL.....................................................     33175  1.0
FL.....................................................     33176  1.0
FL.....................................................     33177  1.0
FL.....................................................     33178  1.0
FL.....................................................     33179  1.0
FL.....................................................     33180  1.0
FL.....................................................     33181  1.0
FL.....................................................     33182  1.0
FL.....................................................     33183  1.0
FL.....................................................     33184  1.0
FL.....................................................     33185  1.0
FL.....................................................     33186  1.0
FL.....................................................     33187  1.0
FL.....................................................     33188  1.0
FL.....................................................     33189  1.0
FL.....................................................     33190  1.0
FL.....................................................     33192  1.0
FL.....................................................     33193  1.0
FL.....................................................     33194  1.0
FL.....................................................     33195  1.0
FL.....................................................     33196  1.0
FL.....................................................     33197  1.0
FL.....................................................     33199  1.0
FL.....................................................     33231  1.0
FL.....................................................     33233  1.0
FL.....................................................     33234  1.0
FL.....................................................     33238  1.0
FL.....................................................     33239  1.0
FL.....................................................     33242  1.0
FL.....................................................     33243  1.0
FL.....................................................     33245  1.0
FL.....................................................     33247  1.0
FL.....................................................     33255  1.0
FL.....................................................     33256  1.0
FL.....................................................     33257  1.0
FL.....................................................     33261  1.0
FL.....................................................     33265  1.0
FL.....................................................     33266  1.0
FL.....................................................     33269  1.0
FL.....................................................     33280  1.0
FL.....................................................     33283  1.0
FL.....................................................     33296  1.0
FL.....................................................     33299  1.0
FL.....................................................     33301  1.0
FL.....................................................     33302  1.0
FL.....................................................     33303  1.0
FL.....................................................     33304  1.0
FL.....................................................     33305  1.0
FL.....................................................     33306  1.0
FL.....................................................     33307  1.0
FL.....................................................     33308  1.0
FL.....................................................     33309  1.0
FL.....................................................     33310  1.0
FL.....................................................     33311  1.0
FL.....................................................     33312  1.0
FL.....................................................     33313  1.0
FL.....................................................     33314  1.0
FL.....................................................     33315  1.0
FL.....................................................     33316  1.0
FL.....................................................     33317  1.0
FL.....................................................     33318  1.0
FL.....................................................     33319  1.0
FL.....................................................     33320  1.0
FL.....................................................     33321  1.0
FL.....................................................     33322  1.0
FL.....................................................     33323  1.0
FL.....................................................     33324  1.0
FL.....................................................     33325  1.0
FL.....................................................     33326  1.0
FL.....................................................     33327  1.0
FL.....................................................     33328  1.0
FL.....................................................     33329  1.0
FL.....................................................     33330  1.0
FL.....................................................     33331  1.0
FL.....................................................     33332  1.0
FL.....................................................     33334  1.0
FL.....................................................     33335  1.0
FL.....................................................     33336  1.0
FL.....................................................     33337  1.0
FL.....................................................     33338  1.0
FL.....................................................     33339  1.0
FL.....................................................     33340  1.0
FL.....................................................     33345  1.0
FL.....................................................     33346  1.0
FL.....................................................     33348  1.0
FL.....................................................     33349  1.0
FL.....................................................     33351  1.0
FL.....................................................     33355  1.0
FL.....................................................     33359  1.0
FL.....................................................     33388  1.0
FL.....................................................     33394  1.0
FL.....................................................     33401  1.0
FL.....................................................     33402  1.0
FL.....................................................     33403  1.0
FL.....................................................     33404  1.0
FL.....................................................     33405  1.0
FL.....................................................     33406  1.0
FL.....................................................     33407  1.0
FL.....................................................     33408  1.0
FL.....................................................     33409  1.0
FL.....................................................     33410  1.0
FL.....................................................     33411  1.0
FL.....................................................     33412  1.0
FL.....................................................     33413  1.0
FL.....................................................     33414  1.0
FL.....................................................     33415  1.0
FL.....................................................     33416  1.0
FL.....................................................     33417  1.0
FL.....................................................     33418  1.0
FL.....................................................     33419  1.0
FL.....................................................     33420  1.0
FL.....................................................     33421  1.0
FL.....................................................     33422  1.0
FL.....................................................     33424  1.0
FL.....................................................     33425  1.0
FL.....................................................     33426  1.0
FL.....................................................     33427  1.0
FL.....................................................     33428  1.0
FL.....................................................     33429  1.0
FL.....................................................     33430  4.1
FL.....................................................     33431  1.0
FL.....................................................     33432  1.0
FL.....................................................     33433  1.0
FL.....................................................     33434  1.0

[[Page 70080]]

 
FL.....................................................     33435  1.0
FL.....................................................     33436  1.0
FL.....................................................     33437  1.0
FL.....................................................     33438  2.0
FL.....................................................     33439  2.0
FL.....................................................     33440  4.2
FL.....................................................     33441  1.0
FL.....................................................     33442  1.0
FL.....................................................     33443  1.0
FL.....................................................     33444  1.0
FL.....................................................     33445  1.0
FL.....................................................     33446  1.0
FL.....................................................     33447  1.0
FL.....................................................     33448  1.0
FL.....................................................     33454  1.0
FL.....................................................     33455  1.0
FL.....................................................     33458  1.0
FL.....................................................     33459  4.1
FL.....................................................     33460  1.0
FL.....................................................     33461  1.0
FL.....................................................     33462  1.0
FL.....................................................     33463  1.0
FL.....................................................     33464  1.0
FL.....................................................     33465  1.0
FL.....................................................     33466  1.0
FL.....................................................     33467  1.0
FL.....................................................     33468  1.0
FL.....................................................     33469  1.0
FL.....................................................     33470  1.0
FL.....................................................     33471  7.4
FL.....................................................     33474  1.0
FL.....................................................     33475  1.0
FL.....................................................     33476  2.0
FL.....................................................     33477  1.0
FL.....................................................     33478  2.0
FL.....................................................     33480  1.0
FL.....................................................     33481  1.0
FL.....................................................     33482  1.0
FL.....................................................     33483  1.0
FL.....................................................     33484  1.0
FL.....................................................     33486  1.0
FL.....................................................     33487  1.0
FL.....................................................     33488  1.0
FL.....................................................     33493  4.1
FL.....................................................     33496  1.0
FL.....................................................     33497  1.0
FL.....................................................     33498  1.0
FL.....................................................     33499  1.0
FL.....................................................     33503  2.0
FL.....................................................     33508  1.0
FL.....................................................     33509  1.0
FL.....................................................     33510  1.0
FL.....................................................     33511  1.0
FL.....................................................     33513  9.0
FL.....................................................     33514  10.4
FL.....................................................     33521  7.3
FL.....................................................     33523  2.1
FL.....................................................     33524  1.1
FL.....................................................     33525  1.1
FL.....................................................     33526  1.1
FL.....................................................     33527  1.0
FL.....................................................     33530  1.0
FL.....................................................     33534  1.0
FL.....................................................     33537  2.1
FL.....................................................     33538  9.0
FL.....................................................     33539  1.1
FL.....................................................     33540  1.1
FL.....................................................     33541  1.1
FL.....................................................     33542  1.1
FL.....................................................     33543  1.0
FL.....................................................     33544  2.0
FL.....................................................     33547  2.0
FL.....................................................     33548  1.0
FL.....................................................     33549  1.0
FL.....................................................     33550  1.0
FL.....................................................     33556  1.0
FL.....................................................     33558  1.0
FL.....................................................     33559  1.0
FL.....................................................     33563  1.0
FL.....................................................     33564  1.0
FL.....................................................     33565  1.0
FL.....................................................     33566  1.0
FL.....................................................     33567  1.0
FL.....................................................     33568  1.0
FL.....................................................     33569  1.0
FL.....................................................     33570  2.0
FL.....................................................     33571  2.0
FL.....................................................     33572  1.0
FL.....................................................     33573  2.0
FL.....................................................     33574  2.0
FL.....................................................     33575  2.0
FL.....................................................     33576  2.0
FL.....................................................     33583  1.0
FL.....................................................     33584  1.0
FL.....................................................     33585  10.4
FL.....................................................     33586  2.0
FL.....................................................     33587  1.0
FL.....................................................     33592  1.0
FL.....................................................     33593  2.1
FL.....................................................     33594  1.0
FL.....................................................     33595  1.0
FL.....................................................     33597  10.4
FL.....................................................     33598  2.0
FL.....................................................     33601  1.0
FL.....................................................     33602  1.0
FL.....................................................     33603  1.0
FL.....................................................     33604  1.0
FL.....................................................     33605  1.0
FL.....................................................     33606  1.0
FL.....................................................     33607  1.0
FL.....................................................     33608  1.0
FL.....................................................     33609  1.0
FL.....................................................     33610  1.0
FL.....................................................     33611  1.0
FL.....................................................     33612  1.0
FL.....................................................     33613  1.0
FL.....................................................     33614  1.0
FL.....................................................     33615  1.0
FL.....................................................     33616  1.0
FL.....................................................     33617  1.0
FL.....................................................     33618  1.0
FL.....................................................     33619  1.0
FL.....................................................     33620  1.0
FL.....................................................     33621  1.0
FL.....................................................     33622  1.0
FL.....................................................     33623  1.0
FL.....................................................     33624  1.0
FL.....................................................     33625  1.0
FL.....................................................     33626  1.0
FL.....................................................     33629  1.0
FL.....................................................     33630  1.0
FL.....................................................     33631  1.0
FL.....................................................     33633  1.0
FL.....................................................     33634  1.0
FL.....................................................     33635  1.0
FL.....................................................     33637  1.0
FL.....................................................     33647  1.0
FL.....................................................     33650  1.0
FL.....................................................     33651  1.0
FL.....................................................     33655  1.0
FL.....................................................     33660  1.0
FL.....................................................     33661  1.0
FL.....................................................     33662  1.0
FL.....................................................     33663  1.0
FL.....................................................     33664  1.0
FL.....................................................     33672  1.0
FL.....................................................     33673  1.0
FL.....................................................     33674  1.0
FL.....................................................     33675  1.0
FL.....................................................     33677  1.0
FL.....................................................     33679  1.0
FL.....................................................     33680  1.0
FL.....................................................     33681  1.0
FL.....................................................     33682  1.0
FL.....................................................     33684  1.0
FL.....................................................     33685  1.0
FL.....................................................     33686  1.0
FL.....................................................     33687  1.0
FL.....................................................     33688  1.0
FL.....................................................     33689  1.0
FL.....................................................     33690  1.0
FL.....................................................     33694  1.0
FL.....................................................     33697  1.0
FL.....................................................     33701  1.0
FL.....................................................     33702  1.0
FL.....................................................     33703  1.0
FL.....................................................     33704  1.0
FL.....................................................     33705  1.0
FL.....................................................     33706  1.0
FL.....................................................     33707  1.0
FL.....................................................     33708  1.0
FL.....................................................     33709  1.0
FL.....................................................     33710  1.0
FL.....................................................     33711  1.0
FL.....................................................     33712  1.0
FL.....................................................     33713  1.0
FL.....................................................     33714  1.0
FL.....................................................     33715  1.0
FL.....................................................     33716  1.0
FL.....................................................     33728  1.0
FL.....................................................     33729  1.0
FL.....................................................     33730  1.0
FL.....................................................     33731  1.0
FL.....................................................     33732  1.0
FL.....................................................     33733  1.0
FL.....................................................     33734  1.0
FL.....................................................     33736  1.0
FL.....................................................     33737  1.0
FL.....................................................     33738  1.0
FL.....................................................     33740  1.0
FL.....................................................     33741  1.0
FL.....................................................     33742  1.0
FL.....................................................     33743  1.0
FL.....................................................     33744  1.0
FL.....................................................     33747  1.0
FL.....................................................     33755  1.0
FL.....................................................     33756  1.0
FL.....................................................     33757  1.0
FL.....................................................     33758  1.0
FL.....................................................     33759  1.0
FL.....................................................     33760  1.0
FL.....................................................     33761  1.0
FL.....................................................     33762  1.0
FL.....................................................     33763  1.0
FL.....................................................     33764  1.0
FL.....................................................     33765  1.0
FL.....................................................     33766  1.0

[[Page 70081]]

 
FL.....................................................     33767  1.0
FL.....................................................     33769  1.0
FL.....................................................     33770  1.0
FL.....................................................     33771  1.0
FL.....................................................     33772  1.0
FL.....................................................     33773  1.0
FL.....................................................     33774  1.0
FL.....................................................     33775  1.0
FL.....................................................     33776  1.0
FL.....................................................     33777  1.0
FL.....................................................     33778  1.0
FL.....................................................     33779  1.0
FL.....................................................     33780  1.0
FL.....................................................     33781  1.0
FL.....................................................     33782  1.0
FL.....................................................     33784  1.0
FL.....................................................     33785  1.0
FL.....................................................     33786  1.0
FL.....................................................     33801  1.0
FL.....................................................     33802  1.0
FL.....................................................     33803  1.0
FL.....................................................     33804  1.0
FL.....................................................     33805  1.0
FL.....................................................     33806  1.0
FL.....................................................     33807  1.0
FL.....................................................     33809  1.0
FL.....................................................     33810  1.0
FL.....................................................     33811  1.0
FL.....................................................     33813  1.0
FL.....................................................     33815  1.0
FL.....................................................     33820  4.2
FL.....................................................     33823  1.0
FL.....................................................     33825  4.0
FL.....................................................     33826  4.0
FL.....................................................     33827  2.0
FL.....................................................     33830  4.2
FL.....................................................     33831  4.2
FL.....................................................     33834  4.0
FL.....................................................     33835  1.0
FL.....................................................     33836  2.0
FL.....................................................     33837  2.0
FL.....................................................     33838  1.0
FL.....................................................     33839  1.0
FL.....................................................     33840  1.0
FL.....................................................     33841  9.2
FL.....................................................     33843  7.3
FL.....................................................     33844  1.0
FL.....................................................     33845  1.0
FL.....................................................     33846  1.0
FL.....................................................     33847  4.2
FL.....................................................     33848  2.1
FL.....................................................     33849  1.0
FL.....................................................     33850  1.0
FL.....................................................     33851  1.0
FL.....................................................     33852  4.0
FL.....................................................     33853  1.0
FL.....................................................     33854  1.0
FL.....................................................     33855  1.0
FL.....................................................     33856  1.0
FL.....................................................     33857  5.0
FL.....................................................     33858  2.0
FL.....................................................     33859  2.1
FL.....................................................     33860  1.0
FL.....................................................     33862  4.0
FL.....................................................     33863  1.0
FL.....................................................     33865  4.0
FL.....................................................     33867  1.0
FL.....................................................     33868  2.0
FL.....................................................     33870  4.0
FL.....................................................     33871  4.0
FL.....................................................     33872  4.0
FL.....................................................     33873  4.0
FL.....................................................     33875  4.0
FL.....................................................     33876  5.0
FL.....................................................     33877  2.1
FL.....................................................     33880  1.0
FL.....................................................     33881  1.0
FL.....................................................     33882  1.0
FL.....................................................     33883  1.0
FL.....................................................     33884  1.0
FL.....................................................     33885  1.0
FL.....................................................     33888  1.0
FL.....................................................     33890  10.2
FL.....................................................     33896  2.0
FL.....................................................     33897  2.0
FL.....................................................     33898  2.0
FL.....................................................     33901  1.0
FL.....................................................     33902  1.0
FL.....................................................     33903  1.0
FL.....................................................     33904  1.0
FL.....................................................     33905  1.0
FL.....................................................     33906  1.0
FL.....................................................     33907  1.0
FL.....................................................     33908  1.0
FL.....................................................     33909  1.0
FL.....................................................     33910  1.0
FL.....................................................     33911  1.0
FL.....................................................     33912  1.0
FL.....................................................     33913  2.0
FL.....................................................     33914  1.0
FL.....................................................     33915  1.0
FL.....................................................     33916  1.0
FL.....................................................     33917  1.0
FL.....................................................     33918  1.0
FL.....................................................     33919  1.0
FL.....................................................     33920  2.0
FL.....................................................     33921  1.0
FL.....................................................     33922  2.0
FL.....................................................     33924  2.0
FL.....................................................     33927  1.0
FL.....................................................     33928  1.0
FL.....................................................     33930  4.2
FL.....................................................     33931  1.0
FL.....................................................     33932  1.0
FL.....................................................     33935  4.2
FL.....................................................     33936  2.0
FL.....................................................     33938  1.0
FL.....................................................     33944  7.4
FL.....................................................     33945  2.0
FL.....................................................     33946  1.0
FL.....................................................     33947  1.0
FL.....................................................     33948  1.0
FL.....................................................     33949  1.0
FL.....................................................     33950  1.0
FL.....................................................     33951  1.0
FL.....................................................     33952  1.0
FL.....................................................     33953  1.0
FL.....................................................     33954  1.0
FL.....................................................     33955  1.0
FL.....................................................     33956  2.0
FL.....................................................     33957  1.0
FL.....................................................     33960  4.0
FL.....................................................     33965  1.0
FL.....................................................     33970  2.0
FL.....................................................     33971  2.0
FL.....................................................     33972  2.0
FL.....................................................     33975  4.2
FL.....................................................     33980  1.0
FL.....................................................     33981  1.0
FL.....................................................     33982  1.0
FL.....................................................     33983  1.0
FL.....................................................     33990  1.0
FL.....................................................     33991  1.0
FL.....................................................     33993  2.0
FL.....................................................     33994  1.0
FL.....................................................     34101  1.0
FL.....................................................     34102  1.0
FL.....................................................     34103  1.0
FL.....................................................     34104  1.0
FL.....................................................     34105  1.0
FL.....................................................     34106  1.0
FL.....................................................     34107  1.0
FL.....................................................     34108  1.0
FL.....................................................     34109  1.0
FL.....................................................     34110  1.0
FL.....................................................     34112  1.0
FL.....................................................     34113  1.0
FL.....................................................     34114  1.0
FL.....................................................     34116  1.0
FL.....................................................     34117  1.0
FL.....................................................     34119  1.0
FL.....................................................     34120  1.0
FL.....................................................     34133  1.0
FL.....................................................     34134  1.0
FL.....................................................     34135  1.0
FL.....................................................     34136  1.0
FL.....................................................     34137  1.0
FL.....................................................     34138  2.0
FL.....................................................     34139  2.0
FL.....................................................     34140  1.0
FL.....................................................     34141  2.0
FL.....................................................     34142  4.1
FL.....................................................     34143  4.1
FL.....................................................     34145  4.1
FL.....................................................     34146  4.1
FL.....................................................     34201  1.0
FL.....................................................     34202  1.0
FL.....................................................     34203  1.0
FL.....................................................     34204  1.0
FL.....................................................     34205  1.0
FL.....................................................     34206  1.0
FL.....................................................     34207  1.0
FL.....................................................     34208  1.0
FL.....................................................     34209  1.0
FL.....................................................     34210  1.0
FL.....................................................     34211  2.0
FL.....................................................     34212  2.0
FL.....................................................     34215  1.0
FL.....................................................     34216  1.0
FL.....................................................     34217  1.0
FL.....................................................     34218  1.0
FL.....................................................     34219  1.0
FL.....................................................     34220  1.0
FL.....................................................     34221  1.0
FL.....................................................     34222  1.0
FL.....................................................     34223  1.0
FL.....................................................     34224  1.0
FL.....................................................     34228  1.0
FL.....................................................     34229  1.0
FL.....................................................     34230  1.0
FL.....................................................     34231  1.0
FL.....................................................     34232  1.0
FL.....................................................     34233  1.0
FL.....................................................     34234  1.0
FL.....................................................     34235  1.0
FL.....................................................     34236  1.0
FL.....................................................     34237  1.0

[[Page 70082]]

 
FL.....................................................     34238  1.0
FL.....................................................     34239  1.0
FL.....................................................     34240  1.0
FL.....................................................     34241  1.0
FL.....................................................     34242  1.0
FL.....................................................     34243  1.0
FL.....................................................     34250  1.0
FL.....................................................     34251  2.0
FL.....................................................     34260  1.0
FL.....................................................     34264  1.0
FL.....................................................     34265  4.0
FL.....................................................     34266  4.0
FL.....................................................     34267  4.0
FL.....................................................     34268  4.0
FL.....................................................     34269  5.2
FL.....................................................     34270  1.0
FL.....................................................     34272  1.0
FL.....................................................     34274  1.0
FL.....................................................     34275  1.0
FL.....................................................     34276  1.0
FL.....................................................     34277  1.0
FL.....................................................     34278  1.0
FL.....................................................     34280  1.0
FL.....................................................     34281  1.0
FL.....................................................     34282  1.0
FL.....................................................     34284  1.0
FL.....................................................     34285  1.0
FL.....................................................     34286  1.0
FL.....................................................     34287  1.0
FL.....................................................     34288  1.0
FL.....................................................     34289  1.0
FL.....................................................     34292  1.0
FL.....................................................     34293  1.0
FL.....................................................     34295  1.0
FL.....................................................     34420  2.0
FL.....................................................     34421  2.0
FL.....................................................     34423  4.0
FL.....................................................     34428  10.5
FL.....................................................     34429  4.0
FL.....................................................     34430  2.0
FL.....................................................     34431  2.0
FL.....................................................     34432  2.0
FL.....................................................     34433  10.6
FL.....................................................     34434  6.1
FL.....................................................     34436  5.0
FL.....................................................     34442  4.0
FL.....................................................     34445  4.0
FL.....................................................     34446  4.0
FL.....................................................     34447  4.0
FL.....................................................     34448  4.0
FL.....................................................     34449  10.0
FL.....................................................     34450  4.0
FL.....................................................     34451  4.0
FL.....................................................     34452  4.0
FL.....................................................     34453  4.0
FL.....................................................     34460  4.0
FL.....................................................     34461  4.0
FL.....................................................     34464  4.0
FL.....................................................     34465  4.0
FL.....................................................     34470  1.0
FL.....................................................     34471  1.0
FL.....................................................     34472  1.0
FL.....................................................     34473  2.0
FL.....................................................     34474  1.0
FL.....................................................     34475  1.0
FL.....................................................     34476  2.0
FL.....................................................     34477  1.0
FL.....................................................     34478  1.0
FL.....................................................     34479  1.0
FL.....................................................     34480  1.0
FL.....................................................     34481  2.0
FL.....................................................     34482  1.0
FL.....................................................     34483  1.0
FL.....................................................     34484  9.0
FL.....................................................     34487  4.0
FL.....................................................     34488  2.0
FL.....................................................     34489  2.0
FL.....................................................     34491  2.0
FL.....................................................     34492  2.0
FL.....................................................     34498  10.0
FL.....................................................     34601  1.0
FL.....................................................     34602  2.1
FL.....................................................     34603  1.0
FL.....................................................     34604  1.0
FL.....................................................     34605  1.0
FL.....................................................     34606  1.0
FL.....................................................     34607  1.0
FL.....................................................     34608  1.0
FL.....................................................     34609  1.0
FL.....................................................     34610  1.0
FL.....................................................     34611  1.0
FL.....................................................     34613  1.0
FL.....................................................     34614  2.1
FL.....................................................     34636  1.0
FL.....................................................     34637  1.0
FL.....................................................     34638  1.0
FL.....................................................     34639  1.0
FL.....................................................     34652  1.0
FL.....................................................     34653  1.0
FL.....................................................     34654  1.0
FL.....................................................     34655  1.0
FL.....................................................     34656  1.0
FL.....................................................     34660  1.0
FL.....................................................     34661  1.0
FL.....................................................     34667  1.0
FL.....................................................     34668  1.0
FL.....................................................     34669  1.0
FL.....................................................     34673  1.0
FL.....................................................     34674  1.0
FL.....................................................     34677  1.0
FL.....................................................     34679  1.0
FL.....................................................     34680  1.0
FL.....................................................     34681  1.0
FL.....................................................     34682  1.0
FL.....................................................     34683  1.0
FL.....................................................     34684  1.0
FL.....................................................     34685  1.0
FL.....................................................     34688  1.0
FL.....................................................     34689  1.0
FL.....................................................     34690  1.0
FL.....................................................     34691  1.0
FL.....................................................     34692  1.0
FL.....................................................     34695  1.0
FL.....................................................     34697  1.0
FL.....................................................     34698  1.0
FL.....................................................     34705  1.0
FL.....................................................     34711  2.0
FL.....................................................     34712  2.0
FL.....................................................     34713  2.0
FL.....................................................     34714  2.0
FL.....................................................     34715  2.0
FL.....................................................     34729  2.0
FL.....................................................     34731  1.0
FL.....................................................     34734  1.0
FL.....................................................     34736  2.0
FL.....................................................     34737  1.0
FL.....................................................     34739  2.1
FL.....................................................     34740  1.0
FL.....................................................     34741  2.0
FL.....................................................     34742  2.0
FL.....................................................     34743  2.0
FL.....................................................     34744  2.0
FL.....................................................     34745  2.0
FL.....................................................     34746  2.0
FL.....................................................     34747  2.0
FL.....................................................     34748  1.0
FL.....................................................     34749  1.0
FL.....................................................     34753  2.0
FL.....................................................     34755  2.0
FL.....................................................     34756  2.0
FL.....................................................     34758  2.1
FL.....................................................     34759  2.1
FL.....................................................     34760  1.0
FL.....................................................     34761  1.0
FL.....................................................     34762  1.0
FL.....................................................     34769  2.0
FL.....................................................     34770  2.0
FL.....................................................     34771  2.1
FL.....................................................     34772  2.0
FL.....................................................     34773  2.1
FL.....................................................     34777  1.0
FL.....................................................     34778  1.0
FL.....................................................     34785  7.3
FL.....................................................     34786  1.0
FL.....................................................     34787  1.0
FL.....................................................     34788  1.0
FL.....................................................     34789  1.0
FL.....................................................     34797  1.0
FL.....................................................     34945  2.0
FL.....................................................     34946  1.0
FL.....................................................     34947  1.0
FL.....................................................     34948  1.0
FL.....................................................     34949  1.0
FL.....................................................     34950  1.0
FL.....................................................     34951  1.0
FL.....................................................     34952  1.0
FL.....................................................     34953  1.0
FL.....................................................     34954  1.0
FL.....................................................     34956  2.0
FL.....................................................     34957  1.0
FL.....................................................     34958  1.0
FL.....................................................     34972  4.0
FL.....................................................     34973  4.0
FL.....................................................     34974  4.0
FL.....................................................     34979  1.0
FL.....................................................     34981  1.0
FL.....................................................     34982  1.0
FL.....................................................     34983  1.0
FL.....................................................     34984  1.0
FL.....................................................     34985  1.0
FL.....................................................     34986  1.0
FL.....................................................     34987  2.0
FL.....................................................     34988  2.0
FL.....................................................     34990  1.0
FL.....................................................     34991  1.0
FL.....................................................     34992  1.0
FL.....................................................     34994  1.0
FL.....................................................     34995  1.0
FL.....................................................     34996  1.0
FL.....................................................     34997  1.0
FM.....................................................     96941    R
FM.....................................................     96942    R
FM.....................................................     96943    R
FM.....................................................     96944    R
GA.....................................................     30002  1.0
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GA.....................................................     30005  1.0
GA.....................................................     30006  1.0
GA.....................................................     30007  1.0
GA.....................................................     30008  1.0
GA.....................................................     30009  1.0
GA.....................................................     30010  1.0
GA.....................................................     30011  1.0
GA.....................................................     30012  1.0
GA.....................................................     30013  1.0
GA.....................................................     30014  1.0
GA.....................................................     30015  1.0
GA.....................................................     30016  1.0
GA.....................................................     30017  1.0
GA.....................................................     30018  1.0
GA.....................................................     30019  1.0
GA.....................................................     30021  1.0
GA.....................................................     30022  1.0
GA.....................................................     30023  1.0
GA.....................................................     30024  1.0
GA.....................................................     30025  2.0
GA.....................................................     30026  1.0
GA.....................................................     30028  1.0
GA.....................................................     30029  1.0
GA.....................................................     30030  1.0
GA.....................................................     30031  1.0
GA.....................................................     30032  1.0
GA.....................................................     30033  1.0
GA.....................................................     30034  1.0
GA.....................................................     30035  1.0
GA.....................................................     30036  1.0
GA.....................................................     30037  1.0
GA.....................................................     30038  1.0
GA.....................................................     30039  1.0
GA.....................................................     30040  1.0
GA.....................................................     30041  1.0
GA.....................................................     30042  1.0
GA.....................................................     30043  1.0
GA.....................................................     30044  1.0
GA.....................................................     30045  1.0
GA.....................................................     30046  1.0
GA.....................................................     30047  1.0
GA.....................................................     30048  1.0
GA.....................................................     30049  1.0
GA.....................................................     30052  1.0
GA.....................................................     30054  2.0
GA.....................................................     30055  2.0
GA.....................................................     30056  2.0
GA.....................................................     30058  1.0
GA.....................................................     30060  1.0
GA.....................................................     30061  1.0
GA.....................................................     30062  1.0
GA.....................................................     30063  1.0
GA.....................................................     30064  1.0
GA.....................................................     30065  1.0
GA.....................................................     30066  1.0
GA.....................................................     30067  1.0
GA.....................................................     30068  1.0
GA.....................................................     30069  1.0
GA.....................................................     30070  1.0
GA.....................................................     30071  1.0
GA.....................................................     30072  1.0
GA.....................................................     30074  1.0
GA.....................................................     30075  1.0
GA.....................................................     30076  1.0
GA.....................................................     30077  1.0
GA.....................................................     30078  1.0
GA.....................................................     30079  1.0
GA.....................................................     30080  1.0
GA.....................................................     30081  1.0
GA.....................................................     30082  1.0
GA.....................................................     30083  1.0
GA.....................................................     30084  1.0
GA.....................................................     30085  1.0
GA.....................................................     30086  1.0
GA.....................................................     30087  1.0
GA.....................................................     30088  1.0
GA.....................................................     30090  1.0
GA.....................................................     30091  1.0
GA.....................................................     30092  1.0
GA.....................................................     30093  1.0
GA.....................................................     30094  1.0
GA.....................................................     30095  1.0
GA.....................................................     30096  1.0
GA.....................................................     30097  1.0
GA.....................................................     30098  1.0
GA.....................................................     30099  1.0
GA.....................................................     30101  1.0
GA.....................................................     30102  1.0
GA.....................................................     30103  5.0
GA.....................................................     30104  9.2
GA.....................................................     30105  1.0
GA.....................................................     30106  1.0
GA.....................................................     30107  2.0
GA.....................................................     30108  5.0
GA.....................................................     30109  4.2
GA.....................................................     30110  3.0
GA.....................................................     30111  1.0
GA.....................................................     30112  4.2
GA.....................................................     30113  3.0
GA.....................................................     30114  1.0
GA.....................................................     30115  1.0
GA.....................................................     30116  4.2
GA.....................................................     30117  4.2
GA.....................................................     30118  4.2
GA.....................................................     30119  4.2
GA.....................................................     30120  4.1
GA.....................................................     30121  4.1
GA.....................................................     30122  1.0
GA.....................................................     30123  4.1
GA.....................................................     30124  2.0
GA.....................................................     30125  4.2
GA.....................................................     30126  1.0
GA.....................................................     30127  1.0
GA.....................................................     30129  1.0
GA.....................................................     30132  2.0
GA.....................................................     30133  1.0
GA.....................................................     30134  1.0
GA.....................................................     30135  1.0
GA.....................................................     30137  1.0
GA.....................................................     30138  4.2
GA.....................................................     30139  5.0
GA.....................................................     30140  3.0
GA.....................................................     30141  1.0
GA.....................................................     30142  1.0
GA.....................................................     30143  2.0
GA.....................................................     30144  1.0
GA.....................................................     30145  4.1
GA.....................................................     30146  1.0
GA.....................................................     30147  1.0
GA.....................................................     30148  2.0
GA.....................................................     30149  1.0
GA.....................................................     30150  4.2
GA.....................................................     30151  2.0
GA.....................................................     30152  1.0
GA.....................................................     30153  7.3
GA.....................................................     30154  1.0
GA.....................................................     30156  1.0
GA.....................................................     30157  1.0
GA.....................................................     30160  1.0
GA.....................................................     30161  1.0
GA.....................................................     30162  1.0
GA.....................................................     30163  1.0
GA.....................................................     30164  1.0
GA.....................................................     30165  1.0
GA.....................................................     30168  1.0
GA.....................................................     30169  1.0
GA.....................................................     30170  5.2
GA.....................................................     30171  5.1
GA.....................................................     30172  1.0
GA.....................................................     30173  1.0
GA.....................................................     30175  2.0
GA.....................................................     30176  10.0
GA.....................................................     30177  2.0
GA.....................................................     30178  4.1
GA.....................................................     30179  2.0
GA.....................................................     30180  2.0
GA.....................................................     30182  10.4
GA.....................................................     30183  2.0
GA.....................................................     30184  5.1
GA.....................................................     30185  2.0
GA.....................................................     30187  2.0
GA.....................................................     30188  1.0
GA.....................................................     30189  1.0
GA.....................................................     30204  7.1
GA.....................................................     30205  2.0
GA.....................................................     30206  2.0
GA.....................................................     30212  1.0
GA.....................................................     30213  1.0
GA.....................................................     30214  1.0
GA.....................................................     30215  1.0
GA.....................................................     30216  2.0
GA.....................................................     30217  6.0
GA.....................................................     30218  2.0
GA.....................................................     30219  6.0
GA.....................................................     30220  5.1
GA.....................................................     30222  10.5
GA.....................................................     30223  1.0
GA.....................................................     30224  1.0
GA.....................................................     30228  1.0
GA.....................................................     30229  2.0
GA.....................................................     30230  5.0
GA.....................................................     30232  1.0
GA.....................................................     30233  2.0
GA.....................................................     30234  2.0
GA.....................................................     30236  1.0
GA.....................................................     30237  1.0
GA.....................................................     30238  1.0
GA.....................................................     30240  4.0
GA.....................................................     30241  4.0
GA.....................................................     30248  2.0
GA.....................................................     30250  1.0
GA.....................................................     30251  5.2
GA.....................................................     30252  1.0
GA.....................................................     30253  1.0
GA.....................................................     30256  2.0
GA.....................................................     30257  2.0
GA.....................................................     30258  2.0
GA.....................................................     30259  5.1
GA.....................................................     30260  1.0
GA.....................................................     30261  4.0
GA.....................................................     30263  4.1
GA.....................................................     30264  4.1
GA.....................................................     30265  1.0
GA.....................................................     30266  1.0
GA.....................................................     30268  2.0
GA.....................................................     30269  1.0
GA.....................................................     30270  1.0

[[Page 70084]]

 
GA.....................................................     30271  4.1
GA.....................................................     30272  1.0
GA.....................................................     30273  1.0
GA.....................................................     30274  1.0
GA.....................................................     30275  4.1
GA.....................................................     30276  2.0
GA.....................................................     30277  1.0
GA.....................................................     30281  1.0
GA.....................................................     30284  1.0
GA.....................................................     30285  5.2
GA.....................................................     30286  4.2
GA.....................................................     30287  1.0
GA.....................................................     30288  1.0
GA.....................................................     30289  2.0
GA.....................................................     30290  1.0
GA.....................................................     30291  1.0
GA.....................................................     30292  2.0
GA.....................................................     30293  10.4
GA.....................................................     30294  1.0
GA.....................................................     30295  2.0
GA.....................................................     30296  1.0
GA.....................................................     30297  1.0
GA.....................................................     30298  1.0
GA.....................................................     30301  1.0
GA.....................................................     30302  1.0
GA.....................................................     30303  1.0
GA.....................................................     30304  1.0
GA.....................................................     30305  1.0
GA.....................................................     30306  1.0
GA.....................................................     30307  1.0
GA.....................................................     30308  1.0
GA.....................................................     30309  1.0
GA.....................................................     30310  1.0
GA.....................................................     30311  1.0
GA.....................................................     30312  1.0
GA.....................................................     30313  1.0
GA.....................................................     30314  1.0
GA.....................................................     30315  1.0
GA.....................................................     30316  1.0
GA.....................................................     30317  1.0
GA.....................................................     30318  1.0
GA.....................................................     30319  1.0
GA.....................................................     30320  1.0
GA.....................................................     30321  1.0
GA.....................................................     30322  1.0
GA.....................................................     30324  1.0
GA.....................................................     30325  1.0
GA.....................................................     30326  1.0
GA.....................................................     30327  1.0
GA.....................................................     30328  1.0
GA.....................................................     30329  1.0
GA.....................................................     30330  1.0
GA.....................................................     30331  1.0
GA.....................................................     30332  1.0
GA.....................................................     30333  1.0
GA.....................................................     30334  1.0
GA.....................................................     30336  1.0
GA.....................................................     30337  1.0
GA.....................................................     30338  1.0
GA.....................................................     30339  1.0
GA.....................................................     30340  1.0
GA.....................................................     30341  1.0
GA.....................................................     30342  1.0
GA.....................................................     30343  1.0
GA.....................................................     30344  1.0
GA.....................................................     30345  1.0
GA.....................................................     30346  1.0
GA.....................................................     30347  1.0
GA.....................................................     30348  1.0
GA.....................................................     30349  1.0
GA.....................................................     30350  1.0
GA.....................................................     30353  1.0
GA.....................................................     30354  1.0
GA.....................................................     30355  1.0
GA.....................................................     30356  1.0
GA.....................................................     30357  1.0
GA.....................................................     30358  1.0
GA.....................................................     30359  1.0
GA.....................................................     30360  1.0
GA.....................................................     30361  1.0
GA.....................................................     30362  1.0
GA.....................................................     30363  1.0
GA.....................................................     30364  1.0
GA.....................................................     30366  1.0
GA.....................................................     30368  1.0
GA.....................................................     30369  1.0
GA.....................................................     30370  1.0
GA.....................................................     30371  1.0
GA.....................................................     30374  1.0
GA.....................................................     30375  1.0
GA.....................................................     30376  1.0
GA.....................................................     30377  1.0
GA.....................................................     30378  1.0
GA.....................................................     30379  1.0
GA.....................................................     30380  1.0
GA.....................................................     30384  1.0
GA.....................................................     30385  1.0
GA.....................................................     30386  1.0
GA.....................................................     30387  1.0
GA.....................................................     30388  1.0
GA.....................................................     30389  1.0
GA.....................................................     30390  1.0
GA.....................................................     30392  1.0
GA.....................................................     30394  1.0
GA.....................................................     30396  1.0
GA.....................................................     30398  1.0
GA.....................................................     30399  1.0
GA.....................................................     30401  7.0
GA.....................................................     30410  10.6
GA.....................................................     30411  10.6
GA.....................................................     30412  9.0
GA.....................................................     30413  7.0
GA.....................................................     30414  7.0
GA.....................................................     30415  5.0
GA.....................................................     30417  7.0
GA.....................................................     30420  10.6
GA.....................................................     30421  10.6
GA.....................................................     30423  7.0
GA.....................................................     30424  8.0
GA.....................................................     30425  10.6
GA.....................................................     30426  10.6
GA.....................................................     30427  7.3
GA.....................................................     30428  10.6
GA.....................................................     30429  7.0
GA.....................................................     30434  7.0
GA.....................................................     30436  8.0
GA.....................................................     30438  10.0
GA.....................................................     30439  7.0
GA.....................................................     30441  9.0
GA.....................................................     30442  7.0
GA.....................................................     30445  10.6
GA.....................................................     30446  9.2
GA.....................................................     30447  5.0
GA.....................................................     30448  7.0
GA.....................................................     30449  9.2
GA.....................................................     30450  5.0
GA.....................................................     30451  7.0
GA.....................................................     30452  5.0
GA.....................................................     30453  10.0
GA.....................................................     30454  4.0
GA.....................................................     30455  9.2
GA.....................................................     30456  10.6
GA.....................................................     30457  7.4
GA.....................................................     30458  4.0
GA.....................................................     30459  4.0
GA.....................................................     30460  4.0
GA.....................................................     30461  4.0
GA.....................................................     30464  10.6
GA.....................................................     30467  8.0
GA.....................................................     30470  8.0
GA.....................................................     30471  10.6
GA.....................................................     30473  9.0
GA.....................................................     30474  7.0
GA.....................................................     30475  7.0
GA.....................................................     30477  10.6
GA.....................................................     30499  10.0
GA.....................................................     30501  1.0
GA.....................................................     30502  1.0
GA.....................................................     30503  1.0
GA.....................................................     30504  1.0
GA.....................................................     30506  1.0
GA.....................................................     30507  1.0
GA.....................................................     30510  4.2
GA.....................................................     30511  5.2
GA.....................................................     30512  10.0
GA.....................................................     30513  10.4
GA.....................................................     30514  10.0
GA.....................................................     30515  1.0
GA.....................................................     30516  10.6
GA.....................................................     30517  2.0
GA.....................................................     30518  1.0
GA.....................................................     30519  1.0
GA.....................................................     30520  7.0
GA.....................................................     30521  10.5
GA.....................................................     30522  8.0
GA.....................................................     30523  6.0
GA.....................................................     30525  10.0
GA.....................................................     30527  2.1
GA.....................................................     30528  10.4
GA.....................................................     30529  7.3
GA.....................................................     30530  7.1
GA.....................................................     30531  4.2
GA.....................................................     30533  9.1
GA.....................................................     30534  2.0
GA.....................................................     30535  4.2
GA.....................................................     30536  4.2
GA.....................................................     30537  10.0
GA.....................................................     30538  5.0
GA.....................................................     30539  7.3
GA.....................................................     30540  8.0
GA.....................................................     30541  10.0
GA.....................................................     30542  1.0
GA.....................................................     30543  1.0
GA.....................................................     30544  4.2
GA.....................................................     30545  10.0
GA.....................................................     30546  10.0
GA.....................................................     30547  10.4
GA.....................................................     30548  2.0
GA.....................................................     30549  10.4
GA.....................................................     30552  10.0
GA.....................................................     30553  10.5
GA.....................................................     30554  2.1
GA.....................................................     30555  10.0
GA.....................................................     30557  5.0
GA.....................................................     30558  3.0
GA.....................................................     30559  10.0
GA.....................................................     30560  10.0

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GA.....................................................     30562  10.0
GA.....................................................     30563  4.2
GA.....................................................     30564  2.0
GA.....................................................     30565  2.0
GA.....................................................     30566  1.0
GA.....................................................     30567  2.0
GA.....................................................     30568  10.0
GA.....................................................     30571  10.0
GA.....................................................     30572  10.0
GA.....................................................     30573  10.0
GA.....................................................     30575  2.0
GA.....................................................     30576  10.0
GA.....................................................     30577  4.0
GA.....................................................     30580  6.0
GA.....................................................     30581  10.0
GA.....................................................     30582  10.0
GA.....................................................     30596  4.2
GA.....................................................     30597  9.1
GA.....................................................     30598  4.0
GA.....................................................     30599  7.3
GA.....................................................     30601  1.0
GA.....................................................     30602  1.0
GA.....................................................     30603  1.0
GA.....................................................     30604  1.0
GA.....................................................     30605  1.0
GA.....................................................     30606  1.0
GA.....................................................     30607  1.0
GA.....................................................     30608  1.0
GA.....................................................     30609  1.0
GA.....................................................     30612  1.0
GA.....................................................     30619  2.0
GA.....................................................     30620  2.0
GA.....................................................     30621  2.0
GA.....................................................     30622  1.0
GA.....................................................     30623  2.0
GA.....................................................     30624  10.6
GA.....................................................     30625  8.0
GA.....................................................     30627  2.0
GA.....................................................     30628  2.0
GA.....................................................     30629  2.0
GA.....................................................     30630  2.0
GA.....................................................     30631  10.6
GA.....................................................     30633  2.0
GA.....................................................     30634  7.0
GA.....................................................     30635  8.0
GA.....................................................     30638  1.0
GA.....................................................     30639  7.0
GA.....................................................     30641  2.0
GA.....................................................     30642  7.0
GA.....................................................     30643  7.0
GA.....................................................     30645  2.0
GA.....................................................     30646  2.0
GA.....................................................     30647  2.0
GA.....................................................     30648  2.0
GA.....................................................     30650  7.3
GA.....................................................     30655  4.1
GA.....................................................     30656  2.0
GA.....................................................     30660  8.0
GA.....................................................     30662  7.0
GA.....................................................     30663  2.0
GA.....................................................     30664  10.6
GA.....................................................     30665  10.6
GA.....................................................     30666  2.0
GA.....................................................     30667  2.0
GA.....................................................     30668  8.0
GA.....................................................     30669  8.0
GA.....................................................     30671  2.0
GA.....................................................     30673  7.0
GA.....................................................     30677  1.0
GA.....................................................     30678  10.6
GA.....................................................     30680  2.0
GA.....................................................     30683  1.0
GA.....................................................     30701  4.2
GA.....................................................     30703  4.2
GA.....................................................     30705  2.0
GA.....................................................     30707  1.0
GA.....................................................     30708  2.0
GA.....................................................     30710  1.0
GA.....................................................     30711  2.0
GA.....................................................     30719  1.0
GA.....................................................     30720  1.0
GA.....................................................     30721  1.0
GA.....................................................     30722  1.0
GA.....................................................     30724  2.0
GA.....................................................     30725  1.0
GA.....................................................     30726  1.0
GA.....................................................     30728  8.3
GA.....................................................     30730  5.0
GA.....................................................     30731  10.5
GA.....................................................     30732  5.2
GA.....................................................     30733  5.0
GA.....................................................     30734  5.2
GA.....................................................     30735  5.2
GA.....................................................     30736  1.0
GA.....................................................     30738  2.0
GA.....................................................     30739  2.0
GA.....................................................     30740  1.0
GA.....................................................     30741  1.0
GA.....................................................     30742  1.0
GA.....................................................     30746  5.2
GA.....................................................     30747  4.0
GA.....................................................     30750  1.0
GA.....................................................     30751  2.0
GA.....................................................     30752  2.0
GA.....................................................     30753  4.0
GA.....................................................     30755  1.0
GA.....................................................     30756  1.0
GA.....................................................     30757  2.0
GA.....................................................     30802  2.0
GA.....................................................     30803  10.0
GA.....................................................     30805  2.0
GA.....................................................     30806  8.1
GA.....................................................     30807  10.6
GA.....................................................     30808  8.1
GA.....................................................     30809  1.0
GA.....................................................     30810  10.4
GA.....................................................     30811  2.0
GA.....................................................     30812  1.0
GA.....................................................     30813  1.0
GA.....................................................     30814  2.0
GA.....................................................     30815  1.0
GA.....................................................     30816  2.0
GA.....................................................     30817  3.0
GA.....................................................     30818  10.4
GA.....................................................     30819  7.3
GA.....................................................     30820  10.4
GA.....................................................     30821  9.0
GA.....................................................     30822  7.0
GA.....................................................     30823  10.0
GA.....................................................     30824  7.3
GA.....................................................     30828  10.6
GA.....................................................     30830  7.3
GA.....................................................     30833  10.4
GA.....................................................     30901  1.0
GA.....................................................     30903  1.0
GA.....................................................     30904  1.0
GA.....................................................     30905  1.0
GA.....................................................     30906  1.0
GA.....................................................     30907  1.0
GA.....................................................     30909  1.0
GA.....................................................     30910  1.0
GA.....................................................     30911  1.0
GA.....................................................     30912  1.0
GA.....................................................     30913  1.0
GA.....................................................     30914  1.0
GA.....................................................     30916  1.0
GA.....................................................     30917  1.0
GA.....................................................     30919  1.0
GA.....................................................     30999  1.0
GA.....................................................     31001  10.5
GA.....................................................     31002  5.0
GA.....................................................     31003  10.0
GA.....................................................     31004  1.0
GA.....................................................     31005  1.0
GA.....................................................     31006  10.0
GA.....................................................     31007  10.6
GA.....................................................     31008  1.0
GA.....................................................     31009  5.0
GA.....................................................     31010  4.0
GA.....................................................     31011  9.0
GA.....................................................     31012  10.5
GA.....................................................     31013  7.1
GA.....................................................     31014  7.0
GA.....................................................     31015  4.0
GA.....................................................     31016  2.0
GA.....................................................     31017  2.0
GA.....................................................     31018  8.0
GA.....................................................     31019  5.0
GA.....................................................     31020  2.0
GA.....................................................     31021  4.0
GA.....................................................     31022  5.0
GA.....................................................     31023  7.0
GA.....................................................     31024  7.0
GA.....................................................     31025  2.0
GA.....................................................     31026  7.0
GA.....................................................     31027  4.0
GA.....................................................     31028  1.0
GA.....................................................     31029  9.1
GA.....................................................     31030  4.2
GA.....................................................     31031  10.5
GA.....................................................     31032  2.0
GA.....................................................     31033  2.0
GA.....................................................     31034  4.0
GA.....................................................     31035  8.0
GA.....................................................     31036  7.0
GA.....................................................     31037  7.0
GA.....................................................     31038  10.0
GA.....................................................     31039  10.0
GA.....................................................     31040  4.0
GA.....................................................     31041  10.6
GA.....................................................     31042  10.5
GA.....................................................     31044  2.0
GA.....................................................     31045  10.0
GA.....................................................     31046  2.0
GA.....................................................     31047  7.1
GA.....................................................     31049  5.0
GA.....................................................     31050  2.0
GA.....................................................     31051  7.4
GA.....................................................     31052  2.0
GA.....................................................     31054  10.5
GA.....................................................     31055  7.0
GA.....................................................     31057  6.0
GA.....................................................     31058  2.0
GA.....................................................     31059  4.0
GA.....................................................     31060  10.6
GA.....................................................     31061  4.0
GA.....................................................     31062  4.0

[[Page 70086]]

 
GA.....................................................     31063  7.0
GA.....................................................     31064  10.1
GA.....................................................     31065  5.0
GA.....................................................     31066  10.1
GA.....................................................     31067  7.0
GA.....................................................     31068  7.0
GA.....................................................     31069  7.1
GA.....................................................     31070  10.6
GA.....................................................     31071  10.5
GA.....................................................     31072  5.0
GA.....................................................     31075  5.0
GA.....................................................     31076  10.0
GA.....................................................     31077  10.6
GA.....................................................     31078  10.1
GA.....................................................     31079  10.5
GA.....................................................     31081  10.0
GA.....................................................     31082  7.0
GA.....................................................     31083  7.0
GA.....................................................     31084  5.0
GA.....................................................     31085  2.0
GA.....................................................     31086  9.1
GA.....................................................     31087  7.4
GA.....................................................     31088  1.0
GA.....................................................     31089  7.0
GA.....................................................     31090  10.0
GA.....................................................     31091  10.6
GA.....................................................     31092  7.4
GA.....................................................     31093  1.0
GA.....................................................     31094  8.4
GA.....................................................     31095  1.0
GA.....................................................     31096  10.5
GA.....................................................     31097  5.2
GA.....................................................     31098  1.0
GA.....................................................     31099  1.0
GA.....................................................     31106  1.0
GA.....................................................     31107  1.0
GA.....................................................     31119  1.0
GA.....................................................     31126  1.0
GA.....................................................     31131  1.0
GA.....................................................     31132  1.0
GA.....................................................     31139  1.0
GA.....................................................     31141  1.0
GA.....................................................     31145  1.0
GA.....................................................     31146  1.0
GA.....................................................     31150  1.0
GA.....................................................     31156  1.0
GA.....................................................     31191  1.0
GA.....................................................     31192  1.0
GA.....................................................     31193  1.0
GA.....................................................     31195  1.0
GA.....................................................     31196  1.0
GA.....................................................     31197  1.0
GA.....................................................     31198  1.0
GA.....................................................     31199  1.0
GA.....................................................     31201  1.0
GA.....................................................     31202  1.0
GA.....................................................     31203  1.0
GA.....................................................     31204  1.0
GA.....................................................     31205  1.0
GA.....................................................     31206  1.0
GA.....................................................     31207  1.0
GA.....................................................     31208  1.0
GA.....................................................     31209  1.0
GA.....................................................     31210  1.0
GA.....................................................     31211  1.0
GA.....................................................     31212  1.0
GA.....................................................     31213  1.0
GA.....................................................     31216  1.0
GA.....................................................     31217  1.0
GA.....................................................     31220  1.0
GA.....................................................     31221  1.0
GA.....................................................     31294  1.0
GA.....................................................     31295  1.0
GA.....................................................     31296  1.0
GA.....................................................     31297  1.0
GA.....................................................     31298  1.0
GA.....................................................     31299  1.0
GA.....................................................     31301  1.0
GA.....................................................     31302  2.0
GA.....................................................     31303  2.0
GA.....................................................     31304  2.0
GA.....................................................     31305  7.1
GA.....................................................     31307  2.0
GA.....................................................     31308  2.0
GA.....................................................     31309  2.0
GA.....................................................     31310  1.0
GA.....................................................     31312  2.0
GA.....................................................     31313  1.0
GA.....................................................     31314  1.0
GA.....................................................     31315  1.0
GA.....................................................     31316  2.0
GA.....................................................     31318  2.0
GA.....................................................     31319  2.0
GA.....................................................     31320  2.0
GA.....................................................     31321  2.0
GA.....................................................     31322  2.0
GA.....................................................     31323  10.4
GA.....................................................     31324  2.0
GA.....................................................     31326  2.0
GA.....................................................     31327  2.0
GA.....................................................     31328  2.0
GA.....................................................     31329  2.0
GA.....................................................     31331  10.4
GA.....................................................     31333  1.0
GA.....................................................     31401  1.0
GA.....................................................     31402  1.0
GA.....................................................     31403  1.0
GA.....................................................     31404  1.0
GA.....................................................     31405  1.0
GA.....................................................     31406  1.0
GA.....................................................     31407  1.0
GA.....................................................     31408  1.0
GA.....................................................     31409  1.0
GA.....................................................     31410  1.0
GA.....................................................     31411  1.0
GA.....................................................     31412  1.0
GA.....................................................     31414  1.0
GA.....................................................     31415  1.0
GA.....................................................     31416  1.0
GA.....................................................     31418  1.0
GA.....................................................     31419  1.0
GA.....................................................     31420  1.0
GA.....................................................     31421  1.0
GA.....................................................     31422  1.0
GA.....................................................     31498  1.0
GA.....................................................     31499  1.0
GA.....................................................     31501  4.0
GA.....................................................     31502  4.0
GA.....................................................     31503  4.0
GA.....................................................     31510  7.0
GA.....................................................     31512  5.0
GA.....................................................     31513  7.0
GA.....................................................     31515  7.0
GA.....................................................     31516  5.0
GA.....................................................     31518  10.3
GA.....................................................     31519  5.0
GA.....................................................     31520  1.0
GA.....................................................     31521  1.0
GA.....................................................     31522  1.0
GA.....................................................     31523  2.0
GA.....................................................     31524  1.0
GA.....................................................     31525  1.0
GA.....................................................     31527  2.0
GA.....................................................     31532  8.0
GA.....................................................     31533  4.0
GA.....................................................     31534  4.0
GA.....................................................     31535  5.0
GA.....................................................     31537  7.4
GA.....................................................     31539  7.0
GA.....................................................     31542  5.0
GA.....................................................     31543  10.4
GA.....................................................     31544  8.0
GA.....................................................     31545  4.0
GA.....................................................     31546  4.0
GA.....................................................     31547  4.0
GA.....................................................     31548  4.0
GA.....................................................     31549  10.6
GA.....................................................     31550  4.0
GA.....................................................     31551  6.0
GA.....................................................     31552  4.0
GA.....................................................     31553  10.4
GA.....................................................     31554  5.0
GA.....................................................     31555  5.0
GA.....................................................     31556  10.5
GA.....................................................     31557  10.5
GA.....................................................     31558  4.0
GA.....................................................     31560  5.0
GA.....................................................     31561  1.0
GA.....................................................     31562  3.0
GA.....................................................     31563  10.3
GA.....................................................     31564  4.0
GA.....................................................     31565  2.0
GA.....................................................     31566  2.0
GA.....................................................     31567  5.0
GA.....................................................     31568  2.0
GA.....................................................     31569  5.0
GA.....................................................     31598  4.0
GA.....................................................     31599  4.0
GA.....................................................     31601  1.0
GA.....................................................     31602  1.0
GA.....................................................     31603  1.0
GA.....................................................     31604  1.0
GA.....................................................     31605  2.0
GA.....................................................     31606  2.0
GA.....................................................     31620  7.3
GA.....................................................     31622  10.6
GA.....................................................     31623  7.0
GA.....................................................     31624  10.0
GA.....................................................     31625  2.0
GA.....................................................     31626  5.0
GA.....................................................     31627  7.3
GA.....................................................     31629  8.0
GA.....................................................     31630  7.0
GA.....................................................     31631  7.0
GA.....................................................     31632  2.0
GA.....................................................     31634  7.0
GA.....................................................     31635  10.4
GA.....................................................     31636  2.0
GA.....................................................     31637  5.0
GA.....................................................     31638  2.0
GA.....................................................     31639  7.0
GA.....................................................     31641  2.0
GA.....................................................     31642  10.5
GA.....................................................     31643  7.3
GA.....................................................     31645  9.1
GA.....................................................     31647  7.3
GA.....................................................     31648  2.0

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GA.....................................................     31649  2.0
GA.....................................................     31650  10.0
GA.....................................................     31698  1.0
GA.....................................................     31699  2.0
GA.....................................................     31701  1.0
GA.....................................................     31702  1.0
GA.....................................................     31703  1.0
GA.....................................................     31704  10.4
GA.....................................................     31705  1.0
GA.....................................................     31706  1.0
GA.....................................................     31707  1.0
GA.....................................................     31708  1.0
GA.....................................................     31709  4.0
GA.....................................................     31710  4.0
GA.....................................................     31711  5.0
GA.....................................................     31712  5.0
GA.....................................................     31714  7.4
GA.....................................................     31716  2.0
GA.....................................................     31719  4.0
GA.....................................................     31720  5.0
GA.....................................................     31721  1.0
GA.....................................................     31722  5.0
GA.....................................................     31727  4.0
GA.....................................................     31730  7.3
GA.....................................................     31733  5.0
GA.....................................................     31735  5.0
GA.....................................................     31738  5.0
GA.....................................................     31739  7.0
GA.....................................................     31743  5.0
GA.....................................................     31744  5.0
GA.....................................................     31747  5.0
GA.....................................................     31749  5.0
GA.....................................................     31750  4.0
GA.....................................................     31753  4.0
GA.....................................................     31756  5.0
GA.....................................................     31757  4.0
GA.....................................................     31758  4.0
GA.....................................................     31760  5.0
GA.....................................................     31763  1.0
GA.....................................................     31764  5.0
GA.....................................................     31765  5.0
GA.....................................................     31768  4.0
GA.....................................................     31769  7.4
GA.....................................................     31771  5.0
GA.....................................................     31772  2.0
GA.....................................................     31773  5.0
GA.....................................................     31774  7.4
GA.....................................................     31775  5.0
GA.....................................................     31776  4.0
GA.....................................................     31778  5.0
GA.....................................................     31779  7.0
GA.....................................................     31780  5.0
GA.....................................................     31781  9.1
GA.....................................................     31782  1.0
GA.....................................................     31783  9.0
GA.....................................................     31784  10.6
GA.....................................................     31787  2.0
GA.....................................................     31788  5.0
GA.....................................................     31789  9.1
GA.....................................................     31790  9.0
GA.....................................................     31791  7.1
GA.....................................................     31792  4.0
GA.....................................................     31793  5.0
GA.....................................................     31794  4.0
GA.....................................................     31795  5.0
GA.....................................................     31796  2.0
GA.....................................................     31798  7.4
GA.....................................................     31799  4.0
GA.....................................................     31801  2.0
GA.....................................................     31803  10.4
GA.....................................................     31804  2.0
GA.....................................................     31805  2.0
GA.....................................................     31806  10.5
GA.....................................................     31807  2.0
GA.....................................................     31808  2.0
GA.....................................................     31810  2.0
GA.....................................................     31811  2.0
GA.....................................................     31812  2.0
GA.....................................................     31814  3.0
GA.....................................................     31815  10.4
GA.....................................................     31816  7.0
GA.....................................................     31820  2.0
GA.....................................................     31821  3.0
GA.....................................................     31822  6.0
GA.....................................................     31823  3.0
GA.....................................................     31824  10.5
GA.....................................................     31825  10.4
GA.....................................................     31826  3.0
GA.....................................................     31827  10.4
GA.....................................................     31829  2.0
GA.....................................................     31830  10.6
GA.....................................................     31831  2.0
GA.....................................................     31832  10.0
GA.....................................................     31833  4.0
GA.....................................................     31836  8.3
GA.....................................................     31901  1.0
GA.....................................................     31902  1.0
GA.....................................................     31903  1.0
GA.....................................................     31904  1.0
GA.....................................................     31905  1.0
GA.....................................................     31906  1.0
GA.....................................................     31907  1.0
GA.....................................................     31908  1.0
GA.....................................................     31909  1.0
GA.....................................................     31914  1.0
GA.....................................................     31917  1.0
GA.....................................................     31993  1.0
GA.....................................................     31994  1.0
GA.....................................................     31995  1.0
GA.....................................................     31997  1.0
GA.....................................................     31998  1.0
GA.....................................................     31999  1.0
GA.....................................................     39813  10.4
GA.....................................................     39815  5.0
GA.....................................................     39817  4.0
GA.....................................................     39818  4.0
GA.....................................................     39819  4.0
GA.....................................................     39823  7.0
GA.....................................................     39824  10.6
GA.....................................................     39825  5.0
GA.....................................................     39826  2.0
GA.....................................................     39827  7.4
GA.....................................................     39828  7.4
GA.....................................................     39829  7.4
GA.....................................................     39832  10.6
GA.....................................................     39834  5.0
GA.....................................................     39836  7.0
GA.....................................................     39837  10.0
GA.....................................................     39840  7.0
GA.....................................................     39841  10.6
GA.....................................................     39842  7.3
GA.....................................................     39845  7.4
GA.....................................................     39846  10.4
GA.....................................................     39851  10.0
GA.....................................................     39852  4.0
GA.....................................................     39854  7.0
GA.....................................................     39859  5.0
GA.....................................................     39861  10.6
GA.....................................................     39862  2.0
GA.....................................................     39866  2.0
GA.....................................................     39867  8.0
GA.....................................................     39870  2.0
GA.....................................................     39877  2.0
GA.....................................................     39885  10.6
GA.....................................................     39886  10.6
GA.....................................................     39897  8.0
GA.....................................................     39901  1.0
GU.....................................................     96911    R
GU.....................................................     96912    R
GU.....................................................     96913    R
GU.....................................................     96914    R
GU.....................................................     96915    R
GU.....................................................     96916    R
GU.....................................................     96917    R
GU.....................................................     96918    R
GU.....................................................     96919    R
GU.....................................................     96921    R
GU.....................................................     96922    R
GU.....................................................     96923    R
GU.....................................................     96925    R
GU.....................................................     96926    R
GU.....................................................     96927    R
GU.....................................................     96928    R
GU.....................................................     96929    R
GU.....................................................     96930    R
GU.....................................................     96931    R
GU.....................................................     96932    R
HI.....................................................     96701  1.0
HI.....................................................     96703  5.0
HI.....................................................     96704  10.2
HI.....................................................     96705  4.0
HI.....................................................     96706  1.0
HI.....................................................     96707  1.0
HI.....................................................     96708  4.0
HI.....................................................     96709  1.0
HI.....................................................     96710  4.0
HI.....................................................     96712  2.0
HI.....................................................     96713  10.0
HI.....................................................     96714  10.5
HI.....................................................     96715  4.0
HI.....................................................     96716  4.0
HI.....................................................     96717  4.1
HI.....................................................     96718  10.5
HI.....................................................     96719  7.0
HI.....................................................     96720  4.0
HI.....................................................     96721  4.0
HI.....................................................     96722  10.5
HI.....................................................     96725  7.2
HI.....................................................     96726  10.2
HI.....................................................     96727  7.0
HI.....................................................     96728  4.0
HI.....................................................     96729  10.6
HI.....................................................     96730  4.1
HI.....................................................     96731  2.0
HI.....................................................     96732  4.0
HI.....................................................     96733  4.0
HI.....................................................     96734  2.0
HI.....................................................     96737  10.2
HI.....................................................     96738  7.0
HI.....................................................     96739  4.0
HI.....................................................     96740  4.0
HI.....................................................     96741  4.0
HI.....................................................     96742  10.0
HI.....................................................     96743  8.0
HI.....................................................     96744  2.0
HI.....................................................     96745  4.0
HI.....................................................     96746  5.0

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HI.....................................................     96747  4.0
HI.....................................................     96748  7.0
HI.....................................................     96749  4.0
HI.....................................................     96750  4.0
HI.....................................................     96751  5.0
HI.....................................................     96752  7.2
HI.....................................................     96753  4.0
HI.....................................................     96754  10.5
HI.....................................................     96755  7.0
HI.....................................................     96756  4.0
HI.....................................................     96757  10.6
HI.....................................................     96759  1.0
HI.....................................................     96760  4.0
HI.....................................................     96761  4.0
HI.....................................................     96762  4.1
HI.....................................................     96763  7.0
HI.....................................................     96764  5.0
HI.....................................................     96765  4.0
HI.....................................................     96766  4.0
HI.....................................................     96767  4.0
HI.....................................................     96768  4.0
HI.....................................................     96769  4.0
HI.....................................................     96770  10.6
HI.....................................................     96771  5.0
HI.....................................................     96772  10.5
HI.....................................................     96773  5.0
HI.....................................................     96774  5.0
HI.....................................................     96776  10.6
HI.....................................................     96777  10.5
HI.....................................................     96778  5.0
HI.....................................................     96779  5.0
HI.....................................................     96780  5.0
HI.....................................................     96781  4.0
HI.....................................................     96782  1.0
HI.....................................................     96783  4.0
HI.....................................................     96784  4.0
HI.....................................................     96785  5.0
HI.....................................................     96786  1.0
HI.....................................................     96788  4.0
HI.....................................................     96789  1.0
HI.....................................................     96790  4.0
HI.....................................................     96791  2.0
HI.....................................................     96792  1.0
HI.....................................................     96793  4.0
HI.....................................................     96795  2.0
HI.....................................................     96796  7.2
HI.....................................................     96797  1.0
HI.....................................................     96801  1.0
HI.....................................................     96802  1.0
HI.....................................................     96803  1.0
HI.....................................................     96804  1.0
HI.....................................................     96805  1.0
HI.....................................................     96806  1.0
HI.....................................................     96807  1.0
HI.....................................................     96808  1.0
HI.....................................................     96809  1.0
HI.....................................................     96810  1.0
HI.....................................................     96811  1.0
HI.....................................................     96812  1.0
HI.....................................................     96813  1.0
HI.....................................................     96814  1.0
HI.....................................................     96815  1.0
HI.....................................................     96816  1.0
HI.....................................................     96817  1.0
HI.....................................................     96818  1.0
HI.....................................................     96819  1.0
HI.....................................................     96820  1.0
HI.....................................................     96821  1.0
HI.....................................................     96822  1.0
HI.....................................................     96823  1.0
HI.....................................................     96824  1.0
HI.....................................................     96825  1.0
HI.....................................................     96826  1.0
HI.....................................................     96827  1.0
HI.....................................................     96828  1.0
HI.....................................................     96830  1.0
HI.....................................................     96835  1.0
HI.....................................................     96836  1.0
HI.....................................................     96837  1.0
HI.....................................................     96838  1.0
HI.....................................................     96839  1.0
HI.....................................................     96840  1.0
HI.....................................................     96841  1.0
HI.....................................................     96842  1.0
HI.....................................................     96843  1.0
HI.....................................................     96844  1.0
HI.....................................................     96846  1.0
HI.....................................................     96847  1.0
HI.....................................................     96848  1.0
HI.....................................................     96849  1.0
HI.....................................................     96850  1.0
HI.....................................................     96853  1.0
HI.....................................................     96854  1.0
HI.....................................................     96857  1.0
HI.....................................................     96858  1.0
HI.....................................................     96859  1.0
HI.....................................................     96860  1.0
HI.....................................................     96861  1.0
HI.....................................................     96862  2.0
HI.....................................................     96863  2.0
HI.....................................................     96898  1.0
IA.....................................................     50001  2.0
IA.....................................................     50002  10.4
IA.....................................................     50003  2.0
IA.....................................................     50005  5.0
IA.....................................................     50006  10.6
IA.....................................................     50007  2.0
IA.....................................................     50008  10.0
IA.....................................................     50009  1.0
IA.....................................................     50010  1.0
IA.....................................................     50011  1.0
IA.....................................................     50012  1.0
IA.....................................................     50013  1.0
IA.....................................................     50014  1.0
IA.....................................................     50015  1.0
IA.....................................................     50020  8.0
IA.....................................................     50021  1.0
IA.....................................................     50022  7.0
IA.....................................................     50023  7.0
IA.....................................................     50025  10.0
IA.....................................................     50026  10.4
IA.....................................................     50027  5.0
IA.....................................................     50028  2.0
IA.....................................................     50029  10.0
IA.....................................................     50031  10.5
IA.....................................................     50032  1.0
IA.....................................................     50033  2.0
IA.....................................................     50034  8.0
IA.....................................................     50035  1.0
IA.....................................................     50036  4.2
IA.....................................................     50037  4.2
IA.....................................................     50038  1.0
IA.....................................................     50039  2.0
IA.....................................................     50040  10.5
IA.....................................................     50041  10.6
IA.....................................................     50042  10.6
IA.....................................................     50043  10.6
IA.....................................................     50044  9.0
IA.....................................................     50046  2.1
IA.....................................................     50047  2.0
IA.....................................................     50048  10.0
IA.....................................................     50049  7.0
IA.....................................................     50050  10.6
IA.....................................................     50051  10.5
IA.....................................................     50052  10.0
IA.....................................................     50054  2.0
IA.....................................................     50055  3.0
IA.....................................................     50056  3.0
IA.....................................................     50057  3.0
IA.....................................................     50058  10.6
IA.....................................................     50059  7.0
IA.....................................................     50060  10.0
IA.....................................................     50061  1.0
IA.....................................................     50062  3.0
IA.....................................................     50063  2.0
IA.....................................................     50064  10.6
IA.....................................................     50065  10.6
IA.....................................................     50066  2.0
IA.....................................................     50067  10.0
IA.....................................................     50068  8.0
IA.....................................................     50069  1.0
IA.....................................................     50070  2.0
IA.....................................................     50071  10.6
IA.....................................................     50072  2.0
IA.....................................................     50073  2.0
IA.....................................................     50074  10.0
IA.....................................................     50075  10.4
IA.....................................................     50076  10.6
IA.....................................................     50078  4.0
IA.....................................................     50101  10.6
IA.....................................................     50102  10.6
IA.....................................................     50103  10.6
IA.....................................................     50104  10.0
IA.....................................................     50105  1.0
IA.....................................................     50106  5.0
IA.....................................................     50107  10.6
IA.....................................................     50108  10.0
IA.....................................................     50109  2.0
IA.....................................................     50110  10.0
IA.....................................................     50111  1.0
IA.....................................................     50112  7.0
IA.....................................................     50115  10.4
IA.....................................................     50116  9.0
IA.....................................................     50117  10.0
IA.....................................................     50118  2.0
IA.....................................................     50119  9.0
IA.....................................................     50120  5.0
IA.....................................................     50122  10.0
IA.....................................................     50123  10.0
IA.....................................................     50124  2.1
IA.....................................................     50125  4.1
IA.....................................................     50126  7.0
IA.....................................................     50127  2.0
IA.....................................................     50128  10.4
IA.....................................................     50129  7.0
IA.....................................................     50130  10.4
IA.....................................................     50131  1.0
IA.....................................................     50132  8.0
IA.....................................................     50133  10.0
IA.....................................................     50134  2.1
IA.....................................................     50135  5.0
IA.....................................................     50136  10.0
IA.....................................................     50137  10.5
IA.....................................................     50138  7.3
IA.....................................................     50139  2.0
IA.....................................................     50140  10.0
IA.....................................................     50141  5.0

[[Page 70089]]

 
IA.....................................................     50142  4.0
IA.....................................................     50143  10.5
IA.....................................................     50144  10.6
IA.....................................................     50145  2.0
IA.....................................................     50146  2.0
IA.....................................................     50147  10.0
IA.....................................................     50148  5.0
IA.....................................................     50149  8.0
IA.....................................................     50150  9.0
IA.....................................................     50151  8.0
IA.....................................................     50152  2.0
IA.....................................................     50153  10.5
IA.....................................................     50154  2.0
IA.....................................................     50155  2.0
IA.....................................................     50156  2.0
IA.....................................................     50157  10.6
IA.....................................................     50158  4.0
IA.....................................................     50160  2.0
IA.....................................................     50161  3.0
IA.....................................................     50162  5.0
IA.....................................................     50163  3.0
IA.....................................................     50164  10.4
IA.....................................................     50165  10.0
IA.....................................................     50166  2.0
IA.....................................................     50167  2.0
IA.....................................................     50168  2.0
IA.....................................................     50169  2.0
IA.....................................................     50170  6.1
IA.....................................................     50171  10.6
IA.....................................................     50173  10.6
IA.....................................................     50174  8.0
IA.....................................................     50177  7.0
IA.....................................................     50197  7.3
IA.....................................................     50198  7.3
IA.....................................................     50201  2.0
IA.....................................................     50206  10.0
IA.....................................................     50207  10.5
IA.....................................................     50208  4.0
IA.....................................................     50210  2.0
IA.....................................................     50211  1.0
IA.....................................................     50212  10.5
IA.....................................................     50213  7.3
IA.....................................................     50214  10.4
IA.....................................................     50216  10.4
IA.....................................................     50217  10.6
IA.....................................................     50218  2.0
IA.....................................................     50219  7.0
IA.....................................................     50220  7.3
IA.....................................................     50222  2.0
IA.....................................................     50223  10.5
IA.....................................................     50225  10.4
IA.....................................................     50226  2.0
IA.....................................................     50227  10.6
IA.....................................................     50228  2.0
IA.....................................................     50229  2.0
IA.....................................................     50230  10.6
IA.....................................................     50231  10.4
IA.....................................................     50232  6.1
IA.....................................................     50233  2.0
IA.....................................................     50234  5.0
IA.....................................................     50235  10.6
IA.....................................................     50236  2.0
IA.....................................................     50237  2.0
IA.....................................................     50238  8.0
IA.....................................................     50239  10.5
IA.....................................................     50240  2.0
IA.....................................................     50241  2.0
IA.....................................................     50242  8.0
IA.....................................................     50243  2.0
IA.....................................................     50244  2.1
IA.....................................................     50246  10.6
IA.....................................................     50247  10.5
IA.....................................................     50248  2.0
IA.....................................................     50249  10.6
IA.....................................................     50250  10.4
IA.....................................................     50251  10.5
IA.....................................................     50252  10.4
IA.....................................................     50254  8.0
IA.....................................................     50255  10.0
IA.....................................................     50256  9.0
IA.....................................................     50257  2.0
IA.....................................................     50258  10.0
IA.....................................................     50259  10.0
IA.....................................................     50261  1.0
IA.....................................................     50262  10.6
IA.....................................................     50263  1.0
IA.....................................................     50264  10.6
IA.....................................................     50265  1.0
IA.....................................................     50266  1.0
IA.....................................................     50268  10.0
IA.....................................................     50269  10.0
IA.....................................................     50271  8.0
IA.....................................................     50272  8.0
IA.....................................................     50273  7.1
IA.....................................................     50274  8.0
IA.....................................................     50275  8.0
IA.....................................................     50276  2.0
IA.....................................................     50277  10.4
IA.....................................................     50278  2.0
IA.....................................................     50301  1.0
IA.....................................................     50302  1.0
IA.....................................................     50303  1.0
IA.....................................................     50304  1.0
IA.....................................................     50305  1.0
IA.....................................................     50306  1.0
IA.....................................................     50307  1.0
IA.....................................................     50308  1.0
IA.....................................................     50309  1.0
IA.....................................................     50310  1.0
IA.....................................................     50311  1.0
IA.....................................................     50312  1.0
IA.....................................................     50313  1.0
IA.....................................................     50314  1.0
IA.....................................................     50315  1.0
IA.....................................................     50316  1.0
IA.....................................................     50317  1.0
IA.....................................................     50318  1.0
IA.....................................................     50319  1.0
IA.....................................................     50320  1.0
IA.....................................................     50321  1.0
IA.....................................................     50322  1.0
IA.....................................................     50323  1.0
IA.....................................................     50325  1.0
IA.....................................................     50327  1.0
IA.....................................................     50328  1.0
IA.....................................................     50329  1.0
IA.....................................................     50330  1.0
IA.....................................................     50331  1.0
IA.....................................................     50332  1.0
IA.....................................................     50333  1.0
IA.....................................................     50334  1.0
IA.....................................................     50335  1.0
IA.....................................................     50336  1.0
IA.....................................................     50338  1.0
IA.....................................................     50339  1.0
IA.....................................................     50340  1.0
IA.....................................................     50347  1.0
IA.....................................................     50350  1.0
IA.....................................................     50359  1.0
IA.....................................................     50360  1.0
IA.....................................................     50361  1.0
IA.....................................................     50362  1.0
IA.....................................................     50363  1.0
IA.....................................................     50364  1.0
IA.....................................................     50367  1.0
IA.....................................................     50368  1.0
IA.....................................................     50369  1.0
IA.....................................................     50380  1.0
IA.....................................................     50381  1.0
IA.....................................................     50391  1.0
IA.....................................................     50392  1.0
IA.....................................................     50393  1.0
IA.....................................................     50394  1.0
IA.....................................................     50395  1.0
IA.....................................................     50396  1.0
IA.....................................................     50397  1.0
IA.....................................................     50398  1.0
IA.....................................................     50401  4.0
IA.....................................................     50402  4.0
IA.....................................................     50420  10.6
IA.....................................................     50421  10.0
IA.....................................................     50423  10.6
IA.....................................................     50424  10.6
IA.....................................................     50426  10.6
IA.....................................................     50427  10.6
IA.....................................................     50428  7.2
IA.....................................................     50430  10.0
IA.....................................................     50431  10.6
IA.....................................................     50432  10.6
IA.....................................................     50433  5.0
IA.....................................................     50434  10.0
IA.....................................................     50435  8.0
IA.....................................................     50436  7.0
IA.....................................................     50438  7.4
IA.....................................................     50439  10.6
IA.....................................................     50440  5.0
IA.....................................................     50441  7.0
IA.....................................................     50444  10.0
IA.....................................................     50446  10.0
IA.....................................................     50447  10.0
IA.....................................................     50448  5.0
IA.....................................................     50449  10.6
IA.....................................................     50450  10.6
IA.....................................................     50451  10.0
IA.....................................................     50452  10.6
IA.....................................................     50453  10.6
IA.....................................................     50454  10.6
IA.....................................................     50455  10.6
IA.....................................................     50456  5.0
IA.....................................................     50457  5.0
IA.....................................................     50458  5.0
IA.....................................................     50459  10.5
IA.....................................................     50460  10.6
IA.....................................................     50461  7.4
IA.....................................................     50464  5.0
IA.....................................................     50465  10.6
IA.....................................................     50466  10.6
IA.....................................................     50467  5.0
IA.....................................................     50468  10.5
IA.....................................................     50469  5.0
IA.....................................................     50470  10.6
IA.....................................................     50471  5.0
IA.....................................................     50472  10.6
IA.....................................................     50473  10.6
IA.....................................................     50475  10.6
IA.....................................................     50476  10.6
IA.....................................................     50477  5.0

[[Page 70090]]

 
IA.....................................................     50478  10.6
IA.....................................................     50479  5.0
IA.....................................................     50480  10.6
IA.....................................................     50481  10.6
IA.....................................................     50482  7.2
IA.....................................................     50483  10.6
IA.....................................................     50484  10.0
IA.....................................................     50501  4.0
IA.....................................................     50510  10.5
IA.....................................................     50511  7.0
IA.....................................................     50514  10.0
IA.....................................................     50515  10.5
IA.....................................................     50516  5.0
IA.....................................................     50517  10.6
IA.....................................................     50518  5.0
IA.....................................................     50519  8.0
IA.....................................................     50520  8.0
IA.....................................................     50521  5.0
IA.....................................................     50522  10.6
IA.....................................................     50523  5.0
IA.....................................................     50524  5.0
IA.....................................................     50525  7.0
IA.....................................................     50526  7.0
IA.....................................................     50527  10.6
IA.....................................................     50528  10.6
IA.....................................................     50529  7.4
IA.....................................................     50530  5.0
IA.....................................................     50531  8.0
IA.....................................................     50532  5.0
IA.....................................................     50533  7.0
IA.....................................................     50535  10.5
IA.....................................................     50536  7.0
IA.....................................................     50538  10.5
IA.....................................................     50539  10.6
IA.....................................................     50540  10.0
IA.....................................................     50541  8.0
IA.....................................................     50542  10.6
IA.....................................................     50543  5.0
IA.....................................................     50544  5.0
IA.....................................................     50545  10.6
IA.....................................................     50546  10.0
IA.....................................................     50548  7.4
IA.....................................................     50551  10.5
IA.....................................................     50552  10.5
IA.....................................................     50554  10.0
IA.....................................................     50556  10.0
IA.....................................................     50557  5.0
IA.....................................................     50558  10.6
IA.....................................................     50559  10.6
IA.....................................................     50560  10.6
IA.....................................................     50561  10.5
IA.....................................................     50562  10.6
IA.....................................................     50563  10.5
IA.....................................................     50565  10.5
IA.....................................................     50566  5.0
IA.....................................................     50567  10.5
IA.....................................................     50568  5.0
IA.....................................................     50569  5.0
IA.....................................................     50570  8.0
IA.....................................................     50571  10.0
IA.....................................................     50573  10.0
IA.....................................................     50574  10.0
IA.....................................................     50575  10.5
IA.....................................................     50576  10.5
IA.....................................................     50577  10.6
IA.....................................................     50578  10.0
IA.....................................................     50579  10.5
IA.....................................................     50581  10.0
IA.....................................................     50582  8.0
IA.....................................................     50583  10.0
IA.....................................................     50585  10.5
IA.....................................................     50586  10.5
IA.....................................................     50588  4.0
IA.....................................................     50590  10.0
IA.....................................................     50591  10.6
IA.....................................................     50592  4.0
IA.....................................................     50593  10.0
IA.....................................................     50594  5.0
IA.....................................................     50595  7.0
IA.....................................................     50597  10.6
IA.....................................................     50598  8.0
IA.....................................................     50599  10.6
IA.....................................................     50601  10.6
IA.....................................................     50602  10.0
IA.....................................................     50603  10.6
IA.....................................................     50604  10.1
IA.....................................................     50605  10.0
IA.....................................................     50606  10.0
IA.....................................................     50607  10.6
IA.....................................................     50608  10.0
IA.....................................................     50609  10.5
IA.....................................................     50611  10.0
IA.....................................................     50612  10.4
IA.....................................................     50613  1.0
IA.....................................................     50614  1.0
IA.....................................................     50616  7.0
IA.....................................................     50619  10.6
IA.....................................................     50620  7.0
IA.....................................................     50621  10.5
IA.....................................................     50622  2.0
IA.....................................................     50623  1.0
IA.....................................................     50624  2.0
IA.....................................................     50625  10.0
IA.....................................................     50626  2.0
IA.....................................................     50627  10.0
IA.....................................................     50628  10.6
IA.....................................................     50629  10.4
IA.....................................................     50630  10.6
IA.....................................................     50631  10.0
IA.....................................................     50632  10.2
IA.....................................................     50633  10.6
IA.....................................................     50634  1.0
IA.....................................................     50635  10.2
IA.....................................................     50636  10.0
IA.....................................................     50638  10.4
IA.....................................................     50641  10.4
IA.....................................................     50642  10.4
IA.....................................................     50643  2.0
IA.....................................................     50644  7.3
IA.....................................................     50645  10.6
IA.....................................................     50647  2.0
IA.....................................................     50648  2.0
IA.....................................................     50649  10.6
IA.....................................................     50650  10.6
IA.....................................................     50651  2.0
IA.....................................................     50652  10.4
IA.....................................................     50653  10.5
IA.....................................................     50654  8.0
IA.....................................................     50655  10.6
IA.....................................................     50657  2.0
IA.....................................................     50658  10.6
IA.....................................................     50659  7.0
IA.....................................................     50660  2.0
IA.....................................................     50661  7.0
IA.....................................................     50662  7.0
IA.....................................................     50664  10.4
IA.....................................................     50665  10.1
IA.....................................................     50666  10.6
IA.....................................................     50667  1.0
IA.....................................................     50668  10.1
IA.....................................................     50669  2.0
IA.....................................................     50670  2.0
IA.....................................................     50671  10.6
IA.....................................................     50672  10.6
IA.....................................................     50673  10.1
IA.....................................................     50674  10.0
IA.....................................................     50675  10.4
IA.....................................................     50676  9.0
IA.....................................................     50677  7.3
IA.....................................................     50680  10.4
IA.....................................................     50681  10.6
IA.....................................................     50682  10.6
IA.....................................................     50701  1.0
IA.....................................................     50702  1.0
IA.....................................................     50703  1.0
IA.....................................................     50704  1.0
IA.....................................................     50706  2.0
IA.....................................................     50707  1.0
IA.....................................................     50799  1.0
IA.....................................................     50801  7.0
IA.....................................................     50830  8.0
IA.....................................................     50831  8.0
IA.....................................................     50833  10.6
IA.....................................................     50835  10.0
IA.....................................................     50836  10.6
IA.....................................................     50837  10.0
IA.....................................................     50839  10.0
IA.....................................................     50840  10.6
IA.....................................................     50841  10.0
IA.....................................................     50842  7.0
IA.....................................................     50843  10.6
IA.....................................................     50845  10.0
IA.....................................................     50846  10.0
IA.....................................................     50847  8.0
IA.....................................................     50848  8.0
IA.....................................................     50849  10.0
IA.....................................................     50851  10.6
IA.....................................................     50853  10.6
IA.....................................................     50854  10.0
IA.....................................................     50857  10.0
IA.....................................................     50858  10.0
IA.....................................................     50859  10.0
IA.....................................................     50860  10.0
IA.....................................................     50861  8.0
IA.....................................................     50862  10.6
IA.....................................................     50863  10.0
IA.....................................................     50864  10.3
IA.....................................................     50936  1.0
IA.....................................................     50940  1.0
IA.....................................................     50947  1.0
IA.....................................................     50950  1.0
IA.....................................................     50980  1.0
IA.....................................................     50981  1.0
IA.....................................................     51001  10.6
IA.....................................................     51002  5.0
IA.....................................................     51003  7.0
IA.....................................................     51004  10.1
IA.....................................................     51005  10.6
IA.....................................................     51006  10.0
IA.....................................................     51007  2.0
IA.....................................................     51008  7.3
IA.....................................................     51009  10.0
IA.....................................................     51010  10.4
IA.....................................................     51011  10.6
IA.....................................................     51012  7.0
IA.....................................................     51014  10.6
IA.....................................................     51015  2.0

[[Page 70091]]

 
IA.....................................................     51016  10.1
IA.....................................................     51018  10.1
IA.....................................................     51019  10.1
IA.....................................................     51020  10.0
IA.....................................................     51022  7.0
IA.....................................................     51023  10.6
IA.....................................................     51024  2.0
IA.....................................................     51025  10.0
IA.....................................................     51026  2.0
IA.....................................................     51027  7.0
IA.....................................................     51028  10.4
IA.....................................................     51029  10.3
IA.....................................................     51030  2.0
IA.....................................................     51031  7.3
IA.....................................................     51033  10.5
IA.....................................................     51034  10.4
IA.....................................................     51035  10.3
IA.....................................................     51036  7.0
IA.....................................................     51037  10.6
IA.....................................................     51038  2.0
IA.....................................................     51039  2.0
IA.....................................................     51040  7.3
IA.....................................................     51041  7.0
IA.....................................................     51044  2.0
IA.....................................................     51045  7.3
IA.....................................................     51046  10.0
IA.....................................................     51047  5.0
IA.....................................................     51048  10.1
IA.....................................................     51049  10.6
IA.....................................................     51050  10.3
IA.....................................................     51051  10.4
IA.....................................................     51052  2.0
IA.....................................................     51053  10.5
IA.....................................................     51054  1.0
IA.....................................................     51055  2.0
IA.....................................................     51056  2.0
IA.....................................................     51058  10.0
IA.....................................................     51060  10.6
IA.....................................................     51061  10.6
IA.....................................................     51062  2.0
IA.....................................................     51063  10.4
IA.....................................................     51101  1.0
IA.....................................................     51102  1.0
IA.....................................................     51103  1.0
IA.....................................................     51104  1.0
IA.....................................................     51105  1.0
IA.....................................................     51106  1.0
IA.....................................................     51108  1.0
IA.....................................................     51109  1.0
IA.....................................................     51111  1.0
IA.....................................................     51201  7.0
IA.....................................................     51230  10.4
IA.....................................................     51231  10.6
IA.....................................................     51232  10.6
IA.....................................................     51234  10.6
IA.....................................................     51235  10.4
IA.....................................................     51237  10.0
IA.....................................................     51238  10.6
IA.....................................................     51239  10.6
IA.....................................................     51240  10.4
IA.....................................................     51241  10.4
IA.....................................................     51242  10.4
IA.....................................................     51243  10.0
IA.....................................................     51244  7.0
IA.....................................................     51245  10.6
IA.....................................................     51246  10.4
IA.....................................................     51247  7.0
IA.....................................................     51248  10.6
IA.....................................................     51249  7.0
IA.....................................................     51250  7.0
IA.....................................................     51301  4.0
IA.....................................................     51331  4.0
IA.....................................................     51333  5.0
IA.....................................................     51334  7.4
IA.....................................................     51338  5.0
IA.....................................................     51340  4.0
IA.....................................................     51341  5.0
IA.....................................................     51342  10.6
IA.....................................................     51343  5.0
IA.....................................................     51344  7.4
IA.....................................................     51345  10.6
IA.....................................................     51346  10.5
IA.....................................................     51347  5.0
IA.....................................................     51349  10.6
IA.....................................................     51350  10.6
IA.....................................................     51351  4.0
IA.....................................................     51354  10.6
IA.....................................................     51355  4.0
IA.....................................................     51357  5.0
IA.....................................................     51358  10.5
IA.....................................................     51360  4.0
IA.....................................................     51363  4.0
IA.....................................................     51364  4.0
IA.....................................................     51365  8.0
IA.....................................................     51366  5.0
IA.....................................................     51401  7.0
IA.....................................................     51430  8.0
IA.....................................................     51431  10.0
IA.....................................................     51432  10.3
IA.....................................................     51433  10.0
IA.....................................................     51436  8.0
IA.....................................................     51439  8.0
IA.....................................................     51440  10.6
IA.....................................................     51441  8.0
IA.....................................................     51442  7.0
IA.....................................................     51443  8.0
IA.....................................................     51444  8.0
IA.....................................................     51445  10.0
IA.....................................................     51446  10.6
IA.....................................................     51447  10.6
IA.....................................................     51448  8.0
IA.....................................................     51449  10.6
IA.....................................................     51450  10.0
IA.....................................................     51451  8.0
IA.....................................................     51452  8.0
IA.....................................................     51453  10.5
IA.....................................................     51454  10.3
IA.....................................................     51455  10.6
IA.....................................................     51458  10.0
IA.....................................................     51459  8.0
IA.....................................................     51460  8.0
IA.....................................................     51461  8.0
IA.....................................................     51462  10.6
IA.....................................................     51463  10.6
IA.....................................................     51465  8.0
IA.....................................................     51466  10.0
IA.....................................................     51467  8.0
IA.....................................................     51501  1.0
IA.....................................................     51502  1.0
IA.....................................................     51503  1.0
IA.....................................................     51510  1.0
IA.....................................................     51520  8.0
IA.....................................................     51521  10.1
IA.....................................................     51523  10.4
IA.....................................................     51525  2.0
IA.....................................................     51526  2.0
IA.....................................................     51527  10.6
IA.....................................................     51528  8.0
IA.....................................................     51529  10.4
IA.....................................................     51530  10.6
IA.....................................................     51531  10.6
IA.....................................................     51532  8.0
IA.....................................................     51533  2.0
IA.....................................................     51534  7.1
IA.....................................................     51535  10.6
IA.....................................................     51536  2.0
IA.....................................................     51537  7.0
IA.....................................................     51540  2.0
IA.....................................................     51541  2.0
IA.....................................................     51542  2.0
IA.....................................................     51543  10.0
IA.....................................................     51544  10.6
IA.....................................................     51545  10.4
IA.....................................................     51546  10.1
IA.....................................................     51548  2.0
IA.....................................................     51549  2.0
IA.....................................................     51550  10.1
IA.....................................................     51551  2.0
IA.....................................................     51552  8.0
IA.....................................................     51553  2.0
IA.....................................................     51554  7.1
IA.....................................................     51555  7.1
IA.....................................................     51556  10.1
IA.....................................................     51557  10.4
IA.....................................................     51558  10.6
IA.....................................................     51559  2.0
IA.....................................................     51560  2.0
IA.....................................................     51561  2.0
IA.....................................................     51562  10.6
IA.....................................................     51563  2.0
IA.....................................................     51564  10.4
IA.....................................................     51565  10.6
IA.....................................................     51566  7.0
IA.....................................................     51570  10.6
IA.....................................................     51571  2.0
IA.....................................................     51572  10.6
IA.....................................................     51573  10.3
IA.....................................................     51575  2.0
IA.....................................................     51576  2.0
IA.....................................................     51577  10.1
IA.....................................................     51578  10.6
IA.....................................................     51579  10.4
IA.....................................................     51591  7.0
IA.....................................................     51593  7.0
IA.....................................................     51601  7.0
IA.....................................................     51602  7.0
IA.....................................................     51603  7.0
IA.....................................................     51630  8.0
IA.....................................................     51631  8.0
IA.....................................................     51632  7.0
IA.....................................................     51636  8.0
IA.....................................................     51637  8.0
IA.....................................................     51638  10.6
IA.....................................................     51639  10.6
IA.....................................................     51640  10.4
IA.....................................................     51645  10.6
IA.....................................................     51646  8.0
IA.....................................................     51647  8.0
IA.....................................................     51648  10.4
IA.....................................................     51649  10.6
IA.....................................................     51650  10.6
IA.....................................................     51651  8.0
IA.....................................................     51652  10.4
IA.....................................................     51653  10.4
IA.....................................................     51654  10.4
IA.....................................................     51656  10.6
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IA.....................................................     52002  1.0
IA.....................................................     52003  1.0
IA.....................................................     52004  1.0
IA.....................................................     52030  3.0
IA.....................................................     52031  7.3
IA.....................................................     52032  10.1
IA.....................................................     52033  9.0
IA.....................................................     52035  10.6
IA.....................................................     52036  10.6
IA.....................................................     52037  10.6
IA.....................................................     52038  8.0
IA.....................................................     52039  2.0
IA.....................................................     52040  7.3
IA.....................................................     52041  10.6
IA.....................................................     52042  8.0
IA.....................................................     52043  10.0
IA.....................................................     52044  10.0
IA.....................................................     52045  2.0
IA.....................................................     52046  2.0
IA.....................................................     52047  10.6
IA.....................................................     52048  10.0
IA.....................................................     52049  10.0
IA.....................................................     52050  10.6
IA.....................................................     52052  10.0
IA.....................................................     52053  2.0
IA.....................................................     52054  3.0
IA.....................................................     52056  10.0
IA.....................................................     52057  7.0
IA.....................................................     52060  7.0
IA.....................................................     52064  10.5
IA.....................................................     52065  10.4
IA.....................................................     52066  10.0
IA.....................................................     52068  2.0
IA.....................................................     52069  10.5
IA.....................................................     52070  10.5
IA.....................................................     52071  3.0
IA.....................................................     52072  10.0
IA.....................................................     52073  2.0
IA.....................................................     52074  10.5
IA.....................................................     52075  7.3
IA.....................................................     52076  10.6
IA.....................................................     52077  10.6
IA.....................................................     52078  10.4
IA.....................................................     52079  8.3
IA.....................................................     52099  1.0
IA.....................................................     52101  7.0
IA.....................................................     52132  10.3
IA.....................................................     52133  8.0
IA.....................................................     52134  10.6
IA.....................................................     52135  10.0
IA.....................................................     52136  7.0
IA.....................................................     52140  10.6
IA.....................................................     52141  10.0
IA.....................................................     52142  10.0
IA.....................................................     52144  10.3
IA.....................................................     52146  10.6
IA.....................................................     52147  10.0
IA.....................................................     52149  7.0
IA.....................................................     52151  10.4
IA.....................................................     52154  10.6
IA.....................................................     52155  10.3
IA.....................................................     52156  10.0
IA.....................................................     52157  10.6
IA.....................................................     52158  10.6
IA.....................................................     52159  10.0
IA.....................................................     52160  10.6
IA.....................................................     52161  8.0
IA.....................................................     52162  10.0
IA.....................................................     52163  10.3
IA.....................................................     52164  10.0
IA.....................................................     52165  8.0
IA.....................................................     52166  10.0
IA.....................................................     52168  10.3
IA.....................................................     52169  10.0
IA.....................................................     52170  10.6
IA.....................................................     52171  10.0
IA.....................................................     52172  7.0
IA.....................................................     52175  10.0
IA.....................................................     52201  10.6
IA.....................................................     52202  2.0
IA.....................................................     52203  10.4
IA.....................................................     52204  10.4
IA.....................................................     52205  7.1
IA.....................................................     52206  2.0
IA.....................................................     52207  8.3
IA.....................................................     52208  7.3
IA.....................................................     52209  2.0
IA.....................................................     52210  10.4
IA.....................................................     52211  10.6
IA.....................................................     52212  10.4
IA.....................................................     52213  2.0
IA.....................................................     52214  2.0
IA.....................................................     52215  10.6
IA.....................................................     52216  10.6
IA.....................................................     52217  10.4
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IA.....................................................     52219  2.0
IA.....................................................     52220  10.4
IA.....................................................     52221  10.6
IA.....................................................     52222  10.6
IA.....................................................     52223  10.6
IA.....................................................     52224  10.4
IA.....................................................     52225  10.6
IA.....................................................     52226  10.6
IA.....................................................     52227  2.0
IA.....................................................     52228  2.0
IA.....................................................     52229  10.4
IA.....................................................     52231  10.4
IA.....................................................     52232  10.6
IA.....................................................     52233  1.0
IA.....................................................     52235  2.0
IA.....................................................     52236  10.4
IA.....................................................     52237  10.6
IA.....................................................     52240  1.0
IA.....................................................     52241  1.0
IA.....................................................     52242  1.0
IA.....................................................     52243  1.0
IA.....................................................     52244  1.0
IA.....................................................     52245  1.0
IA.....................................................     52246  1.0
IA.....................................................     52247  2.0
IA.....................................................     52248  10.4
IA.....................................................     52249  2.0
IA.....................................................     52251  10.4
IA.....................................................     52252  7.3
IA.....................................................     52253  7.1
IA.....................................................     52254  10.6
IA.....................................................     52255  10.6
IA.....................................................     52257  2.0
IA.....................................................     52301  10.4
IA.....................................................     52302  1.0
IA.....................................................     52305  2.0
IA.....................................................     52306  3.0
IA.....................................................     52307  10.4
IA.....................................................     52308  10.0
IA.....................................................     52309  8.3
IA.....................................................     52310  7.3
IA.....................................................     52312  7.1
IA.....................................................     52313  10.4
IA.....................................................     52314  7.1
IA.....................................................     52315  2.0
IA.....................................................     52316  10.0
IA.....................................................     52317  1.0
IA.....................................................     52318  2.0
IA.....................................................     52319  1.0
IA.....................................................     52320  2.0
IA.....................................................     52321  10.4
IA.....................................................     52322  1.0
IA.....................................................     52323  10.4
IA.....................................................     52324  1.0
IA.....................................................     52325  10.4
IA.....................................................     52326  10.4
IA.....................................................     52327  2.0
IA.....................................................     52328  1.0
IA.....................................................     52329  10.4
IA.....................................................     52330  10.6
IA.....................................................     52332  2.0
IA.....................................................     52333  2.1
IA.....................................................     52334  10.4
IA.....................................................     52335  10.0
IA.....................................................     52336  2.0
IA.....................................................     52337  3.0
IA.....................................................     52338  2.0
IA.....................................................     52339  7.0
IA.....................................................     52340  1.0
IA.....................................................     52341  1.0
IA.....................................................     52342  7.0
IA.....................................................     52344  2.0
IA.....................................................     52345  2.0
IA.....................................................     52346  10.4
IA.....................................................     52347  10.0
IA.....................................................     52348  10.6
IA.....................................................     52349  7.3
IA.....................................................     52350  2.0
IA.....................................................     52351  2.0
IA.....................................................     52352  2.0
IA.....................................................     52353  7.3
IA.....................................................     52354  2.0
IA.....................................................     52355  10.0
IA.....................................................     52356  10.6
IA.....................................................     52358  2.0
IA.....................................................     52359  10.6
IA.....................................................     52361  10.4
IA.....................................................     52362  10.4
IA.....................................................     52401  1.0
IA.....................................................     52402  1.0
IA.....................................................     52403  1.0
IA.....................................................     52404  1.0
IA.....................................................     52405  1.0
IA.....................................................     52406  1.0
IA.....................................................     52407  1.0
IA.....................................................     52408  1.0
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IA.....................................................     52411  1.0
IA.....................................................     52497  1.0
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IA.....................................................     52501  4.0
IA.....................................................     52530  5.0
IA.....................................................     52531  7.0
IA.....................................................     52533  8.0
IA.....................................................     52534  5.0
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IA.....................................................     52560  10.5
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IA.....................................................     52595  4.0
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IA.....................................................     52621  10.6
IA.....................................................     52623  5.0
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IA.....................................................     52626  10.0
IA.....................................................     52627  4.0
IA.....................................................     52630  8.0
IA.....................................................     52631  10.5
IA.....................................................     52632  4.0
IA.....................................................     52635  8.0
IA.....................................................     52637  5.0
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IA.....................................................     52641  7.0
IA.....................................................     52642  7.0
IA.....................................................     52644  8.0
IA.....................................................     52645  8.0
IA.....................................................     52646  10.5
IA.....................................................     52647  10.3
IA.....................................................     52648  10.5
IA.....................................................     52649  8.0
IA.....................................................     52650  5.0
IA.....................................................     52651  10.6
IA.....................................................     52652  7.0
IA.....................................................     52653  10.5
IA.....................................................     52654  10.3
IA.....................................................     52655  4.0
IA.....................................................     52656  10.5
IA.....................................................     52657  10.5
IA.....................................................     52658  5.0
IA.....................................................     52659  10.3
IA.....................................................     52660  5.0
IA.....................................................     52701  5.0
IA.....................................................     52720  5.0
IA.....................................................     52721  10.4
IA.....................................................     52722  1.0
IA.....................................................     52726  2.0
IA.....................................................     52727  5.0
IA.....................................................     52728  1.0
IA.....................................................     52729  3.0
IA.....................................................     52730  4.0
IA.....................................................     52731  5.0
IA.....................................................     52732  4.0
IA.....................................................     52733  4.0
IA.....................................................     52736  4.0
IA.....................................................     52737  10.4
IA.....................................................     52738  10.4
IA.....................................................     52739  5.0
IA.....................................................     52742  7.3
IA.....................................................     52745  2.0
IA.....................................................     52746  2.0
IA.....................................................     52747  10.4
IA.....................................................     52748  2.0
IA.....................................................     52749  4.0
IA.....................................................     52750  5.0
IA.....................................................     52751  3.0
IA.....................................................     52752  10.5
IA.....................................................     52753  1.0
IA.....................................................     52754  5.0
IA.....................................................     52755  1.0
IA.....................................................     52756  2.0
IA.....................................................     52757  7.3
IA.....................................................     52758  2.0
IA.....................................................     52759  4.0
IA.....................................................     52760  5.0
IA.....................................................     52761  4.0
IA.....................................................     52765  2.0
IA.....................................................     52766  7.3
IA.....................................................     52767  1.0
IA.....................................................     52768  2.0
IA.....................................................     52769  5.2
IA.....................................................     52771  4.0
IA.....................................................     52772  7.3
IA.....................................................     52773  2.0
IA.....................................................     52774  3.0
IA.....................................................     52776  7.3
IA.....................................................     52777  3.0
IA.....................................................     52778  5.0
IA.....................................................     52801  1.0
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ID.....................................................     83206  1.0
ID.....................................................     83209  1.0
ID.....................................................     83210  10.5
ID.....................................................     83211  7.3
ID.....................................................     83212  10.1
ID.....................................................     83213  10.4
ID.....................................................     83214  2.0
ID.....................................................     83215  4.2
ID.....................................................     83217  10.6
ID.....................................................     83218  2.0
ID.....................................................     83220  8.0
ID.....................................................     83221  4.2
ID.....................................................     83223  8.0
ID.....................................................     83226  10.0
ID.....................................................     83227  10.0
ID.....................................................     83228  10.6
ID.....................................................     83229  7.0
ID.....................................................     83230  7.0
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ID.....................................................     83233  7.0
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ID.....................................................     83235  10.3
ID.....................................................     83236  10.4
ID.....................................................     83237  7.3
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ID.....................................................     83239  7.0
ID.....................................................     83241  10.6
ID.....................................................     83243  10.0
ID.....................................................     83244  10.4
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ID.....................................................     83246  2.0
ID.....................................................     83250  2.0
ID.....................................................     83251  10.0
ID.....................................................     83252  10.0
ID.....................................................     83253  10.3
ID.....................................................     83254  7.0
ID.....................................................     83255  10.4
ID.....................................................     83256  4.2
ID.....................................................     83261  8.0
ID.....................................................     83262  5.0
ID.....................................................     83263  7.3
ID.....................................................     83271  10.1
ID.....................................................     83272  8.0
ID.....................................................     83274  2.0
ID.....................................................     83276  7.0
ID.....................................................     83277  5.0
ID.....................................................     83278  10.0
ID.....................................................     83281  2.0
ID.....................................................     83283  10.6
ID.....................................................     83285  2.0
ID.....................................................     83286  10.6
ID.....................................................     83287  8.0
ID.....................................................     83301  4.0
ID.....................................................     83302  5.0
ID.....................................................     83303  4.0
ID.....................................................     83311  10.5
ID.....................................................     83312  10.5
ID.....................................................     83313  7.0
ID.....................................................     83314  7.0
ID.....................................................     83316  10.6
ID.....................................................     83318  4.0
ID.....................................................     83320  7.0
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ID.....................................................     83322  10.6
ID.....................................................     83323  5.0
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ID.....................................................     83422  10.5
ID.....................................................     83423  10.0
ID.....................................................     83424  10.5
ID.....................................................     83425  10.4
ID.....................................................     83427  2.0
ID.....................................................     83428  2.0
ID.....................................................     83429  10.0
ID.....................................................     83431  2.0
ID.....................................................     83433  10.0
ID.....................................................     83434  2.0
ID.....................................................     83435  10.4
ID.....................................................     83436  10.5
ID.....................................................     83438  7.4
ID.....................................................     83440  4.0
ID.....................................................     83441  4.0
ID.....................................................     83442  2.0
ID.....................................................     83443  2.0
ID.....................................................     83444  10.4
ID.....................................................     83445  7.4
ID.....................................................     83446  10.0
ID.....................................................     83447  10.5
ID.....................................................     83448  5.0
ID.....................................................     83449  2.0
ID.....................................................     83450  10.4
ID.....................................................     83451  10.5
ID.....................................................     83452  10.5
ID.....................................................     83454  1.0
ID.....................................................     83455  10.5
ID.....................................................     83460  4.0
ID.....................................................     83462  7.0
ID.....................................................     83463  7.0
ID.....................................................     83464  10.3
ID.....................................................     83465  10.3
ID.....................................................     83466  7.0
ID.....................................................     83467  7.0
ID.....................................................     83468  10.3
ID.....................................................     83469  7.0
ID.....................................................     83501  1.0
ID.....................................................     83520  7.0
ID.....................................................     83522  10.6
ID.....................................................     83523  10.4
ID.....................................................     83524  2.0
ID.....................................................     83525  10.0
ID.....................................................     83526  10.6
ID.....................................................     83530  7.0
ID.....................................................     83531  7.0
ID.....................................................     83533  10.0
ID.....................................................     83535  10.5
ID.....................................................     83536  10.0
ID.....................................................     83537  10.5
ID.....................................................     83539  10.0
ID.....................................................     83540  2.0
ID.....................................................     83541  2.0
ID.....................................................     83542  10.0
ID.....................................................     83543  10.4
ID.....................................................     83544  7.0
ID.....................................................     83545  2.0
ID.....................................................     83546  10.3
ID.....................................................     83547  10.0
ID.....................................................     83548  2.0
ID.....................................................     83549  10.0
ID.....................................................     83552  10.0
ID.....................................................     83553  10.3
ID.....................................................     83554  7.0
ID.....................................................     83555  10.4
ID.....................................................     83601  10.5
ID.....................................................     83602  2.0
ID.....................................................     83604  10.5
ID.....................................................     83605  1.1
ID.....................................................     83606  1.1
ID.....................................................     83607  1.1
ID.....................................................     83610  10.6
ID.....................................................     83611  10.4
ID.....................................................     83612  10.0
ID.....................................................     83615  10.0
ID.....................................................     83616  1.0
ID.....................................................     83617  7.1
ID.....................................................     83619  4.0
ID.....................................................     83622  2.0
ID.....................................................     83623  10.5
ID.....................................................     83624  10.5
ID.....................................................     83626  1.1
ID.....................................................     83627  10.5
ID.....................................................     83628  7.1
ID.....................................................     83629  2.0
ID.....................................................     83630  1.1
ID.....................................................     83631  2.0
ID.....................................................     83632  10.0
ID.....................................................     83633  10.5
ID.....................................................     83634  2.0
ID.....................................................     83635  10.0
ID.....................................................     83636  7.1
ID.....................................................     83637  2.0
ID.....................................................     83638  10.0
ID.....................................................     83639  2.0
ID.....................................................     83641  2.0
ID.....................................................     83642  1.0
ID.....................................................     83643  10.0
ID.....................................................     83644  2.1
ID.....................................................     83645  10.6
ID.....................................................     83647  4.2
ID.....................................................     83648  7.2
ID.....................................................     83650  10.5
ID.....................................................     83651  1.1
ID.....................................................     83652  1.1
ID.....................................................     83653  1.1
ID.....................................................     83654  10.0
ID.....................................................     83655  5.0
ID.....................................................     83656  1.1
ID.....................................................     83657  10.3
ID.....................................................     83660  10.1
ID.....................................................     83661  4.0
ID.....................................................     83666  2.0
ID.....................................................     83669  2.0
ID.....................................................     83670  10.3
ID.....................................................     83671  10.0
ID.....................................................     83672  7.4
ID.....................................................     83676  2.0
ID.....................................................     83677  10.4
ID.....................................................     83680  1.0
ID.....................................................     83686  1.1
ID.....................................................     83687  1.1
ID.....................................................     83701  1.0
ID.....................................................     83702  1.0
ID.....................................................     83703  1.0
ID.....................................................     83704  1.0
ID.....................................................     83705  1.0
ID.....................................................     83706  1.0
ID.....................................................     83707  1.0
ID.....................................................     83708  1.0
ID.....................................................     83709  1.0
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ID.....................................................     83712  1.0
ID.....................................................     83713  1.0
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ID.....................................................     83744  1.0
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ID.....................................................     83757  1.0
ID.....................................................     83799  1.0
ID.....................................................     83801  2.0
ID.....................................................     83802  10.6
ID.....................................................     83803  2.0
ID.....................................................     83804  10.4
ID.....................................................     83805  7.0
ID.....................................................     83806  5.0
ID.....................................................     83808  10.6
ID.....................................................     83809  9.0
ID.....................................................     83810  2.0
ID.....................................................     83811  10.3
ID.....................................................     83812  10.6
ID.....................................................     83813  9.0
ID.....................................................     83814  1.0
ID.....................................................     83815  1.0
ID.....................................................     83816  1.0
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ID.....................................................     83825  7.0
ID.....................................................     83826  10.0
ID.....................................................     83827  10.3
ID.....................................................     83830  7.0
ID.....................................................     83832  10.5
ID.....................................................     83833  2.0
ID.....................................................     83834  10.5
ID.....................................................     83835  1.0
ID.....................................................     83836  10.3
ID.....................................................     83837  7.0
ID.....................................................     83839  10.6
ID.....................................................     83840  7.0
ID.....................................................     83841  7.0
ID.....................................................     83842  2.0
ID.....................................................     83843  4.0
ID.....................................................     83844  4.0
ID.....................................................     83845  10.0
ID.....................................................     83846  10.6
ID.....................................................     83847  7.0
ID.....................................................     83848  10.0
ID.....................................................     83849  10.6
ID.....................................................     83850  10.6
ID.....................................................     83851  10.3
ID.....................................................     83852  7.0
ID.....................................................     83853  10.0
ID.....................................................     83854  1.0
ID.....................................................     83855  10.5
ID.....................................................     83856  10.6
ID.....................................................     83857  10.5
ID.....................................................     83858  2.1
ID.....................................................     83860  8.0
ID.....................................................     83861  7.0
ID.....................................................     83864  7.0
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ID.....................................................     83866  7.0
ID.....................................................     83867  10.6
ID.....................................................     83868  10.6
ID.....................................................     83869  2.1
ID.....................................................     83870  10.3
ID.....................................................     83871  5.0
ID.....................................................     83872  10.5
ID.....................................................     83873  10.6
ID.....................................................     83874  7.0
ID.....................................................     83876  10.4
ID.....................................................     83877  1.0
ID.....................................................     83888  7.0
IL.....................................................     60001  7.3
IL.....................................................     60002  2.0
IL.....................................................     60004  1.0
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IL.....................................................     60025  1.0
IL.....................................................     60026  1.0
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IL.....................................................     60031  2.0
IL.....................................................     60033  7.3
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IL.....................................................     60112  1.0
IL.....................................................     60113  4.2
IL.....................................................     60115  1.0
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IL.....................................................     60129  2.1
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IL.....................................................     60409  1.0
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IL.....................................................     60415  1.0
IL.....................................................     60416  2.0
IL.....................................................     60417  1.0
IL.....................................................     60419  1.0
IL.....................................................     60420  7.3
IL.....................................................     60421  2.0
IL.....................................................     60422  1.0
IL.....................................................     60423  1.0
IL.....................................................     60424  2.0
IL.....................................................     60425  1.0
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IL.....................................................     60435  1.0
IL.....................................................     60436  1.0
IL.....................................................     60437  3.0
IL.....................................................     60438  1.0
IL.....................................................     60439  1.0
IL.....................................................     60440  1.0
IL.....................................................     60441  1.0
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IL.....................................................     60443  1.0
IL.....................................................     60444  3.0
IL.....................................................     60445  1.0
IL.....................................................     60446  1.0
IL.....................................................     60447  1.0
IL.....................................................     60448  1.0
IL.....................................................     60449  2.0
IL.....................................................     60450  4.1
IL.....................................................     60451  1.0
IL.....................................................     60452  1.0
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IL.....................................................     60456  1.0
IL.....................................................     60457  1.0
IL.....................................................     60458  1.0
IL.....................................................     60459  1.0
IL.....................................................     60460  10.5
IL.....................................................     60461  1.0
IL.....................................................     60462  1.0
IL.....................................................     60463  1.0
IL.....................................................     60464  1.0
IL.....................................................     60465  1.0
IL.....................................................     60466  1.0
IL.....................................................     60467  1.0
IL.....................................................     60468  2.0
IL.....................................................     60469  1.0
IL.....................................................     60470  9.1
IL.....................................................     60471  1.0
IL.....................................................     60472  1.0
IL.....................................................     60473  1.0
IL.....................................................     60474  2.0
IL.....................................................     60475  1.0
IL.....................................................     60476  1.0
IL.....................................................     60477  1.0
IL.....................................................     60478  1.0
IL.....................................................     60479  3.0
IL.....................................................     60480  1.0
IL.....................................................     60481  2.0
IL.....................................................     60482  1.0
IL.....................................................     60490  1.0
IL.....................................................     60491  1.0
IL.....................................................     60499  1.0
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IL.....................................................     60506  1.0
IL.....................................................     60507  1.0
IL.....................................................     60510  1.0
IL.....................................................     60511  2.0
IL.....................................................     60512  1.0
IL.....................................................     60513  1.0
IL.....................................................     60514  1.0
IL.....................................................     60515  1.0
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IL.....................................................     60517  1.0
IL.....................................................     60518  3.0
IL.....................................................     60519  1.0
IL.....................................................     60520  2.0
IL.....................................................     60521  1.0
IL.....................................................     60522  1.0
IL.....................................................     60523  1.0
IL.....................................................     60525  1.0
IL.....................................................     60526  1.0
IL.....................................................     60527  1.0
IL.....................................................     60530  10.4
IL.....................................................     60531  2.0
IL.....................................................     60532  1.0
IL.....................................................     60534  1.0
IL.....................................................     60536  2.0
IL.....................................................     60537  2.0
IL.....................................................     60538  1.0
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IL.....................................................     60546  1.0
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IL.....................................................     60549  2.0
IL.....................................................     60550  2.0
IL.....................................................     60551  2.0
IL.....................................................     60552  2.0
IL.....................................................     60553  10.4
IL.....................................................     60554  1.0
IL.....................................................     60555  1.0
IL.....................................................     60556  2.0
IL.....................................................     60557  4.0
IL.....................................................     60558  1.0
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IL.....................................................     60827  1.0
IL.....................................................     60901  1.0
IL.....................................................     60902  1.0
IL.....................................................     60910  2.0
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IL.....................................................     62855  8.0
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IL.....................................................     62870  7.4
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IL.....................................................     62887  8.4
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IL.....................................................     62905  9.2
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IL.....................................................     62924  5.0
IL.....................................................     62926  8.0
IL.....................................................     62927  5.0
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IL.....................................................     62930  7.4
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IL.....................................................     62943  9.0
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IN.....................................................     46170  7.3
IN.....................................................     46171  8.3
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IN.....................................................     46173  7.4
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IN.....................................................     46366  7.3
IN.....................................................     46368  1.0
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[[Page 70104]]

 
IN.....................................................     46383  1.0
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IN.....................................................     46540  10.1
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IN.....................................................     46570  10.5
IN.....................................................     46571  10.4
IN.....................................................     46572  4.0
IN.....................................................     46573  2.0
IN.....................................................     46574  7.3
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IN.....................................................     46590  4.0
IN.....................................................     46595  7.3
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IN.....................................................     46680  1.0
IN.....................................................     46699  1.0
IN.....................................................     46701  10.5
IN.....................................................     46702  5.0
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IN.....................................................     46704  1.0
IN.....................................................     46705  6.0
IN.....................................................     46706  4.2
IN.....................................................     46710  3.0
IN.....................................................     46711  7.0
IN.....................................................     46713  4.2
IN.....................................................     46714  7.3
IN.....................................................     46720  9.2
IN.....................................................     46721  7.4
IN.....................................................     46723  2.0
IN.....................................................     46725  7.3
IN.....................................................     46730  6.0
IN.....................................................     46731  8.3
IN.....................................................     46732  9.0
IN.....................................................     46733  4.2
IN.....................................................     46737  5.2
IN.....................................................     46738  4.2
IN.....................................................     46740  10.6
IN.....................................................     46741  1.0
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IN.....................................................     46745  2.0
IN.....................................................     46746  10.6
IN.....................................................     46747  5.0
IN.....................................................     46748  1.0
IN.....................................................     46750  4.2
IN.....................................................     46755  4.0
IN.....................................................     46759  8.0
IN.....................................................     46760  9.0
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IN.....................................................     46763  3.0
IN.....................................................     46764  10.6
IN.....................................................     46765  1.0
IN.....................................................     46766  8.0
IN.....................................................     46767  7.3
IN.....................................................     46769  7.0
IN.....................................................     46770  2.0
IN.....................................................     46771  10.6
IN.....................................................     46772  10.5
IN.....................................................     46773  2.0
IN.....................................................     46774  1.0
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IN.....................................................     46778  8.0
IN.....................................................     46779  6.0
IN.....................................................     46780  4.2
IN.....................................................     46781  8.0
IN.....................................................     46782  4.2
IN.....................................................     46783  2.0
IN.....................................................     46784  6.0
IN.....................................................     46785  5.2
IN.....................................................     46786  9.0
IN.....................................................     46787  10.6
IN.....................................................     46788  2.0
IN.....................................................     46789  9.0
IN.....................................................     46791  2.0
IN.....................................................     46792  10.5
IN.....................................................     46793  4.2
IN.....................................................     46794  9.2
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[[Page 70105]]

 
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IN.....................................................     46916  10.4
IN.....................................................     46917  10.4
IN.....................................................     46919  3.0
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IN.....................................................     46921  10.5
IN.....................................................     46922  7.0
IN.....................................................     46923  7.3
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IN.....................................................     46957  7.4
IN.....................................................     46958  4.2
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IN.....................................................     46970  4.2
IN.....................................................     46971  4.2
IN.....................................................     46974  5.0
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IN.....................................................     46977  7.3
IN.....................................................     46978  5.0
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IN.....................................................     46980  7.0
IN.....................................................     46982  5.0
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IN.....................................................     46985  8.0
IN.....................................................     46986  5.0
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IN.....................................................     46988  5.0
IN.....................................................     46989  7.4
IN.....................................................     46990  5.0
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IN.....................................................     46992  4.0
IN.....................................................     46994  5.0
IN.....................................................     46995  2.0
IN.....................................................     46996  7.0
IN.....................................................     46998  2.0
IN.....................................................     47001  2.0
IN.....................................................     47003  6.0
IN.....................................................     47006  7.0
IN.....................................................     47010  2.0
IN.....................................................     47011  10.0
IN.....................................................     47012  2.0
IN.....................................................     47016  2.0
IN.....................................................     47017  10.4
IN.....................................................     47018  5.1
IN.....................................................     47019  10.5
IN.....................................................     47020  10.4
IN.....................................................     47021  10.6
IN.....................................................     47022  2.0
IN.....................................................     47023  10.0
IN.....................................................     47024  9.2
IN.....................................................     47025  4.1
IN.....................................................     47030  3.0
IN.....................................................     47031  10.4
IN.....................................................     47032  2.0
IN.....................................................     47033  7.0
IN.....................................................     47034  10.5
IN.....................................................     47035  2.0
IN.....................................................     47036  7.0
IN.....................................................     47037  10.5
IN.....................................................     47038  10.4
IN.....................................................     47039  10.4
IN.....................................................     47040  10.5
IN.....................................................     47041  9.0
IN.....................................................     47042  10.6
IN.....................................................     47043  10.4
IN.....................................................     47060  2.0
IN.....................................................     47102  4.0
IN.....................................................     47104  2.0
IN.....................................................     47106  2.0
IN.....................................................     47107  2.0
IN.....................................................     47108  8.0
IN.....................................................     47110  2.0
IN.....................................................     47111  2.0
IN.....................................................     47112  2.0
IN.....................................................     47114  2.0
IN.....................................................     47115  2.0
IN.....................................................     47116  10.5
IN.....................................................     47117  2.0
IN.....................................................     47118  10.5
IN.....................................................     47119  1.0
IN.....................................................     47120  2.0
IN.....................................................     47122  1.0
IN.....................................................     47123  10.5
IN.....................................................     47124  2.0
IN.....................................................     47125  10.6
IN.....................................................     47126  2.0
IN.....................................................     47129  1.0
IN.....................................................     47130  1.0
IN.....................................................     47131  1.0
IN.....................................................     47132  1.0
IN.....................................................     47133  1.0
IN.....................................................     47134  1.0
IN.....................................................     47135  2.0
IN.....................................................     47136  2.0
IN.....................................................     47137  10.4
IN.....................................................     47138  5.0
IN.....................................................     47139  4.0
IN.....................................................     47140  2.0
IN.....................................................     47141  2.0
IN.....................................................     47142  2.0
IN.....................................................     47143  2.0
IN.....................................................     47144  1.0
IN.....................................................     47145  2.0
IN.....................................................     47146  1.0
IN.....................................................     47147  2.0
IN.....................................................     47150  1.0
IN.....................................................     47151  1.0
IN.....................................................     47160  2.0
IN.....................................................     47161  2.0
IN.....................................................     47162  2.0
IN.....................................................     47163  2.0
IN.....................................................     47164  2.0
IN.....................................................     47165  2.0
IN.....................................................     47166  2.0
IN.....................................................     47167  7.3
IN.....................................................     47170  4.0
IN.....................................................     47172  1.0
IN.....................................................     47174  10.4
IN.....................................................     47175  10.5
IN.....................................................     47177  2.0
IN.....................................................     47190  1.0
IN.....................................................     47199  1.0
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IN.....................................................     47202  1.0
IN.....................................................     47203  1.0
IN.....................................................     47220  5.0
IN.....................................................     47223  5.0
IN.....................................................     47224  5.0
IN.....................................................     47225  7.4
IN.....................................................     47226  1.0
IN.....................................................     47227  5.0
IN.....................................................     47228  4.0
IN.....................................................     47229  5.0
IN.....................................................     47230  5.0
IN.....................................................     47231  5.0
IN.....................................................     47232  2.0
IN.....................................................     47234  5.2
IN.....................................................     47235  5.0
IN.....................................................     47236  2.0
IN.....................................................     47240  4.0
IN.....................................................     47243  7.2
IN.....................................................     47244  2.0
IN.....................................................     47245  4.2
IN.....................................................     47246  2.0
IN.....................................................     47247  1.0
IN.....................................................     47249  5.0
IN.....................................................     47250  4.0
IN.....................................................     47260  5.0
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IN.....................................................     47265  4.2
IN.....................................................     47270  5.0
IN.....................................................     47272  5.0
IN.....................................................     47273  4.2
IN.....................................................     47274  4.0
IN.....................................................     47280  1.0
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IN.....................................................     47282  5.0
IN.....................................................     47283  5.2
IN.....................................................     47302  1.0
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IN.....................................................     47320  2.0
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IN.....................................................     47324  4.0
IN.....................................................     47325  10.5
IN.....................................................     47326  8.0
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[[Page 70106]]

 
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IN.....................................................     47348  7.0
IN.....................................................     47351  6.1
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IN.....................................................     47353  10.5
IN.....................................................     47354  3.0
IN.....................................................     47355  6.0
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IN.....................................................     47359  10.6
IN.....................................................     47360  5.2
IN.....................................................     47361  4.0
IN.....................................................     47362  4.0
IN.....................................................     47366  5.0
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IN.....................................................     47369  8.0
IN.....................................................     47370  5.0
IN.....................................................     47371  7.0
IN.....................................................     47373  9.1
IN.....................................................     47374  4.0
IN.....................................................     47375  4.0
IN.....................................................     47380  2.0
IN.....................................................     47381  8.0
IN.....................................................     47382  8.0
IN.....................................................     47383  1.0
IN.....................................................     47384  6.1
IN.....................................................     47385  5.0
IN.....................................................     47386  5.2
IN.....................................................     47387  5.0
IN.....................................................     47388  2.0
IN.....................................................     47390  7.4
IN.....................................................     47392  5.0
IN.....................................................     47393  5.0
IN.....................................................     47394  7.3
IN.....................................................     47396  1.0
IN.....................................................     47401  1.0
IN.....................................................     47402  1.0
IN.....................................................     47403  1.0
IN.....................................................     47404  1.0
IN.....................................................     47405  1.0
IN.....................................................     47406  1.0
IN.....................................................     47407  2.0
IN.....................................................     47408  1.0
IN.....................................................     47420  6.1
IN.....................................................     47421  4.2
IN.....................................................     47424  7.1
IN.....................................................     47426  1.0
IN.....................................................     47427  10.0
IN.....................................................     47429  1.0
IN.....................................................     47430  4.2
IN.....................................................     47431  2.0
IN.....................................................     47432  7.0
IN.....................................................     47433  3.0
IN.....................................................     47434  1.0
IN.....................................................     47435  10.0
IN.....................................................     47436  5.0
IN.....................................................     47437  5.0
IN.....................................................     47438  9.1
IN.....................................................     47439  2.0
IN.....................................................     47441  7.0
IN.....................................................     47443  10.6
IN.....................................................     47445  7.0
IN.....................................................     47446  5.0
IN.....................................................     47448  10.0
IN.....................................................     47449  10.6
IN.....................................................     47451  6.1
IN.....................................................     47452  10.5
IN.....................................................     47453  2.0
IN.....................................................     47454  9.0
IN.....................................................     47455  10.0
IN.....................................................     47456  2.0
IN.....................................................     47457  7.1
IN.....................................................     47458  1.0
IN.....................................................     47459  2.0
IN.....................................................     47460  3.0
IN.....................................................     47462  6.1
IN.....................................................     47463  1.0
IN.....................................................     47464  1.0
IN.....................................................     47465  10.6
IN.....................................................     47467  4.2
IN.....................................................     47468  2.0
IN.....................................................     47469  10.0
IN.....................................................     47470  5.0
IN.....................................................     47471  10.4
IN.....................................................     47490  1.0
IN.....................................................     47501  4.0
IN.....................................................     47512  5.0
IN.....................................................     47513  5.0
IN.....................................................     47514  10.6
IN.....................................................     47515  10.6
IN.....................................................     47516  5.0
IN.....................................................     47519  10.5
IN.....................................................     47520  7.0
IN.....................................................     47521  5.0
IN.....................................................     47522  10.6
IN.....................................................     47523  10.5
IN.....................................................     47524  4.0
IN.....................................................     47525  10.6
IN.....................................................     47527  5.0
IN.....................................................     47528  5.0
IN.....................................................     47529  10.0
IN.....................................................     47531  10.0
IN.....................................................     47532  10.5
IN.....................................................     47535  5.0
IN.....................................................     47536  10.5
IN.....................................................     47537  10.4
IN.....................................................     47541  10.5
IN.....................................................     47542  7.2
IN.....................................................     47545  4.0
IN.....................................................     47546  4.0
IN.....................................................     47547  4.0
IN.....................................................     47549  4.0
IN.....................................................     47550  10.0
IN.....................................................     47551  10.6
IN.....................................................     47552  10.5
IN.....................................................     47553  7.4
IN.....................................................     47556  10.5
IN.....................................................     47557  5.0
IN.....................................................     47558  10.5
IN.....................................................     47561  5.0
IN.....................................................     47562  10.0
IN.....................................................     47564  5.0
IN.....................................................     47567  7.0
IN.....................................................     47568  5.0
IN.....................................................     47573  5.0
IN.....................................................     47574  8.0
IN.....................................................     47575  5.0
IN.....................................................     47576  10.6
IN.....................................................     47577  10.5
IN.....................................................     47578  5.0
IN.....................................................     47579  10.5
IN.....................................................     47580  5.0
IN.....................................................     47581  10.5
IN.....................................................     47584  9.1
IN.....................................................     47585  5.0
IN.....................................................     47586  7.0
IN.....................................................     47588  8.0
IN.....................................................     47590  5.0
IN.....................................................     47591  4.0
IN.....................................................     47596  5.0
IN.....................................................     47597  5.0
IN.....................................................     47598  3.0
IN.....................................................     47601  2.0
IN.....................................................     47610  1.0
IN.....................................................     47611  10.4
IN.....................................................     47612  2.0
IN.....................................................     47613  2.0
IN.....................................................     47614  2.0
IN.....................................................     47615  10.0
IN.....................................................     47616  2.0
IN.....................................................     47617  2.0
IN.....................................................     47618  2.0
IN.....................................................     47619  2.0
IN.....................................................     47620  7.1
IN.....................................................     47629  1.0
IN.....................................................     47630  1.0
IN.....................................................     47631  3.0
IN.....................................................     47633  2.0
IN.....................................................     47634  2.0
IN.....................................................     47635  10.4
IN.....................................................     47637  2.0
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IN.....................................................     47639  2.0
IN.....................................................     47640  8.0
IN.....................................................     47647  9.1
IN.....................................................     47648  2.0
IN.....................................................     47649  8.0
IN.....................................................     47654  2.0
IN.....................................................     47660  9.1
IN.....................................................     47665  3.0
IN.....................................................     47666  8.0
IN.....................................................     47670  7.3
IN.....................................................     47683  2.0
IN.....................................................     47701  1.0
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IN.....................................................     47721  1.0
IN.....................................................     47722  1.0
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[[Page 70107]]

 
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IN.....................................................     47813  1.0
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IN.....................................................     47830  7.1
IN.....................................................     47831  7.1
IN.....................................................     47832  10.6
IN.....................................................     47833  10.0
IN.....................................................     47834  4.2
IN.....................................................     47836  3.0
IN.....................................................     47837  5.2
IN.....................................................     47838  9.0
IN.....................................................     47840  3.0
IN.....................................................     47841  3.0
IN.....................................................     47842  7.1
IN.....................................................     47845  9.1
IN.....................................................     47846  3.0
IN.....................................................     47847  10.4
IN.....................................................     47848  9.0
IN.....................................................     47849  2.0
IN.....................................................     47850  2.0
IN.....................................................     47851  4.2
IN.....................................................     47852  7.3
IN.....................................................     47853  4.2
IN.....................................................     47854  10.4
IN.....................................................     47855  2.0
IN.....................................................     47856  7.1
IN.....................................................     47857  4.2
IN.....................................................     47858  2.0
IN.....................................................     47859  10.6
IN.....................................................     47860  7.1
IN.....................................................     47861  2.0
IN.....................................................     47862  2.0
IN.....................................................     47863  1.0
IN.....................................................     47864  7.3
IN.....................................................     47865  9.0
IN.....................................................     47866  2.0
IN.....................................................     47868  2.0
IN.....................................................     47869  1.0
IN.....................................................     47870  1.0
IN.....................................................     47871  1.0
IN.....................................................     47872  7.1
IN.....................................................     47874  2.0
IN.....................................................     47875  7.1
IN.....................................................     47876  1.0
IN.....................................................     47878  1.0
IN.....................................................     47879  2.0
IN.....................................................     47880  7.1
IN.....................................................     47881  4.2
IN.....................................................     47882  7.3
IN.....................................................     47884  7.1
IN.....................................................     47885  1.0
IN.....................................................     47901  1.0
IN.....................................................     47902  1.0
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IN.....................................................     47904  1.0
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IN.....................................................     47907  1.0
IN.....................................................     47909  1.0
IN.....................................................     47916  4.0
IN.....................................................     47917  10.4
IN.....................................................     47918  7.3
IN.....................................................     47920  2.0
IN.....................................................     47921  10.4
IN.....................................................     47922  10.0
IN.....................................................     47923  2.0
IN.....................................................     47924  1.0
IN.....................................................     47925  7.3
IN.....................................................     47926  8.0
IN.....................................................     47928  2.0
IN.....................................................     47929  3.0
IN.....................................................     47930  2.0
IN.....................................................     47932  7.3
IN.....................................................     47933  4.0
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IN.....................................................     47935  4.0
IN.....................................................     47936  4.0
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IN.....................................................     47939  4.0
IN.....................................................     47940  5.2
IN.....................................................     47941  1.0
IN.....................................................     47942  10.4
IN.....................................................     47943  3.0
IN.....................................................     47944  10.4
IN.....................................................     47946  10.6
IN.....................................................     47948  10.0
IN.....................................................     47949  10.5
IN.....................................................     47950  8.0
IN.....................................................     47951  10.0
IN.....................................................     47952  10.5
IN.....................................................     47954  5.2
IN.....................................................     47955  6.1
IN.....................................................     47957  10.6
IN.....................................................     47958  10.5
IN.....................................................     47959  10.6
IN.....................................................     47960  7.3
IN.....................................................     47962  1.0
IN.....................................................     47963  10.4
IN.....................................................     47964  10.4
IN.....................................................     47965  4.0
IN.....................................................     47966  2.0
IN.....................................................     47967  6.1
IN.....................................................     47968  5.2
IN.....................................................     47969  7.3
IN.....................................................     47970  2.0
IN.....................................................     47971  2.0
IN.....................................................     47974  2.0
IN.....................................................     47975  2.0
IN.....................................................     47977  10.6
IN.....................................................     47978  7.0
IN.....................................................     47980  3.0
IN.....................................................     47981  2.0
IN.....................................................     47982  7.3
IN.....................................................     47983  1.0
IN.....................................................     47984  10.4
IN.....................................................     47986  10.4
IN.....................................................     47987  10.5
IN.....................................................     47988  10.5
IN.....................................................     47989  5.0
IN.....................................................     47990  5.0
IN.....................................................     47991  3.0
IN.....................................................     47992  2.0
IN.....................................................     47993  2.0
IN.....................................................     47994  6.1
IN.....................................................     47995  10.4
IN.....................................................     47996  1.0
IN.....................................................     47997  7.3
KS.....................................................     66002  4.0
KS.....................................................     66006  7.3
KS.....................................................     66007  2.0
KS.....................................................     66008  10.4
KS.....................................................     66010  10.4
KS.....................................................     66012  1.0
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KS.....................................................     66014  10.1
KS.....................................................     66015  10.6
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KS.....................................................     66025  2.1
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KS.....................................................     66027  4.2
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KS.....................................................     66033  7.0
KS.....................................................     66035  10.0
KS.....................................................     66036  7.1
KS.....................................................     66039  10.6
KS.....................................................     66040  10.1
KS.....................................................     66041  5.0
KS.....................................................     66042  5.2
KS.....................................................     66043  4.2
KS.....................................................     66044  1.0
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KS.....................................................     66048  4.2
KS.....................................................     66049  1.0
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KS.....................................................     66056  10.4
KS.....................................................     66058  5.0
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KS.....................................................     66061  1.0
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KS.....................................................     66070  2.0
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KS.....................................................     66282  1.0
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KS.....................................................     66285  1.0
KS.....................................................     66286  1.0
KS.....................................................     66401  10.4
KS.....................................................     66402  2.0
KS.....................................................     66403  10.3
KS.....................................................     66404  10.0
KS.....................................................     66406  10.3
KS.....................................................     66407  10.4
KS.....................................................     66408  10.0
KS.....................................................     66409  2.0
KS.....................................................     66411  10.6
KS.....................................................     66412  10.3
KS.....................................................     66413  2.0
KS.....................................................     66414  2.0
KS.....................................................     66415  10.0
KS.....................................................     66416  2.0
KS.....................................................     66417  10.0
KS.....................................................     66418  2.0
KS.....................................................     66419  2.0
KS.....................................................     66420  1.0
KS.....................................................     66422  10.4
KS.....................................................     66423  2.0
KS.....................................................     66424  10.6
KS.....................................................     66425  10.0
KS.....................................................     66426  10.5
KS.....................................................     66427  10.6
KS.....................................................     66428  10.0
KS.....................................................     66429  2.0
KS.....................................................     66431  2.0
KS.....................................................     66432  10.5
KS.....................................................     66434  7.0
KS.....................................................     66436  7.3
KS.....................................................     66438  10.3
KS.....................................................     66439  10.6
KS.....................................................     66440  2.0
KS.....................................................     66441  4.0
KS.....................................................     66442  4.0
KS.....................................................     66449  4.0
KS.....................................................     66451  2.0
KS.....................................................     66501  10.4
KS.....................................................     66502  4.0
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KS.....................................................     66518  10.3
KS.....................................................     66520  10.5
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KS.....................................................     66547  7.4
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KS.....................................................     66549  10.5
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KS.....................................................     66713  7.3
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KS.....................................................     66724  5.0
KS.....................................................     66725  7.3
KS.....................................................     66728  2.0
KS.....................................................     66732  10.6
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KS.....................................................     66771  10.6
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KS.....................................................     66773  5.0
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KS.....................................................     66783  10.6
KS.....................................................     66801  4.0
KS.....................................................     66830  5.0
KS.....................................................     66833  5.0
KS.....................................................     66834  10.4
KS.....................................................     66835  5.0
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KS.....................................................     66839  7.0
KS.....................................................     66840  10.5
KS.....................................................     66842  3.0
KS.....................................................     66843  10.5
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KS.....................................................     66850  10.5
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KS.....................................................     66852  10.6
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KS.....................................................     66854  5.0
KS.....................................................     66855  10.6
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KS.....................................................     66858  10.0
KS.....................................................     66859  10.0
KS.....................................................     66860  10.6
KS.....................................................     66861  10.6
KS.....................................................     66862  10.5
KS.....................................................     66863  10.6
KS.....................................................     66864  5.0
KS.....................................................     66865  5.0
KS.....................................................     66866  10.5
KS.....................................................     66868  5.0
KS.....................................................     66869  10.5
KS.....................................................     66870  10.6
KS.....................................................     66871  10.6
KS.....................................................     66872  10.0
KS.....................................................     66873  10.0
KS.....................................................     66901  7.0
KS.....................................................     66930  10.0
KS.....................................................     66932  10.0
KS.....................................................     66933  10.0
KS.....................................................     66935  10.0
KS.....................................................     66936  10.0
KS.....................................................     66937  10.0
KS.....................................................     66938  10.3
KS.....................................................     66939  10.0
KS.....................................................     66940  10.0
KS.....................................................     66941  10.0
KS.....................................................     66942  10.0
KS.....................................................     66943  10.0
KS.....................................................     66944  10.0
KS.....................................................     66945  10.0
KS.....................................................     66946  10.0
KS.....................................................     66948  10.3
KS.....................................................     66949  10.6
KS.....................................................     66951  10.0
KS.....................................................     66952  10.0
KS.....................................................     66953  10.0
KS.....................................................     66955  10.0
KS.....................................................     66956  10.6
KS.....................................................     66958  10.0
KS.....................................................     66959  10.0
KS.....................................................     66960  10.0
KS.....................................................     66961  10.0
KS.....................................................     66962  10.0
KS.....................................................     66963  10.6
KS.....................................................     66964  10.0
KS.....................................................     66966  10.0
KS.....................................................     66967  10.0
KS.....................................................     66968  10.0
KS.....................................................     66970  10.0
KS.....................................................     67001  2.0
KS.....................................................     67002  1.0
KS.....................................................     67003  10.0
KS.....................................................     67004  2.0
KS.....................................................     67005  4.0
KS.....................................................     67008  10.5
KS.....................................................     67009  10.0
KS.....................................................     67010  2.0
KS.....................................................     67012  3.0
KS.....................................................     67013  2.0
KS.....................................................     67016  2.0
KS.....................................................     67017  2.0
KS.....................................................     67018  10.0
KS.....................................................     67019  10.5
KS.....................................................     67020  2.0
KS.....................................................     67021  10.3
KS.....................................................     67022  10.6
KS.....................................................     67023  10.5
KS.....................................................     67024  10.0
KS.....................................................     67025  2.0
KS.....................................................     67026  1.0
KS.....................................................     67028  10.3
KS.....................................................     67029  10.0
KS.....................................................     67030  2.0
KS.....................................................     67031  2.0
KS.....................................................     67035  10.6
KS.....................................................     67036  10.4
KS.....................................................     67037  1.0
KS.....................................................     67038  10.5
KS.....................................................     67039  2.0
KS.....................................................     67041  4.2
KS.....................................................     67042  4.2
KS.....................................................     67045  7.0
KS.....................................................     67047  10.6
KS.....................................................     67049  10.4
KS.....................................................     67050  2.0
KS.....................................................     67051  10.4
KS.....................................................     67052  2.0
KS.....................................................     67053  10.5
KS.....................................................     67054  10.0
KS.....................................................     67055  1.0
KS.....................................................     67056  2.0
KS.....................................................     67057  10.0
KS.....................................................     67058  10.4
KS.....................................................     67059  10.0
KS.....................................................     67060  1.0
KS.....................................................     67061  10.0
KS.....................................................     67062  7.4
KS.....................................................     67063  7.0
KS.....................................................     67065  10.0
KS.....................................................     67066  10.3
KS.....................................................     67067  1.0
KS.....................................................     67068  7.3
KS.....................................................     67070  10.0
KS.....................................................     67071  10.0
KS.....................................................     67072  3.0
KS.....................................................     67073  7.0
KS.....................................................     67074  3.0
KS.....................................................     67101  1.0
KS.....................................................     67102  10.5
KS.....................................................     67103  2.0
KS.....................................................     67104  10.0
KS.....................................................     67105  2.0
KS.....................................................     67106  2.0
KS.....................................................     67107  10.5
KS.....................................................     67108  2.0
KS.....................................................     67109  10.0
KS.....................................................     67110  1.0
KS.....................................................     67111  2.0
KS.....................................................     67112  10.6
KS.....................................................     67114  4.2
KS.....................................................     67117  4.2
KS.....................................................     67118  2.0
KS.....................................................     67119  10.4
KS.....................................................     67120  2.0
KS.....................................................     67122  10.6
KS.....................................................     67123  2.0
KS.....................................................     67124  7.0
KS.....................................................     67127  10.0
KS.....................................................     67128  10.6
KS.....................................................     67131  2.0
KS.....................................................     67132  3.0
KS.....................................................     67133  2.0
KS.....................................................     67134  10.3
KS.....................................................     67135  2.0
KS.....................................................     67137  10.6
KS.....................................................     67138  10.0
KS.....................................................     67140  10.6
KS.....................................................     67142  10.6
KS.....................................................     67143  10.0
KS.....................................................     67144  2.0
KS.....................................................     67146  2.0
KS.....................................................     67147  1.0
KS.....................................................     67149  2.0
KS.....................................................     67150  10.0
KS.....................................................     67151  7.4
KS.....................................................     67152  7.3
KS.....................................................     67154  2.0
KS.....................................................     67155  10.0
KS.....................................................     67156  4.0
KS.....................................................     67159  10.6

[[Page 70110]]

 
KS.....................................................     67201  1.0
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KS.....................................................     67230  1.0
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KS.....................................................     67233  2.0
KS.....................................................     67235  1.0
KS.....................................................     67236  1.0
KS.....................................................     67251  1.0
KS.....................................................     67256  1.0
KS.....................................................     67257  1.0
KS.....................................................     67259  1.0
KS.....................................................     67260  1.0
KS.....................................................     67275  1.0
KS.....................................................     67276  1.0
KS.....................................................     67277  1.0
KS.....................................................     67278  1.0
KS.....................................................     67301  4.0
KS.....................................................     67330  5.0
KS.....................................................     67332  10.5
KS.....................................................     67333  10.5
KS.....................................................     67334  10.0
KS.....................................................     67335  5.0
KS.....................................................     67336  10.5
KS.....................................................     67337  4.0
KS.....................................................     67340  4.0
KS.....................................................     67341  5.0
KS.....................................................     67342  10.5
KS.....................................................     67344  5.0
KS.....................................................     67345  10.4
KS.....................................................     67346  10.4
KS.....................................................     67347  5.0
KS.....................................................     67349  10.4
KS.....................................................     67351  5.0
KS.....................................................     67352  10.4
KS.....................................................     67353  10.4
KS.....................................................     67354  5.0
KS.....................................................     67355  10.0
KS.....................................................     67356  10.5
KS.....................................................     67357  4.0
KS.....................................................     67360  10.0
KS.....................................................     67361  10.0
KS.....................................................     67363  4.0
KS.....................................................     67364  10.5
KS.....................................................     67401  4.0
KS.....................................................     67402  4.0
KS.....................................................     67410  7.0
KS.....................................................     67416  5.0
KS.....................................................     67417  10.3
KS.....................................................     67418  10.0
KS.....................................................     67420  7.0
KS.....................................................     67422  5.0
KS.....................................................     67423  10.0
KS.....................................................     67425  5.0
KS.....................................................     67427  10.6
KS.....................................................     67428  5.0
KS.....................................................     67430  10.3
KS.....................................................     67431  10.6
KS.....................................................     67432  7.0
KS.....................................................     67436  10.5
KS.....................................................     67437  10.0
KS.....................................................     67438  10.0
KS.....................................................     67439  7.0
KS.....................................................     67441  10.6
KS.....................................................     67442  5.0
KS.....................................................     67443  5.0
KS.....................................................     67444  10.6
KS.....................................................     67445  10.3
KS.....................................................     67446  10.3
KS.....................................................     67447  10.6
KS.....................................................     67448  5.0
KS.....................................................     67449  10.5
KS.....................................................     67450  10.3
KS.....................................................     67451  10.6
KS.....................................................     67452  10.3
KS.....................................................     67454  10.3
KS.....................................................     67455  10.0
KS.....................................................     67456  7.4
KS.....................................................     67457  10.6
KS.....................................................     67458  10.6
KS.....................................................     67459  10.3
KS.....................................................     67460  4.0
KS.....................................................     67464  10.5
KS.....................................................     67466  10.3
KS.....................................................     67467  10.5
KS.....................................................     67468  10.6
KS.....................................................     67470  5.0
KS.....................................................     67473  10.0
KS.....................................................     67474  10.0
KS.....................................................     67475  10.0
KS.....................................................     67476  5.0
KS.....................................................     67478  7.0
KS.....................................................     67480  10.5
KS.....................................................     67481  10.0
KS.....................................................     67482  10.6
KS.....................................................     67483  10.0
KS.....................................................     67484  10.5
KS.....................................................     67485  10.3
KS.....................................................     67487  10.6
KS.....................................................     67490  7.0
KS.....................................................     67491  10.5
KS.....................................................     67492  10.6
KS.....................................................     67501  4.0
KS.....................................................     67502  4.0
KS.....................................................     67504  4.0
KS.....................................................     67505  4.0
KS.....................................................     67510  5.0
KS.....................................................     67511  5.0
KS.....................................................     67512  7.0
KS.....................................................     67513  10.0
KS.....................................................     67514  5.0
KS.....................................................     67515  10.0
KS.....................................................     67516  10.0
KS.....................................................     67518  10.0
KS.....................................................     67519  10.0
KS.....................................................     67520  10.5
KS.....................................................     67521  10.0
KS.....................................................     67522  5.0
KS.....................................................     67523  10.6
KS.....................................................     67524  10.6
KS.....................................................     67525  10.2
KS.....................................................     67526  10.2
KS.....................................................     67529  10.6
KS.....................................................     67530  4.0
KS.....................................................     67543  5.0
KS.....................................................     67544  5.0
KS.....................................................     67545  10.0
KS.....................................................     67546  10.5
KS.....................................................     67547  10.0
KS.....................................................     67548  10.5
KS.....................................................     67550  7.0
KS.....................................................     67552  10.0
KS.....................................................     67553  10.0
KS.....................................................     67554  7.0
KS.....................................................     67556  10.0
KS.....................................................     67557  10.0
KS.....................................................     67559  10.0
KS.....................................................     67560  10.0
KS.....................................................     67561  5.0
KS.....................................................     67563  10.0
KS.....................................................     67564  5.0
KS.....................................................     67565  10.5
KS.....................................................     67566  5.0
KS.....................................................     67567  5.0
KS.....................................................     67568  5.0
KS.....................................................     67570  6.0
KS.....................................................     67572  10.0
KS.....................................................     67573  7.0
KS.....................................................     67574  10.6
KS.....................................................     67575  10.0
KS.....................................................     67576  10.0
KS.....................................................     67578  10.0
KS.....................................................     67579  7.0
KS.....................................................     67581  5.0
KS.....................................................     67583  5.0
KS.....................................................     67584  10.0
KS.....................................................     67585  5.0
KS.....................................................     67601  4.0
KS.....................................................     67621  10.3
KS.....................................................     67622  7.0
KS.....................................................     67623  10.0
KS.....................................................     67625  10.0
KS.....................................................     67626  10.6
KS.....................................................     67627  5.0
KS.....................................................     67628  10.0
KS.....................................................     67629  7.0
KS.....................................................     67631  10.0
KS.....................................................     67632  10.5
KS.....................................................     67634  10.6
KS.....................................................     67635  10.0
KS.....................................................     67637  5.0
KS.....................................................     67638  10.0
KS.....................................................     67639  10.3
KS.....................................................     67640  10.6
KS.....................................................     67642  10.0
KS.....................................................     67643  10.0
KS.....................................................     67644  10.3
KS.....................................................     67645  7.0
KS.....................................................     67646  10.6
KS.....................................................     67647  10.6
KS.....................................................     67648  10.6
KS.....................................................     67649  10.6
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[[Page 70111]]

 
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KS.....................................................     67656  10.0
KS.....................................................     67657  10.5
KS.....................................................     67658  10.6
KS.....................................................     67659  10.0
KS.....................................................     67660  5.0
KS.....................................................     67661  7.0
KS.....................................................     67663  10.5
KS.....................................................     67664  10.6
KS.....................................................     67665  7.0
KS.....................................................     67667  4.0
KS.....................................................     67669  10.0
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KS.....................................................     67672  10.0
KS.....................................................     67673  10.6
KS.....................................................     67674  5.0
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KS.....................................................     67701  7.0
KS.....................................................     67730  10.0
KS.....................................................     67731  10.0
KS.....................................................     67732  10.3
KS.....................................................     67733  8.0
KS.....................................................     67734  10.3
KS.....................................................     67735  7.0
KS.....................................................     67736  10.0
KS.....................................................     67737  10.0
KS.....................................................     67738  10.0
KS.....................................................     67739  10.0
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KS.....................................................     67741  8.0
KS.....................................................     67743  10.3
KS.....................................................     67744  10.0
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KS.....................................................     67749  10.0
KS.....................................................     67751  10.0
KS.....................................................     67752  10.0
KS.....................................................     67753  10.3
KS.....................................................     67756  10.0
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KS.....................................................     67758  10.0
KS.....................................................     67761  10.0
KS.....................................................     67762  10.0
KS.....................................................     67764  10.0
KS.....................................................     67801  4.0
KS.....................................................     67831  10.5
KS.....................................................     67834  5.0
KS.....................................................     67835  10.5
KS.....................................................     67836  10.0
KS.....................................................     67837  10.5
KS.....................................................     67838  10.5
KS.....................................................     67839  10.0
KS.....................................................     67840  10.5
KS.....................................................     67841  10.5
KS.....................................................     67842  5.0
KS.....................................................     67843  4.0
KS.....................................................     67844  10.5
KS.....................................................     67846  4.0
KS.....................................................     67849  10.5
KS.....................................................     67850  10.0
KS.....................................................     67851  5.0
KS.....................................................     67853  10.5
KS.....................................................     67854  10.5
KS.....................................................     67855  10.0
KS.....................................................     67857  10.0
KS.....................................................     67859  5.0
KS.....................................................     67860  10.5
KS.....................................................     67861  10.0
KS.....................................................     67862  10.0
KS.....................................................     67863  7.0
KS.....................................................     67864  10.0
KS.....................................................     67865  10.5
KS.....................................................     67867  10.5
KS.....................................................     67868  5.0
KS.....................................................     67869  10.5
KS.....................................................     67870  10.0
KS.....................................................     67871  7.0
KS.....................................................     67876  5.0
KS.....................................................     67877  10.0
KS.....................................................     67878  10.0
KS.....................................................     67879  10.0
KS.....................................................     67880  7.0
KS.....................................................     67882  5.0
KS.....................................................     67901  4.0
KS.....................................................     67905  4.0
KS.....................................................     67950  10.0
KS.....................................................     67951  7.0
KS.....................................................     67952  10.6
KS.....................................................     67953  10.0
KS.....................................................     67954  10.0
KY.....................................................     40003  5.0
KY.....................................................     40004  4.2
KY.....................................................     40006  3.0
KY.....................................................     40007  10.0
KY.....................................................     40008  6.1
KY.....................................................     40009  8.0
KY.....................................................     40010  2.0
KY.....................................................     40011  3.0
KY.....................................................     40012  6.1
KY.....................................................     40013  5.1
KY.....................................................     40014  1.0
KY.....................................................     40018  1.0
KY.....................................................     40019  2.0
KY.....................................................     40020  5.1
KY.....................................................     40022  2.0
KY.....................................................     40023  1.0
KY.....................................................     40025  1.0
KY.....................................................     40026  1.0
KY.....................................................     40027  1.0
KY.....................................................     40031  2.0
KY.....................................................     40032  2.0
KY.....................................................     40033  7.0
KY.....................................................     40036  10.0
KY.....................................................     40037  10.5
KY.....................................................     40040  10.0
KY.....................................................     40041  1.0
KY.....................................................     40045  6.0
KY.....................................................     40046  2.0
KY.....................................................     40047  1.0
KY.....................................................     40048  4.2
KY.....................................................     40049  10.5
KY.....................................................     40050  10.4
KY.....................................................     40051  5.0
KY.....................................................     40052  5.0
KY.....................................................     40055  2.0
KY.....................................................     40056  1.0
KY.....................................................     40057  10.0
KY.....................................................     40058  3.0
KY.....................................................     40059  1.0
KY.....................................................     40060  8.0
KY.....................................................     40061  10.5
KY.....................................................     40062  8.0
KY.....................................................     40063  7.0
KY.....................................................     40065  4.2
KY.....................................................     40066  4.2
KY.....................................................     40067  2.0
KY.....................................................     40068  2.0
KY.....................................................     40069  10.5
KY.....................................................     40070  10.4
KY.....................................................     40071  2.0
KY.....................................................     40075  3.0
KY.....................................................     40076  5.0
KY.....................................................     40077  2.0
KY.....................................................     40078  10.0
KY.....................................................     40104  3.0
KY.....................................................     40107  5.2
KY.....................................................     40108  10.1
KY.....................................................     40109  1.0
KY.....................................................     40110  1.0
KY.....................................................     40111  10.0
KY.....................................................     40115  3.0
KY.....................................................     40117  2.0
KY.....................................................     40118  1.0
KY.....................................................     40119  10.0
KY.....................................................     40121  1.0
KY.....................................................     40129  1.0
KY.....................................................     40140  10.4
KY.....................................................     40142  10.1
KY.....................................................     40143  10.0
KY.....................................................     40144  10.0
KY.....................................................     40145  3.0
KY.....................................................     40146  10.4
KY.....................................................     40150  2.0
KY.....................................................     40152  3.0
KY.....................................................     40153  10.0
KY.....................................................     40155  1.0
KY.....................................................     40157  3.0
KY.....................................................     40159  1.0
KY.....................................................     40160  1.0
KY.....................................................     40161  3.0
KY.....................................................     40162  2.1
KY.....................................................     40164  3.0
KY.....................................................     40165  1.0
KY.....................................................     40170  10.0
KY.....................................................     40171  10.4
KY.....................................................     40175  2.0
KY.....................................................     40176  3.0
KY.....................................................     40177  1.0
KY.....................................................     40178  3.0
KY.....................................................     40201  1.0
KY.....................................................     40202  1.0
KY.....................................................     40203  1.0
KY.....................................................     40204  1.0
KY.....................................................     40205  1.0
KY.....................................................     40206  1.0
KY.....................................................     40207  1.0
KY.....................................................     40208  1.0
KY.....................................................     40209  1.0
KY.....................................................     40210  1.0
KY.....................................................     40211  1.0
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KY.....................................................     40213  1.0
KY.....................................................     40214  1.0
KY.....................................................     40215  1.0
KY.....................................................     40216  1.0
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KY.....................................................     40220  1.0
KY.....................................................     40221  1.0
KY.....................................................     40222  1.0
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[[Page 70112]]

 
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KY.....................................................     40242  1.0
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KY.....................................................     40266  1.0
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KY.....................................................     40269  1.0
KY.....................................................     40270  1.0
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KY.....................................................     40280  1.0
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KY.....................................................     40283  1.0
KY.....................................................     40285  1.0
KY.....................................................     40287  1.0
KY.....................................................     40289  1.0
KY.....................................................     40290  1.0
KY.....................................................     40291  1.0
KY.....................................................     40292  1.0
KY.....................................................     40293  1.0
KY.....................................................     40294  1.0
KY.....................................................     40295  1.0
KY.....................................................     40296  1.0
KY.....................................................     40297  1.0
KY.....................................................     40298  1.0
KY.....................................................     40299  1.0
KY.....................................................     40310  7.4
KY.....................................................     40311  10.5
KY.....................................................     40312  9.0
KY.....................................................     40313  7.0
KY.....................................................     40316  10.5
KY.....................................................     40317  8.0
KY.....................................................     40319  8.0
KY.....................................................     40320  4.2
KY.....................................................     40322  10.5
KY.....................................................     40324  4.2
KY.....................................................     40328  8.0
KY.....................................................     40329  8.0
KY.....................................................     40330  7.4
KY.....................................................     40334  5.0
KY.....................................................     40336  7.3
KY.....................................................     40337  5.0
KY.....................................................     40339  4.1
KY.....................................................     40340  2.0
KY.....................................................     40342  7.4
KY.....................................................     40346  6.0
KY.....................................................     40347  3.0
KY.....................................................     40348  4.2
KY.....................................................     40350  10.5
KY.....................................................     40351  8.0
KY.....................................................     40353  4.2
KY.....................................................     40355  10.4
KY.....................................................     40356  2.0
KY.....................................................     40357  4.2
KY.....................................................     40358  10.6
KY.....................................................     40359  10.5
KY.....................................................     40360  10.5
KY.....................................................     40361  4.2
KY.....................................................     40362  4.2
KY.....................................................     40363  10.5
KY.....................................................     40366  10.5
KY.....................................................     40370  5.2
KY.....................................................     40371  10.6
KY.....................................................     40372  9.1
KY.....................................................     40374  10.5
KY.....................................................     40376  7.4
KY.....................................................     40379  5.2
KY.....................................................     40380  7.4
KY.....................................................     40383  4.1
KY.....................................................     40384  4.1
KY.....................................................     40385  5.2
KY.....................................................     40386  4.1
KY.....................................................     40387  10.5
KY.....................................................     40390  7.3
KY.....................................................     40391  4.2
KY.....................................................     40392  4.2
KY.....................................................     40402  10.5
KY.....................................................     40403  4.0
KY.....................................................     40404  4.0
KY.....................................................     40405  4.0
KY.....................................................     40409  7.4
KY.....................................................     40410  7.4
KY.....................................................     40419  10.5
KY.....................................................     40421  10.0
KY.....................................................     40422  4.0
KY.....................................................     40423  4.0
KY.....................................................     40434  10.0
KY.....................................................     40437  5.0
KY.....................................................     40440  4.0
KY.....................................................     40442  10.5
KY.....................................................     40444  7.4
KY.....................................................     40445  7.4
KY.....................................................     40446  7.4
KY.....................................................     40447  10.0
KY.....................................................     40448  7.2
KY.....................................................     40452  4.0
KY.....................................................     40456  7.4
KY.....................................................     40460  10.6
KY.....................................................     40461  6.0
KY.....................................................     40464  4.0
KY.....................................................     40467  10.5
KY.....................................................     40468  5.0
KY.....................................................     40472  7.3
KY.....................................................     40473  7.4
KY.....................................................     40475  4.2
KY.....................................................     40476  4.2
KY.....................................................     40481  10.0
KY.....................................................     40484  7.2
KY.....................................................     40486  10.5
KY.....................................................     40488  10.0
KY.....................................................     40489  10.5
KY.....................................................     40492  7.4
KY.....................................................     40495  7.3
KY.....................................................     40502  1.0
KY.....................................................     40503  1.0
KY.....................................................     40504  1.0
KY.....................................................     40505  1.0
KY.....................................................     40506  1.0
KY.....................................................     40507  1.0
KY.....................................................     40508  1.0
KY.....................................................     40509  1.0
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KY.....................................................     40511  1.0
KY.....................................................     40512  1.0
KY.....................................................     40513  1.0
KY.....................................................     40514  1.0
KY.....................................................     40515  1.0
KY.....................................................     40516  2.0
KY.....................................................     40517  1.0
KY.....................................................     40522  1.0
KY.....................................................     40523  1.0
KY.....................................................     40524  1.0
KY.....................................................     40526  1.0
KY.....................................................     40533  1.0
KY.....................................................     40536  1.0
KY.....................................................     40544  1.0
KY.....................................................     40546  1.0
KY.....................................................     40550  1.0
KY.....................................................     40555  1.0
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KY.....................................................     40588  1.0
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KY.....................................................     40590  1.0
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KY.....................................................     40601  4.0
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KY.....................................................     40701  4.0
KY.....................................................     40702  4.0
KY.....................................................     40724  5.0
KY.....................................................     40729  5.0
KY.....................................................     40730  7.4
KY.....................................................     40734  10.2
KY.....................................................     40737  5.0
KY.....................................................     40740  4.0
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KY.....................................................     40745  5.0
KY.....................................................     40751  5.0
KY.....................................................     40754  8.0
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KY.....................................................     40759  10.6
KY.....................................................     40763  8.0
KY.....................................................     40769  7.4
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[[Page 70113]]

 
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KY.....................................................     40913  6.0
KY.....................................................     40914  8.0
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KY.....................................................     40921  10.6
KY.....................................................     40923  9.0
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KY.....................................................     40930  8.4
KY.....................................................     40931  8.0
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KY.....................................................     40935  10.3
KY.....................................................     40939  10.5
KY.....................................................     40940  10.5
KY.....................................................     40941  7.0
KY.....................................................     40943  9.0
KY.....................................................     40944  8.0
KY.....................................................     40946  9.0
KY.....................................................     40949  10.3
KY.....................................................     40951  7.0
KY.....................................................     40953  10.3
KY.....................................................     40955  10.5
KY.....................................................     40958  6.0
KY.....................................................     40962  7.0
KY.....................................................     40964  7.0
KY.....................................................     40965  4.0
KY.....................................................     40972  10.6
KY.....................................................     40977  10.5
KY.....................................................     40979  10.0
KY.....................................................     40981  10.6
KY.....................................................     40982  8.4
KY.....................................................     40983  9.0
KY.....................................................     40988  6.0
KY.....................................................     40995  10.6
KY.....................................................     40997  8.4
KY.....................................................     40999  9.0
KY.....................................................     41001  1.0
KY.....................................................     41002  10.4
KY.....................................................     41003  8.0
KY.....................................................     41004  2.0
KY.....................................................     41005  1.0
KY.....................................................     41006  2.0
KY.....................................................     41007  2.0
KY.....................................................     41008  7.0
KY.....................................................     41010  2.0
KY.....................................................     41011  1.0
KY.....................................................     41012  1.0
KY.....................................................     41014  1.0
KY.....................................................     41015  1.0
KY.....................................................     41016  1.0
KY.....................................................     41017  1.0
KY.....................................................     41018  1.0
KY.....................................................     41019  1.0
KY.....................................................     41022  1.0
KY.....................................................     41030  2.0
KY.....................................................     41031  7.3
KY.....................................................     41033  2.0
KY.....................................................     41034  5.0
KY.....................................................     41035  2.0
KY.....................................................     41037  8.0
KY.....................................................     41039  8.0
KY.....................................................     41040  10.1
KY.....................................................     41041  7.0
KY.....................................................     41042  1.0
KY.....................................................     41043  2.0
KY.....................................................     41044  2.0
KY.....................................................     41045  8.0
KY.....................................................     41046  2.0
KY.....................................................     41048  1.0
KY.....................................................     41049  10.6
KY.....................................................     41051  1.0
KY.....................................................     41052  2.0
KY.....................................................     41053  2.0
KY.....................................................     41054  2.0
KY.....................................................     41055  10.2
KY.....................................................     41056  4.0
KY.....................................................     41059  1.0
KY.....................................................     41061  2.0
KY.....................................................     41062  4.0
KY.....................................................     41063  2.0
KY.....................................................     41064  10.6
KY.....................................................     41065  10.6
KY.....................................................     41071  1.0
KY.....................................................     41072  1.0
KY.....................................................     41073  1.0
KY.....................................................     41074  1.0
KY.....................................................     41075  1.0
KY.....................................................     41076  1.0
KY.....................................................     41080  2.0
KY.....................................................     41081  10.6
KY.....................................................     41083  8.0
KY.....................................................     41085  1.0
KY.....................................................     41086  2.0
KY.....................................................     41091  1.0
KY.....................................................     41092  2.0
KY.....................................................     41093  10.6
KY.....................................................     41094  1.0
KY.....................................................     41095  2.0
KY.....................................................     41096  4.0
KY.....................................................     41097  2.0
KY.....................................................     41098  8.0
KY.....................................................     41099  1.0
KY.....................................................     41101  1.0
KY.....................................................     41102  1.0
KY.....................................................     41105  1.0
KY.....................................................     41114  1.0
KY.....................................................     41121  1.0
KY.....................................................     41124  10.6
KY.....................................................     41128  10.6
KY.....................................................     41129  2.0
KY.....................................................     41132  8.3
KY.....................................................     41135  10.0
KY.....................................................     41137  10.0
KY.....................................................     41139  1.0
KY.....................................................     41141  10.0
KY.....................................................     41142  10.6
KY.....................................................     41143  7.3
KY.....................................................     41144  2.0
KY.....................................................     41146  8.3
KY.....................................................     41149  10.6
KY.....................................................     41156  2.0
KY.....................................................     41159  10.6
KY.....................................................     41160  10.6
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KY.....................................................     41166  10.0
KY.....................................................     41168  2.0
KY.....................................................     41169  1.0
KY.....................................................     41171  10.6
KY.....................................................     41173  10.6
KY.....................................................     41174  4.0
KY.....................................................     41175  4.0
KY.....................................................     41179  10.5
KY.....................................................     41180  9.1
KY.....................................................     41181  7.3
KY.....................................................     41183  1.0
KY.....................................................     41189  10.0
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KY.....................................................     41203  10.0
KY.....................................................     41204  8.0
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KY.....................................................     41216  10.6
KY.....................................................     41219  8.0
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KY.....................................................     41224  10.0
KY.....................................................     41226  8.0
KY.....................................................     41230  7.3
KY.....................................................     41231  10.6
KY.....................................................     41232  8.0
KY.....................................................     41234  7.0
KY.....................................................     41238  8.0
KY.....................................................     41240  7.0
KY.....................................................     41250  10.6
KY.....................................................     41254  10.0
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[[Page 70114]]

 
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KY.....................................................     41562  10.3
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KY.....................................................     41606  10.0
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KY.....................................................     41721  10.6
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KY.....................................................     41725  9.0
KY.....................................................     41727  8.0
KY.....................................................     41729  8.0
KY.....................................................     41730  10.0
KY.....................................................     41731  10.3
KY.....................................................     41735  10.3
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KY.....................................................     41747  8.0
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KY.....................................................     41762  10.0
KY.....................................................     41763  10.3
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KY.....................................................     41839  10.0
KY.....................................................     41840  10.0
KY.....................................................     41843  10.6
KY.....................................................     41844  10.0
KY.....................................................     41845  10.0
KY.....................................................     41847  10.6
KY.....................................................     41848  10.0
KY.....................................................     41849  10.0
KY.....................................................     41855  10.0
KY.....................................................     41858  10.0
KY.....................................................     41859  10.0
KY.....................................................     41861  10.0
KY.....................................................     41862  10.0
KY.....................................................     41901  1.0
KY.....................................................     41902  1.0
KY.....................................................     41903  1.0
KY.....................................................     41904  1.0
KY.....................................................     41905  1.0
KY.....................................................     41906  1.0
KY.....................................................     42001  4.0
KY.....................................................     42002  4.0
KY.....................................................     42003  4.0
KY.....................................................     42020  5.0
KY.....................................................     42021  10.5
KY.....................................................     42022  10.2
KY.....................................................     42023  10.5
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KY.....................................................     42025  7.4
KY.....................................................     42027  5.0
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[[Page 70115]]

 
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KY.....................................................     42120  8.3
KY.....................................................     42122  2.0
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KY.....................................................     42124  5.0
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KY.....................................................     42128  2.0
KY.....................................................     42129  10.5
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KY.....................................................     42134  7.3
KY.....................................................     42135  7.3
KY.....................................................     42140  10.0
KY.....................................................     42141  4.0
KY.....................................................     42142  4.0
KY.....................................................     42150  7.3
KY.....................................................     42151  10.0
KY.....................................................     42152  4.0
KY.....................................................     42153  8.3
KY.....................................................     42154  6.0
KY.....................................................     42156  5.0
KY.....................................................     42157  10.0
KY.....................................................     42159  2.0
KY.....................................................     42160  5.0
KY.....................................................     42163  2.0
KY.....................................................     42164  7.3
KY.....................................................     42166  5.0
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KY.....................................................     42170  2.0
KY.....................................................     42171  2.0
KY.....................................................     42201  10.4
KY.....................................................     42202  10.4
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KY.....................................................     42206  10.6
KY.....................................................     42207  2.0
KY.....................................................     42209  10.4
KY.....................................................     42210  2.0
KY.....................................................     42211  7.4
KY.....................................................     42214  6.0
KY.....................................................     42215  5.0
KY.....................................................     42216  10.5
KY.....................................................     42217  5.0
KY.....................................................     42219  10.4
KY.....................................................     42220  10.5
KY.....................................................     42221  1.0
KY.....................................................     42223  1.0
KY.....................................................     42232  5.2
KY.....................................................     42234  10.4
KY.....................................................     42235  1.0
KY.....................................................     42236  5.0
KY.....................................................     42240  4.2
KY.....................................................     42241  4.2
KY.....................................................     42251  10.4
KY.....................................................     42252  10.4
KY.....................................................     42254  5.0
KY.....................................................     42256  8.0
KY.....................................................     42257  2.0
KY.....................................................     42259  10.4
KY.....................................................     42261  10.4
KY.....................................................     42262  1.0
KY.....................................................     42265  7.0
KY.....................................................     42266  1.0
KY.....................................................     42267  10.4
KY.....................................................     42270  1.0
KY.....................................................     42273  10.4
KY.....................................................     42274  2.0
KY.....................................................     42275  10.4
KY.....................................................     42276  7.0
KY.....................................................     42280  10.0
KY.....................................................     42283  10.6
KY.....................................................     42285  2.0
KY.....................................................     42286  10.4
KY.....................................................     42287  10.4
KY.....................................................     42288  10.4
KY.....................................................     42301  1.0
KY.....................................................     42302  1.0
KY.....................................................     42303  1.0
KY.....................................................     42304  1.0
KY.....................................................     42320  7.3
KY.....................................................     42321  6.0
KY.....................................................     42322  10.4
KY.....................................................     42323  6.0
KY.....................................................     42324  9.0
KY.....................................................     42325  6.0
KY.....................................................     42326  6.0
KY.....................................................     42327  10.4
KY.....................................................     42328  8.0
KY.....................................................     42330  4.0
KY.....................................................     42332  4.0
KY.....................................................     42333  7.3
KY.....................................................     42334  1.0
KY.....................................................     42337  6.0
KY.....................................................     42338  7.3
KY.....................................................     42339  9.0
KY.....................................................     42343  2.0
KY.....................................................     42344  10.5
KY.....................................................     42345  10.5
KY.....................................................     42347  7.3
KY.....................................................     42348  7.0
KY.....................................................     42349  8.0
KY.....................................................     42350  3.0
KY.....................................................     42351  10.4
KY.....................................................     42352  2.0
KY.....................................................     42354  8.0
KY.....................................................     42355  2.0
KY.....................................................     42356  1.0
KY.....................................................     42361  8.0
KY.....................................................     42364  7.0
KY.....................................................     42366  2.0
KY.....................................................     42367  10.5
KY.....................................................     42368  10.4
KY.....................................................     42369  8.0
KY.....................................................     42370  8.0
KY.....................................................     42371  10.4
KY.....................................................     42372  3.0
KY.....................................................     42374  4.0
KY.....................................................     42375  1.0
KY.....................................................     42376  2.0
KY.....................................................     42377  1.0
KY.....................................................     42378  2.0
KY.....................................................     42402  1.0
KY.....................................................     42403  10.5
KY.....................................................     42404  10.5
KY.....................................................     42406  2.0
KY.....................................................     42408  7.2
KY.....................................................     42409  10.4
KY.....................................................     42410  4.0
KY.....................................................     42411  8.0
KY.....................................................     42413  5.0
KY.....................................................     42419  1.0
KY.....................................................     42420  1.0
KY.....................................................     42431  4.0
KY.....................................................     42436  5.0
KY.....................................................     42437  7.0
KY.....................................................     42440  4.0
KY.....................................................     42441  5.0
KY.....................................................     42442  5.0
KY.....................................................     42444  10.4
KY.....................................................     42445  7.0
KY.....................................................     42450  7.4
KY.....................................................     42451  2.0
KY.....................................................     42452  2.0
KY.....................................................     42453  5.0
KY.....................................................     42455  10.4
KY.....................................................     42456  10.4
KY.....................................................     42457  2.0
KY.....................................................     42458  2.0
KY.....................................................     42459  10.6
KY.....................................................     42460  10.6
KY.....................................................     42461  8.0
KY.....................................................     42462  7.0
KY.....................................................     42463  10.5
KY.....................................................     42464  5.0
KY.....................................................     42501  4.0
KY.....................................................     42502  4.0
KY.....................................................     42503  4.0
KY.....................................................     42516  10.0
KY.....................................................     42518  5.0
KY.....................................................     42519  5.0
KY.....................................................     42528  10.5
KY.....................................................     42533  4.0
KY.....................................................     42539  10.5
KY.....................................................     42541  10.0

[[Page 70116]]

 
KY.....................................................     42544  5.0
KY.....................................................     42553  5.0
KY.....................................................     42558  5.0
KY.....................................................     42564  4.0
KY.....................................................     42565  10.5
KY.....................................................     42566  10.0
KY.....................................................     42567  5.0
KY.....................................................     42602  10.0
KY.....................................................     42603  8.0
KY.....................................................     42629  10.0
KY.....................................................     42631  10.5
KY.....................................................     42633  7.0
KY.....................................................     42634  6.0
KY.....................................................     42635  10.0
KY.....................................................     42638  10.5
KY.....................................................     42642  10.0
KY.....................................................     42647  10.5
KY.....................................................     42649  10.0
KY.....................................................     42653  10.5
KY.....................................................     42701  1.0
KY.....................................................     42702  1.0
KY.....................................................     42711  10.0
KY.....................................................     42712  8.3
KY.....................................................     42713  10.0
KY.....................................................     42715  8.0
KY.....................................................     42716  3.0
KY.....................................................     42717  10.0
KY.....................................................     42718  4.0
KY.....................................................     42719  4.0
KY.....................................................     42720  7.0
KY.....................................................     42721  8.0
KY.....................................................     42722  10.6
KY.....................................................     42724  2.0
KY.....................................................     42726  8.0
KY.....................................................     42728  7.0
KY.....................................................     42729  10.6
KY.....................................................     42731  10.5
KY.....................................................     42732  2.0
KY.....................................................     42733  5.0
KY.....................................................     42735  7.0
KY.....................................................     42740  2.0
KY.....................................................     42741  8.0
KY.....................................................     42742  8.0
KY.....................................................     42743  10.5
KY.....................................................     42746  10.6
KY.....................................................     42748  7.3
KY.....................................................     42749  7.4
KY.....................................................     42753  9.2
KY.....................................................     42754  7.0
KY.....................................................     42755  7.0
KY.....................................................     42757  10.0
KY.....................................................     42758  4.0
KY.....................................................     42759  10.0
KY.....................................................     42762  7.0
KY.....................................................     42764  3.0
KY.....................................................     42765  10.6
KY.....................................................     42776  2.0
KY.....................................................     42782  10.0
KY.....................................................     42783  2.0
KY.....................................................     42784  2.0
KY.....................................................     42786  10.0
KY.....................................................     42788  2.0
LA.....................................................     70001  1.0
LA.....................................................     70002  1.0
LA.....................................................     70003  1.0
LA.....................................................     70004  1.0
LA.....................................................     70005  1.0
LA.....................................................     70006  1.0
LA.....................................................     70009  1.0
LA.....................................................     70010  1.0
LA.....................................................     70011  1.0
LA.....................................................     70030  5.1
LA.....................................................     70031  2.0
LA.....................................................     70032  1.0
LA.....................................................     70033  1.0
LA.....................................................     70036  2.0
LA.....................................................     70037  1.0
LA.....................................................     70038  7.3
LA.....................................................     70039  2.0
LA.....................................................     70040  2.0
LA.....................................................     70041  7.3
LA.....................................................     70043  1.0
LA.....................................................     70044  1.0
LA.....................................................     70047  2.0
LA.....................................................     70049  2.0
LA.....................................................     70050  7.3
LA.....................................................     70051  4.1
LA.....................................................     70052  7.4
LA.....................................................     70053  1.0
LA.....................................................     70054  1.0
LA.....................................................     70055  1.0
LA.....................................................     70056  1.0
LA.....................................................     70057  2.0
LA.....................................................     70058  1.0
LA.....................................................     70059  1.0
LA.....................................................     70060  1.0
LA.....................................................     70062  1.0
LA.....................................................     70063  1.0
LA.....................................................     70064  1.0
LA.....................................................     70065  1.0
LA.....................................................     70067  2.0
LA.....................................................     70068  4.1
LA.....................................................     70069  4.1
LA.....................................................     70070  2.0
LA.....................................................     70071  7.4
LA.....................................................     70072  1.0
LA.....................................................     70073  1.0
LA.....................................................     70075  1.0
LA.....................................................     70076  4.1
LA.....................................................     70078  2.0
LA.....................................................     70079  2.0
LA.....................................................     70080  5.1
LA.....................................................     70081  2.0
LA.....................................................     70082  2.0
LA.....................................................     70083  7.3
LA.....................................................     70084  4.1
LA.....................................................     70085  1.0
LA.....................................................     70086  10.4
LA.....................................................     70087  1.0
LA.....................................................     70090  9.2
LA.....................................................     70091  7.3
LA.....................................................     70092  1.0
LA.....................................................     70094  1.0
LA.....................................................     70096  1.0
LA.....................................................     70112  1.0
LA.....................................................     70113  1.0
LA.....................................................     70114  1.0
LA.....................................................     70115  1.0
LA.....................................................     70116  1.0
LA.....................................................     70117  1.0
LA.....................................................     70118  1.0
LA.....................................................     70119  1.0
LA.....................................................     70121  1.0
LA.....................................................     70122  1.0
LA.....................................................     70123  1.0
LA.....................................................     70124  1.0
LA.....................................................     70125  1.0
LA.....................................................     70126  1.0
LA.....................................................     70127  1.0
LA.....................................................     70128  1.0
LA.....................................................     70129  1.0
LA.....................................................     70130  1.0
LA.....................................................     70131  1.0
LA.....................................................     70139  1.0
LA.....................................................     70140  1.0
LA.....................................................     70141  1.0
LA.....................................................     70142  1.0
LA.....................................................     70143  1.0
LA.....................................................     70145  1.0
LA.....................................................     70146  1.0
LA.....................................................     70148  1.0
LA.....................................................     70149  1.0
LA.....................................................     70150  1.0
LA.....................................................     70151  1.0
LA.....................................................     70152  1.0
LA.....................................................     70153  1.0
LA.....................................................     70154  1.0
LA.....................................................     70156  1.0
LA.....................................................     70157  1.0
LA.....................................................     70158  1.0
LA.....................................................     70159  1.0
LA.....................................................     70160  1.0
LA.....................................................     70161  1.0
LA.....................................................     70162  1.0
LA.....................................................     70163  1.0
LA.....................................................     70164  1.0
LA.....................................................     70165  1.0
LA.....................................................     70166  1.0
LA.....................................................     70167  1.0
LA.....................................................     70170  1.0
LA.....................................................     70172  1.0
LA.....................................................     70174  1.0
LA.....................................................     70175  1.0
LA.....................................................     70176  1.0
LA.....................................................     70177  1.0
LA.....................................................     70178  1.0
LA.....................................................     70179  1.0
LA.....................................................     70181  1.0
LA.....................................................     70182  1.0
LA.....................................................     70183  1.0
LA.....................................................     70184  1.0
LA.....................................................     70185  1.0
LA.....................................................     70186  1.0
LA.....................................................     70187  1.0
LA.....................................................     70189  1.0
LA.....................................................     70190  1.0
LA.....................................................     70195  1.0
LA.....................................................     70301  1.0
LA.....................................................     70302  1.0
LA.....................................................     70310  1.0
LA.....................................................     70339  7.3
LA.....................................................     70340  4.0
LA.....................................................     70341  4.2
LA.....................................................     70342  4.0
LA.....................................................     70343  1.0
LA.....................................................     70344  1.0
LA.....................................................     70345  4.2
LA.....................................................     70346  4.2
LA.....................................................     70352  1.0
LA.....................................................     70353  2.0
LA.....................................................     70354  4.2
LA.....................................................     70355  2.0
LA.....................................................     70356  2.0
LA.....................................................     70357  4.2
LA.....................................................     70358  2.0
LA.....................................................     70359  1.0
LA.....................................................     70360  1.0

[[Page 70117]]

 
LA.....................................................     70361  1.0
LA.....................................................     70363  1.0
LA.....................................................     70364  1.0
LA.....................................................     70371  1.0
LA.....................................................     70372  1.0
LA.....................................................     70373  4.2
LA.....................................................     70374  1.0
LA.....................................................     70375  2.0
LA.....................................................     70377  1.0
LA.....................................................     70380  4.0
LA.....................................................     70381  4.0
LA.....................................................     70390  4.2
LA.....................................................     70391  4.2
LA.....................................................     70392  4.0
LA.....................................................     70393  4.2
LA.....................................................     70394  1.0
LA.....................................................     70395  1.0
LA.....................................................     70397  2.0
LA.....................................................     70401  4.0
LA.....................................................     70402  4.0
LA.....................................................     70403  4.0
LA.....................................................     70404  4.0
LA.....................................................     70420  2.1
LA.....................................................     70421  4.0
LA.....................................................     70422  7.2
LA.....................................................     70426  5.0
LA.....................................................     70427  4.2
LA.....................................................     70429  4.2
LA.....................................................     70431  2.1
LA.....................................................     70433  1.1
LA.....................................................     70434  1.1
LA.....................................................     70435  2.1
LA.....................................................     70436  7.2
LA.....................................................     70437  2.0
LA.....................................................     70438  6.0
LA.....................................................     70441  10.4
LA.....................................................     70442  10.5
LA.....................................................     70443  5.0
LA.....................................................     70444  10.5
LA.....................................................     70445  1.1
LA.....................................................     70446  5.0
LA.....................................................     70447  2.1
LA.....................................................     70448  1.1
LA.....................................................     70449  2.0
LA.....................................................     70450  10.0
LA.....................................................     70451  4.0
LA.....................................................     70452  1.1
LA.....................................................     70453  3.0
LA.....................................................     70454  4.0
LA.....................................................     70455  5.0
LA.....................................................     70456  7.2
LA.....................................................     70457  2.1
LA.....................................................     70458  1.1
LA.....................................................     70459  1.1
LA.....................................................     70460  1.1
LA.....................................................     70461  1.1
LA.....................................................     70462  2.0
LA.....................................................     70463  4.2
LA.....................................................     70464  2.1
LA.....................................................     70465  10.5
LA.....................................................     70466  4.0
LA.....................................................     70467  5.0
LA.....................................................     70469  1.1
LA.....................................................     70470  1.1
LA.....................................................     70471  1.1
LA.....................................................     70501  1.0
LA.....................................................     70502  1.0
LA.....................................................     70503  1.0
LA.....................................................     70504  1.0
LA.....................................................     70505  1.0
LA.....................................................     70506  1.0
LA.....................................................     70507  1.0
LA.....................................................     70508  1.0
LA.....................................................     70509  1.0
LA.....................................................     70510  4.2
LA.....................................................     70511  4.2
LA.....................................................     70512  2.0
LA.....................................................     70513  4.2
LA.....................................................     70514  4.0
LA.....................................................     70515  10.5
LA.....................................................     70516  6.1
LA.....................................................     70517  2.0
LA.....................................................     70518  1.0
LA.....................................................     70519  7.1
LA.....................................................     70520  1.0
LA.....................................................     70521  2.0
LA.....................................................     70522  4.0
LA.....................................................     70523  9.2
LA.....................................................     70524  4.0
LA.....................................................     70525  7.3
LA.....................................................     70526  4.2
LA.....................................................     70527  4.2
LA.....................................................     70528  4.2
LA.....................................................     70529  1.0
LA.....................................................     70531  6.1
LA.....................................................     70532  10.5
LA.....................................................     70533  4.2
LA.....................................................     70534  6.0
LA.....................................................     70535  4.0
LA.....................................................     70537  6.1
LA.....................................................     70538  4.0
LA.....................................................     70540  4.0
LA.....................................................     70541  4.2
LA.....................................................     70542  10.6
LA.....................................................     70543  6.1
LA.....................................................     70544  9.2
LA.....................................................     70546  4.0
LA.....................................................     70548  7.4
LA.....................................................     70549  9.2
LA.....................................................     70550  4.2
LA.....................................................     70551  4.2
LA.....................................................     70552  5.0
LA.....................................................     70554  7.0
LA.....................................................     70555  2.0
LA.....................................................     70556  6.0
LA.....................................................     70558  1.0
LA.....................................................     70559  6.0
LA.....................................................     70560  4.2
LA.....................................................     70562  4.2
LA.....................................................     70563  4.2
LA.....................................................     70569  4.2
LA.....................................................     70570  4.2
LA.....................................................     70571  4.2
LA.....................................................     70575  4.2
LA.....................................................     70576  7.0
LA.....................................................     70577  5.0
LA.....................................................     70578  7.1
LA.....................................................     70580  7.0
LA.....................................................     70581  7.3
LA.....................................................     70582  7.1
LA.....................................................     70583  1.0
LA.....................................................     70584  2.0
LA.....................................................     70585  7.0
LA.....................................................     70586  7.0
LA.....................................................     70589  5.0
LA.....................................................     70591  7.3
LA.....................................................     70592  1.0
LA.....................................................     70593  1.0
LA.....................................................     70596  1.0
LA.....................................................     70598  1.0
LA.....................................................     70601  1.0
LA.....................................................     70602  1.0
LA.....................................................     70605  1.0
LA.....................................................     70606  1.0
LA.....................................................     70607  1.0
LA.....................................................     70609  1.0
LA.....................................................     70611  1.0
LA.....................................................     70612  1.0
LA.....................................................     70615  1.0
LA.....................................................     70616  1.0
LA.....................................................     70629  1.0
LA.....................................................     70630  2.0
LA.....................................................     70631  10.4
LA.....................................................     70632  2.0
LA.....................................................     70633  2.0
LA.....................................................     70634  4.0
LA.....................................................     70637  10.5
LA.....................................................     70638  7.0
LA.....................................................     70639  8.0
LA.....................................................     70640  10.4
LA.....................................................     70643  2.0
LA.....................................................     70644  10.4
LA.....................................................     70645  10.4
LA.....................................................     70646  2.0
LA.....................................................     70647  2.0
LA.....................................................     70648  10.4
LA.....................................................     70650  2.0
LA.....................................................     70651  10.4
LA.....................................................     70652  2.0
LA.....................................................     70653  6.0
LA.....................................................     70654  10.4
LA.....................................................     70655  10.0
LA.....................................................     70656  10.5
LA.....................................................     70657  2.0
LA.....................................................     70658  10.4
LA.....................................................     70659  7.3
LA.....................................................     70660  2.0
LA.....................................................     70661  2.0
LA.....................................................     70662  10.5
LA.....................................................     70663  1.0
LA.....................................................     70664  1.0
LA.....................................................     70665  1.0
LA.....................................................     70668  2.0
LA.....................................................     70669  1.0
LA.....................................................     70704  1.0
LA.....................................................     70706  1.0
LA.....................................................     70707  1.0
LA.....................................................     70710  4.1
LA.....................................................     70711  2.0
LA.....................................................     70712  10.0
LA.....................................................     70714  1.0
LA.....................................................     70715  10.6
LA.....................................................     70718  1.0
LA.....................................................     70719  4.1
LA.....................................................     70721  2.0
LA.....................................................     70722  2.0
LA.....................................................     70723  10.6
LA.....................................................     70725  1.0
LA.....................................................     70726  1.0
LA.....................................................     70727  1.0
LA.....................................................     70728  1.0
LA.....................................................     70729  2.0
LA.....................................................     70730  2.0
LA.....................................................     70732  2.0
LA.....................................................     70733  2.0
LA.....................................................     70734  1.0
LA.....................................................     70736  8.3

[[Page 70118]]

 
LA.....................................................     70737  1.0
LA.....................................................     70738  1.0
LA.....................................................     70739  1.0
LA.....................................................     70740  4.1
LA.....................................................     70743  7.4
LA.....................................................     70744  2.0
LA.....................................................     70747  10.6
LA.....................................................     70748  2.0
LA.....................................................     70749  7.1
LA.....................................................     70750  10.4
LA.....................................................     70752  8.3
LA.....................................................     70753  10.6
LA.....................................................     70754  2.0
LA.....................................................     70755  2.0
LA.....................................................     70756  2.0
LA.....................................................     70757  2.0
LA.....................................................     70759  8.3
LA.....................................................     70760  7.1
LA.....................................................     70761  3.0
LA.....................................................     70762  8.3
LA.....................................................     70763  7.4
LA.....................................................     70764  4.1
LA.....................................................     70765  4.1
LA.....................................................     70767  1.0
LA.....................................................     70769  1.0
LA.....................................................     70770  1.0
LA.....................................................     70772  2.0
LA.....................................................     70773  7.1
LA.....................................................     70774  1.0
LA.....................................................     70775  10.1
LA.....................................................     70776  7.0
LA.....................................................     70777  2.0
LA.....................................................     70778  1.0
LA.....................................................     70780  2.0
LA.....................................................     70782  10.1
LA.....................................................     70783  7.1
LA.....................................................     70784  10.1
LA.....................................................     70785  1.0
LA.....................................................     70786  1.0
LA.....................................................     70787  10.1
LA.....................................................     70788  5.2
LA.....................................................     70789  3.0
LA.....................................................     70791  1.0
LA.....................................................     70792  10.6
LA.....................................................     70801  1.0
LA.....................................................     70802  1.0
LA.....................................................     70803  1.0
LA.....................................................     70804  1.0
LA.....................................................     70805  1.0
LA.....................................................     70806  1.0
LA.....................................................     70807  1.0
LA.....................................................     70808  1.0
LA.....................................................     70809  1.0
LA.....................................................     70810  1.0
LA.....................................................     70811  1.0
LA.....................................................     70812  1.0
LA.....................................................     70813  1.0
LA.....................................................     70814  1.0
LA.....................................................     70815  1.0
LA.....................................................     70816  1.0
LA.....................................................     70817  1.0
LA.....................................................     70818  1.0
LA.....................................................     70819  1.0
LA.....................................................     70820  1.0
LA.....................................................     70821  1.0
LA.....................................................     70822  1.0
LA.....................................................     70823  1.0
LA.....................................................     70825  1.0
LA.....................................................     70826  1.0
LA.....................................................     70827  1.0
LA.....................................................     70831  1.0
LA.....................................................     70833  1.0
LA.....................................................     70835  1.0
LA.....................................................     70836  1.0
LA.....................................................     70837  1.0
LA.....................................................     70874  1.0
LA.....................................................     70879  1.0
LA.....................................................     70883  1.0
LA.....................................................     70884  1.0
LA.....................................................     70892  1.0
LA.....................................................     70893  1.0
LA.....................................................     70894  1.0
LA.....................................................     70895  1.0
LA.....................................................     70896  1.0
LA.....................................................     70898  1.0
LA.....................................................     71001  7.4
LA.....................................................     71002  3.0
LA.....................................................     71003  9.0
LA.....................................................     71004  2.0
LA.....................................................     71006  2.0
LA.....................................................     71007  2.0
LA.....................................................     71008  10.5
LA.....................................................     71009  1.0
LA.....................................................     71016  3.0
LA.....................................................     71018  9.0
LA.....................................................     71019  8.0
LA.....................................................     71021  9.0
LA.....................................................     71023  2.0
LA.....................................................     71024  5.2
LA.....................................................     71025  8.0
LA.....................................................     71027  2.0
LA.....................................................     71028  9.0
LA.....................................................     71029  2.0
LA.....................................................     71030  2.0
LA.....................................................     71031  5.0
LA.....................................................     71032  2.0
LA.....................................................     71033  2.0
LA.....................................................     71034  8.0
LA.....................................................     71036  8.0
LA.....................................................     71037  1.0
LA.....................................................     71038  8.0
LA.....................................................     71039  5.2
LA.....................................................     71040  7.0
LA.....................................................     71043  2.0
LA.....................................................     71044  2.0
LA.....................................................     71045  3.0
LA.....................................................     71046  2.0
LA.....................................................     71047  2.0
LA.....................................................     71048  9.0
LA.....................................................     71049  2.0
LA.....................................................     71050  2.0
LA.....................................................     71051  1.0
LA.....................................................     71052  7.3
LA.....................................................     71055  4.2
LA.....................................................     71058  4.2
LA.....................................................     71060  2.0
LA.....................................................     71061  2.0
LA.....................................................     71063  8.3
LA.....................................................     71064  2.0
LA.....................................................     71065  9.0
LA.....................................................     71066  4.0
LA.....................................................     71067  2.0
LA.....................................................     71068  2.0
LA.....................................................     71069  2.0
LA.....................................................     71070  10.5
LA.....................................................     71071  9.0
LA.....................................................     71072  9.2
LA.....................................................     71073  5.2
LA.....................................................     71075  7.0
LA.....................................................     71078  2.0
LA.....................................................     71079  9.0
LA.....................................................     71080  9.0
LA.....................................................     71082  7.1
LA.....................................................     71101  1.0
LA.....................................................     71102  1.0
LA.....................................................     71103  1.0
LA.....................................................     71104  1.0
LA.....................................................     71105  1.0
LA.....................................................     71106  1.0
LA.....................................................     71107  1.0
LA.....................................................     71108  1.0
LA.....................................................     71109  1.0
LA.....................................................     71110  1.0
LA.....................................................     71111  1.0
LA.....................................................     71112  1.0
LA.....................................................     71113  1.0
LA.....................................................     71115  1.0
LA.....................................................     71118  1.0
LA.....................................................     71119  1.0
LA.....................................................     71120  1.0
LA.....................................................     71129  1.0
LA.....................................................     71130  1.0
LA.....................................................     71133  1.0
LA.....................................................     71134  1.0
LA.....................................................     71135  1.0
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LA.....................................................     71201  1.0
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LA.....................................................     71203  1.0
LA.....................................................     71207  1.0
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LA.....................................................     71211  1.0
LA.....................................................     71212  1.0
LA.....................................................     71213  1.0
LA.....................................................     71218  2.0
LA.....................................................     71219  9.0
LA.....................................................     71220  4.2
LA.....................................................     71221  4.2
LA.....................................................     71222  10.5
LA.....................................................     71223  5.0
LA.....................................................     71225  2.0
LA.....................................................     71226  3.0
LA.....................................................     71227  5.2
LA.....................................................     71229  5.2
LA.....................................................     71230  8.0
LA.....................................................     71232  7.0
LA.....................................................     71233  4.0
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[[Page 70119]]

 
LA.....................................................     71235  5.0
LA.....................................................     71237  10.6
LA.....................................................     71238  2.0
LA.....................................................     71240  1.0
LA.....................................................     71241  2.0
LA.....................................................     71242  10.0
LA.....................................................     71243  8.0
LA.....................................................     71245  4.0
LA.....................................................     71247  7.0
LA.....................................................     71249  8.0
LA.....................................................     71250  5.0
LA.....................................................     71251  7.0
LA.....................................................     71253  10.0
LA.....................................................     71254  7.0
LA.....................................................     71256  10.5
LA.....................................................     71259  2.0
LA.....................................................     71260  10.6
LA.....................................................     71261  5.2
LA.....................................................     71263  10.0
LA.....................................................     71264  5.2
LA.....................................................     71266  10.6
LA.....................................................     71268  6.0
LA.....................................................     71269  7.1
LA.....................................................     71270  4.0
LA.....................................................     71272  4.0
LA.....................................................     71273  4.0
LA.....................................................     71275  5.0
LA.....................................................     71276  10.3
LA.....................................................     71277  10.5
LA.....................................................     71279  7.1
LA.....................................................     71280  2.0
LA.....................................................     71281  1.0
LA.....................................................     71282  4.0
LA.....................................................     71284  4.0
LA.....................................................     71286  10.3
LA.....................................................     71291  1.0
LA.....................................................     71292  2.0
LA.....................................................     71294  1.0
LA.....................................................     71295  8.0
LA.....................................................     71301  1.0
LA.....................................................     71302  1.0
LA.....................................................     71303  1.0
LA.....................................................     71306  1.0
LA.....................................................     71307  1.0
LA.....................................................     71309  1.0
LA.....................................................     71315  1.0
LA.....................................................     71316  10.5
LA.....................................................     71320  9.0
LA.....................................................     71322  7.3
LA.....................................................     71323  2.0
LA.....................................................     71324  8.0
LA.....................................................     71325  2.0
LA.....................................................     71326  10.0
LA.....................................................     71327  9.0
LA.....................................................     71328  2.0
LA.....................................................     71329  9.0
LA.....................................................     71330  7.0
LA.....................................................     71331  2.0
LA.....................................................     71333  9.0
LA.....................................................     71334  7.4
LA.....................................................     71336  8.0
LA.....................................................     71339  10.6
LA.....................................................     71340  10.0
LA.....................................................     71341  9.0
LA.....................................................     71342  7.0
LA.....................................................     71343  10.0
LA.....................................................     71345  5.0
LA.....................................................     71346  2.0
LA.....................................................     71348  1.0
LA.....................................................     71350  9.0
LA.....................................................     71351  7.0
LA.....................................................     71353  6.0
LA.....................................................     71354  10.5
LA.....................................................     71355  9.0
LA.....................................................     71356  6.0
LA.....................................................     71357  10.0
LA.....................................................     71358  5.0
LA.....................................................     71359  1.0
LA.....................................................     71360  1.0
LA.....................................................     71361  1.0
LA.....................................................     71362  9.0
LA.....................................................     71363  10.0
LA.....................................................     71365  1.0
LA.....................................................     71366  10.0
LA.....................................................     71367  10.6
LA.....................................................     71368  10.0
LA.....................................................     71369  10.6
LA.....................................................     71371  8.0
LA.....................................................     71373  4.0
LA.....................................................     71375  10.0
LA.....................................................     71377  10.0
LA.....................................................     71378  10.6
LA.....................................................     71401  10.0
LA.....................................................     71403  9.0
LA.....................................................     71404  8.0
LA.....................................................     71405  1.0
LA.....................................................     71406  8.0
LA.....................................................     71407  2.0
LA.....................................................     71409  2.0
LA.....................................................     71410  7.0
LA.....................................................     71411  5.0
LA.....................................................     71414  4.0
LA.....................................................     71415  10.0
LA.....................................................     71416  5.0
LA.....................................................     71417  10.1
LA.....................................................     71418  2.0
LA.....................................................     71419  9.0
LA.....................................................     71422  8.0
LA.....................................................     71423  2.0
LA.....................................................     71424  2.0
LA.....................................................     71425  10.0
LA.....................................................     71426  9.0
LA.....................................................     71427  2.0
LA.....................................................     71428  5.0
LA.....................................................     71429  9.0
LA.....................................................     71430  10.1
LA.....................................................     71431  2.0
LA.....................................................     71432  10.4
LA.....................................................     71433  10.1
LA.....................................................     71434  5.0
LA.....................................................     71435  10.0
LA.....................................................     71438  2.0
LA.....................................................     71439  9.0
LA.....................................................     71440  7.0
LA.....................................................     71441  10.0
LA.....................................................     71443  7.3
LA.....................................................     71446  7.3
LA.....................................................     71447  2.0
LA.....................................................     71448  10.1
LA.....................................................     71449  8.0
LA.....................................................     71450  5.0
LA.....................................................     71452  5.0
LA.....................................................     71454  10.4
LA.....................................................     71455  2.0
LA.....................................................     71456  5.0
LA.....................................................     71457  4.0
LA.....................................................     71458  4.0
LA.....................................................     71459  4.0
LA.....................................................     71460  9.0
LA.....................................................     71461  7.4
LA.....................................................     71462  9.0
LA.....................................................     71463  7.0
LA.....................................................     71465  10.6
LA.....................................................     71466  2.0
LA.....................................................     71467  2.0
LA.....................................................     71468  5.0
LA.....................................................     71469  5.0
LA.....................................................     71471  4.0
LA.....................................................     71472  2.0
LA.....................................................     71473  8.0
LA.....................................................     71474  7.3
LA.....................................................     71475  7.3
LA.....................................................     71477  1.0
LA.....................................................     71479  10.6
LA.....................................................     71480  10.6
LA.....................................................     71483  7.0
LA.....................................................     71485  2.0
LA.....................................................     71486  9.0
LA.....................................................     71496  7.3
LA.....................................................     71497  4.0
MA.....................................................     01001  1.0
MA.....................................................     01002  4.1
MA.....................................................     01003  4.1
MA.....................................................     01004  4.1
MA.....................................................     01005  2.0
MA.....................................................     01007  4.1
MA.....................................................     01008  2.0
MA.....................................................     01009  1.0
MA.....................................................     01010  2.1
MA.....................................................     01011  2.0
MA.....................................................     01012  2.0
MA.....................................................     01013  1.0
MA.....................................................     01014  1.0
MA.....................................................     01020  1.0
MA.....................................................     01021  1.0
MA.....................................................     01022  1.0
MA.....................................................     01026  2.0
MA.....................................................     01027  1.0
MA.....................................................     01028  1.0
MA.....................................................     01029  10.4
MA.....................................................     01030  1.0
MA.....................................................     01031  2.1
MA.....................................................     01032  2.0
MA.....................................................     01033  1.0
MA.....................................................     01034  2.0
MA.....................................................     01035  1.0
MA.....................................................     01036  1.0
MA.....................................................     01037  2.0
MA.....................................................     01038  1.0
MA.....................................................     01039  2.0
MA.....................................................     01040  1.0
MA.....................................................     01041  1.0
MA.....................................................     01050  2.0
MA.....................................................     01053  1.0
MA.....................................................     01054  6.1
MA.....................................................     01056  1.0
MA.....................................................     01057  2.0
MA.....................................................     01059  4.1
MA.....................................................     01060  1.0
MA.....................................................     01061  1.0
MA.....................................................     01062  1.0
MA.....................................................     01063  1.0
MA.....................................................     01066  1.0
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[[Page 70120]]

 
MA.....................................................     01072  6.1
MA.....................................................     01073  2.0
MA.....................................................     01074  2.0
MA.....................................................     01075  1.0
MA.....................................................     01077  1.0
MA.....................................................     01079  1.0
MA.....................................................     01080  1.0
MA.....................................................     01081  2.1
MA.....................................................     01082  2.0
MA.....................................................     01083  2.0
MA.....................................................     01084  2.0
MA.....................................................     01085  1.0
MA.....................................................     01086  1.0
MA.....................................................     01088  1.0
MA.....................................................     01089  1.0
MA.....................................................     01090  1.0
MA.....................................................     01092  2.0
MA.....................................................     01093  3.0
MA.....................................................     01094  2.1
MA.....................................................     01095  1.0
MA.....................................................     01096  2.0
MA.....................................................     01097  1.0
MA.....................................................     01098  2.0
MA.....................................................     01101  1.0
MA.....................................................     01102  1.0
MA.....................................................     01103  1.0
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MA.....................................................     01111  1.0
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MA.....................................................     01116  1.0
MA.....................................................     01118  1.0
MA.....................................................     01119  1.0
MA.....................................................     01128  1.0
MA.....................................................     01129  1.0
MA.....................................................     01133  1.0
MA.....................................................     01138  1.0
MA.....................................................     01139  1.0
MA.....................................................     01144  1.0
MA.....................................................     01151  1.0
MA.....................................................     01152  1.0
MA.....................................................     01195  1.0
MA.....................................................     01199  1.0
MA.....................................................     01201  1.0
MA.....................................................     01202  1.0
MA.....................................................     01203  1.0
MA.....................................................     01220  4.2
MA.....................................................     01222  10.6
MA.....................................................     01223  2.0
MA.....................................................     01224  1.0
MA.....................................................     01225  2.0
MA.....................................................     01226  1.0
MA.....................................................     01227  1.0
MA.....................................................     01229  3.0
MA.....................................................     01230  7.3
MA.....................................................     01235  2.0
MA.....................................................     01236  7.3
MA.....................................................     01237  1.0
MA.....................................................     01238  7.3
MA.....................................................     01240  7.3
MA.....................................................     01242  7.3
MA.....................................................     01243  2.0
MA.....................................................     01244  7.3
MA.....................................................     01245  10.6
MA.....................................................     01247  4.2
MA.....................................................     01252  7.3
MA.....................................................     01253  10.4
MA.....................................................     01254  2.0
MA.....................................................     01255  10.4
MA.....................................................     01256  5.2
MA.....................................................     01257  10.6
MA.....................................................     01258  9.0
MA.....................................................     01259  9.0
MA.....................................................     01260  7.3
MA.....................................................     01262  9.0
MA.....................................................     01263  9.0
MA.....................................................     01264  7.3
MA.....................................................     01266  3.0
MA.....................................................     01267  4.2
MA.....................................................     01270  2.0
MA.....................................................     01301  4.2
MA.....................................................     01302  4.2
MA.....................................................     01330  10.5
MA.....................................................     01331  4.2
MA.....................................................     01337  5.0
MA.....................................................     01338  10.5
MA.....................................................     01339  6.0
MA.....................................................     01340  6.0
MA.....................................................     01341  10.5
MA.....................................................     01342  3.0
MA.....................................................     01343  5.2
MA.....................................................     01344  6.0
MA.....................................................     01346  6.0
MA.....................................................     01347  4.2
MA.....................................................     01349  4.2
MA.....................................................     01350  6.0
MA.....................................................     01351  4.2
MA.....................................................     01354  5.0
MA.....................................................     01355  6.1
MA.....................................................     01360  5.0
MA.....................................................     01364  4.2
MA.....................................................     01366  3.0
MA.....................................................     01367  6.0
MA.....................................................     01368  2.1
MA.....................................................     01370  10.5
MA.....................................................     01373  3.0
MA.....................................................     01375  4.1
MA.....................................................     01376  4.2
MA.....................................................     01378  6.0
MA.....................................................     01379  6.0
MA.....................................................     01380  6.0
MA.....................................................     01420  1.0
MA.....................................................     01430  2.1
MA.....................................................     01431  2.1
MA.....................................................     01432  1.0
MA.....................................................     01434  1.0
MA.....................................................     01436  1.0
MA.....................................................     01438  1.0
MA.....................................................     01440  1.0
MA.....................................................     01441  1.0
MA.....................................................     01450  1.0
MA.....................................................     01451  2.0
MA.....................................................     01452  2.1
MA.....................................................     01453  1.0
MA.....................................................     01460  1.0
MA.....................................................     01462  1.0
MA.....................................................     01463  2.0
MA.....................................................     01464  1.0
MA.....................................................     01467  2.0
MA.....................................................     01468  1.0
MA.....................................................     01469  1.0
MA.....................................................     01470  1.0
MA.....................................................     01471  1.0
MA.....................................................     01472  1.0
MA.....................................................     01473  1.0
MA.....................................................     01474  1.0
MA.....................................................     01475  2.0
MA.....................................................     01477  2.0
MA.....................................................     01501  1.0
MA.....................................................     01503  2.0
MA.....................................................     01504  1.0
MA.....................................................     01505  1.0
MA.....................................................     01506  2.0
MA.....................................................     01507  2.0
MA.....................................................     01508  2.0
MA.....................................................     01509  2.0
MA.....................................................     01510  1.0
MA.....................................................     01515  2.0
MA.....................................................     01516  1.0
MA.....................................................     01517  2.1
MA.....................................................     01518  1.0
MA.....................................................     01519  1.0
MA.....................................................     01520  1.0
MA.....................................................     01521  2.1
MA.....................................................     01522  1.0
MA.....................................................     01523  1.0
MA.....................................................     01524  1.0
MA.....................................................     01525  1.0
MA.....................................................     01526  1.0
MA.....................................................     01527  1.0
MA.....................................................     01529  1.0
MA.....................................................     01531  2.1
MA.....................................................     01532  1.0
MA.....................................................     01534  1.0
MA.....................................................     01535  2.0
MA.....................................................     01536  1.0
MA.....................................................     01537  1.0
MA.....................................................     01538  1.0
MA.....................................................     01540  1.0
MA.....................................................     01541  2.1
MA.....................................................     01542  1.0
MA.....................................................     01543  1.0
MA.....................................................     01545  1.0
MA.....................................................     01546  1.0
MA.....................................................     01550  1.0
MA.....................................................     01560  1.0
MA.....................................................     01561  1.0
MA.....................................................     01562  1.0
MA.....................................................     01564  1.0
MA.....................................................     01566  1.0
MA.....................................................     01568  1.0
MA.....................................................     01569  1.0
MA.....................................................     01570  1.0
MA.....................................................     01571  1.0
MA.....................................................     01580  1.0
MA.....................................................     01581  1.0
MA.....................................................     01582  1.0
MA.....................................................     01583  1.0
MA.....................................................     01585  2.0
MA.....................................................     01586  1.0
MA.....................................................     01588  1.0
MA.....................................................     01590  1.0
MA.....................................................     01601  1.0
MA.....................................................     01602  1.0
MA.....................................................     01603  1.0
MA.....................................................     01604  1.0
MA.....................................................     01605  1.0
MA.....................................................     01606  1.0
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[[Page 70121]]

 
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MA.....................................................     01653  1.0
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MA.....................................................     01702  1.0
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MA.....................................................     01704  1.0
MA.....................................................     01705  1.0
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MA.....................................................     01720  1.0
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MA.....................................................     01730  1.0
MA.....................................................     01731  1.0
MA.....................................................     01740  2.0
MA.....................................................     01741  2.0
MA.....................................................     01742  1.0
MA.....................................................     01745  1.0
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MA.....................................................     01747  1.0
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MA.....................................................     01749  1.0
MA.....................................................     01752  1.0
MA.....................................................     01754  1.0
MA.....................................................     01756  1.0
MA.....................................................     01757  1.0
MA.....................................................     01760  1.0
MA.....................................................     01770  1.0
MA.....................................................     01772  1.0
MA.....................................................     01773  1.0
MA.....................................................     01775  1.0
MA.....................................................     01776  1.0
MA.....................................................     01778  1.0
MA.....................................................     01784  1.0
MA.....................................................     01801  1.0
MA.....................................................     01803  1.0
MA.....................................................     01805  1.0
MA.....................................................     01806  1.0
MA.....................................................     01807  1.0
MA.....................................................     01808  1.0
MA.....................................................     01810  1.0
MA.....................................................     01812  1.0
MA.....................................................     01813  1.0
MA.....................................................     01815  1.0
MA.....................................................     01821  1.0
MA.....................................................     01822  1.0
MA.....................................................     01824  1.0
MA.....................................................     01826  1.0
MA.....................................................     01827  2.0
MA.....................................................     01830  1.0
MA.....................................................     01831  1.0
MA.....................................................     01832  1.0
MA.....................................................     01833  1.0
MA.....................................................     01834  1.0
MA.....................................................     01835  1.0
MA.....................................................     01840  1.0
MA.....................................................     01841  1.0
MA.....................................................     01842  1.0
MA.....................................................     01843  1.0
MA.....................................................     01844  1.0
MA.....................................................     01845  1.0
MA.....................................................     01850  1.0
MA.....................................................     01851  1.0
MA.....................................................     01852  1.0
MA.....................................................     01853  1.0
MA.....................................................     01854  1.0
MA.....................................................     01860  1.0
MA.....................................................     01862  1.0
MA.....................................................     01863  1.0
MA.....................................................     01864  1.0
MA.....................................................     01865  1.0
MA.....................................................     01866  1.0
MA.....................................................     01867  1.0
MA.....................................................     01876  1.0
MA.....................................................     01879  1.0
MA.....................................................     01880  1.0
MA.....................................................     01885  1.0
MA.....................................................     01886  1.0
MA.....................................................     01887  1.0
MA.....................................................     01888  1.0
MA.....................................................     01889  1.0
MA.....................................................     01890  1.0
MA.....................................................     01899  1.0
MA.....................................................     01901  1.0
MA.....................................................     01902  1.0
MA.....................................................     01903  1.0
MA.....................................................     01904  1.0
MA.....................................................     01905  1.0
MA.....................................................     01906  1.0
MA.....................................................     01907  1.0
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MA.....................................................     01910  1.0
MA.....................................................     01913  1.0
MA.....................................................     01915  1.0
MA.....................................................     01921  1.0
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MA.....................................................     01929  1.0
MA.....................................................     01930  1.0
MA.....................................................     01931  1.0
MA.....................................................     01936  1.0
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MA.....................................................     01940  1.0
MA.....................................................     01944  1.0
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MA.....................................................     01949  1.0
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MA.....................................................     01951  1.0
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MA.....................................................     01960  1.0
MA.....................................................     01961  1.0
MA.....................................................     01965  1.0
MA.....................................................     01966  1.0
MA.....................................................     01969  1.0
MA.....................................................     01970  1.0
MA.....................................................     01971  1.0
MA.....................................................     01982  1.0
MA.....................................................     01983  1.0
MA.....................................................     01984  1.0
MA.....................................................     01985  1.0
MA.....................................................     02018  1.0
MA.....................................................     02019  1.0
MA.....................................................     02020  1.0
MA.....................................................     02021  1.0
MA.....................................................     02025  1.0
MA.....................................................     02026  1.0
MA.....................................................     02027  1.0
MA.....................................................     02030  1.0
MA.....................................................     02031  1.0
MA.....................................................     02032  1.0
MA.....................................................     02035  1.0
MA.....................................................     02038  1.0
MA.....................................................     02040  1.0
MA.....................................................     02041  1.0
MA.....................................................     02043  1.0
MA.....................................................     02044  1.0
MA.....................................................     02045  1.0
MA.....................................................     02047  1.0
MA.....................................................     02048  1.0
MA.....................................................     02050  1.0
MA.....................................................     02051  1.0
MA.....................................................     02052  1.0
MA.....................................................     02053  1.0
MA.....................................................     02054  1.0
MA.....................................................     02055  1.0
MA.....................................................     02056  1.0
MA.....................................................     02059  1.0
MA.....................................................     02060  1.0
MA.....................................................     02061  1.0
MA.....................................................     02062  1.0
MA.....................................................     02065  1.0
MA.....................................................     02066  1.0
MA.....................................................     02067  1.0
MA.....................................................     02070  1.0
MA.....................................................     02071  1.0
MA.....................................................     02072  1.0
MA.....................................................     02081  1.0
MA.....................................................     02090  1.0
MA.....................................................     02093  1.0
MA.....................................................     02101  1.0
MA.....................................................     02102  1.0
MA.....................................................     02103  1.0
MA.....................................................     02104  1.0
MA.....................................................     02105  1.0
MA.....................................................     02106  1.0
MA.....................................................     02107  1.0
MA.....................................................     02108  1.0
MA.....................................................     02109  1.0
MA.....................................................     02110  1.0
MA.....................................................     02111  1.0
MA.....................................................     02112  1.0
MA.....................................................     02113  1.0
MA.....................................................     02114  1.0
MA.....................................................     02115  1.0
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MA.....................................................     02119  1.0
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MA.....................................................     02136  1.0
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[[Page 70122]]

 
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MA.....................................................     02210  1.0
MA.....................................................     02211  1.0
MA.....................................................     02212  1.0
MA.....................................................     02215  1.0
MA.....................................................     02216  1.0
MA.....................................................     02217  1.0
MA.....................................................     02222  1.0
MA.....................................................     02228  1.0
MA.....................................................     02238  1.0
MA.....................................................     02239  1.0
MA.....................................................     02241  1.0
MA.....................................................     02266  1.0
MA.....................................................     02269  1.0
MA.....................................................     02283  1.0
MA.....................................................     02284  1.0
MA.....................................................     02293  1.0
MA.....................................................     02295  1.0
MA.....................................................     02297  1.0
MA.....................................................     02301  1.0
MA.....................................................     02302  1.0
MA.....................................................     02303  1.0
MA.....................................................     02304  1.0
MA.....................................................     02305  1.0
MA.....................................................     02322  1.0
MA.....................................................     02324  1.0
MA.....................................................     02325  1.0
MA.....................................................     02327  1.0
MA.....................................................     02330  1.0
MA.....................................................     02331  1.0
MA.....................................................     02332  1.0
MA.....................................................     02333  1.0
MA.....................................................     02334  1.0
MA.....................................................     02337  1.0
MA.....................................................     02338  1.0
MA.....................................................     02339  1.0
MA.....................................................     02340  1.0
MA.....................................................     02341  1.0
MA.....................................................     02343  1.0
MA.....................................................     02344  1.0
MA.....................................................     02345  1.0
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MA.....................................................     02347  1.0
MA.....................................................     02348  1.0
MA.....................................................     02349  1.0
MA.....................................................     02350  1.0
MA.....................................................     02351  1.0
MA.....................................................     02355  1.0
MA.....................................................     02356  1.0
MA.....................................................     02357  1.0
MA.....................................................     02358  1.0
MA.....................................................     02359  1.0
MA.....................................................     02360  1.0
MA.....................................................     02361  1.0
MA.....................................................     02362  1.0
MA.....................................................     02364  1.0
MA.....................................................     02366  1.0
MA.....................................................     02367  2.0
MA.....................................................     02368  1.0
MA.....................................................     02370  1.0
MA.....................................................     02375  1.0
MA.....................................................     02379  1.0
MA.....................................................     02381  1.0
MA.....................................................     02382  1.0
MA.....................................................     02420  1.0
MA.....................................................     02421  1.0
MA.....................................................     02445  1.0
MA.....................................................     02446  1.0
MA.....................................................     02447  1.0
MA.....................................................     02451  1.0
MA.....................................................     02452  1.0
MA.....................................................     02453  1.0
MA.....................................................     02454  1.0
MA.....................................................     02455  1.0
MA.....................................................     02456  1.0
MA.....................................................     02457  1.0
MA.....................................................     02458  1.0
MA.....................................................     02459  1.0
MA.....................................................     02460  1.0
MA.....................................................     02461  1.0
MA.....................................................     02462  1.0
MA.....................................................     02464  1.0
MA.....................................................     02465  1.0
MA.....................................................     02466  1.0
MA.....................................................     02467  1.0
MA.....................................................     02468  1.0
MA.....................................................     02471  1.0
MA.....................................................     02472  1.0
MA.....................................................     02474  1.0
MA.....................................................     02475  1.0
MA.....................................................     02476  1.0
MA.....................................................     02477  1.0
MA.....................................................     02478  1.0
MA.....................................................     02479  1.0
MA.....................................................     02481  1.0
MA.....................................................     02482  1.0
MA.....................................................     02492  1.0
MA.....................................................     02493  1.0
MA.....................................................     02494  1.0
MA.....................................................     02495  1.0
MA.....................................................     02532  1.0
MA.....................................................     02534  1.0
MA.....................................................     02535  10.6
MA.....................................................     02536  1.0
MA.....................................................     02537  1.0
MA.....................................................     02538  1.0
MA.....................................................     02539  10.6
MA.....................................................     02540  1.0
MA.....................................................     02541  1.0
MA.....................................................     02542  1.0
MA.....................................................     02543  1.0
MA.....................................................     02552  10.6
MA.....................................................     02553  1.0
MA.....................................................     02554  7.0
MA.....................................................     02556  1.0
MA.....................................................     02557  7.0
MA.....................................................     02558  1.0
MA.....................................................     02559  1.0
MA.....................................................     02561  1.0
MA.....................................................     02562  1.0
MA.....................................................     02563  1.0
MA.....................................................     02564  7.0
MA.....................................................     02565  1.0
MA.....................................................     02568  7.0
MA.....................................................     02571  1.0
MA.....................................................     02573  7.0
MA.....................................................     02574  1.0
MA.....................................................     02575  10.6
MA.....................................................     02576  1.0
MA.....................................................     02584  7.0
MA.....................................................     02601  1.0
MA.....................................................     02630  1.0
MA.....................................................     02631  1.0
MA.....................................................     02632  1.0
MA.....................................................     02633  1.0
MA.....................................................     02634  1.0
MA.....................................................     02635  1.0
MA.....................................................     02636  1.0
MA.....................................................     02637  1.0
MA.....................................................     02638  1.0
MA.....................................................     02639  1.0
MA.....................................................     02641  1.0
MA.....................................................     02642  1.0
MA.....................................................     02643  1.0
MA.....................................................     02644  1.0
MA.....................................................     02645  1.0
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MA.....................................................     02647  1.0
MA.....................................................     02648  1.0
MA.....................................................     02649  1.0
MA.....................................................     02650  1.0
MA.....................................................     02651  1.0
MA.....................................................     02652  2.0
MA.....................................................     02653  1.0
MA.....................................................     02655  1.0
MA.....................................................     02657  7.3
MA.....................................................     02659  1.0
MA.....................................................     02660  1.0
MA.....................................................     02661  1.0
MA.....................................................     02662  1.0
MA.....................................................     02663  2.0
MA.....................................................     02664  1.0
MA.....................................................     02666  2.0
MA.....................................................     02667  2.0
MA.....................................................     02668  1.0
MA.....................................................     02669  1.0
MA.....................................................     02670  1.0
MA.....................................................     02671  1.0
MA.....................................................     02672  1.0
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[[Page 70123]]

 
MA.....................................................     02712  1.0
MA.....................................................     02713  10.6
MA.....................................................     02714  1.0
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MA.....................................................     02717  1.0
MA.....................................................     02718  1.0
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MA.....................................................     02720  1.0
MA.....................................................     02721  1.0
MA.....................................................     02722  1.0
MA.....................................................     02723  1.0
MA.....................................................     02724  1.0
MA.....................................................     02725  1.0
MA.....................................................     02726  1.0
MA.....................................................     02738  1.0
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MA.....................................................     02740  1.0
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MA.....................................................     02744  1.0
MA.....................................................     02745  1.0
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MA.....................................................     02748  1.0
MA.....................................................     02760  1.0
MA.....................................................     02761  1.0
MA.....................................................     02762  1.0
MA.....................................................     02763  1.0
MA.....................................................     02764  1.0
MA.....................................................     02766  1.0
MA.....................................................     02767  1.0
MA.....................................................     02768  1.0
MA.....................................................     02769  2.1
MA.....................................................     02770  2.1
MA.....................................................     02771  1.0
MA.....................................................     02777  1.0
MA.....................................................     02779  1.0
MA.....................................................     02780  1.0
MA.....................................................     02783  1.0
MA.....................................................     02790  1.0
MA.....................................................     02791  1.0
MA.....................................................     05501  1.0
MA.....................................................     05544  1.0
MD.....................................................     20601  2.0
MD.....................................................     20602  2.0
MD.....................................................     20603  2.0
MD.....................................................     20604  2.0
MD.....................................................     20606  6.0
MD.....................................................     20607  1.0
MD.....................................................     20608  2.0
MD.....................................................     20609  6.0
MD.....................................................     20610  2.0
MD.....................................................     20611  3.0
MD.....................................................     20612  2.0
MD.....................................................     20613  1.0
MD.....................................................     20615  3.0
MD.....................................................     20616  2.0
MD.....................................................     20617  2.0
MD.....................................................     20618  6.0
MD.....................................................     20619  4.2
MD.....................................................     20620  5.0
MD.....................................................     20621  3.0
MD.....................................................     20622  2.0
MD.....................................................     20623  1.0
MD.....................................................     20624  3.0
MD.....................................................     20625  2.0
MD.....................................................     20626  6.0
MD.....................................................     20627  5.0
MD.....................................................     20628  5.0
MD.....................................................     20629  4.2
MD.....................................................     20630  5.0
MD.....................................................     20632  3.0
MD.....................................................     20634  4.2
MD.....................................................     20635  2.0
MD.....................................................     20636  5.0
MD.....................................................     20637  2.0
MD.....................................................     20639  2.0
MD.....................................................     20640  2.0
MD.....................................................     20643  2.0
MD.....................................................     20645  2.0
MD.....................................................     20646  2.0
MD.....................................................     20650  5.0
MD.....................................................     20653  4.2
MD.....................................................     20656  5.0
MD.....................................................     20657  4.2
MD.....................................................     20658  2.0
MD.....................................................     20659  2.0
MD.....................................................     20660  2.0
MD.....................................................     20661  2.0
MD.....................................................     20662  2.1
MD.....................................................     20664  2.0
MD.....................................................     20667  4.2
MD.....................................................     20670  4.2
MD.....................................................     20674  5.0
MD.....................................................     20675  2.0
MD.....................................................     20676  3.0
MD.....................................................     20677  2.0
MD.....................................................     20678  2.0
MD.....................................................     20680  5.0
MD.....................................................     20682  6.0
MD.....................................................     20684  5.0
MD.....................................................     20685  3.0
MD.....................................................     20686  4.2
MD.....................................................     20687  5.0
MD.....................................................     20688  4.2
MD.....................................................     20689  2.0
MD.....................................................     20690  5.0
MD.....................................................     20692  5.0
MD.....................................................     20693  2.0
MD.....................................................     20695  2.0
MD.....................................................     20697  1.0
MD.....................................................     20701  1.0
MD.....................................................     20703  1.0
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MD.....................................................     20706  1.0
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MD.....................................................     20708  1.0
MD.....................................................     20709  1.0
MD.....................................................     20710  1.0
MD.....................................................     20711  2.0
MD.....................................................     20712  1.0
MD.....................................................     20714  2.0
MD.....................................................     20715  1.0
MD.....................................................     20716  1.0
MD.....................................................     20717  1.0
MD.....................................................     20718  1.0
MD.....................................................     20719  1.0
MD.....................................................     20720  1.0
MD.....................................................     20721  1.0
MD.....................................................     20722  1.0
MD.....................................................     20723  1.0
MD.....................................................     20724  1.0
MD.....................................................     20725  1.0
MD.....................................................     20726  1.0
MD.....................................................     20731  1.0
MD.....................................................     20732  2.0
MD.....................................................     20733  2.1
MD.....................................................     20735  1.0
MD.....................................................     20736  2.0
MD.....................................................     20737  1.0
MD.....................................................     20738  1.0
MD.....................................................     20740  1.0
MD.....................................................     20741  1.0
MD.....................................................     20742  1.0
MD.....................................................     20743  1.0
MD.....................................................     20744  1.0
MD.....................................................     20745  1.0
MD.....................................................     20746  1.0
MD.....................................................     20747  1.0
MD.....................................................     20748  1.0
MD.....................................................     20749  1.0
MD.....................................................     20750  1.0
MD.....................................................     20751  2.1
MD.....................................................     20752  1.0
MD.....................................................     20753  1.0
MD.....................................................     20754  2.0
MD.....................................................     20755  1.0
MD.....................................................     20757  1.0
MD.....................................................     20758  2.0
MD.....................................................     20759  1.0
MD.....................................................     20762  1.0
MD.....................................................     20763  1.0
MD.....................................................     20764  2.1
MD.....................................................     20765  2.0
MD.....................................................     20768  1.0
MD.....................................................     20769  1.0
MD.....................................................     20770  1.0
MD.....................................................     20771  1.0
MD.....................................................     20772  1.0
MD.....................................................     20773  1.0
MD.....................................................     20774  1.0
MD.....................................................     20775  1.0
MD.....................................................     20776  2.0
MD.....................................................     20777  2.1
MD.....................................................     20778  2.1
MD.....................................................     20779  2.0
MD.....................................................     20781  1.0
MD.....................................................     20782  1.0
MD.....................................................     20783  1.0
MD.....................................................     20784  1.0
MD.....................................................     20785  1.0
MD.....................................................     20787  1.0
MD.....................................................     20788  1.0
MD.....................................................     20790  1.0
MD.....................................................     20791  1.0
MD.....................................................     20792  1.0
MD.....................................................     20794  1.0
MD.....................................................     20797  1.0
MD.....................................................     20799  1.0
MD.....................................................     20810  1.0
MD.....................................................     20811  1.0
MD.....................................................     20812  1.0
MD.....................................................     20813  1.0
MD.....................................................     20814  1.0
MD.....................................................     20815  1.0
MD.....................................................     20816  1.0
MD.....................................................     20817  1.0
MD.....................................................     20818  1.0
MD.....................................................     20824  1.0
MD.....................................................     20825  1.0
MD.....................................................     20827  1.0
MD.....................................................     20830  1.0
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[[Page 70124]]

 
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MD.....................................................     20839  2.0
MD.....................................................     20841  1.0
MD.....................................................     20842  2.0
MD.....................................................     20847  1.0
MD.....................................................     20848  1.0
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MD.....................................................     20851  1.0
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MD.....................................................     20859  1.0
MD.....................................................     20860  1.0
MD.....................................................     20861  1.0
MD.....................................................     20862  1.0
MD.....................................................     20866  1.0
MD.....................................................     20868  1.0
MD.....................................................     20871  2.0
MD.....................................................     20872  1.0
MD.....................................................     20874  1.0
MD.....................................................     20875  1.0
MD.....................................................     20876  1.0
MD.....................................................     20877  1.0
MD.....................................................     20878  1.0
MD.....................................................     20879  1.0
MD.....................................................     20880  1.0
MD.....................................................     20882  1.0
MD.....................................................     20883  1.0
MD.....................................................     20884  1.0
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MD.....................................................     20889  1.0
MD.....................................................     20891  1.0
MD.....................................................     20892  1.0
MD.....................................................     20894  1.0
MD.....................................................     20895  1.0
MD.....................................................     20896  1.0
MD.....................................................     20897  1.0
MD.....................................................     20898  1.0
MD.....................................................     20899  1.0
MD.....................................................     20901  1.0
MD.....................................................     20902  1.0
MD.....................................................     20903  1.0
MD.....................................................     20904  1.0
MD.....................................................     20905  1.0
MD.....................................................     20906  1.0
MD.....................................................     20907  1.0
MD.....................................................     20908  1.0
MD.....................................................     20910  1.0
MD.....................................................     20911  1.0
MD.....................................................     20912  1.0
MD.....................................................     20913  1.0
MD.....................................................     20914  1.0
MD.....................................................     20915  1.0
MD.....................................................     20916  1.0
MD.....................................................     20918  1.0
MD.....................................................     20993  1.0
MD.....................................................     20997  1.0
MD.....................................................     21001  1.1
MD.....................................................     21005  1.1
MD.....................................................     21009  1.1
MD.....................................................     21010  2.0
MD.....................................................     21012  1.0
MD.....................................................     21013  1.0
MD.....................................................     21014  1.1
MD.....................................................     21015  1.1
MD.....................................................     21017  1.1
MD.....................................................     21018  1.1
MD.....................................................     21020  2.0
MD.....................................................     21022  1.0
MD.....................................................     21023  1.0
MD.....................................................     21027  1.0
MD.....................................................     21028  1.1
MD.....................................................     21029  1.0
MD.....................................................     21030  1.0
MD.....................................................     21031  10.1
MD.....................................................     21032  1.0
MD.....................................................     21034  2.1
MD.....................................................     21035  2.0
MD.....................................................     21036  2.1
MD.....................................................     21037  1.0
MD.....................................................     21040  1.1
MD.....................................................     21041  1.0
MD.....................................................     21042  1.0
MD.....................................................     21043  1.0
MD.....................................................     21044  1.0
MD.....................................................     21045  1.0
MD.....................................................     21046  1.0
MD.....................................................     21047  1.1
MD.....................................................     21048  2.0
MD.....................................................     21050  1.1
MD.....................................................     21051  1.0
MD.....................................................     21052  1.0
MD.....................................................     21053  2.0
MD.....................................................     21054  1.0
MD.....................................................     21055  1.0
MD.....................................................     21056  1.0
MD.....................................................     21057  2.0
MD.....................................................     21060  1.0
MD.....................................................     21061  1.0
MD.....................................................     21062  1.0
MD.....................................................     21065  10.1
MD.....................................................     21071  1.0
MD.....................................................     21074  2.0
MD.....................................................     21075  1.0
MD.....................................................     21076  1.0
MD.....................................................     21077  1.0
MD.....................................................     21078  1.1
MD.....................................................     21082  1.0
MD.....................................................     21084  1.0
MD.....................................................     21085  1.1
MD.....................................................     21087  1.1
MD.....................................................     21088  2.0
MD.....................................................     21090  1.0
MD.....................................................     21092  2.0
MD.....................................................     21093  1.0
MD.....................................................     21094  1.0
MD.....................................................     21098  1.0
MD.....................................................     21102  2.0
MD.....................................................     21104  2.0
MD.....................................................     21105  2.0
MD.....................................................     21106  1.0
MD.....................................................     21108  1.0
MD.....................................................     21111  2.0
MD.....................................................     21113  1.0
MD.....................................................     21114  1.0
MD.....................................................     21117  1.0
MD.....................................................     21120  2.0
MD.....................................................     21122  1.0
MD.....................................................     21123  1.0
MD.....................................................     21128  1.0
MD.....................................................     21130  1.1
MD.....................................................     21131  2.0
MD.....................................................     21132  2.1
MD.....................................................     21133  1.0
MD.....................................................     21136  1.0
MD.....................................................     21139  1.0
MD.....................................................     21140  1.0
MD.....................................................     21144  1.0
MD.....................................................     21146  1.0
MD.....................................................     21150  1.0
MD.....................................................     21152  1.0
MD.....................................................     21153  1.0
MD.....................................................     21154  2.1
MD.....................................................     21155  2.0
MD.....................................................     21156  1.1
MD.....................................................     21157  2.0
MD.....................................................     21158  2.0
MD.....................................................     21160  2.1
MD.....................................................     21161  2.0
MD.....................................................     21162  1.0
MD.....................................................     21163  1.0
MD.....................................................     21201  1.0
MD.....................................................     21202  1.0
MD.....................................................     21203  1.0
MD.....................................................     21204  1.0
MD.....................................................     21205  1.0
MD.....................................................     21206  1.0
MD.....................................................     21207  1.0
MD.....................................................     21208  1.0
MD.....................................................     21209  1.0
MD.....................................................     21210  1.0
MD.....................................................     21211  1.0
MD.....................................................     21212  1.0
MD.....................................................     21213  1.0
MD.....................................................     21214  1.0
MD.....................................................     21215  1.0
MD.....................................................     21216  1.0
MD.....................................................     21217  1.0
MD.....................................................     21218  1.0
MD.....................................................     21219  1.0
MD.....................................................     21220  1.0
MD.....................................................     21221  1.0
MD.....................................................     21222  1.0
MD.....................................................     21223  1.0
MD.....................................................     21224  1.0
MD.....................................................     21225  1.0
MD.....................................................     21226  1.0
MD.....................................................     21227  1.0
MD.....................................................     21228  1.0
MD.....................................................     21229  1.0
MD.....................................................     21230  1.0
MD.....................................................     21231  1.0
MD.....................................................     21233  1.0
MD.....................................................     21234  1.0
MD.....................................................     21235  1.0
MD.....................................................     21236  1.0
MD.....................................................     21237  1.0
MD.....................................................     21239  1.0
MD.....................................................     21240  1.0
MD.....................................................     21241  1.0
MD.....................................................     21244  1.0
MD.....................................................     21250  1.0
MD.....................................................     21251  1.0
MD.....................................................     21252  1.0
MD.....................................................     21263  1.0
MD.....................................................     21264  1.0
MD.....................................................     21265  1.0
MD.....................................................     21268  1.0
MD.....................................................     21270  1.0
MD.....................................................     21273  1.0
MD.....................................................     21274  1.0
MD.....................................................     21275  1.0
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[[Page 70125]]

 
MD.....................................................     21279  1.0
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MD.....................................................     21281  1.0
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MD.....................................................     21284  1.0
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MD.....................................................     21286  1.0
MD.....................................................     21287  1.0
MD.....................................................     21288  1.0
MD.....................................................     21289  1.0
MD.....................................................     21290  1.0
MD.....................................................     21297  1.0
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MD.....................................................     21401  1.0
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MD.....................................................     21405  1.0
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MD.....................................................     21411  1.0
MD.....................................................     21412  1.0
MD.....................................................     21501  4.0
MD.....................................................     21502  4.0
MD.....................................................     21503  4.0
MD.....................................................     21504  4.0
MD.....................................................     21505  4.0
MD.....................................................     21520  10.6
MD.....................................................     21521  5.0
MD.....................................................     21522  10.5
MD.....................................................     21523  8.4
MD.....................................................     21524  4.0
MD.....................................................     21528  5.0
MD.....................................................     21529  4.0
MD.....................................................     21530  5.0
MD.....................................................     21531  10.6
MD.....................................................     21532  5.0
MD.....................................................     21536  10.5
MD.....................................................     21538  8.4
MD.....................................................     21539  5.0
MD.....................................................     21540  4.0
MD.....................................................     21541  8.0
MD.....................................................     21542  5.0
MD.....................................................     21543  5.0
MD.....................................................     21545  5.0
MD.....................................................     21550  7.0
MD.....................................................     21555  5.0
MD.....................................................     21556  4.0
MD.....................................................     21557  4.0
MD.....................................................     21560  4.0
MD.....................................................     21561  8.0
MD.....................................................     21562  4.0
MD.....................................................     21601  4.0
MD.....................................................     21606  4.0
MD.....................................................     21607  10.6
MD.....................................................     21609  5.0
MD.....................................................     21610  8.0
MD.....................................................     21612  10.2
MD.....................................................     21613  4.0
MD.....................................................     21617  10.4
MD.....................................................     21619  2.0
MD.....................................................     21620  7.0
MD.....................................................     21622  5.0
MD.....................................................     21623  7.0
MD.....................................................     21624  10.2
MD.....................................................     21625  5.0
MD.....................................................     21626  5.0
MD.....................................................     21627  5.0
MD.....................................................     21628  8.0
MD.....................................................     21629  7.4
MD.....................................................     21631  5.0
MD.....................................................     21632  7.4
MD.....................................................     21634  5.0
MD.....................................................     21635  9.1
MD.....................................................     21636  10.5
MD.....................................................     21638  9.1
MD.....................................................     21639  10.5
MD.....................................................     21640  3.0
MD.....................................................     21641  7.4
MD.....................................................     21643  6.0
MD.....................................................     21644  10.6
MD.....................................................     21645  8.0
MD.....................................................     21647  5.0
MD.....................................................     21648  5.0
MD.....................................................     21649  3.0
MD.....................................................     21650  9.1
MD.....................................................     21651  8.0
MD.....................................................     21652  10.2
MD.....................................................     21653  10.2
MD.....................................................     21654  5.0
MD.....................................................     21655  5.0
MD.....................................................     21656  7.0
MD.....................................................     21657  10.0
MD.....................................................     21658  2.0
MD.....................................................     21659  6.0
MD.....................................................     21660  10.4
MD.....................................................     21661  10.6
MD.....................................................     21662  5.0
MD.....................................................     21663  10.2
MD.....................................................     21664  5.0
MD.....................................................     21665  5.0
MD.....................................................     21666  2.1
MD.....................................................     21667  8.0
MD.....................................................     21668  10.6
MD.....................................................     21669  5.0
MD.....................................................     21670  3.0
MD.....................................................     21671  5.0
MD.....................................................     21672  5.0
MD.....................................................     21673  5.0
MD.....................................................     21675  5.0
MD.....................................................     21676  5.0
MD.....................................................     21677  5.0
MD.....................................................     21678  8.0
MD.....................................................     21679  5.0
MD.....................................................     21681  10.4
MD.....................................................     21682  10.4
MD.....................................................     21683  10.4
MD.....................................................     21684  10.4
MD.....................................................     21685  10.4
MD.....................................................     21686  10.4
MD.....................................................     21687  10.4
MD.....................................................     21688  10.4
MD.....................................................     21690  7.0
MD.....................................................     21701  1.1
MD.....................................................     21702  1.1
MD.....................................................     21703  1.1
MD.....................................................     21704  1.1
MD.....................................................     21705  1.1
MD.....................................................     21709  1.1
MD.....................................................     21710  1.1
MD.....................................................     21711  2.0
MD.....................................................     21713  2.0
MD.....................................................     21714  1.1
MD.....................................................     21715  2.1
MD.....................................................     21716  2.1
MD.....................................................     21717  1.1
MD.....................................................     21718  1.1
MD.....................................................     21719  4.2
MD.....................................................     21720  1.0
MD.....................................................     21721  1.0
MD.....................................................     21722  2.0
MD.....................................................     21723  2.1
MD.....................................................     21727  9.1
MD.....................................................     21733  1.0
MD.....................................................     21734  1.0
MD.....................................................     21737  2.1
MD.....................................................     21738  2.1
MD.....................................................     21740  1.0
MD.....................................................     21741  1.0
MD.....................................................     21742  1.0
MD.....................................................     21746  1.0
MD.....................................................     21747  1.0
MD.....................................................     21748  1.0
MD.....................................................     21749  1.0
MD.....................................................     21750  2.0
MD.....................................................     21754  1.1
MD.....................................................     21755  1.1
MD.....................................................     21756  3.0
MD.....................................................     21757  2.1
MD.....................................................     21758  2.1
MD.....................................................     21759  2.1
MD.....................................................     21762  1.1
MD.....................................................     21765  2.1
MD.....................................................     21766  5.0
MD.....................................................     21767  1.0
MD.....................................................     21769  1.1
MD.....................................................     21770  1.1
MD.....................................................     21771  2.0
MD.....................................................     21773  2.1
MD.....................................................     21774  1.1
MD.....................................................     21775  2.1
MD.....................................................     21776  2.1
MD.....................................................     21777  1.1
MD.....................................................     21778  2.0
MD.....................................................     21779  3.0
MD.....................................................     21780  2.0
MD.....................................................     21781  1.0
MD.....................................................     21782  2.0
MD.....................................................     21783  1.0
MD.....................................................     21784  2.0
MD.....................................................     21787  3.0
MD.....................................................     21788  2.0
MD.....................................................     21790  1.1
MD.....................................................     21791  2.1
MD.....................................................     21792  2.1
MD.....................................................     21793  1.1
MD.....................................................     21794  2.1
MD.....................................................     21795  1.0
MD.....................................................     21797  2.0
MD.....................................................     21798  2.0
MD.....................................................     21801  1.0
MD.....................................................     21802  1.0
MD.....................................................     21803  1.0
MD.....................................................     21804  1.0
MD.....................................................     21810  2.0
MD.....................................................     21811  4.2
MD.....................................................     21813  5.0
MD.....................................................     21814  2.0
MD.....................................................     21817  7.0
MD.....................................................     21821  2.0
MD.....................................................     21822  2.0
MD.....................................................     21824  2.0
MD.....................................................     21826  1.0
MD.....................................................     21829  3.0
MD.....................................................     21830  1.0
MD.....................................................     21835  5.0
MD.....................................................     21836  7.3

[[Page 70126]]

 
MD.....................................................     21837  2.0
MD.....................................................     21838  10.6
MD.....................................................     21840  2.0
MD.....................................................     21841  10.4
MD.....................................................     21842  4.2
MD.....................................................     21843  4.2
MD.....................................................     21849  1.0
MD.....................................................     21850  2.0
MD.....................................................     21851  7.3
MD.....................................................     21852  2.0
MD.....................................................     21853  7.3
MD.....................................................     21856  2.0
MD.....................................................     21857  7.3
MD.....................................................     21861  2.0
MD.....................................................     21862  4.2
MD.....................................................     21863  10.5
MD.....................................................     21864  3.0
MD.....................................................     21865  2.0
MD.....................................................     21866  2.0
MD.....................................................     21867  7.3
MD.....................................................     21869  6.0
MD.....................................................     21870  2.0
MD.....................................................     21871  7.3
MD.....................................................     21872  5.0
MD.....................................................     21874  2.0
MD.....................................................     21875  1.0
MD.....................................................     21890  7.3
MD.....................................................     21901  2.0
MD.....................................................     21902  1.1
MD.....................................................     21903  1.1
MD.....................................................     21904  1.1
MD.....................................................     21911  2.0
MD.....................................................     21912  2.0
MD.....................................................     21913  2.0
MD.....................................................     21914  2.0
MD.....................................................     21915  2.0
MD.....................................................     21916  1.0
MD.....................................................     21917  2.0
MD.....................................................     21918  2.1
MD.....................................................     21919  2.0
MD.....................................................     21920  1.0
MD.....................................................     21921  1.0
MD.....................................................     21922  1.0
MD.....................................................     21930  2.0
ME.....................................................     03901  1.0
ME.....................................................     03902  3.0
ME.....................................................     03903  1.0
ME.....................................................     03904  1.0
ME.....................................................     03905  1.0
ME.....................................................     03906  10.4
ME.....................................................     03907  10.4
ME.....................................................     03908  1.0
ME.....................................................     03909  3.0
ME.....................................................     03910  3.0
ME.....................................................     03911  3.0
ME.....................................................     04001  6.1
ME.....................................................     04002  2.0
ME.....................................................     04003  5.2
ME.....................................................     04004  2.0
ME.....................................................     04005  1.0
ME.....................................................     04006  1.0
ME.....................................................     04007  1.0
ME.....................................................     04008  5.2
ME.....................................................     04009  10.4
ME.....................................................     04010  10.0
ME.....................................................     04011  4.2
ME.....................................................     04013  1.0
ME.....................................................     04014  7.1
ME.....................................................     04015  2.0
ME.....................................................     04016  10.6
ME.....................................................     04017  1.0
ME.....................................................     04019  2.0
ME.....................................................     04020  2.0
ME.....................................................     04021  1.0
ME.....................................................     04022  10.0
ME.....................................................     04024  2.0
ME.....................................................     04027  2.0
ME.....................................................     04028  2.0
ME.....................................................     04029  2.0
ME.....................................................     04030  2.0
ME.....................................................     04032  1.0
ME.....................................................     04033  1.0
ME.....................................................     04034  1.0
ME.....................................................     04037  10.0
ME.....................................................     04038  1.0
ME.....................................................     04039  2.0
ME.....................................................     04040  3.0
ME.....................................................     04041  2.0
ME.....................................................     04042  2.0
ME.....................................................     04043  7.1
ME.....................................................     04046  7.1
ME.....................................................     04047  2.0
ME.....................................................     04048  2.0
ME.....................................................     04049  2.0
ME.....................................................     04050  2.0
ME.....................................................     04051  10.6
ME.....................................................     04053  4.2
ME.....................................................     04054  3.0
ME.....................................................     04055  2.0
ME.....................................................     04056  6.1
ME.....................................................     04057  3.0
ME.....................................................     04061  2.0
ME.....................................................     04062  1.0
ME.....................................................     04063  1.0
ME.....................................................     04064  1.0
ME.....................................................     04066  5.2
ME.....................................................     04068  2.0
ME.....................................................     04069  2.0
ME.....................................................     04070  1.0
ME.....................................................     04071  2.0
ME.....................................................     04072  1.0
ME.....................................................     04073  4.2
ME.....................................................     04074  1.0
ME.....................................................     04075  2.0
ME.....................................................     04076  6.1
ME.....................................................     04077  2.0
ME.....................................................     04078  1.0
ME.....................................................     04079  5.2
ME.....................................................     04082  1.0
ME.....................................................     04083  4.2
ME.....................................................     04084  2.0
ME.....................................................     04085  2.0
ME.....................................................     04086  4.2
ME.....................................................     04087  2.0
ME.....................................................     04088  10.6
ME.....................................................     04090  3.0
ME.....................................................     04091  2.0
ME.....................................................     04092  1.0
ME.....................................................     04093  2.0
ME.....................................................     04094  7.1
ME.....................................................     04095  6.1
ME.....................................................     04096  1.0
ME.....................................................     04097  2.0
ME.....................................................     04098  1.0
ME.....................................................     04101  1.0
ME.....................................................     04102  1.0
ME.....................................................     04103  1.0
ME.....................................................     04104  1.0
ME.....................................................     04105  1.0
ME.....................................................     04106  1.0
ME.....................................................     04107  1.0
ME.....................................................     04108  2.0
ME.....................................................     04109  2.0
ME.....................................................     04110  1.0
ME.....................................................     04112  1.0
ME.....................................................     04116  1.0
ME.....................................................     04122  1.0
ME.....................................................     04123  1.0
ME.....................................................     04124  1.0
ME.....................................................     04210  1.0
ME.....................................................     04211  1.0
ME.....................................................     04212  1.0
ME.....................................................     04216  10.0
ME.....................................................     04217  10.6
ME.....................................................     04219  10.0
ME.....................................................     04220  2.0
ME.....................................................     04221  10.6
ME.....................................................     04222  2.0
ME.....................................................     04223  1.0
ME.....................................................     04224  10.6
ME.....................................................     04225  10.0
ME.....................................................     04226  10.0
ME.....................................................     04227  10.3
ME.....................................................     04228  9.1
ME.....................................................     04230  2.1
ME.....................................................     04231  10.6
ME.....................................................     04234  10.3
ME.....................................................     04236  2.0
ME.....................................................     04237  10.6
ME.....................................................     04238  2.0
ME.....................................................     04239  10.6
ME.....................................................     04240  1.0
ME.....................................................     04241  1.0
ME.....................................................     04243  1.0
ME.....................................................     04250  2.0
ME.....................................................     04252  2.0
ME.....................................................     04253  3.0
ME.....................................................     04254  9.1
ME.....................................................     04255  10.0
ME.....................................................     04256  2.0
ME.....................................................     04257  7.0
ME.....................................................     04258  2.0
ME.....................................................     04259  6.1
ME.....................................................     04260  2.0
ME.....................................................     04261  10.0
ME.....................................................     04262  10.6
ME.....................................................     04263  2.0
ME.....................................................     04265  6.1
ME.....................................................     04266  2.0
ME.....................................................     04267  10.6
ME.....................................................     04268  7.0
ME.....................................................     04270  10.6
ME.....................................................     04271  7.0
ME.....................................................     04274  2.1
ME.....................................................     04275  7.0
ME.....................................................     04276  7.0
ME.....................................................     04278  10.0
ME.....................................................     04280  1.0
ME.....................................................     04281  7.0
ME.....................................................     04282  2.0
ME.....................................................     04283  2.0
ME.....................................................     04284  6.1
ME.....................................................     04285  10.0
ME.....................................................     04286  10.6
ME.....................................................     04287  5.2
ME.....................................................     04288  2.0
ME.....................................................     04289  10.6

[[Page 70127]]

 
ME.....................................................     04290  9.1
ME.....................................................     04291  2.1
ME.....................................................     04292  9.1
ME.....................................................     04294  10.3
ME.....................................................     04330  4.0
ME.....................................................     04332  4.0
ME.....................................................     04333  4.0
ME.....................................................     04336  4.0
ME.....................................................     04338  4.0
ME.....................................................     04341  5.0
ME.....................................................     04342  10.5
ME.....................................................     04343  5.0
ME.....................................................     04344  4.0
ME.....................................................     04345  4.0
ME.....................................................     04346  5.0
ME.....................................................     04347  4.0
ME.....................................................     04348  5.0
ME.....................................................     04349  6.1
ME.....................................................     04350  6.1
ME.....................................................     04351  5.0
ME.....................................................     04352  5.0
ME.....................................................     04353  5.0
ME.....................................................     04354  10.5
ME.....................................................     04355  5.0
ME.....................................................     04357  5.0
ME.....................................................     04358  5.0
ME.....................................................     04359  4.0
ME.....................................................     04360  5.0
ME.....................................................     04363  5.0
ME.....................................................     04364  5.0
ME.....................................................     04401  1.0
ME.....................................................     04402  1.0
ME.....................................................     04406  10.0
ME.....................................................     04408  10.0
ME.....................................................     04410  2.0
ME.....................................................     04411  1.0
ME.....................................................     04412  1.0
ME.....................................................     04413  10.0
ME.....................................................     04414  10.0
ME.....................................................     04415  10.0
ME.....................................................     04416  10.4
ME.....................................................     04417  2.0
ME.....................................................     04418  2.0
ME.....................................................     04419  2.0
ME.....................................................     04420  10.0
ME.....................................................     04421  10.0
ME.....................................................     04422  2.0
ME.....................................................     04423  1.0
ME.....................................................     04424  10.0
ME.....................................................     04426  10.4
ME.....................................................     04427  2.0
ME.....................................................     04428  2.0
ME.....................................................     04429  2.0
ME.....................................................     04430  10.6
ME.....................................................     04431  10.0
ME.....................................................     04434  2.0
ME.....................................................     04435  2.0
ME.....................................................     04438  10.6
ME.....................................................     04441  10.0
ME.....................................................     04442  10.0
ME.....................................................     04443  10.0
ME.....................................................     04444  1.0
ME.....................................................     04448  2.0
ME.....................................................     04449  2.0
ME.....................................................     04450  2.0
ME.....................................................     04451  9.1
ME.....................................................     04453  2.0
ME.....................................................     04454  10.0
ME.....................................................     04455  2.0
ME.....................................................     04456  2.0
ME.....................................................     04457  10.4
ME.....................................................     04459  9.1
ME.....................................................     04460  10.6
ME.....................................................     04461  1.0
ME.....................................................     04462  7.0
ME.....................................................     04463  10.4
ME.....................................................     04464  10.0
ME.....................................................     04467  2.0
ME.....................................................     04468  1.0
ME.....................................................     04469  1.0
ME.....................................................     04471  8.0
ME.....................................................     04472  10.0
ME.....................................................     04473  1.0
ME.....................................................     04474  2.0
ME.....................................................     04475  2.0
ME.....................................................     04476  10.0
ME.....................................................     04478  10.0
ME.....................................................     04479  10.0
ME.....................................................     04481  10.4
ME.....................................................     04485  10.0
ME.....................................................     04487  9.1
ME.....................................................     04488  2.0
ME.....................................................     04489  1.0
ME.....................................................     04490  10.0
ME.....................................................     04491  10.0
ME.....................................................     04492  10.0
ME.....................................................     04493  2.0
ME.....................................................     04495  2.0
ME.....................................................     04496  2.0
ME.....................................................     04497  8.0
ME.....................................................     04530  4.2
ME.....................................................     04535  10.0
ME.....................................................     04536  10.0
ME.....................................................     04537  10.0
ME.....................................................     04538  10.0
ME.....................................................     04539  10.0
ME.....................................................     04541  10.0
ME.....................................................     04543  10.0
ME.....................................................     04544  10.0
ME.....................................................     04547  10.2
ME.....................................................     04548  5.0
ME.....................................................     04549  10.0
ME.....................................................     04551  10.0
ME.....................................................     04553  10.0
ME.....................................................     04554  10.0
ME.....................................................     04555  10.0
ME.....................................................     04556  10.0
ME.....................................................     04558  10.0
ME.....................................................     04562  5.0
ME.....................................................     04563  10.2
ME.....................................................     04564  10.0
ME.....................................................     04565  5.0
ME.....................................................     04567  5.0
ME.....................................................     04568  10.0
ME.....................................................     04570  10.0
ME.....................................................     04571  10.0
ME.....................................................     04572  10.5
ME.....................................................     04573  10.0
ME.....................................................     04574  10.5
ME.....................................................     04575  10.0
ME.....................................................     04576  10.0
ME.....................................................     04578  10.5
ME.....................................................     04579  5.0
ME.....................................................     04605  10.0
ME.....................................................     04606  10.0
ME.....................................................     04607  10.0
ME.....................................................     04609  7.0
ME.....................................................     04611  10.0
ME.....................................................     04612  10.0
ME.....................................................     04613  10.0
ME.....................................................     04614  10.0
ME.....................................................     04615  10.0
ME.....................................................     04616  10.0
ME.....................................................     04617  10.0
ME.....................................................     04619  7.0
ME.....................................................     04622  10.0
ME.....................................................     04623  10.0
ME.....................................................     04624  10.0
ME.....................................................     04625  10.6
ME.....................................................     04626  10.0
ME.....................................................     04627  10.0
ME.....................................................     04628  10.6
ME.....................................................     04629  10.0
ME.....................................................     04630  10.0
ME.....................................................     04631  10.0
ME.....................................................     04634  10.0
ME.....................................................     04635  10.0
ME.....................................................     04637  10.6
ME.....................................................     04640  10.0
ME.....................................................     04642  10.0
ME.....................................................     04643  10.0
ME.....................................................     04644  7.0
ME.....................................................     04645  10.0
ME.....................................................     04646  10.6
ME.....................................................     04648  10.0
ME.....................................................     04649  10.0
ME.....................................................     04650  10.0
ME.....................................................     04652  10.0
ME.....................................................     04653  10.0
ME.....................................................     04654  10.0
ME.....................................................     04655  10.0
ME.....................................................     04656  10.6
ME.....................................................     04657  10.6
ME.....................................................     04658  10.0
ME.....................................................     04660  10.6
ME.....................................................     04662  7.0
ME.....................................................     04664  10.0
ME.....................................................     04666  10.6
ME.....................................................     04667  10.6
ME.....................................................     04668  10.6
ME.....................................................     04669  10.0
ME.....................................................     04671  10.6
ME.....................................................     04672  7.0
ME.....................................................     04673  10.0
ME.....................................................     04674  10.6
ME.....................................................     04675  7.0
ME.....................................................     04676  10.0
ME.....................................................     04677  10.0
ME.....................................................     04679  10.6
ME.....................................................     04680  10.0
ME.....................................................     04681  10.0
ME.....................................................     04683  10.0
ME.....................................................     04684  10.0
ME.....................................................     04685  10.0
ME.....................................................     04686  10.0
ME.....................................................     04691  10.0
ME.....................................................     04693  10.0
ME.....................................................     04694  10.6
ME.....................................................     04730  7.0
ME.....................................................     04732  10.6
ME.....................................................     04733  8.0
ME.....................................................     04734  8.0
ME.....................................................     04735  8.0
ME.....................................................     04736  7.0
ME.....................................................     04737  10.0
ME.....................................................     04738  8.0
ME.....................................................     04739  10.0

[[Page 70128]]

 
ME.....................................................     04740  10.3
ME.....................................................     04741  10.0
ME.....................................................     04742  10.3
ME.....................................................     04743  10.0
ME.....................................................     04744  10.0
ME.....................................................     04745  10.3
ME.....................................................     04746  10.6
ME.....................................................     04747  10.6
ME.....................................................     04750  10.6
ME.....................................................     04751  10.6
ME.....................................................     04756  7.0
ME.....................................................     04757  8.0
ME.....................................................     04758  8.0
ME.....................................................     04759  10.6
ME.....................................................     04760  8.0
ME.....................................................     04761  8.0
ME.....................................................     04762  9.0
ME.....................................................     04763  8.0
ME.....................................................     04764  8.0
ME.....................................................     04765  9.0
ME.....................................................     04766  8.0
ME.....................................................     04768  10.6
ME.....................................................     04769  7.0
ME.....................................................     04770  10.0
ME.....................................................     04772  10.3
ME.....................................................     04773  7.0
ME.....................................................     04774  10.0
ME.....................................................     04775  10.6
ME.....................................................     04776  10.6
ME.....................................................     04777  9.0
ME.....................................................     04779  9.0
ME.....................................................     04780  10.6
ME.....................................................     04781  10.0
ME.....................................................     04783  9.0
ME.....................................................     04785  10.6
ME.....................................................     04786  8.0
ME.....................................................     04787  8.0
ME.....................................................     04788  10.0
ME.....................................................     04841  4.0
ME.....................................................     04843  7.4
ME.....................................................     04846  4.0
ME.....................................................     04847  10.5
ME.....................................................     04848  10.6
ME.....................................................     04849  10.6
ME.....................................................     04850  10.6
ME.....................................................     04851  10.0
ME.....................................................     04852  10.0
ME.....................................................     04853  10.0
ME.....................................................     04854  5.0
ME.....................................................     04855  10.5
ME.....................................................     04856  10.5
ME.....................................................     04857  10.5
ME.....................................................     04858  5.0
ME.....................................................     04859  10.5
ME.....................................................     04860  10.5
ME.....................................................     04861  4.0
ME.....................................................     04862  10.5
ME.....................................................     04863  10.0
ME.....................................................     04864  4.0
ME.....................................................     04865  10.5
ME.....................................................     04901  4.0
ME.....................................................     04903  4.0
ME.....................................................     04910  5.0
ME.....................................................     04911  10.6
ME.....................................................     04912  10.6
ME.....................................................     04915  7.0
ME.....................................................     04917  5.0
ME.....................................................     04918  5.0
ME.....................................................     04920  10.6
ME.....................................................     04921  8.0
ME.....................................................     04922  10.5
ME.....................................................     04923  10.0
ME.....................................................     04924  9.0
ME.....................................................     04925  10.0
ME.....................................................     04926  5.0
ME.....................................................     04927  5.0
ME.....................................................     04928  3.0
ME.....................................................     04929  10.6
ME.....................................................     04930  10.4
ME.....................................................     04932  2.0
ME.....................................................     04933  2.0
ME.....................................................     04935  5.0
ME.....................................................     04936  10.0
ME.....................................................     04937  4.0
ME.....................................................     04938  7.0
ME.....................................................     04939  2.0
ME.....................................................     04940  7.0
ME.....................................................     04941  9.0
ME.....................................................     04942  10.6
ME.....................................................     04943  10.6
ME.....................................................     04944  4.0
ME.....................................................     04945  10.0
ME.....................................................     04947  10.0
ME.....................................................     04949  9.0
ME.....................................................     04950  7.0
ME.....................................................     04951  8.0
ME.....................................................     04952  9.0
ME.....................................................     04953  2.0
ME.....................................................     04954  10.0
ME.....................................................     04955  10.6
ME.....................................................     04956  10.3
ME.....................................................     04957  10.6
ME.....................................................     04958  10.6
ME.....................................................     04961  10.0
ME.....................................................     04962  5.0
ME.....................................................     04963  4.0
ME.....................................................     04964  10.0
ME.....................................................     04965  10.6
ME.....................................................     04966  10.0
ME.....................................................     04967  7.0
ME.....................................................     04969  2.0
ME.....................................................     04970  10.0
ME.....................................................     04971  10.0
ME.....................................................     04972  10.6
ME.....................................................     04973  9.0
ME.....................................................     04974  10.6
ME.....................................................     04975  4.0
ME.....................................................     04976  7.4
ME.....................................................     04978  10.5
ME.....................................................     04979  10.6
ME.....................................................     04981  10.6
ME.....................................................     04982  10.0
ME.....................................................     04983  10.3
ME.....................................................     04984  10.3
ME.....................................................     04985  10.0
ME.....................................................     04986  10.5
ME.....................................................     04987  10.5
ME.....................................................     04988  10.5
ME.....................................................     04989  5.0
ME.....................................................     04992  7.0
MH.....................................................     96960    R
MH.....................................................     96970    R
MI.....................................................     48001  1.0
MI.....................................................     48002  2.0
MI.....................................................     48003  2.0
MI.....................................................     48004  1.0
MI.....................................................     48005  2.0
MI.....................................................     48006  2.1
MI.....................................................     48007  1.0
MI.....................................................     48009  1.0
MI.....................................................     48012  1.0
MI.....................................................     48014  2.0
MI.....................................................     48015  1.0
MI.....................................................     48017  1.0
MI.....................................................     48021  1.0
MI.....................................................     48022  2.0
MI.....................................................     48023  1.0
MI.....................................................     48025  1.0
MI.....................................................     48026  1.0
MI.....................................................     48027  2.0
MI.....................................................     48028  2.0
MI.....................................................     48030  1.0
MI.....................................................     48032  2.1
MI.....................................................     48034  1.0
MI.....................................................     48035  1.0
MI.....................................................     48036  1.0
MI.....................................................     48037  1.0
MI.....................................................     48038  1.0
MI.....................................................     48039  1.0
MI.....................................................     48040  1.0
MI.....................................................     48041  2.0
MI.....................................................     48042  1.0
MI.....................................................     48043  1.0
MI.....................................................     48044  1.0
MI.....................................................     48045  1.0
MI.....................................................     48046  1.0
MI.....................................................     48047  1.0
MI.....................................................     48048  1.0
MI.....................................................     48049  1.0
MI.....................................................     48050  2.0
MI.....................................................     48051  1.0
MI.....................................................     48054  1.0
MI.....................................................     48059  1.0
MI.....................................................     48060  1.0
MI.....................................................     48061  1.0
MI.....................................................     48062  2.0
MI.....................................................     48063  2.0
MI.....................................................     48064  1.0
MI.....................................................     48065  1.0
MI.....................................................     48066  1.0
MI.....................................................     48067  1.0
MI.....................................................     48068  1.0
MI.....................................................     48069  1.0
MI.....................................................     48070  1.0
MI.....................................................     48071  1.0
MI.....................................................     48072  1.0
MI.....................................................     48073  1.0
MI.....................................................     48074  1.0
MI.....................................................     48075  1.0
MI.....................................................     48076  1.0
MI.....................................................     48079  1.0
MI.....................................................     48080  1.0
MI.....................................................     48081  1.0
MI.....................................................     48082  1.0
MI.....................................................     48083  1.0
MI.....................................................     48084  1.0
MI.....................................................     48085  1.0
MI.....................................................     48086  1.0
MI.....................................................     48088  1.0
MI.....................................................     48089  1.0
MI.....................................................     48090  1.0
MI.....................................................     48091  1.0
MI.....................................................     48092  1.0
MI.....................................................     48093  1.0
MI.....................................................     48094  1.0
MI.....................................................     48095  1.0
MI.....................................................     48096  2.0

[[Page 70129]]

 
MI.....................................................     48097  2.0
MI.....................................................     48098  1.0
MI.....................................................     48099  1.0
MI.....................................................     48101  1.0
MI.....................................................     48102  1.0
MI.....................................................     48103  1.0
MI.....................................................     48104  1.0
MI.....................................................     48105  1.0
MI.....................................................     48106  1.0
MI.....................................................     48107  1.0
MI.....................................................     48108  1.0
MI.....................................................     48109  1.0
MI.....................................................     48110  2.0
MI.....................................................     48111  1.0
MI.....................................................     48112  1.0
MI.....................................................     48113  1.0
MI.....................................................     48114  2.0
MI.....................................................     48115  1.0
MI.....................................................     48116  2.0
MI.....................................................     48117  2.0
MI.....................................................     48118  2.0
MI.....................................................     48120  1.0
MI.....................................................     48121  1.0
MI.....................................................     48122  1.0
MI.....................................................     48123  1.0
MI.....................................................     48124  1.0
MI.....................................................     48125  1.0
MI.....................................................     48126  1.0
MI.....................................................     48127  1.0
MI.....................................................     48128  1.0
MI.....................................................     48130  2.1
MI.....................................................     48131  3.0
MI.....................................................     48133  1.0
MI.....................................................     48134  1.0
MI.....................................................     48135  1.0
MI.....................................................     48136  1.0
MI.....................................................     48137  2.0
MI.....................................................     48138  1.0
MI.....................................................     48139  2.0
MI.....................................................     48140  2.0
MI.....................................................     48141  1.0
MI.....................................................     48143  2.0
MI.....................................................     48144  1.0
MI.....................................................     48145  1.0
MI.....................................................     48146  1.0
MI.....................................................     48150  1.0
MI.....................................................     48151  1.0
MI.....................................................     48152  1.0
MI.....................................................     48153  1.0
MI.....................................................     48154  1.0
MI.....................................................     48157  2.0
MI.....................................................     48158  2.0
MI.....................................................     48159  2.0
MI.....................................................     48160  2.0
MI.....................................................     48161  1.0
MI.....................................................     48162  1.0
MI.....................................................     48164  1.0
MI.....................................................     48165  2.0
MI.....................................................     48166  1.0
MI.....................................................     48167  1.0
MI.....................................................     48168  1.0
MI.....................................................     48169  2.0
MI.....................................................     48170  1.0
MI.....................................................     48173  1.0
MI.....................................................     48174  1.0
MI.....................................................     48175  1.0
MI.....................................................     48176  1.0
MI.....................................................     48177  1.0
MI.....................................................     48178  2.0
MI.....................................................     48179  1.0
MI.....................................................     48180  1.0
MI.....................................................     48182  1.0
MI.....................................................     48183  1.0
MI.....................................................     48184  1.0
MI.....................................................     48185  1.0
MI.....................................................     48186  1.0
MI.....................................................     48187  1.0
MI.....................................................     48188  1.0
MI.....................................................     48189  2.0
MI.....................................................     48190  2.0
MI.....................................................     48191  2.1
MI.....................................................     48192  1.0
MI.....................................................     48193  1.0
MI.....................................................     48195  1.0
MI.....................................................     48197  1.0
MI.....................................................     48198  1.0
MI.....................................................     48201  1.0
MI.....................................................     48202  1.0
MI.....................................................     48203  1.0
MI.....................................................     48204  1.0
MI.....................................................     48205  1.0
MI.....................................................     48206  1.0
MI.....................................................     48207  1.0
MI.....................................................     48208  1.0
MI.....................................................     48209  1.0
MI.....................................................     48210  1.0
MI.....................................................     48211  1.0
MI.....................................................     48212  1.0
MI.....................................................     48213  1.0
MI.....................................................     48214  1.0
MI.....................................................     48215  1.0
MI.....................................................     48216  1.0
MI.....................................................     48217  1.0
MI.....................................................     48218  1.0
MI.....................................................     48219  1.0
MI.....................................................     48220  1.0
MI.....................................................     48221  1.0
MI.....................................................     48222  1.0
MI.....................................................     48223  1.0
MI.....................................................     48224  1.0
MI.....................................................     48225  1.0
MI.....................................................     48226  1.0
MI.....................................................     48227  1.0
MI.....................................................     48228  1.0
MI.....................................................     48229  1.0
MI.....................................................     48230  1.0
MI.....................................................     48231  1.0
MI.....................................................     48232  1.0
MI.....................................................     48233  1.0
MI.....................................................     48234  1.0
MI.....................................................     48235  1.0
MI.....................................................     48236  1.0
MI.....................................................     48237  1.0
MI.....................................................     48238  1.0
MI.....................................................     48239  1.0
MI.....................................................     48240  1.0
MI.....................................................     48242  1.0
MI.....................................................     48243  1.0
MI.....................................................     48244  1.0
MI.....................................................     48255  1.0
MI.....................................................     48260  1.0
MI.....................................................     48264  1.0
MI.....................................................     48265  1.0
MI.....................................................     48266  1.0
MI.....................................................     48267  1.0
MI.....................................................     48268  1.0
MI.....................................................     48269  1.0
MI.....................................................     48272  1.0
MI.....................................................     48275  1.0
MI.....................................................     48277  1.0
MI.....................................................     48278  1.0
MI.....................................................     48279  1.0
MI.....................................................     48288  1.0
MI.....................................................     48301  1.0
MI.....................................................     48302  1.0
MI.....................................................     48303  1.0
MI.....................................................     48304  1.0
MI.....................................................     48306  1.0
MI.....................................................     48307  1.0
MI.....................................................     48308  1.0
MI.....................................................     48309  1.0
MI.....................................................     48310  1.0
MI.....................................................     48311  1.0
MI.....................................................     48312  1.0
MI.....................................................     48313  1.0
MI.....................................................     48314  1.0
MI.....................................................     48315  1.0
MI.....................................................     48316  1.0
MI.....................................................     48317  1.0
MI.....................................................     48318  1.0
MI.....................................................     48320  1.0
MI.....................................................     48321  1.0
MI.....................................................     48322  1.0
MI.....................................................     48323  1.0
MI.....................................................     48324  1.0
MI.....................................................     48325  1.0
MI.....................................................     48326  1.0
MI.....................................................     48327  1.0
MI.....................................................     48328  1.0
MI.....................................................     48329  1.0
MI.....................................................     48330  1.0
MI.....................................................     48331  1.0
MI.....................................................     48332  1.0
MI.....................................................     48333  1.0
MI.....................................................     48334  1.0
MI.....................................................     48335  1.0
MI.....................................................     48336  1.0
MI.....................................................     48340  1.0
MI.....................................................     48341  1.0
MI.....................................................     48342  1.0
MI.....................................................     48343  1.0
MI.....................................................     48346  1.0
MI.....................................................     48347  1.0
MI.....................................................     48348  1.0
MI.....................................................     48350  1.0
MI.....................................................     48353  1.0
MI.....................................................     48356  1.0
MI.....................................................     48357  1.0
MI.....................................................     48359  1.0
MI.....................................................     48360  1.0
MI.....................................................     48361  1.0
MI.....................................................     48362  1.0
MI.....................................................     48363  2.0
MI.....................................................     48366  2.0
MI.....................................................     48367  2.0
MI.....................................................     48370  2.0
MI.....................................................     48371  1.0
MI.....................................................     48374  1.0
MI.....................................................     48375  1.0
MI.....................................................     48376  1.0
MI.....................................................     48377  1.0
MI.....................................................     48380  2.0
MI.....................................................     48381  1.0
MI.....................................................     48382  1.0
MI.....................................................     48383  1.0
MI.....................................................     48386  1.0
MI.....................................................     48387  1.0

[[Page 70130]]

 
MI.....................................................     48390  1.0
MI.....................................................     48391  1.0
MI.....................................................     48393  1.0
MI.....................................................     48397  1.0
MI.....................................................     48398  1.0
MI.....................................................     48401  3.0
MI.....................................................     48410  9.0
MI.....................................................     48411  1.0
MI.....................................................     48412  2.0
MI.....................................................     48413  7.0
MI.....................................................     48414  3.0
MI.....................................................     48415  3.0
MI.....................................................     48416  10.4
MI.....................................................     48417  2.1
MI.....................................................     48418  3.0
MI.....................................................     48419  10.6
MI.....................................................     48420  1.0
MI.....................................................     48421  3.0
MI.....................................................     48422  2.0
MI.....................................................     48423  1.0
MI.....................................................     48426  9.0
MI.....................................................     48427  10.6
MI.....................................................     48428  2.0
MI.....................................................     48429  2.0
MI.....................................................     48430  1.0
MI.....................................................     48432  10.6
MI.....................................................     48433  1.0
MI.....................................................     48434  10.0
MI.....................................................     48435  3.0
MI.....................................................     48436  2.1
MI.....................................................     48437  1.0
MI.....................................................     48438  2.1
MI.....................................................     48439  1.0
MI.....................................................     48440  2.0
MI.....................................................     48441  10.6
MI.....................................................     48442  2.0
MI.....................................................     48444  2.0
MI.....................................................     48445  9.0
MI.....................................................     48446  4.1
MI.....................................................     48449  2.0
MI.....................................................     48450  1.0
MI.....................................................     48451  2.1
MI.....................................................     48453  10.6
MI.....................................................     48454  3.0
MI.....................................................     48455  2.0
MI.....................................................     48456  10.0
MI.....................................................     48457  2.0
MI.....................................................     48458  1.0
MI.....................................................     48460  2.0
MI.....................................................     48461  3.0
MI.....................................................     48462  2.0
MI.....................................................     48463  2.1
MI.....................................................     48464  3.0
MI.....................................................     48465  10.0
MI.....................................................     48466  3.0
MI.....................................................     48467  10.6
MI.....................................................     48468  10.6
MI.....................................................     48469  3.0
MI.....................................................     48470  10.6
MI.....................................................     48471  7.0
MI.....................................................     48472  9.0
MI.....................................................     48473  1.0
MI.....................................................     48475  10.6
MI.....................................................     48476  2.0
MI.....................................................     48480  2.0
MI.....................................................     48501  1.0
MI.....................................................     48502  1.0
MI.....................................................     48503  1.0
MI.....................................................     48504  1.0
MI.....................................................     48505  1.0
MI.....................................................     48506  1.0
MI.....................................................     48507  1.0
MI.....................................................     48509  1.0
MI.....................................................     48519  1.0
MI.....................................................     48529  1.0
MI.....................................................     48531  1.0
MI.....................................................     48532  1.0
MI.....................................................     48550  1.0
MI.....................................................     48551  1.0
MI.....................................................     48552  1.0
MI.....................................................     48553  1.0
MI.....................................................     48554  1.0
MI.....................................................     48555  1.0
MI.....................................................     48556  1.0
MI.....................................................     48557  1.0
MI.....................................................     48559  1.0
MI.....................................................     48601  1.0
MI.....................................................     48602  1.0
MI.....................................................     48603  1.0
MI.....................................................     48604  1.0
MI.....................................................     48605  1.0
MI.....................................................     48606  1.0
MI.....................................................     48607  1.0
MI.....................................................     48608  1.0
MI.....................................................     48609  1.0
MI.....................................................     48610  10.0
MI.....................................................     48611  4.0
MI.....................................................     48612  6.0
MI.....................................................     48613  3.0
MI.....................................................     48614  6.1
MI.....................................................     48615  6.0
MI.....................................................     48616  10.4
MI.....................................................     48617  7.4
MI.....................................................     48618  6.0
MI.....................................................     48619  10.0
MI.....................................................     48620  4.0
MI.....................................................     48621  10.0
MI.....................................................     48622  9.2
MI.....................................................     48623  1.0
MI.....................................................     48624  9.0
MI.....................................................     48625  7.0
MI.....................................................     48626  2.0
MI.....................................................     48627  9.0
MI.....................................................     48628  5.0
MI.....................................................     48629  7.0
MI.....................................................     48630  7.0
MI.....................................................     48631  2.1
MI.....................................................     48632  6.0
MI.....................................................     48633  6.0
MI.....................................................     48634  2.1
MI.....................................................     48635  10.0
MI.....................................................     48636  10.0
MI.....................................................     48637  2.0
MI.....................................................     48638  2.0
MI.....................................................     48640  4.0
MI.....................................................     48641  4.0
MI.....................................................     48642  4.0
MI.....................................................     48647  10.0
MI.....................................................     48649  6.1
MI.....................................................     48650  10.4
MI.....................................................     48651  7.0
MI.....................................................     48652  5.0
MI.....................................................     48653  9.0
MI.....................................................     48654  10.0
MI.....................................................     48655  2.0
MI.....................................................     48656  9.0
MI.....................................................     48657  4.0
MI.....................................................     48658  10.4
MI.....................................................     48659  10.0
MI.....................................................     48661  10.0
MI.....................................................     48662  6.0
MI.....................................................     48663  1.0
MI.....................................................     48667  4.0
MI.....................................................     48670  4.0
MI.....................................................     48674  4.0
MI.....................................................     48686  4.0
MI.....................................................     48701  10.4
MI.....................................................     48703  10.0
MI.....................................................     48705  10.0
MI.....................................................     48706  1.0
MI.....................................................     48707  1.0
MI.....................................................     48708  1.0
MI.....................................................     48710  2.1
MI.....................................................     48720  10.0
MI.....................................................     48721  10.0
MI.....................................................     48722  2.0
MI.....................................................     48723  9.0
MI.....................................................     48724  1.0
MI.....................................................     48725  10.0
MI.....................................................     48726  7.0
MI.....................................................     48727  3.0
MI.....................................................     48728  10.0
MI.....................................................     48729  9.0
MI.....................................................     48730  7.0
MI.....................................................     48731  10.6
MI.....................................................     48732  1.0
MI.....................................................     48733  10.4
MI.....................................................     48734  7.1
MI.....................................................     48735  7.0
MI.....................................................     48736  10.4
MI.....................................................     48737  10.0
MI.....................................................     48738  8.0
MI.....................................................     48739  10.6
MI.....................................................     48740  10.0
MI.....................................................     48741  3.0
MI.....................................................     48742  10.0
MI.....................................................     48743  8.0
MI.....................................................     48744  10.4
MI.....................................................     48745  10.0
MI.....................................................     48746  2.0
MI.....................................................     48747  1.0
MI.....................................................     48748  8.0
MI.....................................................     48749  10.0
MI.....................................................     48750  7.0
MI.....................................................     48754  10.0
MI.....................................................     48755  10.0
MI.....................................................     48756  10.0
MI.....................................................     48757  2.0
MI.....................................................     48758  9.1
MI.....................................................     48759  10.0
MI.....................................................     48760  3.0
MI.....................................................     48761  10.0
MI.....................................................     48762  6.0
MI.....................................................     48763  7.0
MI.....................................................     48764  7.0
MI.....................................................     48765  10.0
MI.....................................................     48766  10.0
MI.....................................................     48767  10.4
MI.....................................................     48768  9.1
MI.....................................................     48769  9.1
MI.....................................................     48770  10.6
MI.....................................................     48787  7.1
MI.....................................................     48801  4.0
MI.....................................................     48802  4.0
MI.....................................................     48804  4.0
MI.....................................................     48805  1.0
MI.....................................................     48806  3.0

[[Page 70131]]

 
MI.....................................................     48807  3.0
MI.....................................................     48808  2.0
MI.....................................................     48809  3.0
MI.....................................................     48811  7.0
MI.....................................................     48812  6.0
MI.....................................................     48813  2.0
MI.....................................................     48815  2.0
MI.....................................................     48816  2.1
MI.....................................................     48817  4.2
MI.....................................................     48818  9.0
MI.....................................................     48819  2.0
MI.....................................................     48820  1.0
MI.....................................................     48821  1.0
MI.....................................................     48822  2.0
MI.....................................................     48823  1.0
MI.....................................................     48824  1.0
MI.....................................................     48825  1.0
MI.....................................................     48826  1.0
MI.....................................................     48827  2.0
MI.....................................................     48829  10.0
MI.....................................................     48830  5.0
MI.....................................................     48831  10.4
MI.....................................................     48832  5.0
MI.....................................................     48833  2.0
MI.....................................................     48834  7.0
MI.....................................................     48835  2.0
MI.....................................................     48836  2.1
MI.....................................................     48837  1.0
MI.....................................................     48838  7.3
MI.....................................................     48840  1.0
MI.....................................................     48841  5.2
MI.....................................................     48842  1.0
MI.....................................................     48843  2.0
MI.....................................................     48844  2.0
MI.....................................................     48845  6.1
MI.....................................................     48846  4.2
MI.....................................................     48847  7.4
MI.....................................................     48848  2.0
MI.....................................................     48849  9.1
MI.....................................................     48850  10.6
MI.....................................................     48851  6.1
MI.....................................................     48852  10.0
MI.....................................................     48853  2.0
MI.....................................................     48854  2.0
MI.....................................................     48855  2.1
MI.....................................................     48856  10.4
MI.....................................................     48857  2.0
MI.....................................................     48858  4.0
MI.....................................................     48859  4.0
MI.....................................................     48860  6.1
MI.....................................................     48861  2.0
MI.....................................................     48862  7.4
MI.....................................................     48863  2.1
MI.....................................................     48864  1.0
MI.....................................................     48865  2.0
MI.....................................................     48866  3.0
MI.....................................................     48867  4.2
MI.....................................................     48870  7.0
MI.....................................................     48871  10.4
MI.....................................................     48872  2.0
MI.....................................................     48873  6.1
MI.....................................................     48874  10.4
MI.....................................................     48875  2.0
MI.....................................................     48876  2.0
MI.....................................................     48877  5.0
MI.....................................................     48878  5.0
MI.....................................................     48879  2.0
MI.....................................................     48880  4.0
MI.....................................................     48881  2.0
MI.....................................................     48882  2.0
MI.....................................................     48883  5.0
MI.....................................................     48884  9.0
MI.....................................................     48885  8.3
MI.....................................................     48886  9.0
MI.....................................................     48887  3.0
MI.....................................................     48888  9.0
MI.....................................................     48889  5.0
MI.....................................................     48890  2.0
MI.....................................................     48891  6.0
MI.....................................................     48892  2.0
MI.....................................................     48893  5.0
MI.....................................................     48894  2.0
MI.....................................................     48895  2.0
MI.....................................................     48896  4.0
MI.....................................................     48897  9.0
MI.....................................................     48901  1.0
MI.....................................................     48906  1.0
MI.....................................................     48907  1.0
MI.....................................................     48908  1.0
MI.....................................................     48909  1.0
MI.....................................................     48910  1.0
MI.....................................................     48911  1.0
MI.....................................................     48912  1.0
MI.....................................................     48913  1.0
MI.....................................................     48915  1.0
MI.....................................................     48916  1.0
MI.....................................................     48917  1.0
MI.....................................................     48918  1.0
MI.....................................................     48919  1.0
MI.....................................................     48921  1.0
MI.....................................................     48922  1.0
MI.....................................................     48924  1.0
MI.....................................................     48929  1.0
MI.....................................................     48930  1.0
MI.....................................................     48933  1.0
MI.....................................................     48937  1.0
MI.....................................................     48950  1.0
MI.....................................................     48951  1.0
MI.....................................................     48956  1.0
MI.....................................................     48980  1.0
MI.....................................................     49001  1.0
MI.....................................................     49002  1.0
MI.....................................................     49003  1.0
MI.....................................................     49004  1.0
MI.....................................................     49005  1.0
MI.....................................................     49006  1.0
MI.....................................................     49007  1.0
MI.....................................................     49008  1.0
MI.....................................................     49009  1.0
MI.....................................................     49010  8.0
MI.....................................................     49011  2.0
MI.....................................................     49012  2.0
MI.....................................................     49013  9.0
MI.....................................................     49014  1.0
MI.....................................................     49015  1.0
MI.....................................................     49016  1.0
MI.....................................................     49017  1.0
MI.....................................................     49018  1.0
MI.....................................................     49019  1.0
MI.....................................................     49020  1.0
MI.....................................................     49021  3.0
MI.....................................................     49022  1.0
MI.....................................................     49023  1.0
MI.....................................................     49024  1.0
MI.....................................................     49026  2.0
MI.....................................................     49027  9.0
MI.....................................................     49028  5.0
MI.....................................................     49029  2.0
MI.....................................................     49030  5.0
MI.....................................................     49031  3.0
MI.....................................................     49032  10.5
MI.....................................................     49033  2.0
MI.....................................................     49034  2.0
MI.....................................................     49035  3.0
MI.....................................................     49036  4.0
MI.....................................................     49038  2.0
MI.....................................................     49039  2.0
MI.....................................................     49040  10.5
MI.....................................................     49041  1.0
MI.....................................................     49042  9.0
MI.....................................................     49043  3.0
MI.....................................................     49045  3.0
MI.....................................................     49046  3.0
MI.....................................................     49047  7.3
MI.....................................................     49048  1.0
MI.....................................................     49050  2.0
MI.....................................................     49051  2.0
MI.....................................................     49052  2.0
MI.....................................................     49053  1.0
MI.....................................................     49055  2.0
MI.....................................................     49056  9.0
MI.....................................................     49057  3.0
MI.....................................................     49058  7.3
MI.....................................................     49060  2.0
MI.....................................................     49061  10.4
MI.....................................................     49062  2.0
MI.....................................................     49063  9.0
MI.....................................................     49064  10.5
MI.....................................................     49065  2.0
MI.....................................................     49066  10.4
MI.....................................................     49067  3.0
MI.....................................................     49068  7.3
MI.....................................................     49069  7.3
MI.....................................................     49070  3.0
MI.....................................................     49071  2.0
MI.....................................................     49072  10.4
MI.....................................................     49073  9.0
MI.....................................................     49074  1.0
MI.....................................................     49075  4.0
MI.....................................................     49076  3.0
MI.....................................................     49077  1.0
MI.....................................................     49078  4.2
MI.....................................................     49079  2.0
MI.....................................................     49080  4.2
MI.....................................................     49081  1.0
MI.....................................................     49082  5.0
MI.....................................................     49083  2.0
MI.....................................................     49084  2.0
MI.....................................................     49085  1.0
MI.....................................................     49087  1.0
MI.....................................................     49088  2.0
MI.....................................................     49089  10.5
MI.....................................................     49090  7.0
MI.....................................................     49091  4.0
MI.....................................................     49092  9.1
MI.....................................................     49093  7.3
MI.....................................................     49094  10.5
MI.....................................................     49095  3.0
MI.....................................................     49096  2.0
MI.....................................................     49097  2.0
MI.....................................................     49098  2.0
MI.....................................................     49099  9.0
MI.....................................................     49101  2.0
MI.....................................................     49102  3.0
MI.....................................................     49103  7.3
MI.....................................................     49104  7.3
MI.....................................................     49106  1.0

[[Page 70132]]

 
MI.....................................................     49107  1.0
MI.....................................................     49111  2.0
MI.....................................................     49112  2.1
MI.....................................................     49113  2.0
MI.....................................................     49115  3.0
MI.....................................................     49116  2.0
MI.....................................................     49117  7.3
MI.....................................................     49119  2.0
MI.....................................................     49120  1.0
MI.....................................................     49121  1.0
MI.....................................................     49125  2.0
MI.....................................................     49126  1.0
MI.....................................................     49127  1.0
MI.....................................................     49128  3.0
MI.....................................................     49129  7.3
MI.....................................................     49130  2.0
MI.....................................................     49201  1.0
MI.....................................................     49202  1.0
MI.....................................................     49203  1.0
MI.....................................................     49204  1.0
MI.....................................................     49220  6.0
MI.....................................................     49221  4.2
MI.....................................................     49224  7.3
MI.....................................................     49227  10.0
MI.....................................................     49228  9.2
MI.....................................................     49229  2.0
MI.....................................................     49230  2.0
MI.....................................................     49232  10.0
MI.....................................................     49233  2.0
MI.....................................................     49234  2.0
MI.....................................................     49235  5.0
MI.....................................................     49236  2.0
MI.....................................................     49237  2.0
MI.....................................................     49238  6.1
MI.....................................................     49239  7.0
MI.....................................................     49240  2.0
MI.....................................................     49241  2.0
MI.....................................................     49242  7.0
MI.....................................................     49245  10.0
MI.....................................................     49246  2.0
MI.....................................................     49247  5.0
MI.....................................................     49248  5.2
MI.....................................................     49249  2.0
MI.....................................................     49250  10.6
MI.....................................................     49251  2.0
MI.....................................................     49252  10.0
MI.....................................................     49253  6.0
MI.....................................................     49254  1.0
MI.....................................................     49255  5.0
MI.....................................................     49256  5.0
MI.....................................................     49257  10.6
MI.....................................................     49258  10.6
MI.....................................................     49259  2.0
MI.....................................................     49261  1.0
MI.....................................................     49262  10.6
MI.....................................................     49263  2.0
MI.....................................................     49264  2.0
MI.....................................................     49265  6.1
MI.....................................................     49266  9.0
MI.....................................................     49267  2.0
MI.....................................................     49268  5.0
MI.....................................................     49269  2.0
MI.....................................................     49270  3.0
MI.....................................................     49271  9.0
MI.....................................................     49272  2.1
MI.....................................................     49274  10.0
MI.....................................................     49275  2.0
MI.....................................................     49276  6.1
MI.....................................................     49277  2.0
MI.....................................................     49278  5.0
MI.....................................................     49279  5.2
MI.....................................................     49280  5.0
MI.....................................................     49281  2.0
MI.....................................................     49282  2.0
MI.....................................................     49283  1.0
MI.....................................................     49284  2.0
MI.....................................................     49285  3.0
MI.....................................................     49286  4.2
MI.....................................................     49287  6.1
MI.....................................................     49288  10.0
MI.....................................................     49289  4.2
MI.....................................................     49301  2.0
MI.....................................................     49302  1.0
MI.....................................................     49303  2.0
MI.....................................................     49304  10.0
MI.....................................................     49305  10.5
MI.....................................................     49306  1.0
MI.....................................................     49307  4.0
MI.....................................................     49309  6.1
MI.....................................................     49310  4.0
MI.....................................................     49311  2.0
MI.....................................................     49312  6.1
MI.....................................................     49314  2.0
MI.....................................................     49315  1.0
MI.....................................................     49316  2.0
MI.....................................................     49317  1.0
MI.....................................................     49318  2.0
MI.....................................................     49319  2.0
MI.....................................................     49320  5.0
MI.....................................................     49321  1.0
MI.....................................................     49322  2.0
MI.....................................................     49323  2.0
MI.....................................................     49325  2.0
MI.....................................................     49326  2.0
MI.....................................................     49327  2.0
MI.....................................................     49328  2.0
MI.....................................................     49329  2.0
MI.....................................................     49330  2.0
MI.....................................................     49331  2.0
MI.....................................................     49332  6.0
MI.....................................................     49333  2.0
MI.....................................................     49335  2.0
MI.....................................................     49336  3.0
MI.....................................................     49337  2.0
MI.....................................................     49338  5.0
MI.....................................................     49339  2.0
MI.....................................................     49340  6.0
MI.....................................................     49341  1.0
MI.....................................................     49342  5.0
MI.....................................................     49343  2.0
MI.....................................................     49344  2.0
MI.....................................................     49345  2.0
MI.....................................................     49346  5.1
MI.....................................................     49347  2.0
MI.....................................................     49348  2.0
MI.....................................................     49349  10.4
MI.....................................................     49351  1.0
MI.....................................................     49355  2.0
MI.....................................................     49356  2.0
MI.....................................................     49357  2.0
MI.....................................................     49401  1.0
MI.....................................................     49402  8.0
MI.....................................................     49403  2.0
MI.....................................................     49404  2.0
MI.....................................................     49405  8.0
MI.....................................................     49406  2.0
MI.....................................................     49408  2.0
MI.....................................................     49409  1.0
MI.....................................................     49410  9.0
MI.....................................................     49411  9.0
MI.....................................................     49412  7.0
MI.....................................................     49413  7.0
MI.....................................................     49415  1.0
MI.....................................................     49416  2.0
MI.....................................................     49417  1.0
MI.....................................................     49418  1.0
MI.....................................................     49419  2.0
MI.....................................................     49420  10.0
MI.....................................................     49421  10.4
MI.....................................................     49422  1.0
MI.....................................................     49423  1.0
MI.....................................................     49424  1.0
MI.....................................................     49425  2.0
MI.....................................................     49426  1.0
MI.....................................................     49427  1.0
MI.....................................................     49428  1.0
MI.....................................................     49429  1.0
MI.....................................................     49430  2.0
MI.....................................................     49431  7.0
MI.....................................................     49434  1.0
MI.....................................................     49435  2.0
MI.....................................................     49436  10.0
MI.....................................................     49437  7.1
MI.....................................................     49440  1.0
MI.....................................................     49441  1.0
MI.....................................................     49442  1.0
MI.....................................................     49443  1.0
MI.....................................................     49444  1.0
MI.....................................................     49445  1.0
MI.....................................................     49446  10.6
MI.....................................................     49448  2.1
MI.....................................................     49449  10.0
MI.....................................................     49450  3.0
MI.....................................................     49451  2.1
MI.....................................................     49452  10.6
MI.....................................................     49453  2.0
MI.....................................................     49454  8.0
MI.....................................................     49455  10.6
MI.....................................................     49456  1.0
MI.....................................................     49457  2.0
MI.....................................................     49458  8.0
MI.....................................................     49459  10.4
MI.....................................................     49460  2.0
MI.....................................................     49461  7.1
MI.....................................................     49463  7.1
MI.....................................................     49464  1.0
MI.....................................................     49468  1.0
MI.....................................................     49501  1.0
MI.....................................................     49502  1.0
MI.....................................................     49503  1.0
MI.....................................................     49504  1.0
MI.....................................................     49505  1.0
MI.....................................................     49506  1.0
MI.....................................................     49507  1.0
MI.....................................................     49508  1.0
MI.....................................................     49509  1.0
MI.....................................................     49510  1.0
MI.....................................................     49512  1.0
MI.....................................................     49514  1.0
MI.....................................................     49515  1.0
MI.....................................................     49516  1.0
MI.....................................................     49518  1.0
MI.....................................................     49519  1.0
MI.....................................................     49523  1.0
MI.....................................................     49525  1.0
MI.....................................................     49528  1.0
MI.....................................................     49530  1.0

[[Page 70133]]

 
MI.....................................................     49534  1.0
MI.....................................................     49544  1.0
MI.....................................................     49546  1.0
MI.....................................................     49548  1.0
MI.....................................................     49550  1.0
MI.....................................................     49555  1.0
MI.....................................................     49560  1.0
MI.....................................................     49588  1.0
MI.....................................................     49599  1.0
MI.....................................................     49601  5.0
MI.....................................................     49610  4.0
MI.....................................................     49611  10.0
MI.....................................................     49612  10.5
MI.....................................................     49613  10.6
MI.....................................................     49614  10.6
MI.....................................................     49615  10.0
MI.....................................................     49616  10.0
MI.....................................................     49617  6.0
MI.....................................................     49618  5.0
MI.....................................................     49619  8.0
MI.....................................................     49620  5.0
MI.....................................................     49621  5.0
MI.....................................................     49622  10.0
MI.....................................................     49623  9.0
MI.....................................................     49625  10.5
MI.....................................................     49626  7.0
MI.....................................................     49627  10.0
MI.....................................................     49628  10.0
MI.....................................................     49629  5.0
MI.....................................................     49630  10.5
MI.....................................................     49631  10.6
MI.....................................................     49632  10.5
MI.....................................................     49633  5.0
MI.....................................................     49634  7.0
MI.....................................................     49635  10.0
MI.....................................................     49636  10.5
MI.....................................................     49637  4.0
MI.....................................................     49638  5.0
MI.....................................................     49639  10.0
MI.....................................................     49640  6.0
MI.....................................................     49642  9.0
MI.....................................................     49643  5.0
MI.....................................................     49644  9.0
MI.....................................................     49645  10.5
MI.....................................................     49646  9.2
MI.....................................................     49648  5.0
MI.....................................................     49649  5.0
MI.....................................................     49650  5.0
MI.....................................................     49651  5.0
MI.....................................................     49653  10.5
MI.....................................................     49654  10.5
MI.....................................................     49655  5.0
MI.....................................................     49656  9.0
MI.....................................................     49657  5.0
MI.....................................................     49659  10.0
MI.....................................................     49660  7.0
MI.....................................................     49663  5.0
MI.....................................................     49664  5.0
MI.....................................................     49665  10.5
MI.....................................................     49666  5.0
MI.....................................................     49667  10.5
MI.....................................................     49668  5.0
MI.....................................................     49670  10.5
MI.....................................................     49673  4.0
MI.....................................................     49674  10.2
MI.....................................................     49675  10.6
MI.....................................................     49676  9.2
MI.....................................................     49677  7.4
MI.....................................................     49679  10.0
MI.....................................................     49680  5.0
MI.....................................................     49682  10.2
MI.....................................................     49683  5.0
MI.....................................................     49684  4.0
MI.....................................................     49685  4.0
MI.....................................................     49686  4.0
MI.....................................................     49688  5.0
MI.....................................................     49689  10.6
MI.....................................................     49690  4.0
MI.....................................................     49696  4.0
MI.....................................................     49701  9.0
MI.....................................................     49705  10.6
MI.....................................................     49706  8.0
MI.....................................................     49707  4.0
MI.....................................................     49709  10.0
MI.....................................................     49710  5.0
MI.....................................................     49711  9.0
MI.....................................................     49712  7.0
MI.....................................................     49713  10.6
MI.....................................................     49715  5.0
MI.....................................................     49716  8.0
MI.....................................................     49717  8.0
MI.....................................................     49718  9.0
MI.....................................................     49719  10.0
MI.....................................................     49720  9.0
MI.....................................................     49721  7.0
MI.....................................................     49722  8.0
MI.....................................................     49723  10.3
MI.....................................................     49724  5.0
MI.....................................................     49725  10.0
MI.....................................................     49726  10.0
MI.....................................................     49727  9.0
MI.....................................................     49728  10.6
MI.....................................................     49729  10.0
MI.....................................................     49730  8.0
MI.....................................................     49733  9.0
MI.....................................................     49734  8.0
MI.....................................................     49735  8.0
MI.....................................................     49736  5.0
MI.....................................................     49737  10.3
MI.....................................................     49738  7.0
MI.....................................................     49739  7.0
MI.....................................................     49740  10.3
MI.....................................................     49743  10.6
MI.....................................................     49744  5.0
MI.....................................................     49745  10.0
MI.....................................................     49746  10.5
MI.....................................................     49747  5.0
MI.....................................................     49748  10.6
MI.....................................................     49749  9.0
MI.....................................................     49751  8.0
MI.....................................................     49752  5.0
MI.....................................................     49753  5.0
MI.....................................................     49755  8.0
MI.....................................................     49756  10.0
MI.....................................................     49757  10.6
MI.....................................................     49759  10.6
MI.....................................................     49760  10.6
MI.....................................................     49761  7.0
MI.....................................................     49762  10.0
MI.....................................................     49764  8.0
MI.....................................................     49765  10.0
MI.....................................................     49766  4.0
MI.....................................................     49768  10.6
MI.....................................................     49769  8.0
MI.....................................................     49770  8.0
MI.....................................................     49774  5.0
MI.....................................................     49775  7.0
MI.....................................................     49776  6.0
MI.....................................................     49777  5.0
MI.....................................................     49778  5.0
MI.....................................................     49779  7.0
MI.....................................................     49780  5.0
MI.....................................................     49781  7.0
MI.....................................................     49782  10.0
MI.....................................................     49783  4.0
MI.....................................................     49784  4.0
MI.....................................................     49785  5.0
MI.....................................................     49786  5.0
MI.....................................................     49788  5.0
MI.....................................................     49790  5.0
MI.....................................................     49791  9.0
MI.....................................................     49792  10.6
MI.....................................................     49793  5.0
MI.....................................................     49795  8.0
MI.....................................................     49796  7.0
MI.....................................................     49797  8.0
MI.....................................................     49799  10.6
MI.....................................................     49801  4.0
MI.....................................................     49802  4.0
MI.....................................................     49805  7.2
MI.....................................................     49806  10.0
MI.....................................................     49807  5.0
MI.....................................................     49808  4.0
MI.....................................................     49812  10.5
MI.....................................................     49814  6.0
MI.....................................................     49815  5.0
MI.....................................................     49816  10.0
MI.....................................................     49817  8.0
MI.....................................................     49818  5.0
MI.....................................................     49819  5.0
MI.....................................................     49820  10.6
MI.....................................................     49821  5.0
MI.....................................................     49822  10.0
MI.....................................................     49825  10.0
MI.....................................................     49826  10.0
MI.....................................................     49827  10.6
MI.....................................................     49829  4.0
MI.....................................................     49831  5.0
MI.....................................................     49833  5.0
MI.....................................................     49834  5.0
MI.....................................................     49835  10.5
MI.....................................................     49836  10.3
MI.....................................................     49837  4.0
MI.....................................................     49838  10.6
MI.....................................................     49839  10.0
MI.....................................................     49840  10.3
MI.....................................................     49841  5.0
MI.....................................................     49845  10.5
MI.....................................................     49847  10.0
MI.....................................................     49848  5.0
MI.....................................................     49849  4.0
MI.....................................................     49852  5.0
MI.....................................................     49853  8.0
MI.....................................................     49854  7.0
MI.....................................................     49855  4.0
MI.....................................................     49858  4.0
MI.....................................................     49861  4.0
MI.....................................................     49862  10.0
MI.....................................................     49863  10.5
MI.....................................................     49864  5.0
MI.....................................................     49865  4.0
MI.....................................................     49866  4.0
MI.....................................................     49868  7.0
MI.....................................................     49870  5.0
MI.....................................................     49871  4.0
MI.....................................................     49872  5.0
MI.....................................................     49873  10.0

[[Page 70134]]

 
MI.....................................................     49874  10.0
MI.....................................................     49876  5.0
MI.....................................................     49877  5.0
MI.....................................................     49878  5.0
MI.....................................................     49879  6.0
MI.....................................................     49880  5.0
MI.....................................................     49881  5.0
MI.....................................................     49883  10.3
MI.....................................................     49884  10.0
MI.....................................................     49885  5.0
MI.....................................................     49886  10.0
MI.....................................................     49887  5.0
MI.....................................................     49891  10.0
MI.....................................................     49892  5.0
MI.....................................................     49893  5.0
MI.....................................................     49894  4.0
MI.....................................................     49895  10.0
MI.....................................................     49896  10.5
MI.....................................................     49901  7.2
MI.....................................................     49902  10.6
MI.....................................................     49903  10.6
MI.....................................................     49905  5.0
MI.....................................................     49908  10.0
MI.....................................................     49910  10.0
MI.....................................................     49911  10.6
MI.....................................................     49912  10.0
MI.....................................................     49913  7.2
MI.....................................................     49915  7.0
MI.....................................................     49916  5.0
MI.....................................................     49917  7.2
MI.....................................................     49918  10.5
MI.....................................................     49919  10.0
MI.....................................................     49920  10.6
MI.....................................................     49921  4.0
MI.....................................................     49922  4.0
MI.....................................................     49925  10.0
MI.....................................................     49927  7.0
MI.....................................................     49929  10.0
MI.....................................................     49930  4.0
MI.....................................................     49931  4.0
MI.....................................................     49934  5.0
MI.....................................................     49935  7.0
MI.....................................................     49938  7.0
MI.....................................................     49942  7.2
MI.....................................................     49945  5.0
MI.....................................................     49946  10.0
MI.....................................................     49947  10.0
MI.....................................................     49948  10.0
MI.....................................................     49950  10.5
MI.....................................................     49952  5.0
MI.....................................................     49953  10.0
MI.....................................................     49955  5.0
MI.....................................................     49958  10.0
MI.....................................................     49959  10.6
MI.....................................................     49960  10.0
MI.....................................................     49961  10.0
MI.....................................................     49962  10.0
MI.....................................................     49963  5.0
MI.....................................................     49964  7.0
MI.....................................................     49965  5.0
MI.....................................................     49967  10.0
MI.....................................................     49968  10.6
MI.....................................................     49969  10.0
MI.....................................................     49970  10.0
MI.....................................................     49971  10.0
MN.....................................................     55001  2.0
MN.....................................................     55002  2.0
MN.....................................................     55003  2.0
MN.....................................................     55005  2.0
MN.....................................................     55006  2.0
MN.....................................................     55007  10.4
MN.....................................................     55008  7.3
MN.....................................................     55009  7.1
MN.....................................................     55010  2.0
MN.....................................................     55011  2.0
MN.....................................................     55012  2.0
MN.....................................................     55013  2.0
MN.....................................................     55014  1.0
MN.....................................................     55016  1.0
MN.....................................................     55017  2.0
MN.....................................................     55018  2.0
MN.....................................................     55019  4.2
MN.....................................................     55020  2.0
MN.....................................................     55021  4.2
MN.....................................................     55024  1.0
MN.....................................................     55025  2.0
MN.....................................................     55026  5.0
MN.....................................................     55027  5.0
MN.....................................................     55029  7.3
MN.....................................................     55030  8.3
MN.....................................................     55031  2.0
MN.....................................................     55032  2.0
MN.....................................................     55033  2.0
MN.....................................................     55036  3.0
MN.....................................................     55037  10.4
MN.....................................................     55038  1.0
MN.....................................................     55040  2.0
MN.....................................................     55041  7.4
MN.....................................................     55042  1.0
MN.....................................................     55043  2.0
MN.....................................................     55044  1.0
MN.....................................................     55045  2.0
MN.....................................................     55046  2.0
MN.....................................................     55047  2.0
MN.....................................................     55049  5.0
MN.....................................................     55051  8.3
MN.....................................................     55052  5.2
MN.....................................................     55053  5.0
MN.....................................................     55054  2.0
MN.....................................................     55055  1.0
MN.....................................................     55056  2.0
MN.....................................................     55057  4.2
MN.....................................................     55060  4.0
MN.....................................................     55063  3.0
MN.....................................................     55065  2.0
MN.....................................................     55066  4.0
MN.....................................................     55067  3.0
MN.....................................................     55068  1.0
MN.....................................................     55069  2.0
MN.....................................................     55070  2.0
MN.....................................................     55071  1.0
MN.....................................................     55072  10.0
MN.....................................................     55073  2.0
MN.....................................................     55074  2.0
MN.....................................................     55075  1.0
MN.....................................................     55076  1.0
MN.....................................................     55077  1.0
MN.....................................................     55078  2.0
MN.....................................................     55079  2.0
MN.....................................................     55080  2.0
MN.....................................................     55082  2.0
MN.....................................................     55083  2.0
MN.....................................................     55084  2.0
MN.....................................................     55085  2.0
MN.....................................................     55087  5.0
MN.....................................................     55088  2.0
MN.....................................................     55089  5.0
MN.....................................................     55090  1.0
MN.....................................................     55092  2.0
MN.....................................................     55101  1.0
MN.....................................................     55102  1.0
MN.....................................................     55103  1.0
MN.....................................................     55104  1.0
MN.....................................................     55105  1.0
MN.....................................................     55106  1.0
MN.....................................................     55107  1.0
MN.....................................................     55108  1.0
MN.....................................................     55109  1.0
MN.....................................................     55110  1.0
MN.....................................................     55111  1.0
MN.....................................................     55112  1.0
MN.....................................................     55113  1.0
MN.....................................................     55114  1.0
MN.....................................................     55115  1.0
MN.....................................................     55116  1.0
MN.....................................................     55117  1.0
MN.....................................................     55118  1.0
MN.....................................................     55119  1.0
MN.....................................................     55120  1.0
MN.....................................................     55121  1.0
MN.....................................................     55122  1.0
MN.....................................................     55123  1.0
MN.....................................................     55124  1.0
MN.....................................................     55125  1.0
MN.....................................................     55126  1.0
MN.....................................................     55127  1.0
MN.....................................................     55128  1.0
MN.....................................................     55129  1.0
MN.....................................................     55133  1.0
MN.....................................................     55144  1.0
MN.....................................................     55145  1.0
MN.....................................................     55146  1.0
MN.....................................................     55150  1.0
MN.....................................................     55155  1.0
MN.....................................................     55161  1.0
MN.....................................................     55164  1.0
MN.....................................................     55165  1.0
MN.....................................................     55166  1.0
MN.....................................................     55168  1.0
MN.....................................................     55169  1.0
MN.....................................................     55170  1.0
MN.....................................................     55171  1.0
MN.....................................................     55172  1.0
MN.....................................................     55175  1.0
MN.....................................................     55177  1.0
MN.....................................................     55182  1.0
MN.....................................................     55187  1.0
MN.....................................................     55188  1.0
MN.....................................................     55190  1.0
MN.....................................................     55191  1.0
MN.....................................................     55199  1.0
MN.....................................................     55301  2.0
MN.....................................................     55302  3.0
MN.....................................................     55303  1.0
MN.....................................................     55304  1.0
MN.....................................................     55305  1.0
MN.....................................................     55306  1.0
MN.....................................................     55307  10.4
MN.....................................................     55308  2.0
MN.....................................................     55309  2.0
MN.....................................................     55310  10.0
MN.....................................................     55311  1.0
MN.....................................................     55312  6.0
MN.....................................................     55313  2.0
MN.....................................................     55314  10.5
MN.....................................................     55315  2.0
MN.....................................................     55316  1.0

[[Page 70135]]

 
MN.....................................................     55317  1.0
MN.....................................................     55318  1.0
MN.....................................................     55319  2.1
MN.....................................................     55320  3.0
MN.....................................................     55321  7.3
MN.....................................................     55322  2.0
MN.....................................................     55323  1.0
MN.....................................................     55324  9.0
MN.....................................................     55325  10.5
MN.....................................................     55327  1.0
MN.....................................................     55328  2.0
MN.....................................................     55329  9.0
MN.....................................................     55330  2.0
MN.....................................................     55331  1.0
MN.....................................................     55332  10.6
MN.....................................................     55333  10.6
MN.....................................................     55334  10.0
MN.....................................................     55335  10.0
MN.....................................................     55336  7.3
MN.....................................................     55337  1.0
MN.....................................................     55338  2.0
MN.....................................................     55339  2.0
MN.....................................................     55340  2.0
MN.....................................................     55341  2.0
MN.....................................................     55342  10.5
MN.....................................................     55343  1.0
MN.....................................................     55344  1.0
MN.....................................................     55345  1.0
MN.....................................................     55346  1.0
MN.....................................................     55347  1.0
MN.....................................................     55348  1.0
MN.....................................................     55349  2.0
MN.....................................................     55350  4.0
MN.....................................................     55352  2.0
MN.....................................................     55353  2.0
MN.....................................................     55354  3.0
MN.....................................................     55355  7.0
MN.....................................................     55356  1.0
MN.....................................................     55357  2.0
MN.....................................................     55358  2.0
MN.....................................................     55359  1.0
MN.....................................................     55360  2.0
MN.....................................................     55361  1.0
MN.....................................................     55362  2.0
MN.....................................................     55363  2.0
MN.....................................................     55364  1.0
MN.....................................................     55365  2.0
MN.....................................................     55366  2.0
MN.....................................................     55367  2.0
MN.....................................................     55368  2.0
MN.....................................................     55369  1.0
MN.....................................................     55370  3.0
MN.....................................................     55371  2.0
MN.....................................................     55372  1.0
MN.....................................................     55373  2.0
MN.....................................................     55374  2.0
MN.....................................................     55375  1.0
MN.....................................................     55376  2.0
MN.....................................................     55377  2.1
MN.....................................................     55378  1.0
MN.....................................................     55379  1.0
MN.....................................................     55380  2.0
MN.....................................................     55381  10.4
MN.....................................................     55382  2.0
MN.....................................................     55383  2.0
MN.....................................................     55384  1.0
MN.....................................................     55385  6.0
MN.....................................................     55386  1.0
MN.....................................................     55387  2.0
MN.....................................................     55388  2.0
MN.....................................................     55389  9.0
MN.....................................................     55390  2.0
MN.....................................................     55391  1.0
MN.....................................................     55392  1.0
MN.....................................................     55393  1.0
MN.....................................................     55394  2.0
MN.....................................................     55395  10.4
MN.....................................................     55396  10.0
MN.....................................................     55397  2.0
MN.....................................................     55398  2.0
MN.....................................................     55399  2.0
MN.....................................................     55401  1.0
MN.....................................................     55402  1.0
MN.....................................................     55403  1.0
MN.....................................................     55404  1.0
MN.....................................................     55405  1.0
MN.....................................................     55406  1.0
MN.....................................................     55407  1.0
MN.....................................................     55408  1.0
MN.....................................................     55409  1.0
MN.....................................................     55410  1.0
MN.....................................................     55411  1.0
MN.....................................................     55412  1.0
MN.....................................................     55413  1.0
MN.....................................................     55414  1.0
MN.....................................................     55415  1.0
MN.....................................................     55416  1.0
MN.....................................................     55417  1.0
MN.....................................................     55418  1.0
MN.....................................................     55419  1.0
MN.....................................................     55420  1.0
MN.....................................................     55421  1.0
MN.....................................................     55422  1.0
MN.....................................................     55423  1.0
MN.....................................................     55424  1.0
MN.....................................................     55425  1.0
MN.....................................................     55426  1.0
MN.....................................................     55427  1.0
MN.....................................................     55428  1.0
MN.....................................................     55429  1.0
MN.....................................................     55430  1.0
MN.....................................................     55431  1.0
MN.....................................................     55432  1.0
MN.....................................................     55433  1.0
MN.....................................................     55434  1.0
MN.....................................................     55435  1.0
MN.....................................................     55436  1.0
MN.....................................................     55437  1.0
MN.....................................................     55438  1.0
MN.....................................................     55439  1.0
MN.....................................................     55440  1.0
MN.....................................................     55441  1.0
MN.....................................................     55442  1.0
MN.....................................................     55443  1.0
MN.....................................................     55444  1.0
MN.....................................................     55445  1.0
MN.....................................................     55446  1.0
MN.....................................................     55447  1.0
MN.....................................................     55448  1.0
MN.....................................................     55449  1.0
MN.....................................................     55450  1.0
MN.....................................................     55454  1.0
MN.....................................................     55455  1.0
MN.....................................................     55458  1.0
MN.....................................................     55459  1.0
MN.....................................................     55460  1.0
MN.....................................................     55467  1.0
MN.....................................................     55468  1.0
MN.....................................................     55470  1.0
MN.....................................................     55472  1.0
MN.....................................................     55473  2.0
MN.....................................................     55474  1.0
MN.....................................................     55478  1.0
MN.....................................................     55479  1.0
MN.....................................................     55480  1.0
MN.....................................................     55483  1.0
MN.....................................................     55484  1.0
MN.....................................................     55485  1.0
MN.....................................................     55486  1.0
MN.....................................................     55487  1.0
MN.....................................................     55488  1.0
MN.....................................................     55550  2.0
MN.....................................................     55551  2.0
MN.....................................................     55552  2.0
MN.....................................................     55553  2.0
MN.....................................................     55554  2.0
MN.....................................................     55555  2.0
MN.....................................................     55556  2.0
MN.....................................................     55557  2.0
MN.....................................................     55558  2.0
MN.....................................................     55559  2.0
MN.....................................................     55560  2.0
MN.....................................................     55561  2.0
MN.....................................................     55562  2.0
MN.....................................................     55563  2.0
MN.....................................................     55564  2.0
MN.....................................................     55565  2.0
MN.....................................................     55566  2.0
MN.....................................................     55567  2.0
MN.....................................................     55568  2.0
MN.....................................................     55569  1.0
MN.....................................................     55570  1.0
MN.....................................................     55571  1.0
MN.....................................................     55572  1.0
MN.....................................................     55573  2.0
MN.....................................................     55574  1.0
MN.....................................................     55575  2.0
MN.....................................................     55576  1.0
MN.....................................................     55577  1.0
MN.....................................................     55578  1.0
MN.....................................................     55579  1.0
MN.....................................................     55580  2.0
MN.....................................................     55581  2.0
MN.....................................................     55582  2.0
MN.....................................................     55583  2.0
MN.....................................................     55584  2.0
MN.....................................................     55585  2.0
MN.....................................................     55586  2.0
MN.....................................................     55587  2.0
MN.....................................................     55588  2.0
MN.....................................................     55589  2.0
MN.....................................................     55590  2.0
MN.....................................................     55591  2.0
MN.....................................................     55592  1.0
MN.....................................................     55593  1.0
MN.....................................................     55594  2.0
MN.....................................................     55595  2.0
MN.....................................................     55596  2.0
MN.....................................................     55597  2.0
MN.....................................................     55598  2.0
MN.....................................................     55599  2.0
MN.....................................................     55601  10.6
MN.....................................................     55602  3.0
MN.....................................................     55603  8.3
MN.....................................................     55604  10.0
MN.....................................................     55605  10.0
MN.....................................................     55606  10.0

[[Page 70136]]

 
MN.....................................................     55607  8.3
MN.....................................................     55609  7.3
MN.....................................................     55612  10.0
MN.....................................................     55613  10.0
MN.....................................................     55614  10.6
MN.....................................................     55615  10.0
MN.....................................................     55616  7.3
MN.....................................................     55701  1.0
MN.....................................................     55702  3.0
MN.....................................................     55703  6.0
MN.....................................................     55704  10.0
MN.....................................................     55705  10.5
MN.....................................................     55706  10.6
MN.....................................................     55707  10.5
MN.....................................................     55708  5.0
MN.....................................................     55709  8.0
MN.....................................................     55710  5.0
MN.....................................................     55711  3.0
MN.....................................................     55712  10.0
MN.....................................................     55713  7.4
MN.....................................................     55716  8.0
MN.....................................................     55717  3.0
MN.....................................................     55718  4.2
MN.....................................................     55719  7.4
MN.....................................................     55720  4.2
MN.....................................................     55721  8.0
MN.....................................................     55722  8.0
MN.....................................................     55723  6.0
MN.....................................................     55724  3.0
MN.....................................................     55725  10.5
MN.....................................................     55726  6.0
MN.....................................................     55730  7.0
MN.....................................................     55731  7.0
MN.....................................................     55732  5.0
MN.....................................................     55733  2.0
MN.....................................................     55734  4.0
MN.....................................................     55735  10.0
MN.....................................................     55736  3.0
MN.....................................................     55738  6.1
MN.....................................................     55741  5.0
MN.....................................................     55742  8.0
MN.....................................................     55744  7.0
MN.....................................................     55745  7.0
MN.....................................................     55746  4.0
MN.....................................................     55747  4.0
MN.....................................................     55748  10.6
MN.....................................................     55749  4.2
MN.....................................................     55750  5.0
MN.....................................................     55751  5.0
MN.....................................................     55752  10.0
MN.....................................................     55753  10.5
MN.....................................................     55756  10.0
MN.....................................................     55757  6.0
MN.....................................................     55758  7.4
MN.....................................................     55760  10.4
MN.....................................................     55763  3.0
MN.....................................................     55764  8.0
MN.....................................................     55765  6.1
MN.....................................................     55766  3.0
MN.....................................................     55767  10.5
MN.....................................................     55768  4.0
MN.....................................................     55769  10.5
MN.....................................................     55771  10.5
MN.....................................................     55772  10.5
MN.....................................................     55775  8.0
MN.....................................................     55777  4.0
MN.....................................................     55779  2.0
MN.....................................................     55780  5.0
MN.....................................................     55781  6.0
MN.....................................................     55782  9.0
MN.....................................................     55783  10.0
MN.....................................................     55784  8.0
MN.....................................................     55785  10.6
MN.....................................................     55786  8.0
MN.....................................................     55787  10.4
MN.....................................................     55790  9.0
MN.....................................................     55791  2.0
MN.....................................................     55792  4.0
MN.....................................................     55793  8.0
MN.....................................................     55795  10.0
MN.....................................................     55796  7.0
MN.....................................................     55797  4.2
MN.....................................................     55798  6.0
MN.....................................................     55801  2.0
MN.....................................................     55802  1.0
MN.....................................................     55803  1.0
MN.....................................................     55804  1.0
MN.....................................................     55805  1.0
MN.....................................................     55806  1.0
MN.....................................................     55807  1.0
MN.....................................................     55808  1.0
MN.....................................................     55810  1.0
MN.....................................................     55811  1.0
MN.....................................................     55812  1.0
MN.....................................................     55814  1.0
MN.....................................................     55815  1.0
MN.....................................................     55816  1.0
MN.....................................................     55901  1.0
MN.....................................................     55902  1.0
MN.....................................................     55903  1.0
MN.....................................................     55904  1.0
MN.....................................................     55905  1.0
MN.....................................................     55906  1.0
MN.....................................................     55909  10.5
MN.....................................................     55910  5.0
MN.....................................................     55912  4.0
MN.....................................................     55917  10.2
MN.....................................................     55918  5.0
MN.....................................................     55919  2.0
MN.....................................................     55920  2.0
MN.....................................................     55921  7.3
MN.....................................................     55922  10.4
MN.....................................................     55923  2.0
MN.....................................................     55924  10.4
MN.....................................................     55925  5.2
MN.....................................................     55926  10.4
MN.....................................................     55927  10.4
MN.....................................................     55929  2.0
MN.....................................................     55931  7.3
MN.....................................................     55932  2.0
MN.....................................................     55933  10.5
MN.....................................................     55934  2.0
MN.....................................................     55935  2.0
MN.....................................................     55936  2.0
MN.....................................................     55939  10.4
MN.....................................................     55940  2.0
MN.....................................................     55941  2.0
MN.....................................................     55942  4.0
MN.....................................................     55943  10.5
MN.....................................................     55944  2.0
MN.....................................................     55945  10.0
MN.....................................................     55946  10.4
MN.....................................................     55947  1.0
MN.....................................................     55949  10.0
MN.....................................................     55950  4.0
MN.....................................................     55951  10.5
MN.....................................................     55952  10.5
MN.....................................................     55953  10.5
MN.....................................................     55954  10.0
MN.....................................................     55955  2.0
MN.....................................................     55956  2.0
MN.....................................................     55957  2.0
MN.....................................................     55959  5.0
MN.....................................................     55960  2.0
MN.....................................................     55961  10.1
MN.....................................................     55962  10.5
MN.....................................................     55963  2.0
MN.....................................................     55964  7.1
MN.....................................................     55965  10.4
MN.....................................................     55967  2.0
MN.....................................................     55968  10.0
MN.....................................................     55969  5.0
MN.....................................................     55970  5.0
MN.....................................................     55971  10.5
MN.....................................................     55972  2.0
MN.....................................................     55973  10.4
MN.....................................................     55974  10.6
MN.....................................................     55975  10.1
MN.....................................................     55976  2.0
MN.....................................................     55977  10.5
MN.....................................................     55979  10.5
MN.....................................................     55981  10.0
MN.....................................................     55982  10.4
MN.....................................................     55983  7.3
MN.....................................................     55985  10.4
MN.....................................................     55987  4.0
MN.....................................................     55988  4.0
MN.....................................................     55990  2.0
MN.....................................................     55991  2.0
MN.....................................................     55992  7.3
MN.....................................................     56001  4.0
MN.....................................................     56002  4.0
MN.....................................................     56003  4.0
MN.....................................................     56006  4.0
MN.....................................................     56007  4.0
MN.....................................................     56009  5.0
MN.....................................................     56010  10.2
MN.....................................................     56011  2.0
MN.....................................................     56013  7.0
MN.....................................................     56014  10.6
MN.....................................................     56016  5.0
MN.....................................................     56017  5.0
MN.....................................................     56019  10.0
MN.....................................................     56020  5.0
MN.....................................................     56021  5.0
MN.....................................................     56022  10.5
MN.....................................................     56023  10.6
MN.....................................................     56024  4.0
MN.....................................................     56025  10.0
MN.....................................................     56026  10.2
MN.....................................................     56027  8.0
MN.....................................................     56028  10.6
MN.....................................................     56029  5.0
MN.....................................................     56030  4.0
MN.....................................................     56031  4.0
MN.....................................................     56032  5.0
MN.....................................................     56033  10.6
MN.....................................................     56034  5.0
MN.....................................................     56035  6.0
MN.....................................................     56036  5.0
MN.....................................................     56037  10.2
MN.....................................................     56039  5.0
MN.....................................................     56041  5.0
MN.....................................................     56042  5.0
MN.....................................................     56043  5.0
MN.....................................................     56044  2.0
MN.....................................................     56045  6.0

[[Page 70137]]

 
MN.....................................................     56046  5.0
MN.....................................................     56047  8.0
MN.....................................................     56048  6.0
MN.....................................................     56050  5.0
MN.....................................................     56051  10.6
MN.....................................................     56052  7.3
MN.....................................................     56054  5.0
MN.....................................................     56055  5.0
MN.....................................................     56056  7.0
MN.....................................................     56057  10.5
MN.....................................................     56058  7.3
MN.....................................................     56060  10.6
MN.....................................................     56062  10.5
MN.....................................................     56063  4.0
MN.....................................................     56065  10.2
MN.....................................................     56068  10.0
MN.....................................................     56069  7.3
MN.....................................................     56071  2.0
MN.....................................................     56072  10.6
MN.....................................................     56073  4.0
MN.....................................................     56074  5.0
MN.....................................................     56075  5.0
MN.....................................................     56078  10.2
MN.....................................................     56080  5.0
MN.....................................................     56081  7.0
MN.....................................................     56082  4.0
MN.....................................................     56083  10.0
MN.....................................................     56084  4.0
MN.....................................................     56085  7.4
MN.....................................................     56087  10.0
MN.....................................................     56088  10.5
MN.....................................................     56089  5.0
MN.....................................................     56090  10.2
MN.....................................................     56091  10.6
MN.....................................................     56093  7.4
MN.....................................................     56096  10.6
MN.....................................................     56097  10.0
MN.....................................................     56098  10.6
MN.....................................................     56101  7.0
MN.....................................................     56110  10.5
MN.....................................................     56111  8.0
MN.....................................................     56113  10.5
MN.....................................................     56114  10.0
MN.....................................................     56115  5.0
MN.....................................................     56116  10.4
MN.....................................................     56117  10.2
MN.....................................................     56118  7.0
MN.....................................................     56119  5.0
MN.....................................................     56120  10.6
MN.....................................................     56121  5.0
MN.....................................................     56122  10.0
MN.....................................................     56123  10.0
MN.....................................................     56125  10.0
MN.....................................................     56127  5.0
MN.....................................................     56128  10.6
MN.....................................................     56129  10.2
MN.....................................................     56131  10.0
MN.....................................................     56132  5.0
MN.....................................................     56134  10.4
MN.....................................................     56136  10.5
MN.....................................................     56137  10.5
MN.....................................................     56138  10.4
MN.....................................................     56139  8.0
MN.....................................................     56140  8.0
MN.....................................................     56141  10.0
MN.....................................................     56142  10.5
MN.....................................................     56143  7.0
MN.....................................................     56144  8.0
MN.....................................................     56145  10.6
MN.....................................................     56146  10.4
MN.....................................................     56147  10.4
MN.....................................................     56149  10.5
MN.....................................................     56150  10.6
MN.....................................................     56151  10.0
MN.....................................................     56152  10.0
MN.....................................................     56153  10.5
MN.....................................................     56155  10.5
MN.....................................................     56156  7.0
MN.....................................................     56157  5.0
MN.....................................................     56158  10.4
MN.....................................................     56159  10.6
MN.....................................................     56160  10.6
MN.....................................................     56161  10.5
MN.....................................................     56162  10.6
MN.....................................................     56164  7.0
MN.....................................................     56165  5.0
MN.....................................................     56166  10.0
MN.....................................................     56167  10.2
MN.....................................................     56168  5.0
MN.....................................................     56169  5.0
MN.....................................................     56170  8.0
MN.....................................................     56171  10.2
MN.....................................................     56172  10.0
MN.....................................................     56173  10.4
MN.....................................................     56174  10.6
MN.....................................................     56175  10.5
MN.....................................................     56176  10.5
MN.....................................................     56177  7.0
MN.....................................................     56178  10.5
MN.....................................................     56180  10.5
MN.....................................................     56181  5.0
MN.....................................................     56183  10.6
MN.....................................................     56185  10.5
MN.....................................................     56186  10.6
MN.....................................................     56187  4.0
MN.....................................................     56201  4.0
MN.....................................................     56207  8.0
MN.....................................................     56208  7.0
MN.....................................................     56209  5.0
MN.....................................................     56210  10.0
MN.....................................................     56211  10.0
MN.....................................................     56212  10.0
MN.....................................................     56214  10.6
MN.....................................................     56215  7.0
MN.....................................................     56216  5.0
MN.....................................................     56218  10.6
MN.....................................................     56219  10.0
MN.....................................................     56220  10.0
MN.....................................................     56221  8.0
MN.....................................................     56222  10.5
MN.....................................................     56223  10.5
MN.....................................................     56224  10.6
MN.....................................................     56225  10.0
MN.....................................................     56226  10.3
MN.....................................................     56227  10.0
MN.....................................................     56228  10.6
MN.....................................................     56229  10.2
MN.....................................................     56230  10.0
MN.....................................................     56231  10.3
MN.....................................................     56232  10.6
MN.....................................................     56235  8.0
MN.....................................................     56236  10.0
MN.....................................................     56237  10.6
MN.....................................................     56239  5.0
MN.....................................................     56240  10.0
MN.....................................................     56241  7.0
MN.....................................................     56243  10.6
MN.....................................................     56244  7.0
MN.....................................................     56245  10.6
MN.....................................................     56248  10.0
MN.....................................................     56249  7.0
MN.....................................................     56251  5.0
MN.....................................................     56252  10.2
MN.....................................................     56253  5.0
MN.....................................................     56255  10.5
MN.....................................................     56256  10.0
MN.....................................................     56257  10.0
MN.....................................................     56258  4.0
MN.....................................................     56260  7.0
MN.....................................................     56262  10.6
MN.....................................................     56263  10.5
MN.....................................................     56264  10.2
MN.....................................................     56265  7.0
MN.....................................................     56266  10.6
MN.....................................................     56267  7.0
MN.....................................................     56270  10.6
MN.....................................................     56271  10.2
MN.....................................................     56273  5.0
MN.....................................................     56274  10.0
MN.....................................................     56276  10.0
MN.....................................................     56277  10.0
MN.....................................................     56278  10.6
MN.....................................................     56279  4.0
MN.....................................................     56280  10.5
MN.....................................................     56281  5.0
MN.....................................................     56282  5.0
MN.....................................................     56283  7.0
MN.....................................................     56284  10.6
MN.....................................................     56285  10.0
MN.....................................................     56287  10.6
MN.....................................................     56288  5.0
MN.....................................................     56289  5.0
MN.....................................................     56291  10.2
MN.....................................................     56292  10.5
MN.....................................................     56293  10.6
MN.....................................................     56294  10.6
MN.....................................................     56295  10.6
MN.....................................................     56296  10.0
MN.....................................................     56297  10.6
MN.....................................................     56301  1.0
MN.....................................................     56302  1.0
MN.....................................................     56303  1.0
MN.....................................................     56304  1.0
MN.....................................................     56307  10.1
MN.....................................................     56308  4.0
MN.....................................................     56309  10.5
MN.....................................................     56310  2.0
MN.....................................................     56311  10.0
MN.....................................................     56312  10.0
MN.....................................................     56313  10.4
MN.....................................................     56314  10.4
MN.....................................................     56315  5.0
MN.....................................................     56316  10.0
MN.....................................................     56317  10.4
MN.....................................................     56318  9.0
MN.....................................................     56319  4.0
MN.....................................................     56320  2.0
MN.....................................................     56321  1.0
MN.....................................................     56323  10.6
MN.....................................................     56324  5.0
MN.....................................................     56325  10.0
MN.....................................................     56326  5.0
MN.....................................................     56327  5.0
MN.....................................................     56328  8.0
MN.....................................................     56329  2.0
MN.....................................................     56330  10.4
MN.....................................................     56331  10.6

[[Page 70138]]

 
MN.....................................................     56332  5.0
MN.....................................................     56333  2.0
MN.....................................................     56334  10.5
MN.....................................................     56335  7.3
MN.....................................................     56336  10.6
MN.....................................................     56338  10.6
MN.....................................................     56339  10.0
MN.....................................................     56340  2.0
MN.....................................................     56341  5.0
MN.....................................................     56342  10.4
MN.....................................................     56343  5.0
MN.....................................................     56344  10.4
MN.....................................................     56345  7.3
MN.....................................................     56347  7.0
MN.....................................................     56349  10.0
MN.....................................................     56350  10.0
MN.....................................................     56352  7.3
MN.....................................................     56353  10.4
MN.....................................................     56354  5.0
MN.....................................................     56355  4.0
MN.....................................................     56356  7.3
MN.....................................................     56357  2.0
MN.....................................................     56358  9.1
MN.....................................................     56359  10.0
MN.....................................................     56360  5.0
MN.....................................................     56361  10.5
MN.....................................................     56362  10.4
MN.....................................................     56363  10.4
MN.....................................................     56364  10.4
MN.....................................................     56367  1.0
MN.....................................................     56368  3.0
MN.....................................................     56369  1.0
MN.....................................................     56371  3.0
MN.....................................................     56372  1.0
MN.....................................................     56373  8.3
MN.....................................................     56374  1.0
MN.....................................................     56375  2.0
MN.....................................................     56376  10.4
MN.....................................................     56377  1.0
MN.....................................................     56378  7.0
MN.....................................................     56379  1.0
MN.....................................................     56381  10.0
MN.....................................................     56382  10.4
MN.....................................................     56384  10.4
MN.....................................................     56385  10.0
MN.....................................................     56386  10.4
MN.....................................................     56387  1.0
MN.....................................................     56388  1.0
MN.....................................................     56389  10.6
MN.....................................................     56393  1.0
MN.....................................................     56395  1.0
MN.....................................................     56396  1.0
MN.....................................................     56397  1.0
MN.....................................................     56398  1.0
MN.....................................................     56399  1.0
MN.....................................................     56401  4.0
MN.....................................................     56425  4.0
MN.....................................................     56430  10.0
MN.....................................................     56431  10.0
MN.....................................................     56433  8.0
MN.....................................................     56434  10.6
MN.....................................................     56435  10.0
MN.....................................................     56436  5.0
MN.....................................................     56437  10.6
MN.....................................................     56438  10.6
MN.....................................................     56440  10.6
MN.....................................................     56441  7.4
MN.....................................................     56442  10.5
MN.....................................................     56443  10.5
MN.....................................................     56444  5.0
MN.....................................................     56446  10.6
MN.....................................................     56447  10.5
MN.....................................................     56448  10.5
MN.....................................................     56449  5.0
MN.....................................................     56450  10.0
MN.....................................................     56452  10.0
MN.....................................................     56453  10.6
MN.....................................................     56455  5.0
MN.....................................................     56456  10.5
MN.....................................................     56458  8.0
MN.....................................................     56459  5.0
MN.....................................................     56461  5.0
MN.....................................................     56464  10.6
MN.....................................................     56465  5.0
MN.....................................................     56466  10.5
MN.....................................................     56467  8.0
MN.....................................................     56468  5.0
MN.....................................................     56469  10.6
MN.....................................................     56470  8.0
MN.....................................................     56472  5.0
MN.....................................................     56473  5.0
MN.....................................................     56474  10.5
MN.....................................................     56475  8.0
MN.....................................................     56477  10.6
MN.....................................................     56478  10.6
MN.....................................................     56479  7.0
MN.....................................................     56481  10.6
MN.....................................................     56482  7.0
MN.....................................................     56484  10.0
MN.....................................................     56501  7.0
MN.....................................................     56502  7.0
MN.....................................................     56510  10.4
MN.....................................................     56511  8.0
MN.....................................................     56514  2.0
MN.....................................................     56515  6.0
MN.....................................................     56516  10.0
MN.....................................................     56517  8.0
MN.....................................................     56518  10.0
MN.....................................................     56519  10.4
MN.....................................................     56520  4.0
MN.....................................................     56521  10.6
MN.....................................................     56522  5.0
MN.....................................................     56523  8.3
MN.....................................................     56524  10.5
MN.....................................................     56525  2.0
MN.....................................................     56527  10.6
MN.....................................................     56528  6.0
MN.....................................................     56529  1.0
MN.....................................................     56531  10.5
MN.....................................................     56533  5.0
MN.....................................................     56534  6.0
MN.....................................................     56535  10.6
MN.....................................................     56536  2.0
MN.....................................................     56537  4.0
MN.....................................................     56538  4.0
MN.....................................................     56540  8.0
MN.....................................................     56541  10.0
MN.....................................................     56542  10.0
MN.....................................................     56543  5.0
MN.....................................................     56544  8.0
MN.....................................................     56545  10.0
MN.....................................................     56546  2.0
MN.....................................................     56547  2.0
MN.....................................................     56548  10.4
MN.....................................................     56549  2.0
MN.....................................................     56550  10.4
MN.....................................................     56551  10.6
MN.....................................................     56552  2.0
MN.....................................................     56553  5.0
MN.....................................................     56554  3.0
MN.....................................................     56556  10.6
MN.....................................................     56557  10.0
MN.....................................................     56560  1.0
MN.....................................................     56561  1.0
MN.....................................................     56562  1.0
MN.....................................................     56563  1.0
MN.....................................................     56565  5.0
MN.....................................................     56566  10.0
MN.....................................................     56567  10.0
MN.....................................................     56568  8.3
MN.....................................................     56569  10.6
MN.....................................................     56570  8.0
MN.....................................................     56571  10.0
MN.....................................................     56572  10.0
MN.....................................................     56573  10.0
MN.....................................................     56574  10.4
MN.....................................................     56575  10.6
MN.....................................................     56576  10.0
MN.....................................................     56577  8.0
MN.....................................................     56578  8.0
MN.....................................................     56579  5.0
MN.....................................................     56580  2.0
MN.....................................................     56581  10.4
MN.....................................................     56583  10.0
MN.....................................................     56584  10.0
MN.....................................................     56585  2.0
MN.....................................................     56586  10.2
MN.....................................................     56587  10.0
MN.....................................................     56588  10.5
MN.....................................................     56589  10.0
MN.....................................................     56590  10.5
MN.....................................................     56591  10.6
MN.....................................................     56592  10.6
MN.....................................................     56593  8.0
MN.....................................................     56594  5.0
MN.....................................................     56601  4.0
MN.....................................................     56619  4.0
MN.....................................................     56621  10.5
MN.....................................................     56623  10.0
MN.....................................................     56626  10.0
MN.....................................................     56627  8.0
MN.....................................................     56628  10.6
MN.....................................................     56629  8.0
MN.....................................................     56630  10.2
MN.....................................................     56631  8.0
MN.....................................................     56633  10.0
MN.....................................................     56634  10.0
MN.....................................................     56636  8.0
MN.....................................................     56637  10.6
MN.....................................................     56639  10.6
MN.....................................................     56641  10.0
MN.....................................................     56644  10.0
MN.....................................................     56646  10.0
MN.....................................................     56647  10.2
MN.....................................................     56649  7.0
MN.....................................................     56650  10.0
MN.....................................................     56651  10.0
MN.....................................................     56652  10.0
MN.....................................................     56653  8.0
MN.....................................................     56654  8.0
MN.....................................................     56655  10.0
MN.....................................................     56657  9.0
MN.....................................................     56658  8.0
MN.....................................................     56659  10.0
MN.....................................................     56660  8.0
MN.....................................................     56661  8.0
MN.....................................................     56662  10.6

[[Page 70139]]

 
MN.....................................................     56663  10.2
MN.....................................................     56666  10.0
MN.....................................................     56667  10.2
MN.....................................................     56668  8.0
MN.....................................................     56669  8.0
MN.....................................................     56670  10.0
MN.....................................................     56671  10.0
MN.....................................................     56672  10.6
MN.....................................................     56673  10.3
MN.....................................................     56676  10.5
MN.....................................................     56678  5.0
MN.....................................................     56679  7.0
MN.....................................................     56680  10.6
MN.....................................................     56681  10.0
MN.....................................................     56682  10.3
MN.....................................................     56683  5.0
MN.....................................................     56684  10.0
MN.....................................................     56685  10.0
MN.....................................................     56686  10.0
MN.....................................................     56687  4.0
MN.....................................................     56688  10.6
MN.....................................................     56701  7.0
MN.....................................................     56710  10.4
MN.....................................................     56711  10.0
MN.....................................................     56713  10.4
MN.....................................................     56714  8.0
MN.....................................................     56715  10.6
MN.....................................................     56716  7.0
MN.....................................................     56720  10.0
MN.....................................................     56721  1.0
MN.....................................................     56722  2.0
MN.....................................................     56723  8.3
MN.....................................................     56724  10.3
MN.....................................................     56725  8.0
MN.....................................................     56726  10.3
MN.....................................................     56727  10.3
MN.....................................................     56728  10.0
MN.....................................................     56729  10.0
MN.....................................................     56731  10.0
MN.....................................................     56732  10.0
MN.....................................................     56733  10.0
MN.....................................................     56734  10.0
MN.....................................................     56735  10.0
MN.....................................................     56736  10.6
MN.....................................................     56737  10.3
MN.....................................................     56738  8.0
MN.....................................................     56740  10.0
MN.....................................................     56741  10.0
MN.....................................................     56742  10.6
MN.....................................................     56744  10.4
MN.....................................................     56748  10.6
MN.....................................................     56750  10.6
MN.....................................................     56751  7.0
MN.....................................................     56754  8.0
MN.....................................................     56755  10.0
MN.....................................................     56756  10.3
MN.....................................................     56757  10.4
MN.....................................................     56758  8.0
MN.....................................................     56759  10.3
MN.....................................................     56760  8.0
MN.....................................................     56761  10.3
MN.....................................................     56762  10.4
MN.....................................................     56763  10.6
MO.....................................................     63001  2.0
MO.....................................................     63005  1.0
MO.....................................................     63006  1.0
MO.....................................................     63010  1.0
MO.....................................................     63011  1.0
MO.....................................................     63012  1.0
MO.....................................................     63013  6.1
MO.....................................................     63014  10.5
MO.....................................................     63015  2.0
MO.....................................................     63016  2.0
MO.....................................................     63017  1.0
MO.....................................................     63019  1.0
MO.....................................................     63020  2.0
MO.....................................................     63021  1.0
MO.....................................................     63022  1.0
MO.....................................................     63023  2.0
MO.....................................................     63024  1.0
MO.....................................................     63025  2.0
MO.....................................................     63026  1.0
MO.....................................................     63028  1.0
MO.....................................................     63030  2.0
MO.....................................................     63031  1.0
MO.....................................................     63032  1.0
MO.....................................................     63033  1.0
MO.....................................................     63034  1.0
MO.....................................................     63036  3.0
MO.....................................................     63037  3.0
MO.....................................................     63038  2.0
MO.....................................................     63039  2.0
MO.....................................................     63040  1.0
MO.....................................................     63041  2.0
MO.....................................................     63042  1.0
MO.....................................................     63043  1.0
MO.....................................................     63044  1.0
MO.....................................................     63045  1.0
MO.....................................................     63047  1.0
MO.....................................................     63048  1.0
MO.....................................................     63049  1.0
MO.....................................................     63050  2.0
MO.....................................................     63051  1.0
MO.....................................................     63052  1.0
MO.....................................................     63053  1.0
MO.....................................................     63055  2.0
MO.....................................................     63056  6.1
MO.....................................................     63057  1.0
MO.....................................................     63060  2.0
MO.....................................................     63061  2.0
MO.....................................................     63065  2.0
MO.....................................................     63066  2.0
MO.....................................................     63068  10.5
MO.....................................................     63069  2.0
MO.....................................................     63070  1.0
MO.....................................................     63071  3.0
MO.....................................................     63072  2.0
MO.....................................................     63073  2.0
MO.....................................................     63074  1.0
MO.....................................................     63077  2.0
MO.....................................................     63079  7.3
MO.....................................................     63080  7.3
MO.....................................................     63084  7.3
MO.....................................................     63087  3.0
MO.....................................................     63088  1.0
MO.....................................................     63089  2.0
MO.....................................................     63090  4.2
MO.....................................................     63091  8.0
MO.....................................................     63099  1.0
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[[Page 70140]]

 
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MO.....................................................     63555  10.0
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MO.....................................................     63558  10.6
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MO.....................................................     63601  4.0
MO.....................................................     63620  10.0
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MO.....................................................     63622  10.6
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MO.....................................................     63627  2.0
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MO.....................................................     63631  10.6
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MO.....................................................     63650  7.4
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MO.....................................................     63661  7.3
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MO.....................................................     63664  7.1
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MO.....................................................     63670  7.3
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[[Page 70141]]

 
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MO.....................................................     63937  10.2
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MO.....................................................     63967  5.0
MO.....................................................     64001  7.3
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MO.....................................................     64019  4.2
MO.....................................................     64020  10.4
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MO.....................................................     64028  2.0
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MO.....................................................     64030  1.0
MO.....................................................     64034  1.0
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MO.....................................................     64037  7.3
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MO.....................................................     64048  2.0
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MO.....................................................     64085  7.1
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MO.....................................................     64093  4.2
MO.....................................................     64096  10.4
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[[Page 70142]]

 
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MO.....................................................     64401  2.1
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MO.....................................................     64420  10.5
MO.....................................................     64421  2.0
MO.....................................................     64422  2.0
MO.....................................................     64423  5.0
MO.....................................................     64424  7.0
MO.....................................................     64426  10.6
MO.....................................................     64427  2.0
MO.....................................................     64428  5.0
MO.....................................................     64429  7.3
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MO.....................................................     64436  1.0
MO.....................................................     64437  10.4
MO.....................................................     64438  10.0
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MO.....................................................     64440  2.0
MO.....................................................     64441  10.5
MO.....................................................     64442  10.6
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MO.....................................................     64445  5.0
MO.....................................................     64446  10.0
MO.....................................................     64447  7.3
MO.....................................................     64448  2.1
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MO.....................................................     64451  10.4
MO.....................................................     64453  10.4
MO.....................................................     64454  3.0
MO.....................................................     64455  5.0
MO.....................................................     64456  10.5
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MO.....................................................     64463  10.4
MO.....................................................     64465  2.0
MO.....................................................     64466  10.4
MO.....................................................     64467  8.0
MO.....................................................     64468  4.0
MO.....................................................     64469  7.3
MO.....................................................     64470  10.4
MO.....................................................     64471  8.0
MO.....................................................     64473  10.4
MO.....................................................     64474  2.0
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MO.....................................................     64476  5.0
MO.....................................................     64477  2.0
MO.....................................................     64478  5.0
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MO.....................................................     64480  2.0
MO.....................................................     64481  10.6
MO.....................................................     64482  10.0
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MO.....................................................     64485  2.0
MO.....................................................     64486  10.5
MO.....................................................     64487  5.0
MO.....................................................     64489  10.4
MO.....................................................     64490  2.0
MO.....................................................     64491  10.0
MO.....................................................     64492  3.0
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MO.....................................................     64494  2.0
MO.....................................................     64496  10.0
MO.....................................................     64497  7.3
MO.....................................................     64498  10.0
MO.....................................................     64499  10.5
MO.....................................................     64501  1.0
MO.....................................................     64502  1.0
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MO.....................................................     64506  1.0
MO.....................................................     64507  1.0
MO.....................................................     64508  1.0
MO.....................................................     64601  7.0
MO.....................................................     64620  10.4
MO.....................................................     64622  10.6
MO.....................................................     64623  10.6
MO.....................................................     64624  10.4
MO.....................................................     64625  10.4
MO.....................................................     64628  7.0
MO.....................................................     64630  10.6
MO.....................................................     64631  8.0
MO.....................................................     64632  10.6
MO.....................................................     64633  7.0
MO.....................................................     64635  8.0
MO.....................................................     64636  10.4
MO.....................................................     64637  10.4
MO.....................................................     64638  8.0
MO.....................................................     64639  10.6
MO.....................................................     64640  10.4
MO.....................................................     64641  8.0
MO.....................................................     64642  10.6
MO.....................................................     64643  10.6
MO.....................................................     64644  10.4
MO.....................................................     64645  10.0
MO.....................................................     64646  10.0
MO.....................................................     64647  10.4
MO.....................................................     64648  10.4
MO.....................................................     64649  10.4
MO.....................................................     64650  10.4
MO.....................................................     64651  7.0
MO.....................................................     64652  8.0
MO.....................................................     64653  10.6
MO.....................................................     64654  10.4
MO.....................................................     64655  10.0
MO.....................................................     64656  8.0
MO.....................................................     64657  10.0
MO.....................................................     64658  10.6
MO.....................................................     64659  10.6
MO.....................................................     64660  10.6
MO.....................................................     64661  10.0
MO.....................................................     64664  8.0
MO.....................................................     64667  10.0
MO.....................................................     64668  10.6
MO.....................................................     64670  10.4
MO.....................................................     64671  10.4
MO.....................................................     64672  10.0
MO.....................................................     64673  10.6
MO.....................................................     64674  10.6
MO.....................................................     64676  10.6
MO.....................................................     64679  8.0
MO.....................................................     64680  10.6
MO.....................................................     64681  10.6
MO.....................................................     64682  10.6
MO.....................................................     64683  7.0
MO.....................................................     64686  8.0
MO.....................................................     64688  8.0
MO.....................................................     64689  10.4
MO.....................................................     64701  7.1
MO.....................................................     64720  3.0
MO.....................................................     64722  3.0
MO.....................................................     64723  3.0
MO.....................................................     64724  10.6
MO.....................................................     64725  2.0
MO.....................................................     64726  8.3
MO.....................................................     64728  8.0
MO.....................................................     64730  7.3
MO.....................................................     64733  6.1
MO.....................................................     64734  2.0
MO.....................................................     64735  7.0
MO.....................................................     64738  10.6
MO.....................................................     64739  2.0
MO.....................................................     64740  8.0
MO.....................................................     64741  8.0
MO.....................................................     64742  2.0
MO.....................................................     64743  7.1
MO.....................................................     64744  7.0
MO.....................................................     64745  3.0
MO.....................................................     64746  2.0
MO.....................................................     64747  2.0
MO.....................................................     64748  8.0
MO.....................................................     64750  8.0
MO.....................................................     64752  3.0
MO.....................................................     64755  2.0
MO.....................................................     64756  10.0
MO.....................................................     64759  7.0
MO.....................................................     64761  6.1
MO.....................................................     64762  10.6
MO.....................................................     64763  10.6
MO.....................................................     64765  8.0
MO.....................................................     64766  7.0
MO.....................................................     64767  8.0
MO.....................................................     64769  10.6
MO.....................................................     64770  8.0
MO.....................................................     64771  8.0
MO.....................................................     64772  7.0
MO.....................................................     64776  10.6
MO.....................................................     64777  7.3
MO.....................................................     64778  8.0
MO.....................................................     64779  10.6
MO.....................................................     64780  10.6
MO.....................................................     64781  10.6
MO.....................................................     64783  8.0
MO.....................................................     64784  8.0
MO.....................................................     64788  8.3
MO.....................................................     64789  10.6
MO.....................................................     64790  8.0
MO.....................................................     64801  1.0
MO.....................................................     64802  1.0
MO.....................................................     64803  1.0
MO.....................................................     64804  1.0
MO.....................................................     64830  2.0
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MO.....................................................     64832  2.0
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MO.....................................................     64836  4.2
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MO.....................................................     64841  1.0
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MO.....................................................     64843  10.0
MO.....................................................     64844  6.1
MO.....................................................     64847  10.4
MO.....................................................     64848  2.0
MO.....................................................     64849  2.0
MO.....................................................     64850  4.0
MO.....................................................     64853  10.0
MO.....................................................     64854  10.4
MO.....................................................     64855  2.0
MO.....................................................     64856  10.4
MO.....................................................     64857  2.0
MO.....................................................     64858  4.0
MO.....................................................     64859  5.2
MO.....................................................     64861  2.0
MO.....................................................     64862  5.2
MO.....................................................     64863  10.4
MO.....................................................     64864  1.0
MO.....................................................     64865  3.0
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MO.....................................................     64869  2.0
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MO.....................................................     64944  1.0
MO.....................................................     64999  1.0
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MO.....................................................     65010  2.0
MO.....................................................     65011  10.0
MO.....................................................     65013  10.4
MO.....................................................     65014  8.0
MO.....................................................     65016  2.0
MO.....................................................     65017  10.0
MO.....................................................     65018  7.1
MO.....................................................     65020  10.0
MO.....................................................     65022  2.0
MO.....................................................     65023  2.0
MO.....................................................     65024  2.0
MO.....................................................     65025  3.0
MO.....................................................     65026  7.0
MO.....................................................     65031  7.0
MO.....................................................     65032  2.0
MO.....................................................     65034  10.0
MO.....................................................     65035  10.1
MO.....................................................     65036  7.0
MO.....................................................     65037  10.0
MO.....................................................     65038  10.0
MO.....................................................     65039  2.0
MO.....................................................     65040  2.0
MO.....................................................     65041  7.0
MO.....................................................     65042  3.0
MO.....................................................     65043  2.0
MO.....................................................     65046  2.0
MO.....................................................     65047  10.0
MO.....................................................     65048  2.0
MO.....................................................     65049  10.0
MO.....................................................     65050  3.0
MO.....................................................     65051  10.1
MO.....................................................     65052  10.0
MO.....................................................     65053  2.0
MO.....................................................     65054  2.0
MO.....................................................     65055  7.1
MO.....................................................     65058  10.1
MO.....................................................     65059  2.0
MO.....................................................     65061  8.0
MO.....................................................     65062  8.0
MO.....................................................     65063  2.0
MO.....................................................     65064  9.1
MO.....................................................     65065  10.0
MO.....................................................     65066  7.0
MO.....................................................     65067  5.0
MO.....................................................     65068  9.1
MO.....................................................     65069  10.6
MO.....................................................     65072  10.0
MO.....................................................     65074  2.0
MO.....................................................     65075  10.4
MO.....................................................     65076  2.0
MO.....................................................     65077  5.0
MO.....................................................     65078  10.0
MO.....................................................     65079  10.0
MO.....................................................     65080  2.0
MO.....................................................     65081  7.0
MO.....................................................     65082  10.0
MO.....................................................     65083  10.0
MO.....................................................     65084  10.0
MO.....................................................     65085  2.0
MO.....................................................     65101  1.0
MO.....................................................     65102  1.0
MO.....................................................     65103  1.0
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MO.....................................................     65211  1.0
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MO.....................................................     65215  1.0
MO.....................................................     65216  1.0
MO.....................................................     65217  1.0
MO.....................................................     65218  1.0
MO.....................................................     65230  10.4
MO.....................................................     65231  3.0
MO.....................................................     65232  5.0
MO.....................................................     65233  7.3
MO.....................................................     65236  10.0
MO.....................................................     65237  10.6
MO.....................................................     65239  5.0
MO.....................................................     65240  7.1
MO.....................................................     65243  5.2
MO.....................................................     65244  5.0
MO.....................................................     65246  10.0
MO.....................................................     65247  8.0
MO.....................................................     65248  7.3
MO.....................................................     65250  7.3
MO.....................................................     65251  4.0
MO.....................................................     65254  10.4
MO.....................................................     65255  2.0
MO.....................................................     65256  2.0
MO.....................................................     65257  5.2
MO.....................................................     65258  10.5
MO.....................................................     65259  5.0
MO.....................................................     65260  5.0
MO.....................................................     65261  10.0
MO.....................................................     65262  3.0
MO.....................................................     65263  10.5
MO.....................................................     65264  5.0
MO.....................................................     65265  4.0
MO.....................................................     65270  4.2
MO.....................................................     65274  7.3
MO.....................................................     65275  10.0
MO.....................................................     65276  10.6
MO.....................................................     65278  5.2
MO.....................................................     65279  2.0
MO.....................................................     65280  5.0
MO.....................................................     65281  10.5
MO.....................................................     65282  10.0
MO.....................................................     65283  10.0
MO.....................................................     65284  2.0
MO.....................................................     65285  10.5
MO.....................................................     65286  10.0
MO.....................................................     65287  9.1
MO.....................................................     65299  1.0
MO.....................................................     65301  4.0
MO.....................................................     65302  4.0
MO.....................................................     65305  7.4
MO.....................................................     65320  5.0
MO.....................................................     65321  10.5
MO.....................................................     65322  10.6
MO.....................................................     65323  8.0
MO.....................................................     65324  10.6
MO.....................................................     65325  10.5
MO.....................................................     65326  10.0
MO.....................................................     65327  10.5
MO.....................................................     65329  10.0
MO.....................................................     65330  10.2
MO.....................................................     65332  5.0
MO.....................................................     65333  5.0
MO.....................................................     65334  5.0
MO.....................................................     65335  10.5
MO.....................................................     65336  7.4
MO.....................................................     65337  5.0
MO.....................................................     65338  10.5
MO.....................................................     65339  5.0
MO.....................................................     65340  4.0
MO.....................................................     65344  5.0
MO.....................................................     65345  4.0
MO.....................................................     65347  5.0
MO.....................................................     65348  10.6
MO.....................................................     65349  10.2
MO.....................................................     65350  4.0
MO.....................................................     65351  10.5
MO.....................................................     65354  10.0
MO.....................................................     65355  10.0
MO.....................................................     65360  7.0
MO.....................................................     65401  4.0
MO.....................................................     65402  4.0
MO.....................................................     65409  4.0
MO.....................................................     65436  6.0
MO.....................................................     65438  10.0
MO.....................................................     65439  10.0
MO.....................................................     65440  8.0
MO.....................................................     65441  10.6
MO.....................................................     65443  6.0
MO.....................................................     65444  10.0
MO.....................................................     65446  9.0
MO.....................................................     65449  10.6
MO.....................................................     65452  10.5
MO.....................................................     65453  7.0
MO.....................................................     65456  9.0
MO.....................................................     65457  4.0
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MO.....................................................     65484  10.0
MO.....................................................     65486  10.4
MO.....................................................     65501  8.0
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MO.....................................................     65532  4.0
MO.....................................................     65534  5.0
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MO.....................................................     65541  10.3
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MO.....................................................     65560  7.0
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MO.....................................................     65566  10.0
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MO.....................................................     65570  10.5
MO.....................................................     65571  10.0
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MO.....................................................     65580  6.0
MO.....................................................     65582  10.1
MO.....................................................     65583  4.0
MO.....................................................     65584  4.0
MO.....................................................     65586  10.6
MO.....................................................     65588  10.0
MO.....................................................     65589  10.0
MO.....................................................     65590  2.0
MO.....................................................     65591  10.5
MO.....................................................     65601  7.1
MO.....................................................     65603  10.0
MO.....................................................     65604  2.0
MO.....................................................     65605  7.0
MO.....................................................     65606  10.5
MO.....................................................     65607  10.0
MO.....................................................     65608  7.3
MO.....................................................     65609  10.0
MO.....................................................     65610  2.0
MO.....................................................     65611  5.0
MO.....................................................     65612  2.0
MO.....................................................     65613  7.1
MO.....................................................     65614  5.0
MO.....................................................     65615  4.0
MO.....................................................     65616  4.0
MO.....................................................     65617  7.1
MO.....................................................     65618  10.0
MO.....................................................     65619  1.0
MO.....................................................     65620  2.0
MO.....................................................     65622  2.0
MO.....................................................     65623  10.6
MO.....................................................     65624  10.4
MO.....................................................     65625  7.0
MO.....................................................     65626  5.0
MO.....................................................     65627  5.0
MO.....................................................     65629  2.0
MO.....................................................     65630  2.0
MO.....................................................     65631  2.0
MO.....................................................     65632  5.0
MO.....................................................     65633  2.0
MO.....................................................     65634  10.0
MO.....................................................     65635  10.4
MO.....................................................     65636  2.0
MO.....................................................     65637  10.0
MO.....................................................     65638  10.6
MO.....................................................     65640  8.0
MO.....................................................     65641  9.0
MO.....................................................     65644  2.0
MO.....................................................     65645  2.0
MO.....................................................     65646  10.4
MO.....................................................     65647  10.6
MO.....................................................     65648  2.0
MO.....................................................     65649  8.0
MO.....................................................     65650  7.1
MO.....................................................     65652  2.0
MO.....................................................     65653  5.0
MO.....................................................     65654  8.0
MO.....................................................     65655  10.5
MO.....................................................     65656  10.4
MO.....................................................     65657  2.0
MO.....................................................     65658  10.0
MO.....................................................     65660  10.5
MO.....................................................     65661  10.4
MO.....................................................     65662  10.5
MO.....................................................     65663  7.1
MO.....................................................     65664  2.0
MO.....................................................     65666  10.0
MO.....................................................     65667  10.4
MO.....................................................     65668  10.4
MO.....................................................     65669  2.0
MO.....................................................     65672  4.0
MO.....................................................     65673  4.0
MO.....................................................     65674  8.0
MO.....................................................     65675  2.0
MO.....................................................     65676  10.5
MO.....................................................     65679  5.0
MO.....................................................     65680  5.0
MO.....................................................     65681  5.0
MO.....................................................     65682  10.0
MO.....................................................     65685  7.3
MO.....................................................     65686  10.5
MO.....................................................     65688  5.0
MO.....................................................     65689  10.6
MO.....................................................     65690  10.6
MO.....................................................     65692  7.4
MO.....................................................     65701  5.0
MO.....................................................     65702  10.4
MO.....................................................     65704  10.4
MO.....................................................     65705  3.0
MO.....................................................     65706  7.1
MO.....................................................     65707  2.0
MO.....................................................     65708  7.0
MO.....................................................     65710  7.1
MO.....................................................     65711  7.0
MO.....................................................     65712  7.3
MO.....................................................     65713  2.0
MO.....................................................     65714  1.0
MO.....................................................     65715  10.5
MO.....................................................     65717  10.4
MO.....................................................     65720  2.0
MO.....................................................     65721  1.0
MO.....................................................     65722  5.0
MO.....................................................     65723  7.0
MO.....................................................     65724  10.6
MO.....................................................     65725  7.1
MO.....................................................     65726  4.0
MO.....................................................     65727  7.1
MO.....................................................     65728  2.0
MO.....................................................     65729  10.5
MO.....................................................     65730  2.0
MO.....................................................     65731  5.0
MO.....................................................     65732  10.0
MO.....................................................     65733  5.0
MO.....................................................     65734  8.0
MO.....................................................     65735  10.0
MO.....................................................     65737  10.5
MO.....................................................     65738  2.0
MO.....................................................     65739  4.0
MO.....................................................     65740  5.0
MO.....................................................     65741  10.0
MO.....................................................     65742  2.0
MO.....................................................     65744  5.0
MO.....................................................     65745  10.6
MO.....................................................     65746  2.0
MO.....................................................     65747  9.2
MO.....................................................     65752  10.0
MO.....................................................     65753  2.0
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MO.....................................................     65755  8.0
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MO.....................................................     65760  10.0
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MO.....................................................     65762  10.5
MO.....................................................     65764  10.6
MO.....................................................     65765  1.0
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MO.....................................................     65767  10.6
MO.....................................................     65768  10.6
MO.....................................................     65769  8.0
MO.....................................................     65770  2.0
MO.....................................................     65771  5.0
MO.....................................................     65772  10.6
MO.....................................................     65773  10.0
MO.....................................................     65774  10.6
MO.....................................................     65775  5.0
MO.....................................................     65776  5.0
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MO.....................................................     65778  10.6
MO.....................................................     65779  10.6
MO.....................................................     65781  2.0
MO.....................................................     65783  10.6
MO.....................................................     65784  10.0
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MO.....................................................     65787  10.6
MO.....................................................     65788  5.0
MO.....................................................     65789  5.0
MO.....................................................     65790  5.0
MO.....................................................     65791  7.4
MO.....................................................     65793  10.5
MO.....................................................     65801  1.0
MO.....................................................     65802  1.0
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MP.....................................................     96951    R
MP.....................................................     96952    R
MS.....................................................     38601  5.0
MS.....................................................     38602  9.1
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MS.....................................................     38606  7.0
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MS.....................................................     38610  10.6
MS.....................................................     38611  2.0
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MS.....................................................     38626  10.3
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MS.....................................................     38632  2.0
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MS.....................................................     38634  7.3
MS.....................................................     38635  7.3
MS.....................................................     38637  1.0
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MS.....................................................     38639  6.0
MS.....................................................     38641  1.0
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MS.....................................................     38643  7.0
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MS.....................................................     38649  7.3
MS.....................................................     38650  8.4
MS.....................................................     38651  2.0
MS.....................................................     38652  7.0
MS.....................................................     38654  1.0
MS.....................................................     38655  5.0
MS.....................................................     38658  8.0
MS.....................................................     38659  9.1
MS.....................................................     38661  2.0
MS.....................................................     38663  10.6
MS.....................................................     38664  10.3
MS.....................................................     38665  9.1
MS.....................................................     38666  7.0
MS.....................................................     38668  7.3
MS.....................................................     38669  4.0
MS.....................................................     38670  10.6
MS.....................................................     38671  1.0
MS.....................................................     38672  2.0
MS.....................................................     38673  5.0
MS.....................................................     38674  10.0
MS.....................................................     38675  5.0
MS.....................................................     38676  10.3
MS.....................................................     38677  5.0
MS.....................................................     38679  2.0
MS.....................................................     38680  1.0
MS.....................................................     38683  10.0
MS.....................................................     38685  9.1
MS.....................................................     38686  1.0
MS.....................................................     38701  4.0
MS.....................................................     38702  4.0
MS.....................................................     38703  4.0
MS.....................................................     38704  4.0
MS.....................................................     38720  5.0
MS.....................................................     38721  10.0
MS.....................................................     38722  4.0
MS.....................................................     38723  7.4
MS.....................................................     38725  5.0
MS.....................................................     38726  5.0
MS.....................................................     38730  4.0
MS.....................................................     38731  5.0
MS.....................................................     38732  4.0
MS.....................................................     38733  4.0
MS.....................................................     38736  10.2
MS.....................................................     38737  7.4
MS.....................................................     38738  7.4
MS.....................................................     38739  4.0
MS.....................................................     38740  9.2
MS.....................................................     38744  5.0
MS.....................................................     38745  10.0
MS.....................................................     38746  9.2
MS.....................................................     38748  7.4
MS.....................................................     38749  4.0
MS.....................................................     38751  4.0
MS.....................................................     38753  4.0
MS.....................................................     38754  7.0
MS.....................................................     38756  5.0
MS.....................................................     38758  4.0
MS.....................................................     38759  5.0
MS.....................................................     38760  4.0
MS.....................................................     38761  7.2
MS.....................................................     38762  5.0
MS.....................................................     38764  4.0
MS.....................................................     38765  10.0
MS.....................................................     38767  4.0
MS.....................................................     38768  7.4
MS.....................................................     38769  5.0
MS.....................................................     38771  7.4
MS.....................................................     38772  5.0
MS.....................................................     38773  5.0
MS.....................................................     38774  9.2
MS.....................................................     38776  4.0
MS.....................................................     38778  5.0
MS.....................................................     38780  5.0
MS.....................................................     38781  5.0
MS.....................................................     38782  4.0
MS.....................................................     38801  4.0
MS.....................................................     38802  4.0
MS.....................................................     38803  4.0
MS.....................................................     38804  4.0
MS.....................................................     38820  7.4
MS.....................................................     38821  7.4
MS.....................................................     38824  6.0
MS.....................................................     38825  7.4
MS.....................................................     38826  4.0
MS.....................................................     38827  10.0
MS.....................................................     38828  9.2
MS.....................................................     38829  8.0
MS.....................................................     38833  6.0
MS.....................................................     38834  4.0
MS.....................................................     38835  4.0
MS.....................................................     38838  10.0
MS.....................................................     38839  7.0
MS.....................................................     38841  5.0
MS.....................................................     38843  7.4
MS.....................................................     38844  9.0
MS.....................................................     38846  5.0
MS.....................................................     38847  9.2
MS.....................................................     38848  9.0
MS.....................................................     38849  5.0
MS.....................................................     38850  8.0
MS.....................................................     38851  7.0
MS.....................................................     38852  6.0
MS.....................................................     38854  7.0
MS.....................................................     38855  5.0
MS.....................................................     38856  9.2
MS.....................................................     38857  5.0
MS.....................................................     38858  5.0
MS.....................................................     38859  9.2
MS.....................................................     38860  5.0
MS.....................................................     38862  5.0
MS.....................................................     38863  7.4
MS.....................................................     38864  8.0
MS.....................................................     38865  5.0
MS.....................................................     38866  5.0
MS.....................................................     38868  5.0
MS.....................................................     38869  5.0
MS.....................................................     38870  8.0
MS.....................................................     38871  9.0
MS.....................................................     38873  10.0
MS.....................................................     38874  9.0
MS.....................................................     38875  7.0
MS.....................................................     38876  8.4
MS.....................................................     38877  7.0
MS.....................................................     38878  10.6
MS.....................................................     38879  4.0
MS.....................................................     38880  8.0
MS.....................................................     38901  4.0
MS.....................................................     38902  4.0
MS.....................................................     38912  5.0
MS.....................................................     38913  10.0
MS.....................................................     38914  9.0
MS.....................................................     38915  10.0
MS.....................................................     38916  7.0
MS.....................................................     38917  5.0
MS.....................................................     38920  8.0
MS.....................................................     38921  7.4
MS.....................................................     38922  10.6
MS.....................................................     38923  5.0
MS.....................................................     38924  9.2
MS.....................................................     38925  5.0
MS.....................................................     38926  4.0
MS.....................................................     38927  8.0
MS.....................................................     38928  10.2
MS.....................................................     38929  5.0
MS.....................................................     38930  4.0
MS.....................................................     38935  4.0
MS.....................................................     38940  5.0
MS.....................................................     38941  7.2
MS.....................................................     38943  5.0
MS.....................................................     38944  10.2
MS.....................................................     38945  4.0
MS.....................................................     38946  7.2
MS.....................................................     38947  5.0
MS.....................................................     38948  9.2
MS.....................................................     38949  5.0
MS.....................................................     38950  6.0
MS.....................................................     38951  9.0
MS.....................................................     38952  10.2
MS.....................................................     38953  9.2
MS.....................................................     38954  4.0
MS.....................................................     38955  7.0
MS.....................................................     38957  10.5
MS.....................................................     38958  7.4
MS.....................................................     38959  7.2
MS.....................................................     38960  4.0

[[Page 70146]]

 
MS.....................................................     38961  9.2
MS.....................................................     38962  7.4
MS.....................................................     38963  10.5
MS.....................................................     38964  7.0
MS.....................................................     38965  7.0
MS.....................................................     38966  10.5
MS.....................................................     38967  7.0
MS.....................................................     39038  7.0
MS.....................................................     39039  4.2
MS.....................................................     39040  5.2
MS.....................................................     39041  2.0
MS.....................................................     39042  1.0
MS.....................................................     39043  1.0
MS.....................................................     39044  2.0
MS.....................................................     39045  2.0
MS.....................................................     39046  2.0
MS.....................................................     39047  2.0
MS.....................................................     39051  8.0
MS.....................................................     39054  10.0
MS.....................................................     39056  1.0
MS.....................................................     39057  9.0
MS.....................................................     39058  1.0
MS.....................................................     39059  2.0
MS.....................................................     39060  1.0
MS.....................................................     39061  10.0
MS.....................................................     39062  10.1
MS.....................................................     39063  7.0
MS.....................................................     39066  2.0
MS.....................................................     39067  8.0
MS.....................................................     39069  9.0
MS.....................................................     39071  2.0
MS.....................................................     39072  2.0
MS.....................................................     39073  2.0
MS.....................................................     39074  8.0
MS.....................................................     39077  2.0
MS.....................................................     39078  2.0
MS.....................................................     39079  9.1
MS.....................................................     39080  8.0
MS.....................................................     39081  9.0
MS.....................................................     39082  2.0
MS.....................................................     39083  7.3
MS.....................................................     39086  9.0
MS.....................................................     39087  3.0
MS.....................................................     39088  5.0
MS.....................................................     39090  7.0
MS.....................................................     39092  8.0
MS.....................................................     39094  9.1
MS.....................................................     39095  7.0
MS.....................................................     39096  9.0
MS.....................................................     39097  8.0
MS.....................................................     39098  3.0
MS.....................................................     39107  8.0
MS.....................................................     39108  8.0
MS.....................................................     39109  8.0
MS.....................................................     39110  1.0
MS.....................................................     39111  7.3
MS.....................................................     39112  10.1
MS.....................................................     39113  10.0
MS.....................................................     39114  10.1
MS.....................................................     39115  8.0
MS.....................................................     39116  10.0
MS.....................................................     39117  3.0
MS.....................................................     39119  10.0
MS.....................................................     39120  4.0
MS.....................................................     39121  4.0
MS.....................................................     39122  4.0
MS.....................................................     39130  1.0
MS.....................................................     39140  10.0
MS.....................................................     39144  10.6
MS.....................................................     39145  2.0
MS.....................................................     39146  9.1
MS.....................................................     39148  2.0
MS.....................................................     39149  9.0
MS.....................................................     39150  10.6
MS.....................................................     39151  1.0
MS.....................................................     39152  8.0
MS.....................................................     39153  10.0
MS.....................................................     39154  2.0
MS.....................................................     39156  5.0
MS.....................................................     39157  1.0
MS.....................................................     39158  1.0
MS.....................................................     39159  10.0
MS.....................................................     39160  8.0
MS.....................................................     39161  2.0
MS.....................................................     39162  5.0
MS.....................................................     39163  2.0
MS.....................................................     39165  4.0
MS.....................................................     39166  8.0
MS.....................................................     39167  2.0
MS.....................................................     39168  10.5
MS.....................................................     39169  9.2
MS.....................................................     39170  2.0
MS.....................................................     39171  8.0
MS.....................................................     39173  4.2
MS.....................................................     39174  1.0
MS.....................................................     39175  2.0
MS.....................................................     39176  5.0
MS.....................................................     39177  10.0
MS.....................................................     39179  4.2
MS.....................................................     39180  4.0
MS.....................................................     39181  4.0
MS.....................................................     39182  4.0
MS.....................................................     39183  4.0
MS.....................................................     39189  9.0
MS.....................................................     39190  4.0
MS.....................................................     39191  6.0
MS.....................................................     39192  8.0
MS.....................................................     39193  1.0
MS.....................................................     39194  4.2
MS.....................................................     39201  1.0
MS.....................................................     39202  1.0
MS.....................................................     39203  1.0
MS.....................................................     39204  1.0
MS.....................................................     39205  1.0
MS.....................................................     39206  1.0
MS.....................................................     39207  1.0
MS.....................................................     39208  1.0
MS.....................................................     39209  1.0
MS.....................................................     39210  1.0
MS.....................................................     39211  1.0
MS.....................................................     39212  1.0
MS.....................................................     39213  1.0
MS.....................................................     39215  1.0
MS.....................................................     39216  1.0
MS.....................................................     39217  1.0
MS.....................................................     39218  2.0
MS.....................................................     39225  1.0
MS.....................................................     39232  1.0
MS.....................................................     39235  1.0
MS.....................................................     39236  1.0
MS.....................................................     39250  1.0
MS.....................................................     39269  1.0
MS.....................................................     39271  1.0
MS.....................................................     39272  1.0
MS.....................................................     39282  1.0
MS.....................................................     39283  1.0
MS.....................................................     39284  1.0
MS.....................................................     39286  1.0
MS.....................................................     39288  1.0
MS.....................................................     39289  1.0
MS.....................................................     39296  1.0
MS.....................................................     39298  1.0
MS.....................................................     39301  4.0
MS.....................................................     39302  4.0
MS.....................................................     39303  4.0
MS.....................................................     39304  4.0
MS.....................................................     39305  4.0
MS.....................................................     39307  4.0
MS.....................................................     39309  5.0
MS.....................................................     39320  5.0
MS.....................................................     39322  8.0
MS.....................................................     39323  9.0
MS.....................................................     39324  8.0
MS.....................................................     39325  5.0
MS.....................................................     39326  5.0
MS.....................................................     39327  9.0
MS.....................................................     39328  6.0
MS.....................................................     39330  10.5
MS.....................................................     39332  9.0
MS.....................................................     39335  5.0
MS.....................................................     39336  9.0
MS.....................................................     39337  6.0
MS.....................................................     39338  10.0
MS.....................................................     39339  8.0
MS.....................................................     39341  10.6
MS.....................................................     39342  5.0
MS.....................................................     39345  7.0
MS.....................................................     39346  8.0
MS.....................................................     39347  10.0
MS.....................................................     39348  5.0
MS.....................................................     39350  8.0
MS.....................................................     39352  10.5
MS.....................................................     39354  6.0
MS.....................................................     39355  10.5
MS.....................................................     39356  10.0
MS.....................................................     39358  10.5
MS.....................................................     39359  8.0
MS.....................................................     39360  10.0
MS.....................................................     39361  10.6
MS.....................................................     39362  10.0
MS.....................................................     39363  10.5
MS.....................................................     39364  5.0
MS.....................................................     39365  10.6
MS.....................................................     39366  5.0
MS.....................................................     39367  8.0
MS.....................................................     39401  1.0
MS.....................................................     39402  1.0
MS.....................................................     39403  1.0
MS.....................................................     39404  1.0
MS.....................................................     39406  1.0
MS.....................................................     39407  1.0
MS.....................................................     39421  10.4
MS.....................................................     39422  10.5
MS.....................................................     39423  10.4
MS.....................................................     39425  2.0
MS.....................................................     39426  6.1
MS.....................................................     39427  10.4
MS.....................................................     39428  10.0
MS.....................................................     39429  8.0
MS.....................................................     39436  2.0
MS.....................................................     39437  4.0
MS.....................................................     39439  5.0
MS.....................................................     39440  4.0
MS.....................................................     39441  4.0
MS.....................................................     39442  4.0
MS.....................................................     39443  5.0
MS.....................................................     39451  10.0

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MS.....................................................     39452  10.4
MS.....................................................     39455  3.0
MS.....................................................     39456  10.0
MS.....................................................     39457  6.1
MS.....................................................     39459  3.0
MS.....................................................     39460  5.0
MS.....................................................     39461  10.0
MS.....................................................     39462  10.4
MS.....................................................     39463  4.2
MS.....................................................     39464  5.2
MS.....................................................     39465  2.0
MS.....................................................     39466  4.2
MS.....................................................     39470  10.0
MS.....................................................     39474  10.0
MS.....................................................     39475  2.0
MS.....................................................     39476  10.1
MS.....................................................     39477  5.0
MS.....................................................     39478  10.0
MS.....................................................     39479  3.0
MS.....................................................     39480  5.0
MS.....................................................     39481  10.5
MS.....................................................     39482  2.0
MS.....................................................     39483  8.0
MS.....................................................     39501  1.0
MS.....................................................     39502  1.0
MS.....................................................     39503  1.0
MS.....................................................     39505  1.0
MS.....................................................     39506  1.0
MS.....................................................     39507  1.0
MS.....................................................     39520  1.0
MS.....................................................     39521  1.0
MS.....................................................     39522  2.0
MS.....................................................     39525  2.0
MS.....................................................     39529  2.0
MS.....................................................     39530  1.0
MS.....................................................     39531  1.0
MS.....................................................     39532  1.0
MS.....................................................     39533  1.0
MS.....................................................     39534  1.0
MS.....................................................     39535  1.0
MS.....................................................     39540  1.0
MS.....................................................     39552  1.0
MS.....................................................     39553  1.0
MS.....................................................     39555  1.0
MS.....................................................     39556  2.0
MS.....................................................     39558  1.0
MS.....................................................     39560  1.0
MS.....................................................     39561  9.1
MS.....................................................     39562  1.0
MS.....................................................     39563  1.0
MS.....................................................     39564  1.0
MS.....................................................     39565  2.1
MS.....................................................     39566  1.0
MS.....................................................     39567  1.0
MS.....................................................     39568  1.0
MS.....................................................     39569  1.0
MS.....................................................     39571  2.0
MS.....................................................     39572  2.1
MS.....................................................     39573  9.1
MS.....................................................     39574  2.0
MS.....................................................     39576  1.0
MS.....................................................     39577  9.1
MS.....................................................     39581  1.0
MS.....................................................     39595  1.0
MS.....................................................     39601  5.0
MS.....................................................     39602  5.0
MS.....................................................     39603  5.0
MS.....................................................     39629  5.0
MS.....................................................     39630  10.5
MS.....................................................     39631  10.0
MS.....................................................     39632  5.0
MS.....................................................     39633  10.0
MS.....................................................     39635  4.0
MS.....................................................     39638  10.0
MS.....................................................     39641  10.0
MS.....................................................     39643  8.0
MS.....................................................     39645  10.5
MS.....................................................     39647  10.5
MS.....................................................     39648  4.0
MS.....................................................     39649  4.0
MS.....................................................     39652  5.0
MS.....................................................     39653  10.5
MS.....................................................     39654  10.5
MS.....................................................     39656  10.0
MS.....................................................     39657  5.0
MS.....................................................     39661  10.5
MS.....................................................     39662  5.0
MS.....................................................     39663  10.0
MS.....................................................     39664  10.5
MS.....................................................     39665  10.5
MS.....................................................     39666  5.0
MS.....................................................     39667  10.0
MS.....................................................     39668  9.0
MS.....................................................     39669  10.0
MS.....................................................     39701  4.0
MS.....................................................     39702  4.0
MS.....................................................     39703  4.0
MS.....................................................     39704  4.0
MS.....................................................     39705  4.0
MS.....................................................     39710  5.0
MS.....................................................     39730  7.4
MS.....................................................     39735  10.0
MS.....................................................     39736  4.0
MS.....................................................     39737  10.0
MS.....................................................     39739  10.6
MS.....................................................     39740  5.0
MS.....................................................     39741  8.0
MS.....................................................     39743  5.0
MS.....................................................     39744  10.0
MS.....................................................     39745  10.0
MS.....................................................     39746  9.0
MS.....................................................     39747  8.0
MS.....................................................     39750  5.0
MS.....................................................     39751  6.0
MS.....................................................     39752  6.0
MS.....................................................     39753  4.0
MS.....................................................     39754  8.0
MS.....................................................     39755  8.0
MS.....................................................     39756  9.2
MS.....................................................     39759  4.0
MS.....................................................     39760  4.0
MS.....................................................     39762  4.0
MS.....................................................     39766  5.0
MS.....................................................     39767  10.0
MS.....................................................     39769  5.0
MS.....................................................     39771  10.0
MS.....................................................     39772  10.0
MS.....................................................     39773  8.0
MS.....................................................     39776  8.4
MT.....................................................     59001  10.0
MT.....................................................     59002  2.0
MT.....................................................     59003  10.0
MT.....................................................     59004  10.0
MT.....................................................     59006  2.0
MT.....................................................     59007  10.0
MT.....................................................     59008  10.0
MT.....................................................     59010  10.0
MT.....................................................     59011  10.0
MT.....................................................     59012  10.0
MT.....................................................     59013  2.0
MT.....................................................     59014  10.4
MT.....................................................     59015  2.0
MT.....................................................     59016  10.0
MT.....................................................     59018  10.3
MT.....................................................     59019  10.0
MT.....................................................     59020  10.0
MT.....................................................     59022  10.6
MT.....................................................     59024  2.0
MT.....................................................     59025  10.5
MT.....................................................     59026  2.0
MT.....................................................     59027  8.0
MT.....................................................     59028  10.0
MT.....................................................     59029  10.4
MT.....................................................     59030  10.0
MT.....................................................     59031  10.6
MT.....................................................     59032  10.6
MT.....................................................     59033  10.0
MT.....................................................     59034  7.0
MT.....................................................     59035  10.0
MT.....................................................     59036  10.0
MT.....................................................     59037  2.0
MT.....................................................     59038  10.0
MT.....................................................     59039  10.0
MT.....................................................     59041  2.0
MT.....................................................     59043  10.0
MT.....................................................     59044  2.0
MT.....................................................     59046  10.4
MT.....................................................     59047  7.0
MT.....................................................     59050  10.0
MT.....................................................     59052  10.0
MT.....................................................     59053  10.0
MT.....................................................     59054  10.0
MT.....................................................     59055  10.0
MT.....................................................     59057  2.0
MT.....................................................     59058  10.0
MT.....................................................     59059  10.0
MT.....................................................     59061  10.0
MT.....................................................     59062  10.0
MT.....................................................     59063  2.0
MT.....................................................     59064  2.0
MT.....................................................     59065  8.0
MT.....................................................     59066  10.0
MT.....................................................     59067  10.4
MT.....................................................     59068  10.0
MT.....................................................     59069  10.4
MT.....................................................     59070  10.0
MT.....................................................     59071  10.0
MT.....................................................     59072  10.4
MT.....................................................     59073  10.4
MT.....................................................     59074  10.4
MT.....................................................     59075  10.4
MT.....................................................     59076  10.0
MT.....................................................     59077  10.0
MT.....................................................     59078  10.0
MT.....................................................     59079  2.0
MT.....................................................     59081  10.0
MT.....................................................     59082  7.0
MT.....................................................     59083  10.0
MT.....................................................     59084  10.0
MT.....................................................     59085  10.0
MT.....................................................     59086  10.3
MT.....................................................     59087  10.0
MT.....................................................     59088  2.0
MT.....................................................     59089  10.0
MT.....................................................     59101  1.0
MT.....................................................     59102  1.0
MT.....................................................     59103  1.0

[[Page 70148]]

 
MT.....................................................     59104  1.0
MT.....................................................     59105  1.0
MT.....................................................     59106  2.0
MT.....................................................     59107  1.0
MT.....................................................     59108  1.0
MT.....................................................     59111  1.0
MT.....................................................     59112  1.0
MT.....................................................     59114  1.0
MT.....................................................     59115  1.0
MT.....................................................     59116  1.0
MT.....................................................     59117  1.0
MT.....................................................     59201  7.0
MT.....................................................     59211  10.0
MT.....................................................     59212  10.0
MT.....................................................     59213  10.6
MT.....................................................     59214  10.6
MT.....................................................     59215  10.6
MT.....................................................     59217  10.6
MT.....................................................     59218  10.0
MT.....................................................     59219  10.0
MT.....................................................     59221  10.6
MT.....................................................     59222  10.0
MT.....................................................     59223  10.6
MT.....................................................     59225  10.6
MT.....................................................     59226  10.0
MT.....................................................     59230  7.0
MT.....................................................     59231  7.0
MT.....................................................     59240  10.6
MT.....................................................     59241  10.6
MT.....................................................     59242  10.0
MT.....................................................     59243  10.6
MT.....................................................     59244  10.6
MT.....................................................     59247  10.0
MT.....................................................     59248  10.6
MT.....................................................     59250  10.6
MT.....................................................     59252  10.0
MT.....................................................     59253  10.0
MT.....................................................     59254  10.0
MT.....................................................     59255  7.0
MT.....................................................     59256  10.0
MT.....................................................     59257  10.0
MT.....................................................     59258  10.0
MT.....................................................     59259  10.6
MT.....................................................     59260  10.6
MT.....................................................     59261  10.0
MT.....................................................     59262  10.6
MT.....................................................     59263  10.0
MT.....................................................     59270  7.0
MT.....................................................     59273  10.6
MT.....................................................     59274  10.6
MT.....................................................     59275  10.0
MT.....................................................     59276  10.0
MT.....................................................     59301  7.0
MT.....................................................     59311  10.0
MT.....................................................     59312  10.0
MT.....................................................     59313  10.0
MT.....................................................     59314  10.0
MT.....................................................     59315  10.6
MT.....................................................     59316  10.0
MT.....................................................     59317  10.0
MT.....................................................     59318  10.0
MT.....................................................     59319  10.0
MT.....................................................     59322  10.0
MT.....................................................     59323  10.0
MT.....................................................     59324  10.0
MT.....................................................     59326  10.6
MT.....................................................     59327  10.0
MT.....................................................     59330  7.0
MT.....................................................     59332  10.0
MT.....................................................     59333  10.0
MT.....................................................     59336  8.0
MT.....................................................     59337  10.0
MT.....................................................     59338  8.0
MT.....................................................     59339  10.6
MT.....................................................     59341  10.6
MT.....................................................     59343  10.0
MT.....................................................     59344  10.0
MT.....................................................     59345  10.0
MT.....................................................     59347  10.0
MT.....................................................     59349  10.6
MT.....................................................     59351  8.0
MT.....................................................     59353  10.0
MT.....................................................     59354  10.0
MT.....................................................     59401  1.0
MT.....................................................     59402  1.0
MT.....................................................     59403  1.0
MT.....................................................     59404  1.0
MT.....................................................     59405  1.0
MT.....................................................     59406  1.0
MT.....................................................     59410  10.2
MT.....................................................     59411  8.0
MT.....................................................     59412  2.0
MT.....................................................     59414  2.0
MT.....................................................     59416  7.0
MT.....................................................     59417  7.0
MT.....................................................     59418  10.6
MT.....................................................     59419  10.0
MT.....................................................     59420  10.4
MT.....................................................     59421  2.0
MT.....................................................     59422  10.0
MT.....................................................     59424  10.6
MT.....................................................     59425  7.0
MT.....................................................     59427  7.0
MT.....................................................     59430  10.6
MT.....................................................     59432  10.6
MT.....................................................     59433  10.4
MT.....................................................     59434  8.0
MT.....................................................     59435  7.0
MT.....................................................     59436  10.4
MT.....................................................     59440  2.0
MT.....................................................     59441  10.6
MT.....................................................     59442  10.4
MT.....................................................     59443  2.0
MT.....................................................     59444  7.0
MT.....................................................     59445  10.6
MT.....................................................     59446  10.0
MT.....................................................     59447  10.6
MT.....................................................     59448  10.6
MT.....................................................     59450  10.0
MT.....................................................     59451  10.6
MT.....................................................     59452  10.6
MT.....................................................     59453  10.0
MT.....................................................     59454  10.6
MT.....................................................     59456  7.0
MT.....................................................     59457  7.0
MT.....................................................     59460  10.0
MT.....................................................     59461  10.0
MT.....................................................     59462  10.6
MT.....................................................     59463  2.0
MT.....................................................     59464  10.6
MT.....................................................     59465  2.0
MT.....................................................     59466  10.6
MT.....................................................     59467  10.4
MT.....................................................     59468  10.4
MT.....................................................     59469  10.6
MT.....................................................     59471  10.6
MT.....................................................     59472  2.0
MT.....................................................     59474  7.0
MT.....................................................     59477  2.0
MT.....................................................     59479  10.6
MT.....................................................     59480  2.0
MT.....................................................     59482  10.6
MT.....................................................     59483  2.0
MT.....................................................     59484  10.6
MT.....................................................     59485  2.0
MT.....................................................     59486  10.6
MT.....................................................     59487  2.0
MT.....................................................     59489  10.6
MT.....................................................     59501  4.0
MT.....................................................     59520  10.0
MT.....................................................     59521  5.0
MT.....................................................     59522  10.0
MT.....................................................     59523  10.5
MT.....................................................     59524  10.0
MT.....................................................     59525  10.5
MT.....................................................     59526  10.0
MT.....................................................     59527  10.0
MT.....................................................     59528  10.5
MT.....................................................     59529  10.0
MT.....................................................     59530  10.5
MT.....................................................     59531  10.0
MT.....................................................     59532  10.5
MT.....................................................     59535  10.5
MT.....................................................     59537  10.0
MT.....................................................     59538  10.0
MT.....................................................     59540  10.5
MT.....................................................     59542  10.0
MT.....................................................     59544  10.0
MT.....................................................     59545  10.0
MT.....................................................     59546  10.0
MT.....................................................     59547  10.5
MT.....................................................     59601  4.0
MT.....................................................     59602  4.0
MT.....................................................     59604  4.0
MT.....................................................     59620  4.0
MT.....................................................     59623  4.0
MT.....................................................     59624  4.0
MT.....................................................     59625  4.0
MT.....................................................     59626  4.0
MT.....................................................     59631  5.0
MT.....................................................     59632  5.0
MT.....................................................     59633  5.0
MT.....................................................     59634  5.0
MT.....................................................     59635  4.0
MT.....................................................     59636  4.0
MT.....................................................     59638  5.0
MT.....................................................     59639  10.2
MT.....................................................     59640  5.0
MT.....................................................     59641  10.0
MT.....................................................     59642  10.0
MT.....................................................     59643  10.0
MT.....................................................     59644  10.0
MT.....................................................     59645  10.0
MT.....................................................     59647  10.0
MT.....................................................     59648  5.0
MT.....................................................     59701  4.0
MT.....................................................     59702  4.0
MT.....................................................     59703  4.0
MT.....................................................     59707  4.0
MT.....................................................     59710  10.0
MT.....................................................     59711  7.4
MT.....................................................     59713  10.5
MT.....................................................     59714  5.0
MT.....................................................     59715  4.0
MT.....................................................     59716  10.5
MT.....................................................     59717  4.0
MT.....................................................     59718  5.0

[[Page 70149]]

 
MT.....................................................     59719  5.0
MT.....................................................     59720  10.0
MT.....................................................     59721  10.0
MT.....................................................     59722  7.0
MT.....................................................     59724  10.0
MT.....................................................     59725  7.0
MT.....................................................     59727  5.0
MT.....................................................     59728  10.5
MT.....................................................     59729  10.0
MT.....................................................     59730  10.5
MT.....................................................     59731  10.5
MT.....................................................     59732  7.0
MT.....................................................     59733  10.5
MT.....................................................     59735  10.0
MT.....................................................     59736  10.0
MT.....................................................     59739  10.0
MT.....................................................     59740  10.0
MT.....................................................     59741  10.2
MT.....................................................     59743  5.0
MT.....................................................     59745  10.0
MT.....................................................     59746  7.0
MT.....................................................     59747  10.0
MT.....................................................     59748  5.0
MT.....................................................     59749  10.0
MT.....................................................     59750  5.0
MT.....................................................     59751  10.0
MT.....................................................     59752  10.5
MT.....................................................     59754  10.0
MT.....................................................     59755  10.0
MT.....................................................     59756  8.0
MT.....................................................     59758  10.5
MT.....................................................     59759  10.5
MT.....................................................     59760  10.5
MT.....................................................     59761  10.0
MT.....................................................     59762  10.0
MT.....................................................     59771  4.0
MT.....................................................     59772  4.0
MT.....................................................     59773  5.0
MT.....................................................     59801  1.0
MT.....................................................     59802  1.0
MT.....................................................     59803  1.0
MT.....................................................     59804  1.0
MT.....................................................     59806  1.0
MT.....................................................     59807  1.0
MT.....................................................     59808  1.0
MT.....................................................     59812  1.0
MT.....................................................     59820  2.0
MT.....................................................     59821  10.4
MT.....................................................     59823  2.0
MT.....................................................     59824  10.0
MT.....................................................     59825  1.0
MT.....................................................     59826  2.0
MT.....................................................     59827  10.6
MT.....................................................     59828  10.3
MT.....................................................     59829  10.3
MT.....................................................     59830  10.0
MT.....................................................     59831  10.0
MT.....................................................     59832  10.0
MT.....................................................     59833  2.0
MT.....................................................     59834  2.0
MT.....................................................     59835  7.0
MT.....................................................     59837  10.0
MT.....................................................     59840  7.0
MT.....................................................     59841  7.0
MT.....................................................     59842  10.0
MT.....................................................     59843  10.5
MT.....................................................     59844  10.0
MT.....................................................     59845  10.0
MT.....................................................     59846  2.0
MT.....................................................     59847  2.0
MT.....................................................     59848  10.0
MT.....................................................     59851  1.0
MT.....................................................     59853  10.0
MT.....................................................     59854  10.5
MT.....................................................     59855  10.0
MT.....................................................     59856  10.0
MT.....................................................     59858  10.0
MT.....................................................     59859  10.0
MT.....................................................     59860  7.0
MT.....................................................     59863  10.4
MT.....................................................     59864  10.0
MT.....................................................     59865  10.0
MT.....................................................     59866  10.0
MT.....................................................     59867  10.0
MT.....................................................     59868  2.0
MT.....................................................     59870  10.1
MT.....................................................     59871  10.6
MT.....................................................     59872  10.4
MT.....................................................     59873  10.0
MT.....................................................     59874  10.0
MT.....................................................     59875  10.6
MT.....................................................     59901  4.0
MT.....................................................     59902  4.0
MT.....................................................     59903  4.0
MT.....................................................     59904  4.0
MT.....................................................     59910  8.0
MT.....................................................     59911  10.2
MT.....................................................     59912  7.4
MT.....................................................     59913  4.0
MT.....................................................     59914  8.0
MT.....................................................     59915  8.0
MT.....................................................     59916  6.0
MT.....................................................     59917  10.0
MT.....................................................     59918  10.0
MT.....................................................     59919  4.0
MT.....................................................     59920  5.0
MT.....................................................     59921  6.0
MT.....................................................     59922  5.0
MT.....................................................     59923  7.0
MT.....................................................     59925  5.0
MT.....................................................     59926  4.0
MT.....................................................     59927  7.4
MT.....................................................     59928  6.0
MT.....................................................     59929  6.0
MT.....................................................     59930  10.0
MT.....................................................     59931  6.0
MT.....................................................     59932  5.0
MT.....................................................     59933  10.0
MT.....................................................     59934  10.0
MT.....................................................     59935  10.6
MT.....................................................     59936  4.0
MT.....................................................     59937  7.4
NC.....................................................     27006  1.0
NC.....................................................     27007  3.0
NC.....................................................     27009  1.0
NC.....................................................     27010  1.0
NC.....................................................     27011  9.1
NC.....................................................     27012  1.0
NC.....................................................     27013  5.0
NC.....................................................     27014  7.3
NC.....................................................     27016  2.0
NC.....................................................     27017  10.5
NC.....................................................     27018  2.0
NC.....................................................     27019  2.0
NC.....................................................     27020  9.1
NC.....................................................     27021  1.0
NC.....................................................     27022  2.0
NC.....................................................     27023  1.0
NC.....................................................     27024  6.0
NC.....................................................     27025  2.0
NC.....................................................     27027  7.3
NC.....................................................     27028  7.3
NC.....................................................     27030  4.2
NC.....................................................     27031  4.2
NC.....................................................     27040  1.0
NC.....................................................     27041  2.0
NC.....................................................     27042  10.4
NC.....................................................     27043  2.0
NC.....................................................     27045  1.0
NC.....................................................     27046  10.4
NC.....................................................     27047  3.0
NC.....................................................     27048  6.0
NC.....................................................     27049  4.2
NC.....................................................     27050  1.0
NC.....................................................     27051  1.0
NC.....................................................     27052  2.0
NC.....................................................     27053  2.0
NC.....................................................     27054  5.0
NC.....................................................     27055  7.1
NC.....................................................     27094  1.0
NC.....................................................     27098  1.0
NC.....................................................     27099  1.0
NC.....................................................     27101  1.0
NC.....................................................     27102  1.0
NC.....................................................     27103  1.0
NC.....................................................     27104  1.0
NC.....................................................     27105  1.0
NC.....................................................     27106  1.0
NC.....................................................     27107  1.0
NC.....................................................     27108  1.0
NC.....................................................     27109  1.0
NC.....................................................     27110  1.0
NC.....................................................     27111  1.0
NC.....................................................     27113  1.0
NC.....................................................     27114  1.0
NC.....................................................     27115  1.0
NC.....................................................     27116  1.0
NC.....................................................     27117  1.0
NC.....................................................     27120  1.0
NC.....................................................     27127  1.0
NC.....................................................     27130  1.0
NC.....................................................     27150  1.0
NC.....................................................     27151  1.0
NC.....................................................     27152  1.0
NC.....................................................     27155  1.0
NC.....................................................     27156  1.0
NC.....................................................     27157  1.0
NC.....................................................     27198  1.0
NC.....................................................     27199  1.0
NC.....................................................     27201  1.0
NC.....................................................     27202  1.0
NC.....................................................     27203  4.0
NC.....................................................     27204  4.0
NC.....................................................     27205  5.0
NC.....................................................     27207  8.0
NC.....................................................     27208  8.0
NC.....................................................     27209  10.6
NC.....................................................     27212  10.4
NC.....................................................     27213  8.0
NC.....................................................     27214  2.0
NC.....................................................     27215  1.0
NC.....................................................     27216  1.0
NC.....................................................     27217  1.0
NC.....................................................     27220  1.0
NC.....................................................     27228  2.0
NC.....................................................     27229  10.0
NC.....................................................     27230  5.0

[[Page 70150]]

 
NC.....................................................     27231  2.0
NC.....................................................     27233  2.0
NC.....................................................     27235  2.1
NC.....................................................     27237  4.0
NC.....................................................     27239  3.0
NC.....................................................     27242  5.0
NC.....................................................     27243  1.0
NC.....................................................     27244  1.0
NC.....................................................     27247  10.6
NC.....................................................     27248  5.0
NC.....................................................     27249  1.0
NC.....................................................     27252  6.0
NC.....................................................     27253  1.0
NC.....................................................     27256  6.0
NC.....................................................     27258  1.0
NC.....................................................     27259  10.0
NC.....................................................     27260  1.0
NC.....................................................     27261  1.0
NC.....................................................     27262  1.0
NC.....................................................     27263  1.0
NC.....................................................     27264  1.0
NC.....................................................     27265  1.0
NC.....................................................     27278  1.0
NC.....................................................     27281  5.0
NC.....................................................     27282  1.0
NC.....................................................     27283  2.0
NC.....................................................     27284  1.0
NC.....................................................     27285  1.0
NC.....................................................     27288  4.0
NC.....................................................     27289  4.0
NC.....................................................     27291  2.0
NC.....................................................     27292  4.2
NC.....................................................     27293  4.2
NC.....................................................     27294  4.2
NC.....................................................     27295  5.2
NC.....................................................     27298  10.4
NC.....................................................     27299  5.2
NC.....................................................     27301  1.0
NC.....................................................     27302  1.0
NC.....................................................     27305  3.0
NC.....................................................     27306  10.6
NC.....................................................     27310  2.1
NC.....................................................     27311  2.0
NC.....................................................     27312  2.0
NC.....................................................     27313  2.0
NC.....................................................     27314  2.0
NC.....................................................     27315  2.0
NC.....................................................     27316  6.0
NC.....................................................     27317  4.1
NC.....................................................     27320  4.1
NC.....................................................     27321  4.1
NC.....................................................     27322  4.1
NC.....................................................     27323  4.1
NC.....................................................     27325  10.0
NC.....................................................     27326  6.1
NC.....................................................     27330  4.0
NC.....................................................     27331  4.0
NC.....................................................     27332  5.0
NC.....................................................     27340  1.0
NC.....................................................     27341  5.0
NC.....................................................     27342  1.0
NC.....................................................     27343  8.3
NC.....................................................     27344  7.0
NC.....................................................     27349  2.0
NC.....................................................     27350  1.0
NC.....................................................     27351  4.2
NC.....................................................     27355  6.0
NC.....................................................     27356  10.6
NC.....................................................     27357  2.0
NC.....................................................     27358  2.0
NC.....................................................     27359  1.0
NC.....................................................     27360  1.0
NC.....................................................     27361  1.0
NC.....................................................     27370  1.0
NC.....................................................     27371  7.0
NC.....................................................     27373  1.0
NC.....................................................     27374  5.2
NC.....................................................     27375  4.1
NC.....................................................     27376  5.0
NC.....................................................     27377  2.0
NC.....................................................     27379  10.4
NC.....................................................     27395  1.0
NC.....................................................     27401  1.0
NC.....................................................     27402  1.0
NC.....................................................     27403  1.0
NC.....................................................     27404  1.0
NC.....................................................     27405  1.0
NC.....................................................     27406  1.0
NC.....................................................     27407  1.0
NC.....................................................     27408  1.0
NC.....................................................     27409  1.0
NC.....................................................     27410  1.0
NC.....................................................     27411  1.0
NC.....................................................     27412  1.0
NC.....................................................     27413  1.0
NC.....................................................     27415  1.0
NC.....................................................     27416  1.0
NC.....................................................     27417  1.0
NC.....................................................     27419  1.0
NC.....................................................     27420  1.0
NC.....................................................     27425  1.0
NC.....................................................     27427  1.0
NC.....................................................     27429  1.0
NC.....................................................     27435  1.0
NC.....................................................     27438  1.0
NC.....................................................     27455  1.0
NC.....................................................     27480  1.0
NC.....................................................     27495  1.0
NC.....................................................     27497  1.0
NC.....................................................     27498  1.0
NC.....................................................     27499  1.0
NC.....................................................     27501  2.0
NC.....................................................     27502  1.0
NC.....................................................     27503  2.0
NC.....................................................     27504  2.0
NC.....................................................     27505  6.0
NC.....................................................     27506  7.3
NC.....................................................     27507  8.3
NC.....................................................     27508  2.0
NC.....................................................     27509  2.0
NC.....................................................     27510  1.0
NC.....................................................     27511  1.0
NC.....................................................     27512  1.0
NC.....................................................     27513  1.0
NC.....................................................     27514  1.0
NC.....................................................     27515  1.0
NC.....................................................     27516  1.0
NC.....................................................     27517  1.0
NC.....................................................     27518  1.0
NC.....................................................     27519  1.0
NC.....................................................     27520  2.0
NC.....................................................     27521  3.0
NC.....................................................     27522  2.1
NC.....................................................     27523  1.0
NC.....................................................     27524  4.2
NC.....................................................     27525  2.0
NC.....................................................     27526  1.0
NC.....................................................     27527  1.0
NC.....................................................     27528  1.0
NC.....................................................     27529  1.0
NC.....................................................     27530  1.0
NC.....................................................     27531  1.0
NC.....................................................     27532  1.0
NC.....................................................     27533  1.0
NC.....................................................     27534  1.0
NC.....................................................     27536  4.0
NC.....................................................     27537  5.0
NC.....................................................     27539  1.0
NC.....................................................     27540  1.0
NC.....................................................     27541  2.0
NC.....................................................     27542  6.0
NC.....................................................     27543  1.0
NC.....................................................     27544  5.2
NC.....................................................     27545  1.0
NC.....................................................     27546  7.3
NC.....................................................     27549  7.1
NC.....................................................     27551  10.0
NC.....................................................     27552  7.3
NC.....................................................     27553  10.5
NC.....................................................     27555  4.2
NC.....................................................     27556  5.0
NC.....................................................     27557  2.0
NC.....................................................     27559  2.1
NC.....................................................     27560  1.0
NC.....................................................     27562  2.1
NC.....................................................     27563  10.5
NC.....................................................     27564  2.1
NC.....................................................     27565  7.0
NC.....................................................     27568  5.2
NC.....................................................     27569  5.2
NC.....................................................     27570  10.5
NC.....................................................     27571  1.0
NC.....................................................     27572  2.0
NC.....................................................     27573  7.3
NC.....................................................     27574  9.1
NC.....................................................     27576  4.2
NC.....................................................     27577  4.2
NC.....................................................     27581  2.0
NC.....................................................     27582  7.0
NC.....................................................     27583  2.0
NC.....................................................     27584  5.0
NC.....................................................     27586  10.0
NC.....................................................     27587  1.0
NC.....................................................     27588  1.0
NC.....................................................     27589  10.5
NC.....................................................     27591  2.0
NC.....................................................     27592  2.0
NC.....................................................     27593  4.2
NC.....................................................     27594  10.5
NC.....................................................     27596  2.0
NC.....................................................     27597  2.0
NC.....................................................     27599  1.0
NC.....................................................     27601  1.0
NC.....................................................     27602  1.0
NC.....................................................     27603  1.0
NC.....................................................     27604  1.0
NC.....................................................     27605  1.0
NC.....................................................     27606  1.0
NC.....................................................     27607  1.0
NC.....................................................     27608  1.0
NC.....................................................     27609  1.0
NC.....................................................     27610  1.0
NC.....................................................     27611  1.0
NC.....................................................     27612  1.0
NC.....................................................     27613  1.0
NC.....................................................     27614  1.0
NC.....................................................     27615  1.0

[[Page 70151]]

 
NC.....................................................     27616  1.0
NC.....................................................     27617  1.0
NC.....................................................     27619  1.0
NC.....................................................     27620  1.0
NC.....................................................     27621  1.0
NC.....................................................     27622  1.0
NC.....................................................     27623  1.0
NC.....................................................     27624  1.0
NC.....................................................     27625  1.0
NC.....................................................     27626  1.0
NC.....................................................     27627  1.0
NC.....................................................     27628  1.0
NC.....................................................     27629  1.0
NC.....................................................     27634  1.0
NC.....................................................     27635  1.0
NC.....................................................     27636  1.0
NC.....................................................     27640  1.0
NC.....................................................     27650  1.0
NC.....................................................     27656  1.0
NC.....................................................     27658  1.0
NC.....................................................     27661  1.0
NC.....................................................     27668  1.0
NC.....................................................     27675  1.0
NC.....................................................     27676  1.0
NC.....................................................     27690  1.0
NC.....................................................     27695  1.0
NC.....................................................     27697  1.0
NC.....................................................     27698  1.0
NC.....................................................     27699  1.0
NC.....................................................     27701  1.0
NC.....................................................     27702  1.0
NC.....................................................     27703  1.0
NC.....................................................     27704  1.0
NC.....................................................     27705  1.0
NC.....................................................     27706  1.0
NC.....................................................     27707  1.0
NC.....................................................     27708  1.0
NC.....................................................     27709  1.0
NC.....................................................     27710  1.0
NC.....................................................     27711  1.0
NC.....................................................     27712  1.0
NC.....................................................     27713  1.0
NC.....................................................     27715  1.0
NC.....................................................     27717  1.0
NC.....................................................     27722  1.0
NC.....................................................     27801  1.0
NC.....................................................     27802  1.0
NC.....................................................     27803  1.0
NC.....................................................     27804  1.0
NC.....................................................     27805  9.0
NC.....................................................     27806  10.5
NC.....................................................     27807  6.1
NC.....................................................     27808  10.2
NC.....................................................     27809  2.0
NC.....................................................     27810  10.5
NC.....................................................     27811  1.0
NC.....................................................     27812  2.0
NC.....................................................     27813  4.0
NC.....................................................     27814  6.0
NC.....................................................     27816  2.0
NC.....................................................     27817  5.0
NC.....................................................     27818  7.0
NC.....................................................     27819  10.5
NC.....................................................     27820  10.0
NC.....................................................     27821  6.0
NC.....................................................     27822  5.2
NC.....................................................     27823  3.0
NC.....................................................     27824  10.0
NC.....................................................     27825  7.0
NC.....................................................     27826  10.0
NC.....................................................     27827  1.0
NC.....................................................     27828  2.0
NC.....................................................     27829  2.0
NC.....................................................     27830  2.0
NC.....................................................     27831  10.5
NC.....................................................     27832  5.0
NC.....................................................     27833  1.0
NC.....................................................     27834  1.0
NC.....................................................     27835  1.0
NC.....................................................     27836  1.0
NC.....................................................     27837  2.0
NC.....................................................     27839  6.0
NC.....................................................     27840  9.0
NC.....................................................     27841  9.0
NC.....................................................     27842  5.0
NC.....................................................     27843  5.0
NC.....................................................     27844  2.0
NC.....................................................     27845  10.5
NC.....................................................     27846  10.6
NC.....................................................     27847  10.0
NC.....................................................     27849  10.0
NC.....................................................     27850  5.0
NC.....................................................     27851  5.0
NC.....................................................     27852  10.5
NC.....................................................     27853  10.0
NC.....................................................     27854  10.0
NC.....................................................     27855  7.0
NC.....................................................     27856  1.0
NC.....................................................     27857  9.0
NC.....................................................     27858  1.0
NC.....................................................     27860  10.5
NC.....................................................     27861  3.0
NC.....................................................     27862  10.0
NC.....................................................     27863  2.0
NC.....................................................     27864  10.4
NC.....................................................     27865  5.0
NC.....................................................     27866  10.5
NC.....................................................     27867  10.0
NC.....................................................     27868  2.0
NC.....................................................     27869  10.0
NC.....................................................     27870  4.0
NC.....................................................     27871  3.0
NC.....................................................     27872  10.0
NC.....................................................     27873  5.0
NC.....................................................     27874  7.3
NC.....................................................     27875  10.0
NC.....................................................     27876  10.5
NC.....................................................     27877  10.0
NC.....................................................     27878  1.0
NC.....................................................     27879  1.0
NC.....................................................     27880  5.0
NC.....................................................     27881  5.0
NC.....................................................     27882  3.0
NC.....................................................     27883  5.0
NC.....................................................     27884  2.0
NC.....................................................     27885  10.0
NC.....................................................     27886  4.2
NC.....................................................     27887  6.0
NC.....................................................     27888  3.0
NC.....................................................     27889  4.2
NC.....................................................     27890  4.0
NC.....................................................     27891  2.0
NC.....................................................     27892  7.0
NC.....................................................     27893  4.0
NC.....................................................     27894  4.0
NC.....................................................     27895  4.0
NC.....................................................     27896  4.0
NC.....................................................     27897  10.0
NC.....................................................     27906  4.0
NC.....................................................     27907  4.0
NC.....................................................     27909  4.0
NC.....................................................     27910  7.0
NC.....................................................     27915  10.5
NC.....................................................     27916  5.0
NC.....................................................     27917  2.0
NC.....................................................     27919  6.0
NC.....................................................     27920  10.5
NC.....................................................     27921  6.0
NC.....................................................     27922  9.0
NC.....................................................     27923  5.0
NC.....................................................     27924  10.0
NC.....................................................     27925  10.6
NC.....................................................     27926  10.4
NC.....................................................     27927  10.4
NC.....................................................     27928  10.6
NC.....................................................     27929  2.0
NC.....................................................     27930  10.5
NC.....................................................     27932  7.0
NC.....................................................     27935  10.6
NC.....................................................     27936  10.5
NC.....................................................     27937  10.4
NC.....................................................     27938  10.4
NC.....................................................     27939  5.0
NC.....................................................     27941  5.0
NC.....................................................     27942  9.0
NC.....................................................     27943  10.5
NC.....................................................     27944  10.5
NC.....................................................     27946  10.4
NC.....................................................     27947  5.0
NC.....................................................     27948  4.0
NC.....................................................     27949  4.0
NC.....................................................     27950  2.0
NC.....................................................     27953  10.5
NC.....................................................     27954  7.4
NC.....................................................     27956  2.0
NC.....................................................     27957  10.0
NC.....................................................     27958  2.0
NC.....................................................     27959  10.5
NC.....................................................     27960  10.0
NC.....................................................     27962  7.0
NC.....................................................     27964  5.0
NC.....................................................     27965  5.0
NC.....................................................     27966  5.0
NC.....................................................     27967  7.0
NC.....................................................     27968  10.5
NC.....................................................     27969  10.6
NC.....................................................     27970  10.6
NC.....................................................     27972  10.5
NC.....................................................     27973  6.0
NC.....................................................     27974  6.0
NC.....................................................     27976  6.0
NC.....................................................     27978  10.5
NC.....................................................     27979  10.4
NC.....................................................     27980  8.0
NC.....................................................     27981  7.4
NC.....................................................     27982  10.5
NC.....................................................     27983  10.0
NC.....................................................     27985  10.5
NC.....................................................     27986  9.0
NC.....................................................     28001  4.0
NC.....................................................     28002  4.0
NC.....................................................     28006  2.1
NC.....................................................     28007  7.3
NC.....................................................     28009  4.0
NC.....................................................     28010  4.0
NC.....................................................     28012  1.0
NC.....................................................     28016  1.0

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NC.....................................................     28017  5.0
NC.....................................................     28018  5.0
NC.....................................................     28019  4.0
NC.....................................................     28020  5.2
NC.....................................................     28021  9.1
NC.....................................................     28023  1.0
NC.....................................................     28024  5.0
NC.....................................................     28025  1.0
NC.....................................................     28026  1.0
NC.....................................................     28027  1.0
NC.....................................................     28031  1.0
NC.....................................................     28032  1.0
NC.....................................................     28033  4.0
NC.....................................................     28034  2.1
NC.....................................................     28035  1.0
NC.....................................................     28036  1.0
NC.....................................................     28037  2.0
NC.....................................................     28038  3.0
NC.....................................................     28039  4.2
NC.....................................................     28040  5.0
NC.....................................................     28041  4.2
NC.....................................................     28042  5.0
NC.....................................................     28043  4.0
NC.....................................................     28052  1.0
NC.....................................................     28053  1.0
NC.....................................................     28054  1.0
NC.....................................................     28055  1.0
NC.....................................................     28056  1.0
NC.....................................................     28070  1.0
NC.....................................................     28071  5.0
NC.....................................................     28072  4.2
NC.....................................................     28073  3.0
NC.....................................................     28074  5.0
NC.....................................................     28075  1.0
NC.....................................................     28076  5.0
NC.....................................................     28077  2.1
NC.....................................................     28078  1.0
NC.....................................................     28079  1.0
NC.....................................................     28080  2.0
NC.....................................................     28081  1.0
NC.....................................................     28082  1.0
NC.....................................................     28083  1.0
NC.....................................................     28086  2.0
NC.....................................................     28088  1.0
NC.....................................................     28089  4.0
NC.....................................................     28090  5.0
NC.....................................................     28091  8.3
NC.....................................................     28092  4.0
NC.....................................................     28093  4.0
NC.....................................................     28097  2.0
NC.....................................................     28098  1.0
NC.....................................................     28101  1.0
NC.....................................................     28102  9.1
NC.....................................................     28103  2.0
NC.....................................................     28104  1.0
NC.....................................................     28105  1.0
NC.....................................................     28106  1.0
NC.....................................................     28107  2.0
NC.....................................................     28108  1.0
NC.....................................................     28109  5.0
NC.....................................................     28110  1.0
NC.....................................................     28111  1.0
NC.....................................................     28112  1.0
NC.....................................................     28114  5.0
NC.....................................................     28115  2.0
NC.....................................................     28117  2.0
NC.....................................................     28119  9.1
NC.....................................................     28120  1.0
NC.....................................................     28123  2.0
NC.....................................................     28124  2.1
NC.....................................................     28125  5.2
NC.....................................................     28126  1.0
NC.....................................................     28127  5.0
NC.....................................................     28128  6.0
NC.....................................................     28129  3.0
NC.....................................................     28130  1.0
NC.....................................................     28133  2.0
NC.....................................................     28134  1.0
NC.....................................................     28135  2.0
NC.....................................................     28136  4.0
NC.....................................................     28137  5.0
NC.....................................................     28138  4.2
NC.....................................................     28139  5.0
NC.....................................................     28144  4.2
NC.....................................................     28145  4.2
NC.....................................................     28146  4.2
NC.....................................................     28147  4.2
NC.....................................................     28150  4.0
NC.....................................................     28151  4.0
NC.....................................................     28152  5.0
NC.....................................................     28159  4.2
NC.....................................................     28160  4.0
NC.....................................................     28163  2.0
NC.....................................................     28164  1.0
NC.....................................................     28166  6.1
NC.....................................................     28167  5.0
NC.....................................................     28168  2.0
NC.....................................................     28169  9.1
NC.....................................................     28170  7.3
NC.....................................................     28173  2.0
NC.....................................................     28174  2.0
NC.....................................................     28201  1.0
NC.....................................................     28202  1.0
NC.....................................................     28203  1.0
NC.....................................................     28204  1.0
NC.....................................................     28205  1.0
NC.....................................................     28206  1.0
NC.....................................................     28207  1.0
NC.....................................................     28208  1.0
NC.....................................................     28209  1.0
NC.....................................................     28210  1.0
NC.....................................................     28211  1.0
NC.....................................................     28212  1.0
NC.....................................................     28213  1.0
NC.....................................................     28214  1.0
NC.....................................................     28215  1.0
NC.....................................................     28216  1.0
NC.....................................................     28217  1.0
NC.....................................................     28218  1.0
NC.....................................................     28219  1.0
NC.....................................................     28220  1.0
NC.....................................................     28221  1.0
NC.....................................................     28222  1.0
NC.....................................................     28223  1.0
NC.....................................................     28224  1.0
NC.....................................................     28225  1.0
NC.....................................................     28226  1.0
NC.....................................................     28227  1.0
NC.....................................................     28228  1.0
NC.....................................................     28229  1.0
NC.....................................................     28230  1.0
NC.....................................................     28231  1.0
NC.....................................................     28232  1.0
NC.....................................................     28233  1.0
NC.....................................................     28234  1.0
NC.....................................................     28235  1.0
NC.....................................................     28236  1.0
NC.....................................................     28237  1.0
NC.....................................................     28240  1.0
NC.....................................................     28241  1.0
NC.....................................................     28242  1.0
NC.....................................................     28243  1.0
NC.....................................................     28244  1.0
NC.....................................................     28246  1.0
NC.....................................................     28247  1.0
NC.....................................................     28250  1.0
NC.....................................................     28253  1.0
NC.....................................................     28254  1.0
NC.....................................................     28255  1.0
NC.....................................................     28256  1.0
NC.....................................................     28258  1.0
NC.....................................................     28260  1.0
NC.....................................................     28261  1.0
NC.....................................................     28262  1.0
NC.....................................................     28265  1.0
NC.....................................................     28266  1.0
NC.....................................................     28269  1.0
NC.....................................................     28270  1.0
NC.....................................................     28271  1.0
NC.....................................................     28272  1.0
NC.....................................................     28273  1.0
NC.....................................................     28274  1.0
NC.....................................................     28275  1.0
NC.....................................................     28277  1.0
NC.....................................................     28278  1.0
NC.....................................................     28280  1.0
NC.....................................................     28281  1.0
NC.....................................................     28282  1.0
NC.....................................................     28283  1.0
NC.....................................................     28284  1.0
NC.....................................................     28285  1.0
NC.....................................................     28286  1.0
NC.....................................................     28287  1.0
NC.....................................................     28288  1.0
NC.....................................................     28289  1.0
NC.....................................................     28290  1.0
NC.....................................................     28296  1.0
NC.....................................................     28297  1.0
NC.....................................................     28299  1.0
NC.....................................................     28301  1.0
NC.....................................................     28302  1.0
NC.....................................................     28303  1.0
NC.....................................................     28304  1.0
NC.....................................................     28305  1.0
NC.....................................................     28306  1.0
NC.....................................................     28307  1.0
NC.....................................................     28308  1.0
NC.....................................................     28309  1.0
NC.....................................................     28310  1.0
NC.....................................................     28311  1.0
NC.....................................................     28312  2.0
NC.....................................................     28314  1.0
NC.....................................................     28315  4.0
NC.....................................................     28318  6.1
NC.....................................................     28319  5.0
NC.....................................................     28320  10.6
NC.....................................................     28323  2.0
NC.....................................................     28325  2.0
NC.....................................................     28326  3.0
NC.....................................................     28327  5.0
NC.....................................................     28328  7.0
NC.....................................................     28329  7.0
NC.....................................................     28330  4.0
NC.....................................................     28331  1.0
NC.....................................................     28332  10.6
NC.....................................................     28333  1.0
NC.....................................................     28334  4.2

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NC.....................................................     28335  4.2
NC.....................................................     28337  7.0
NC.....................................................     28338  6.0
NC.....................................................     28339  4.2
NC.....................................................     28340  5.0
NC.....................................................     28341  8.0
NC.....................................................     28342  6.1
NC.....................................................     28343  5.0
NC.....................................................     28344  6.1
NC.....................................................     28345  4.0
NC.....................................................     28347  6.1
NC.....................................................     28348  1.0
NC.....................................................     28349  10.6
NC.....................................................     28350  4.0
NC.....................................................     28351  5.0
NC.....................................................     28352  4.0
NC.....................................................     28353  4.0
NC.....................................................     28355  5.0
NC.....................................................     28356  2.0
NC.....................................................     28357  2.0
NC.....................................................     28358  4.0
NC.....................................................     28359  4.0
NC.....................................................     28360  4.0
NC.....................................................     28361  1.0
NC.....................................................     28362  5.0
NC.....................................................     28363  6.1
NC.....................................................     28364  6.0
NC.....................................................     28365  2.0
NC.....................................................     28366  9.0
NC.....................................................     28367  6.0
NC.....................................................     28368  5.0
NC.....................................................     28369  5.0
NC.....................................................     28370  4.0
NC.....................................................     28371  2.0
NC.....................................................     28372  7.4
NC.....................................................     28373  4.0
NC.....................................................     28374  4.0
NC.....................................................     28375  5.0
NC.....................................................     28376  1.0
NC.....................................................     28377  7.4
NC.....................................................     28378  7.3
NC.....................................................     28379  4.0
NC.....................................................     28380  4.0
NC.....................................................     28382  9.1
NC.....................................................     28383  5.0
NC.....................................................     28384  7.3
NC.....................................................     28385  8.3
NC.....................................................     28386  2.0
NC.....................................................     28387  4.0
NC.....................................................     28388  4.0
NC.....................................................     28390  1.0
NC.....................................................     28391  2.0
NC.....................................................     28392  10.6
NC.....................................................     28393  8.0
NC.....................................................     28394  4.0
NC.....................................................     28395  2.0
NC.....................................................     28396  5.0
NC.....................................................     28398  7.0
NC.....................................................     28399  8.0
NC.....................................................     28401  1.0
NC.....................................................     28402  1.0
NC.....................................................     28403  1.0
NC.....................................................     28404  1.0
NC.....................................................     28405  1.0
NC.....................................................     28406  1.0
NC.....................................................     28407  1.0
NC.....................................................     28408  1.0
NC.....................................................     28409  1.0
NC.....................................................     28410  1.0
NC.....................................................     28411  1.0
NC.....................................................     28412  1.0
NC.....................................................     28420  10.6
NC.....................................................     28421  2.0
NC.....................................................     28422  2.0
NC.....................................................     28423  10.4
NC.....................................................     28424  7.0
NC.....................................................     28425  2.0
NC.....................................................     28428  1.0
NC.....................................................     28429  1.0
NC.....................................................     28430  10.6
NC.....................................................     28431  8.0
NC.....................................................     28432  8.0
NC.....................................................     28433  10.6
NC.....................................................     28434  10.6
NC.....................................................     28435  2.0
NC.....................................................     28436  2.0
NC.....................................................     28438  8.0
NC.....................................................     28439  10.6
NC.....................................................     28441  8.0
NC.....................................................     28442  8.0
NC.....................................................     28443  2.0
NC.....................................................     28444  8.0
NC.....................................................     28445  2.0
NC.....................................................     28446  7.0
NC.....................................................     28447  8.0
NC.....................................................     28448  9.0
NC.....................................................     28449  1.0
NC.....................................................     28450  8.0
NC.....................................................     28451  1.0
NC.....................................................     28452  10.6
NC.....................................................     28453  10.0
NC.....................................................     28454  2.0
NC.....................................................     28455  8.0
NC.....................................................     28456  2.0
NC.....................................................     28457  2.0
NC.....................................................     28458  10.0
NC.....................................................     28459  10.6
NC.....................................................     28460  2.0
NC.....................................................     28461  10.0
NC.....................................................     28462  10.0
NC.....................................................     28463  10.4
NC.....................................................     28464  7.0
NC.....................................................     28465  10.6
NC.....................................................     28466  7.0
NC.....................................................     28467  7.3
NC.....................................................     28468  7.3
NC.....................................................     28469  7.3
NC.....................................................     28470  10.6
NC.....................................................     28472  7.0
NC.....................................................     28478  3.0
NC.....................................................     28479  2.0
NC.....................................................     28480  1.0
NC.....................................................     28501  4.0
NC.....................................................     28502  4.0
NC.....................................................     28503  4.0
NC.....................................................     28504  4.0
NC.....................................................     28508  10.4
NC.....................................................     28509  10.2
NC.....................................................     28510  10.5
NC.....................................................     28511  5.0
NC.....................................................     28512  4.0
NC.....................................................     28513  1.0
NC.....................................................     28515  10.2
NC.....................................................     28516  4.0
NC.....................................................     28518  10.0
NC.....................................................     28519  4.0
NC.....................................................     28520  5.0
NC.....................................................     28521  10.6
NC.....................................................     28522  5.0
NC.....................................................     28523  5.0
NC.....................................................     28524  4.0
NC.....................................................     28525  5.0
NC.....................................................     28526  5.0
NC.....................................................     28527  5.0
NC.....................................................     28528  5.0
NC.....................................................     28529  10.2
NC.....................................................     28530  2.0
NC.....................................................     28531  5.0
NC.....................................................     28532  4.0
NC.....................................................     28533  4.0
NC.....................................................     28537  10.2
NC.....................................................     28538  3.0
NC.....................................................     28539  2.0
NC.....................................................     28540  1.0
NC.....................................................     28541  1.0
NC.....................................................     28542  1.0
NC.....................................................     28543  1.0
NC.....................................................     28544  1.0
NC.....................................................     28545  1.0
NC.....................................................     28546  1.0
NC.....................................................     28547  1.0
NC.....................................................     28551  6.1
NC.....................................................     28552  10.2
NC.....................................................     28553  5.0
NC.....................................................     28554  3.0
NC.....................................................     28555  2.0
NC.....................................................     28556  10.5
NC.....................................................     28557  4.0
NC.....................................................     28560  4.0
NC.....................................................     28561  4.0
NC.....................................................     28562  4.0
NC.....................................................     28563  4.0
NC.....................................................     28564  4.0
NC.....................................................     28570  5.0
NC.....................................................     28571  10.5
NC.....................................................     28572  10.0
NC.....................................................     28573  5.0
NC.....................................................     28574  2.0
NC.....................................................     28575  4.0
NC.....................................................     28577  5.0
NC.....................................................     28578  2.0
NC.....................................................     28579  5.0
NC.....................................................     28580  10.5
NC.....................................................     28581  5.0
NC.....................................................     28582  7.3
NC.....................................................     28583  10.5
NC.....................................................     28584  7.3
NC.....................................................     28585  5.0
NC.....................................................     28586  5.0
NC.....................................................     28587  10.2
NC.....................................................     28589  5.0
NC.....................................................     28590  1.0
NC.....................................................     28594  7.3
NC.....................................................     28601  1.0
NC.....................................................     28602  1.0
NC.....................................................     28603  1.0
NC.....................................................     28604  5.0
NC.....................................................     28605  10.2
NC.....................................................     28606  5.0
NC.....................................................     28607  4.0
NC.....................................................     28608  4.0
NC.....................................................     28609  2.1
NC.....................................................     28610  1.0
NC.....................................................     28611  2.0
NC.....................................................     28612  1.0
NC.....................................................     28613  1.0
NC.....................................................     28615  10.5

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NC.....................................................     28616  10.0
NC.....................................................     28617  10.0
NC.....................................................     28618  4.0
NC.....................................................     28619  1.0
NC.....................................................     28621  7.0
NC.....................................................     28622  10.0
NC.....................................................     28623  10.0
NC.....................................................     28624  5.0
NC.....................................................     28625  4.0
NC.....................................................     28626  6.0
NC.....................................................     28627  10.0
NC.....................................................     28628  1.0
NC.....................................................     28629  10.0
NC.....................................................     28630  1.0
NC.....................................................     28631  10.0
NC.....................................................     28633  1.0
NC.....................................................     28634  5.0
NC.....................................................     28635  5.0
NC.....................................................     28636  10.6
NC.....................................................     28637  1.0
NC.....................................................     28638  1.0
NC.....................................................     28640  10.0
NC.....................................................     28641  10.0
NC.....................................................     28642  7.0
NC.....................................................     28643  10.0
NC.....................................................     28644  10.0
NC.....................................................     28645  1.0
NC.....................................................     28646  10.0
NC.....................................................     28647  7.0
NC.....................................................     28649  5.0
NC.....................................................     28650  2.0
NC.....................................................     28651  4.0
NC.....................................................     28652  10.0
NC.....................................................     28653  10.0
NC.....................................................     28654  5.0
NC.....................................................     28655  1.0
NC.....................................................     28656  4.0
NC.....................................................     28657  10.0
NC.....................................................     28658  1.0
NC.....................................................     28659  4.0
NC.....................................................     28660  5.0
NC.....................................................     28661  1.0
NC.....................................................     28662  10.0
NC.....................................................     28663  10.0
NC.....................................................     28664  10.0
NC.....................................................     28665  5.0
NC.....................................................     28666  1.0
NC.....................................................     28667  1.0
NC.....................................................     28668  10.0
NC.....................................................     28669  8.4
NC.....................................................     28670  8.4
NC.....................................................     28671  1.0
NC.....................................................     28672  10.0
NC.....................................................     28673  3.0
NC.....................................................     28674  4.0
NC.....................................................     28675  10.0
NC.....................................................     28676  7.0
NC.....................................................     28677  4.0
NC.....................................................     28678  10.6
NC.....................................................     28679  5.0
NC.....................................................     28680  1.0
NC.....................................................     28681  2.0
NC.....................................................     28682  3.0
NC.....................................................     28683  8.0
NC.....................................................     28684  6.0
NC.....................................................     28685  8.0
NC.....................................................     28687  4.0
NC.....................................................     28688  4.0
NC.....................................................     28689  5.0
NC.....................................................     28690  1.0
NC.....................................................     28691  10.0
NC.....................................................     28692  5.0
NC.....................................................     28693  10.0
NC.....................................................     28694  10.0
NC.....................................................     28697  5.0
NC.....................................................     28698  5.0
NC.....................................................     28699  4.0
NC.....................................................     28701  2.0
NC.....................................................     28702  10.0
NC.....................................................     28704  1.0
NC.....................................................     28705  10.0
NC.....................................................     28707  7.0
NC.....................................................     28708  5.0
NC.....................................................     28709  2.0
NC.....................................................     28710  2.0
NC.....................................................     28711  1.0
NC.....................................................     28712  4.2
NC.....................................................     28713  10.0
NC.....................................................     28714  10.0
NC.....................................................     28715  1.0
NC.....................................................     28716  1.0
NC.....................................................     28717  10.0
NC.....................................................     28718  5.0
NC.....................................................     28719  10.0
NC.....................................................     28720  10.5
NC.....................................................     28721  1.0
NC.....................................................     28722  10.0
NC.....................................................     28723  7.0
NC.....................................................     28724  1.0
NC.....................................................     28725  7.0
NC.....................................................     28726  1.0
NC.....................................................     28727  1.0
NC.....................................................     28728  1.0
NC.....................................................     28729  2.0
NC.....................................................     28730  2.0
NC.....................................................     28731  2.0
NC.....................................................     28732  1.0
NC.....................................................     28733  10.0
NC.....................................................     28734  8.0
NC.....................................................     28735  2.0
NC.....................................................     28736  10.0
NC.....................................................     28737  7.0
NC.....................................................     28738  1.0
NC.....................................................     28739  1.0
NC.....................................................     28740  10.0
NC.....................................................     28741  10.0
NC.....................................................     28742  2.0
NC.....................................................     28743  10.4
NC.....................................................     28744  8.0
NC.....................................................     28745  1.0
NC.....................................................     28746  10.5
NC.....................................................     28747  5.0
NC.....................................................     28748  2.0
NC.....................................................     28749  7.0
NC.....................................................     28750  10.4
NC.....................................................     28751  2.0
NC.....................................................     28752  7.0
NC.....................................................     28753  2.0
NC.....................................................     28754  2.0
NC.....................................................     28755  10.0
NC.....................................................     28756  10.0
NC.....................................................     28757  1.0
NC.....................................................     28758  1.0
NC.....................................................     28760  1.0
NC.....................................................     28761  8.3
NC.....................................................     28762  9.0
NC.....................................................     28763  8.0
NC.....................................................     28765  10.0
NC.....................................................     28766  5.0
NC.....................................................     28768  4.2
NC.....................................................     28770  1.0
NC.....................................................     28771  10.0
NC.....................................................     28772  5.0
NC.....................................................     28773  10.4
NC.....................................................     28774  5.0
NC.....................................................     28775  8.0
NC.....................................................     28776  1.0
NC.....................................................     28777  10.0
NC.....................................................     28778  1.0
NC.....................................................     28779  7.0
NC.....................................................     28781  8.0
NC.....................................................     28782  10.4
NC.....................................................     28783  8.0
NC.....................................................     28784  2.0
NC.....................................................     28785  2.0
NC.....................................................     28786  1.0
NC.....................................................     28787  1.0
NC.....................................................     28788  7.0
NC.....................................................     28789  10.0
NC.....................................................     28790  2.0
NC.....................................................     28791  1.0
NC.....................................................     28792  1.0
NC.....................................................     28793  1.0
NC.....................................................     28801  1.0
NC.....................................................     28802  1.0
NC.....................................................     28803  1.0
NC.....................................................     28804  1.0
NC.....................................................     28805  1.0
NC.....................................................     28806  1.0
NC.....................................................     28810  1.0
NC.....................................................     28813  1.0
NC.....................................................     28814  1.0
NC.....................................................     28815  1.0
NC.....................................................     28816  1.0
NC.....................................................     28901  10.0
NC.....................................................     28902  10.0
NC.....................................................     28903  10.0
NC.....................................................     28904  10.0
NC.....................................................     28905  10.0
NC.....................................................     28906  10.0
NC.....................................................     28909  10.0
ND.....................................................     58001  4.0
ND.....................................................     58002  10.1
ND.....................................................     58004  2.0
ND.....................................................     58005  2.0
ND.....................................................     58006  2.0
ND.....................................................     58007  10.1
ND.....................................................     58008  10.2
ND.....................................................     58009  10.0
ND.....................................................     58011  10.1
ND.....................................................     58012  2.0
ND.....................................................     58013  10.0
ND.....................................................     58015  2.0
ND.....................................................     58016  10.0
ND.....................................................     58017  10.0
ND.....................................................     58018  2.0
ND.....................................................     58021  2.0
ND.....................................................     58027  10.0
ND.....................................................     58029  2.0
ND.....................................................     58030  5.0
ND.....................................................     58031  8.0
ND.....................................................     58032  10.0
ND.....................................................     58033  10.0
ND.....................................................     58035  10.0
ND.....................................................     58036  2.0
ND.....................................................     58038  2.0
ND.....................................................     58040  10.0

[[Page 70155]]

 
ND.....................................................     58041  10.5
ND.....................................................     58042  2.0
ND.....................................................     58043  10.0
ND.....................................................     58045  10.0
ND.....................................................     58046  10.0
ND.....................................................     58047  1.0
ND.....................................................     58048  2.0
ND.....................................................     58049  8.0
ND.....................................................     58051  2.0
ND.....................................................     58052  2.0
ND.....................................................     58053  10.5
ND.....................................................     58054  10.0
ND.....................................................     58056  10.0
ND.....................................................     58057  10.0
ND.....................................................     58058  10.5
ND.....................................................     58059  2.0
ND.....................................................     58060  10.0
ND.....................................................     58061  10.2
ND.....................................................     58062  8.0
ND.....................................................     58063  8.0
ND.....................................................     58064  10.1
ND.....................................................     58065  10.0
ND.....................................................     58067  10.0
ND.....................................................     58068  10.0
ND.....................................................     58069  10.0
ND.....................................................     58071  10.1
ND.....................................................     58072  7.0
ND.....................................................     58074  4.0
ND.....................................................     58075  4.0
ND.....................................................     58076  4.0
ND.....................................................     58077  2.0
ND.....................................................     58078  1.0
ND.....................................................     58079  2.0
ND.....................................................     58081  10.2
ND.....................................................     58102  1.0
ND.....................................................     58103  1.0
ND.....................................................     58104  1.0
ND.....................................................     58105  1.0
ND.....................................................     58106  1.0
ND.....................................................     58107  1.0
ND.....................................................     58108  1.0
ND.....................................................     58109  1.0
ND.....................................................     58121  1.0
ND.....................................................     58122  1.0
ND.....................................................     58123  1.0
ND.....................................................     58124  1.0
ND.....................................................     58125  1.0
ND.....................................................     58126  1.0
ND.....................................................     58201  1.0
ND.....................................................     58202  1.0
ND.....................................................     58203  1.0
ND.....................................................     58204  7.3
ND.....................................................     58205  7.3
ND.....................................................     58206  1.0
ND.....................................................     58207  7.3
ND.....................................................     58208  1.0
ND.....................................................     58210  10.6
ND.....................................................     58212  10.0
ND.....................................................     58214  2.0
ND.....................................................     58216  10.0
ND.....................................................     58218  10.4
ND.....................................................     58219  10.0
ND.....................................................     58220  10.0
ND.....................................................     58222  10.0
ND.....................................................     58223  10.4
ND.....................................................     58224  10.0
ND.....................................................     58225  10.6
ND.....................................................     58227  10.6
ND.....................................................     58228  2.0
ND.....................................................     58229  10.6
ND.....................................................     58230  10.0
ND.....................................................     58231  10.6
ND.....................................................     58233  10.6
ND.....................................................     58235  2.0
ND.....................................................     58236  10.6
ND.....................................................     58237  7.0
ND.....................................................     58238  10.0
ND.....................................................     58239  10.0
ND.....................................................     58240  10.4
ND.....................................................     58241  10.0
ND.....................................................     58243  10.6
ND.....................................................     58244  2.0
ND.....................................................     58249  10.0
ND.....................................................     58250  10.6
ND.....................................................     58251  2.0
ND.....................................................     58254  10.0
ND.....................................................     58255  10.0
ND.....................................................     58256  2.0
ND.....................................................     58257  10.0
ND.....................................................     58258  2.0
ND.....................................................     58259  10.0
ND.....................................................     58260  10.0
ND.....................................................     58261  8.0
ND.....................................................     58262  10.0
ND.....................................................     58265  10.0
ND.....................................................     58266  2.0
ND.....................................................     58267  10.4
ND.....................................................     58269  10.0
ND.....................................................     58270  10.6
ND.....................................................     58271  10.0
ND.....................................................     58272  10.0
ND.....................................................     58273  10.6
ND.....................................................     58274  10.0
ND.....................................................     58275  2.0
ND.....................................................     58276  10.6
ND.....................................................     58277  10.0
ND.....................................................     58278  2.0
ND.....................................................     58281  10.0
ND.....................................................     58282  10.0
ND.....................................................     58301  7.0
ND.....................................................     58310  10.0
ND.....................................................     58311  10.0
ND.....................................................     58313  7.0
ND.....................................................     58316  10.0
ND.....................................................     58317  10.0
ND.....................................................     58318  10.0
ND.....................................................     58319  10.0
ND.....................................................     58321  10.3
ND.....................................................     58323  10.0
ND.....................................................     58324  10.0
ND.....................................................     58325  8.0
ND.....................................................     58327  10.3
ND.....................................................     58329  10.0
ND.....................................................     58330  10.3
ND.....................................................     58331  10.0
ND.....................................................     58332  10.0
ND.....................................................     58335  10.6
ND.....................................................     58337  10.0
ND.....................................................     58338  10.3
ND.....................................................     58339  10.0
ND.....................................................     58341  10.0
ND.....................................................     58343  10.6
ND.....................................................     58344  10.0
ND.....................................................     58345  10.3
ND.....................................................     58346  10.6
ND.....................................................     58348  10.0
ND.....................................................     58351  10.6
ND.....................................................     58352  10.0
ND.....................................................     58353  10.0
ND.....................................................     58355  10.0
ND.....................................................     58356  10.0
ND.....................................................     58357  10.6
ND.....................................................     58359  7.0
ND.....................................................     58361  10.0
ND.....................................................     58362  8.0
ND.....................................................     58363  10.0
ND.....................................................     58365  10.0
ND.....................................................     58366  10.0
ND.....................................................     58367  10.0
ND.....................................................     58368  7.0
ND.....................................................     58369  10.0
ND.....................................................     58370  10.6
ND.....................................................     58372  10.0
ND.....................................................     58374  10.0
ND.....................................................     58377  8.0
ND.....................................................     58379  10.6
ND.....................................................     58380  10.0
ND.....................................................     58381  10.6
ND.....................................................     58382  8.0
ND.....................................................     58384  10.0
ND.....................................................     58385  7.0
ND.....................................................     58386  10.6
ND.....................................................     58401  4.0
ND.....................................................     58402  4.0
ND.....................................................     58405  4.0
ND.....................................................     58413  10.0
ND.....................................................     58415  10.0
ND.....................................................     58416  10.0
ND.....................................................     58418  10.0
ND.....................................................     58420  5.0
ND.....................................................     58421  10.0
ND.....................................................     58422  10.0
ND.....................................................     58423  10.0
ND.....................................................     58424  5.0
ND.....................................................     58425  10.0
ND.....................................................     58426  5.0
ND.....................................................     58428  10.4
ND.....................................................     58429  8.0
ND.....................................................     58430  10.0
ND.....................................................     58431  10.0
ND.....................................................     58433  10.0
ND.....................................................     58436  10.0
ND.....................................................     58438  10.0
ND.....................................................     58439  10.0
ND.....................................................     58440  10.0
ND.....................................................     58441  10.0
ND.....................................................     58442  10.0
ND.....................................................     58443  10.0
ND.....................................................     58444  10.0
ND.....................................................     58445  10.0
ND.....................................................     58448  10.0
ND.....................................................     58451  10.0
ND.....................................................     58452  10.0
ND.....................................................     58454  10.0
ND.....................................................     58455  5.0
ND.....................................................     58456  10.0
ND.....................................................     58458  10.0
ND.....................................................     58460  10.0
ND.....................................................     58461  8.0
ND.....................................................     58463  10.0
ND.....................................................     58464  10.0
ND.....................................................     58466  10.0
ND.....................................................     58467  5.0
ND.....................................................     58472  5.0
ND.....................................................     58474  10.0
ND.....................................................     58475  10.0
ND.....................................................     58476  5.0

[[Page 70156]]

 
ND.....................................................     58477  2.0
ND.....................................................     58478  10.0
ND.....................................................     58479  8.0
ND.....................................................     58480  8.0
ND.....................................................     58481  8.0
ND.....................................................     58482  10.4
ND.....................................................     58483  5.0
ND.....................................................     58484  10.0
ND.....................................................     58486  10.0
ND.....................................................     58487  10.4
ND.....................................................     58488  10.0
ND.....................................................     58490  10.0
ND.....................................................     58492  8.0
ND.....................................................     58494  2.0
ND.....................................................     58495  10.0
ND.....................................................     58496  5.0
ND.....................................................     58497  5.0
ND.....................................................     58501  1.0
ND.....................................................     58502  1.0
ND.....................................................     58503  1.0
ND.....................................................     58504  1.0
ND.....................................................     58505  1.0
ND.....................................................     58506  1.0
ND.....................................................     58507  1.0
ND.....................................................     58520  10.4
ND.....................................................     58521  2.0
ND.....................................................     58523  7.0
ND.....................................................     58524  10.0
ND.....................................................     58528  2.0
ND.....................................................     58529  10.0
ND.....................................................     58530  10.4
ND.....................................................     58531  10.0
ND.....................................................     58532  2.0
ND.....................................................     58533  10.0
ND.....................................................     58535  2.0
ND.....................................................     58538  10.0
ND.....................................................     58540  10.0
ND.....................................................     58541  10.6
ND.....................................................     58542  10.0
ND.....................................................     58544  10.0
ND.....................................................     58545  10.0
ND.....................................................     58549  10.0
ND.....................................................     58552  10.0
ND.....................................................     58554  1.0
ND.....................................................     58558  2.0
ND.....................................................     58559  10.4
ND.....................................................     58560  2.0
ND.....................................................     58561  10.0
ND.....................................................     58562  10.0
ND.....................................................     58563  10.4
ND.....................................................     58564  10.0
ND.....................................................     58565  10.4
ND.....................................................     58566  2.0
ND.....................................................     58568  10.0
ND.....................................................     58569  10.0
ND.....................................................     58570  10.0
ND.....................................................     58571  10.0
ND.....................................................     58572  2.0
ND.....................................................     58573  10.0
ND.....................................................     58575  10.0
ND.....................................................     58576  10.4
ND.....................................................     58577  10.4
ND.....................................................     58579  10.4
ND.....................................................     58580  10.6
ND.....................................................     58581  10.0
ND.....................................................     58601  4.0
ND.....................................................     58602  4.0
ND.....................................................     58620  10.0
ND.....................................................     58621  10.0
ND.....................................................     58622  10.2
ND.....................................................     58623  10.0
ND.....................................................     58625  10.5
ND.....................................................     58626  10.5
ND.....................................................     58627  10.0
ND.....................................................     58630  5.0
ND.....................................................     58631  10.4
ND.....................................................     58632  10.0
ND.....................................................     58634  10.0
ND.....................................................     58636  10.5
ND.....................................................     58638  10.4
ND.....................................................     58639  10.0
ND.....................................................     58640  10.5
ND.....................................................     58641  5.0
ND.....................................................     58642  10.5
ND.....................................................     58643  10.0
ND.....................................................     58644  10.5
ND.....................................................     58645  10.0
ND.....................................................     58646  10.0
ND.....................................................     58647  10.5
ND.....................................................     58649  10.0
ND.....................................................     58650  10.5
ND.....................................................     58651  10.0
ND.....................................................     58652  10.5
ND.....................................................     58653  10.0
ND.....................................................     58654  10.0
ND.....................................................     58655  10.2
ND.....................................................     58656  10.5
ND.....................................................     58701  4.0
ND.....................................................     58702  4.0
ND.....................................................     58703  4.0
ND.....................................................     58704  7.4
ND.....................................................     58705  7.4
ND.....................................................     58707  4.0
ND.....................................................     58710  10.0
ND.....................................................     58711  10.5
ND.....................................................     58712  10.0
ND.....................................................     58713  10.5
ND.....................................................     58716  10.0
ND.....................................................     58718  5.0
ND.....................................................     58721  10.0
ND.....................................................     58722  5.0
ND.....................................................     58723  10.0
ND.....................................................     58725  10.5
ND.....................................................     58727  10.0
ND.....................................................     58730  10.0
ND.....................................................     58731  10.5
ND.....................................................     58733  5.0
ND.....................................................     58734  10.5
ND.....................................................     58735  5.0
ND.....................................................     58736  10.0
ND.....................................................     58737  10.0
ND.....................................................     58740  7.4
ND.....................................................     58741  10.5
ND.....................................................     58744  10.0
ND.....................................................     58746  10.5
ND.....................................................     58747  10.0
ND.....................................................     58748  10.0
ND.....................................................     58750  10.5
ND.....................................................     58752  10.0
ND.....................................................     58755  10.5
ND.....................................................     58756  5.0
ND.....................................................     58757  10.0
ND.....................................................     58758  10.0
ND.....................................................     58759  10.0
ND.....................................................     58760  10.5
ND.....................................................     58761  10.5
ND.....................................................     58762  10.5
ND.....................................................     58763  10.0
ND.....................................................     58765  10.0
ND.....................................................     58768  5.0
ND.....................................................     58769  10.0
ND.....................................................     58770  10.0
ND.....................................................     58771  10.0
ND.....................................................     58772  10.0
ND.....................................................     58773  10.0
ND.....................................................     58775  10.0
ND.....................................................     58776  10.0
ND.....................................................     58778  10.0
ND.....................................................     58779  5.0
ND.....................................................     58781  5.0
ND.....................................................     58782  10.5
ND.....................................................     58783  10.0
ND.....................................................     58784  10.0
ND.....................................................     58785  5.0
ND.....................................................     58787  10.5
ND.....................................................     58788  10.5
ND.....................................................     58789  10.5
ND.....................................................     58790  10.5
ND.....................................................     58792  10.5
ND.....................................................     58793  10.5
ND.....................................................     58794  10.0
ND.....................................................     58795  10.5
ND.....................................................     58801  4.0
ND.....................................................     58802  4.0
ND.....................................................     58830  10.5
ND.....................................................     58831  10.6
ND.....................................................     58833  10.0
ND.....................................................     58835  10.0
ND.....................................................     58838  10.6
ND.....................................................     58843  5.0
ND.....................................................     58844  10.0
ND.....................................................     58845  5.0
ND.....................................................     58847  10.0
ND.....................................................     58849  5.0
ND.....................................................     58852  10.5
ND.....................................................     58853  5.0
ND.....................................................     58854  10.0
ND.....................................................     58856  5.0
NE.....................................................     68001  5.0
NE.....................................................     68002  2.0
NE.....................................................     68003  2.0
NE.....................................................     68004  10.6
NE.....................................................     68005  1.0
NE.....................................................     68007  2.0
NE.....................................................     68008  7.3
NE.....................................................     68009  7.3
NE.....................................................     68010  1.0
NE.....................................................     68014  5.0
NE.....................................................     68015  5.2
NE.....................................................     68016  2.0
NE.....................................................     68017  2.0
NE.....................................................     68018  5.2
NE.....................................................     68019  10.4
NE.....................................................     68020  10.0
NE.....................................................     68022  1.0
NE.....................................................     68023  2.0
NE.....................................................     68025  4.2
NE.....................................................     68026  4.2
NE.....................................................     68028  2.0
NE.....................................................     68029  2.0
NE.....................................................     68030  2.0
NE.....................................................     68031  10.5
NE.....................................................     68033  2.0
NE.....................................................     68034  2.0
NE.....................................................     68036  5.0
NE.....................................................     68037  2.0
NE.....................................................     68038  10.0

[[Page 70157]]

 
NE.....................................................     68039  10.0
NE.....................................................     68040  2.0
NE.....................................................     68041  2.0
NE.....................................................     68042  2.0
NE.....................................................     68044  10.5
NE.....................................................     68045  10.4
NE.....................................................     68046  1.0
NE.....................................................     68047  10.0
NE.....................................................     68048  2.0
NE.....................................................     68050  2.0
NE.....................................................     68055  10.0
NE.....................................................     68056  1.0
NE.....................................................     68057  10.5
NE.....................................................     68058  2.0
NE.....................................................     68059  2.0
NE.....................................................     68061  10.4
NE.....................................................     68062  10.4
NE.....................................................     68063  10.5
NE.....................................................     68064  2.0
NE.....................................................     68065  2.0
NE.....................................................     68066  7.3
NE.....................................................     68067  10.0
NE.....................................................     68068  2.0
NE.....................................................     68069  1.0
NE.....................................................     68070  2.0
NE.....................................................     68071  10.4
NE.....................................................     68072  10.5
NE.....................................................     68073  2.0
NE.....................................................     68101  1.0
NE.....................................................     68102  1.0
NE.....................................................     68103  1.0
NE.....................................................     68104  1.0
NE.....................................................     68105  1.0
NE.....................................................     68106  1.0
NE.....................................................     68107  1.0
NE.....................................................     68108  1.0
NE.....................................................     68109  1.0
NE.....................................................     68110  1.0
NE.....................................................     68111  1.0
NE.....................................................     68112  1.0
NE.....................................................     68113  1.0
NE.....................................................     68114  1.0
NE.....................................................     68116  1.0
NE.....................................................     68117  1.0
NE.....................................................     68118  1.0
NE.....................................................     68119  1.0
NE.....................................................     68120  1.0
NE.....................................................     68122  1.0
NE.....................................................     68123  1.0
NE.....................................................     68124  1.0
NE.....................................................     68127  1.0
NE.....................................................     68128  1.0
NE.....................................................     68130  1.0
NE.....................................................     68131  1.0
NE.....................................................     68132  1.0
NE.....................................................     68133  1.0
NE.....................................................     68134  1.0
NE.....................................................     68135  1.0
NE.....................................................     68136  1.0
NE.....................................................     68137  1.0
NE.....................................................     68138  1.0
NE.....................................................     68139  1.0
NE.....................................................     68142  1.0
NE.....................................................     68144  1.0
NE.....................................................     68145  1.0
NE.....................................................     68147  1.0
NE.....................................................     68152  1.0
NE.....................................................     68154  1.0
NE.....................................................     68155  1.0
NE.....................................................     68157  1.0
NE.....................................................     68164  1.0
NE.....................................................     68172  1.0
NE.....................................................     68175  1.0
NE.....................................................     68176  1.0
NE.....................................................     68178  1.0
NE.....................................................     68179  1.0
NE.....................................................     68180  1.0
NE.....................................................     68181  1.0
NE.....................................................     68182  1.0
NE.....................................................     68183  1.0
NE.....................................................     68197  1.0
NE.....................................................     68198  1.0
NE.....................................................     68301  6.0
NE.....................................................     68303  10.0
NE.....................................................     68304  2.1
NE.....................................................     68305  7.0
NE.....................................................     68307  2.0
NE.....................................................     68309  5.0
NE.....................................................     68310  4.0
NE.....................................................     68313  2.0
NE.....................................................     68314  2.0
NE.....................................................     68315  10.0
NE.....................................................     68316  8.0
NE.....................................................     68317  2.0
NE.....................................................     68318  5.0
NE.....................................................     68319  8.0
NE.....................................................     68320  10.6
NE.....................................................     68321  10.6
NE.....................................................     68322  10.0
NE.....................................................     68323  10.0
NE.....................................................     68324  2.0
NE.....................................................     68325  10.0
NE.....................................................     68326  10.0
NE.....................................................     68327  10.0
NE.....................................................     68328  5.0
NE.....................................................     68329  10.4
NE.....................................................     68330  2.0
NE.....................................................     68331  5.0
NE.....................................................     68332  10.4
NE.....................................................     68333  7.3
NE.....................................................     68335  10.0
NE.....................................................     68336  2.0
NE.....................................................     68337  10.6
NE.....................................................     68338  10.6
NE.....................................................     68339  2.0
NE.....................................................     68340  10.0
NE.....................................................     68341  10.6
NE.....................................................     68342  10.6
NE.....................................................     68343  10.4
NE.....................................................     68344  2.0
NE.....................................................     68345  10.0
NE.....................................................     68346  8.0
NE.....................................................     68347  2.0
NE.....................................................     68348  10.0
NE.....................................................     68349  2.0
NE.....................................................     68350  10.6
NE.....................................................     68351  10.0
NE.....................................................     68352  7.0
NE.....................................................     68354  10.0
NE.....................................................     68355  7.0
NE.....................................................     68357  6.0
NE.....................................................     68358  2.0
NE.....................................................     68359  10.4
NE.....................................................     68360  2.0
NE.....................................................     68361  10.0
NE.....................................................     68362  10.0
NE.....................................................     68364  2.0
NE.....................................................     68365  10.0
NE.....................................................     68366  2.1
NE.....................................................     68367  8.0
NE.....................................................     68368  2.0
NE.....................................................     68370  10.0
NE.....................................................     68371  10.3
NE.....................................................     68372  2.0
NE.....................................................     68375  10.0
NE.....................................................     68376  10.6
NE.....................................................     68377  10.6
NE.....................................................     68378  10.6
NE.....................................................     68380  10.0
NE.....................................................     68381  5.0
NE.....................................................     68382  8.0
NE.....................................................     68401  10.3
NE.....................................................     68402  2.0
NE.....................................................     68403  2.0
NE.....................................................     68404  2.0
NE.....................................................     68405  2.0
NE.....................................................     68406  10.0
NE.....................................................     68407  2.1
NE.....................................................     68409  2.0
NE.....................................................     68410  7.0
NE.....................................................     68413  2.0
NE.....................................................     68414  10.6
NE.....................................................     68415  5.0
NE.....................................................     68416  10.0
NE.....................................................     68417  10.4
NE.....................................................     68418  2.0
NE.....................................................     68419  2.0
NE.....................................................     68420  10.0
NE.....................................................     68421  10.6
NE.....................................................     68422  5.0
NE.....................................................     68423  2.0
NE.....................................................     68424  10.6
NE.....................................................     68428  2.0
NE.....................................................     68429  10.6
NE.....................................................     68430  2.0
NE.....................................................     68431  8.0
NE.....................................................     68433  10.6
NE.....................................................     68434  7.3
NE.....................................................     68436  10.0
NE.....................................................     68437  8.0
NE.....................................................     68438  2.0
NE.....................................................     68439  2.0
NE.....................................................     68440  10.6
NE.....................................................     68441  10.0
NE.....................................................     68442  8.0
NE.....................................................     68443  10.4
NE.....................................................     68444  10.0
NE.....................................................     68445  10.0
NE.....................................................     68446  10.4
NE.....................................................     68447  10.0
NE.....................................................     68448  8.0
NE.....................................................     68450  10.0
NE.....................................................     68452  10.5
NE.....................................................     68453  10.0
NE.....................................................     68454  2.0
NE.....................................................     68455  2.0
NE.....................................................     68456  2.0
NE.....................................................     68457  8.0
NE.....................................................     68458  6.0
NE.....................................................     68460  8.0
NE.....................................................     68461  2.0
NE.....................................................     68462  2.0
NE.....................................................     68463  2.0
NE.....................................................     68464  10.0
NE.....................................................     68465  10.6
NE.....................................................     68466  5.0
NE.....................................................     68467  7.0

[[Page 70158]]

 
NE.....................................................     68501  1.0
NE.....................................................     68502  1.0
NE.....................................................     68503  1.0
NE.....................................................     68504  1.0
NE.....................................................     68505  1.0
NE.....................................................     68506  1.0
NE.....................................................     68507  1.0
NE.....................................................     68508  1.0
NE.....................................................     68509  1.0
NE.....................................................     68510  1.0
NE.....................................................     68512  1.0
NE.....................................................     68514  2.0
NE.....................................................     68516  1.0
NE.....................................................     68517  2.0
NE.....................................................     68520  1.0
NE.....................................................     68521  1.0
NE.....................................................     68522  1.0
NE.....................................................     68523  2.0
NE.....................................................     68524  1.0
NE.....................................................     68526  1.0
NE.....................................................     68527  2.0
NE.....................................................     68528  1.0
NE.....................................................     68529  1.0
NE.....................................................     68531  2.0
NE.....................................................     68532  2.0
NE.....................................................     68542  1.0
NE.....................................................     68583  1.0
NE.....................................................     68588  1.0
NE.....................................................     68601  4.0
NE.....................................................     68602  4.0
NE.....................................................     68620  10.0
NE.....................................................     68621  4.2
NE.....................................................     68622  10.0
NE.....................................................     68623  10.5
NE.....................................................     68624  5.0
NE.....................................................     68626  10.4
NE.....................................................     68627  10.0
NE.....................................................     68628  10.6
NE.....................................................     68629  10.0
NE.....................................................     68631  10.5
NE.....................................................     68632  7.0
NE.....................................................     68633  10.5
NE.....................................................     68634  4.0
NE.....................................................     68635  10.4
NE.....................................................     68636  10.0
NE.....................................................     68637  10.0
NE.....................................................     68638  10.5
NE.....................................................     68640  10.5
NE.....................................................     68641  10.0
NE.....................................................     68642  10.5
NE.....................................................     68643  10.0
NE.....................................................     68644  10.5
NE.....................................................     68647  5.0
NE.....................................................     68648  2.0
NE.....................................................     68649  10.2
NE.....................................................     68651  10.5
NE.....................................................     68652  10.0
NE.....................................................     68653  5.0
NE.....................................................     68654  10.6
NE.....................................................     68655  10.0
NE.....................................................     68658  5.0
NE.....................................................     68659  10.5
NE.....................................................     68660  10.0
NE.....................................................     68661  7.4
NE.....................................................     68662  10.6
NE.....................................................     68663  10.6
NE.....................................................     68664  10.5
NE.....................................................     68665  10.0
NE.....................................................     68666  10.6
NE.....................................................     68667  10.4
NE.....................................................     68669  10.4
NE.....................................................     68701  4.0
NE.....................................................     68702  4.0
NE.....................................................     68710  10.4
NE.....................................................     68711  10.6
NE.....................................................     68713  10.6
NE.....................................................     68714  10.0
NE.....................................................     68715  5.0
NE.....................................................     68716  10.6
NE.....................................................     68717  10.6
NE.....................................................     68718  10.0
NE.....................................................     68719  10.0
NE.....................................................     68720  10.0
NE.....................................................     68722  10.0
NE.....................................................     68723  10.6
NE.....................................................     68724  10.0
NE.....................................................     68725  10.6
NE.....................................................     68726  10.0
NE.....................................................     68727  10.6
NE.....................................................     68728  10.4
NE.....................................................     68729  10.0
NE.....................................................     68730  10.2
NE.....................................................     68731  1.0
NE.....................................................     68732  10.4
NE.....................................................     68733  2.0
NE.....................................................     68734  10.6
NE.....................................................     68735  10.6
NE.....................................................     68736  10.5
NE.....................................................     68738  4.0
NE.....................................................     68739  10.5
NE.....................................................     68740  10.6
NE.....................................................     68741  2.0
NE.....................................................     68742  10.6
NE.....................................................     68743  2.0
NE.....................................................     68745  10.6
NE.....................................................     68746  10.0
NE.....................................................     68747  5.0
NE.....................................................     68748  10.5
NE.....................................................     68749  10.6
NE.....................................................     68751  10.1
NE.....................................................     68752  5.0
NE.....................................................     68753  10.0
NE.....................................................     68755  10.0
NE.....................................................     68756  10.0
NE.....................................................     68757  10.1
NE.....................................................     68758  10.5
NE.....................................................     68759  10.0
NE.....................................................     68760  10.0
NE.....................................................     68761  10.0
NE.....................................................     68763  7.0
NE.....................................................     68764  10.0
NE.....................................................     68765  10.5
NE.....................................................     68766  10.6
NE.....................................................     68767  5.0
NE.....................................................     68768  10.5
NE.....................................................     68769  10.5
NE.....................................................     68770  10.1
NE.....................................................     68771  10.6
NE.....................................................     68773  10.0
NE.....................................................     68774  10.5
NE.....................................................     68776  1.0
NE.....................................................     68777  10.0
NE.....................................................     68778  10.0
NE.....................................................     68779  4.0
NE.....................................................     68780  10.6
NE.....................................................     68781  5.0
NE.....................................................     68783  10.0
NE.....................................................     68784  10.4
NE.....................................................     68785  10.4
NE.....................................................     68786  10.0
NE.....................................................     68787  7.0
NE.....................................................     68788  7.0
NE.....................................................     68789  10.0
NE.....................................................     68790  10.6
NE.....................................................     68791  10.6
NE.....................................................     68792  10.5
NE.....................................................     68801  4.0
NE.....................................................     68802  4.0
NE.....................................................     68803  4.0
NE.....................................................     68810  5.0
NE.....................................................     68812  5.0
NE.....................................................     68813  10.6
NE.....................................................     68814  10.3
NE.....................................................     68815  10.0
NE.....................................................     68816  10.6
NE.....................................................     68817  10.5
NE.....................................................     68818  7.4
NE.....................................................     68819  10.3
NE.....................................................     68820  10.2
NE.....................................................     68821  10.0
NE.....................................................     68822  7.0
NE.....................................................     68823  10.0
NE.....................................................     68824  5.0
NE.....................................................     68825  10.6
NE.....................................................     68826  7.4
NE.....................................................     68827  5.0
NE.....................................................     68828  10.6
NE.....................................................     68831  10.2
NE.....................................................     68832  5.0
NE.....................................................     68833  10.0
NE.....................................................     68834  5.0
NE.....................................................     68835  10.2
NE.....................................................     68836  5.0
NE.....................................................     68837  10.0
NE.....................................................     68838  10.2
NE.....................................................     68840  5.0
NE.....................................................     68841  5.0
NE.....................................................     68842  10.0
NE.....................................................     68843  10.6
NE.....................................................     68844  10.5
NE.....................................................     68845  4.0
NE.....................................................     68846  10.6
NE.....................................................     68847  4.0
NE.....................................................     68848  4.0
NE.....................................................     68849  4.0
NE.....................................................     68850  4.0
NE.....................................................     68852  10.5
NE.....................................................     68853  10.5
NE.....................................................     68854  5.0
NE.....................................................     68855  10.3
NE.....................................................     68856  10.6
NE.....................................................     68858  10.2
NE.....................................................     68859  10.0
NE.....................................................     68860  10.6
NE.....................................................     68861  5.0
NE.....................................................     68862  10.0
NE.....................................................     68863  5.0
NE.....................................................     68864  5.0
NE.....................................................     68865  5.0
NE.....................................................     68866  10.2
NE.....................................................     68869  10.2
NE.....................................................     68870  5.0
NE.....................................................     68871  10.5
NE.....................................................     68872  5.0
NE.....................................................     68873  10.2
NE.....................................................     68874  10.6
NE.....................................................     68875  10.0

[[Page 70159]]

 
NE.....................................................     68876  5.0
NE.....................................................     68878  5.0
NE.....................................................     68879  10.0
NE.....................................................     68881  10.6
NE.....................................................     68882  10.0
NE.....................................................     68883  5.0
NE.....................................................     68901  4.0
NE.....................................................     68902  4.0
NE.....................................................     68920  10.6
NE.....................................................     68922  10.0
NE.....................................................     68923  10.3
NE.....................................................     68924  5.0
NE.....................................................     68925  5.0
NE.....................................................     68926  10.0
NE.....................................................     68927  10.3
NE.....................................................     68928  10.2
NE.....................................................     68929  10.0
NE.....................................................     68930  10.2
NE.....................................................     68932  10.5
NE.....................................................     68933  10.5
NE.....................................................     68934  10.5
NE.....................................................     68935  10.5
NE.....................................................     68936  10.0
NE.....................................................     68937  10.5
NE.....................................................     68938  10.5
NE.....................................................     68939  10.0
NE.....................................................     68940  10.3
NE.....................................................     68941  10.5
NE.....................................................     68942  10.5
NE.....................................................     68943  10.0
NE.....................................................     68944  10.5
NE.....................................................     68945  5.0
NE.....................................................     68946  10.0
NE.....................................................     68947  10.5
NE.....................................................     68948  10.0
NE.....................................................     68949  7.0
NE.....................................................     68950  5.0
NE.....................................................     68952  10.5
NE.....................................................     68954  10.5
NE.....................................................     68955  5.0
NE.....................................................     68956  5.0
NE.....................................................     68957  10.0
NE.....................................................     68958  10.3
NE.....................................................     68959  7.4
NE.....................................................     68960  10.0
NE.....................................................     68961  10.0
NE.....................................................     68964  10.0
NE.....................................................     68966  10.6
NE.....................................................     68967  10.0
NE.....................................................     68969  10.6
NE.....................................................     68970  10.5
NE.....................................................     68971  10.6
NE.....................................................     68972  10.0
NE.....................................................     68973  5.0
NE.....................................................     68974  10.0
NE.....................................................     68975  10.5
NE.....................................................     68976  10.5
NE.....................................................     68977  10.6
NE.....................................................     68978  10.0
NE.....................................................     68979  10.5
NE.....................................................     68980  10.5
NE.....................................................     68981  10.5
NE.....................................................     68982  5.0
NE.....................................................     69001  7.0
NE.....................................................     69020  8.0
NE.....................................................     69021  10.0
NE.....................................................     69022  10.0
NE.....................................................     69023  10.0
NE.....................................................     69024  10.6
NE.....................................................     69025  10.0
NE.....................................................     69026  8.0
NE.....................................................     69027  10.0
NE.....................................................     69028  10.0
NE.....................................................     69029  6.0
NE.....................................................     69030  10.0
NE.....................................................     69032  10.0
NE.....................................................     69033  10.0
NE.....................................................     69034  8.0
NE.....................................................     69036  8.0
NE.....................................................     69037  10.0
NE.....................................................     69038  10.0
NE.....................................................     69039  10.0
NE.....................................................     69040  10.6
NE.....................................................     69041  10.0
NE.....................................................     69042  10.0
NE.....................................................     69043  10.6
NE.....................................................     69044  10.6
NE.....................................................     69045  10.0
NE.....................................................     69046  10.0
NE.....................................................     69101  4.0
NE.....................................................     69103  4.0
NE.....................................................     69120  10.6
NE.....................................................     69121  10.0
NE.....................................................     69122  10.0
NE.....................................................     69123  5.0
NE.....................................................     69125  10.5
NE.....................................................     69127  10.3
NE.....................................................     69128  7.0
NE.....................................................     69129  10.0
NE.....................................................     69130  7.4
NE.....................................................     69131  10.3
NE.....................................................     69132  5.0
NE.....................................................     69133  7.0
NE.....................................................     69134  10.0
NE.....................................................     69135  10.6
NE.....................................................     69138  7.0
NE.....................................................     69140  10.0
NE.....................................................     69141  10.3
NE.....................................................     69142  10.0
NE.....................................................     69143  5.0
NE.....................................................     69144  10.3
NE.....................................................     69145  7.0
NE.....................................................     69146  10.3
NE.....................................................     69147  10.0
NE.....................................................     69148  10.0
NE.....................................................     69149  10.3
NE.....................................................     69150  10.0
NE.....................................................     69151  5.0
NE.....................................................     69152  10.0
NE.....................................................     69153  7.0
NE.....................................................     69154  10.0
NE.....................................................     69155  10.3
NE.....................................................     69156  10.3
NE.....................................................     69157  10.0
NE.....................................................     69160  7.0
NE.....................................................     69161  10.0
NE.....................................................     69162  7.0
NE.....................................................     69163  10.5
NE.....................................................     69165  5.0
NE.....................................................     69166  10.0
NE.....................................................     69167  10.5
NE.....................................................     69168  10.0
NE.....................................................     69169  5.0
NE.....................................................     69170  5.0
NE.....................................................     69171  7.4
NE.....................................................     69190  10.0
NE.....................................................     69201  7.0
NE.....................................................     69210  10.0
NE.....................................................     69211  7.0
NE.....................................................     69212  7.0
NE.....................................................     69214  10.0
NE.....................................................     69216  7.0
NE.....................................................     69217  10.0
NE.....................................................     69218  7.0
NE.....................................................     69219  7.0
NE.....................................................     69220  7.0
NE.....................................................     69221  10.6
NE.....................................................     69301  7.0
NE.....................................................     69331  10.5
NE.....................................................     69333  10.0
NE.....................................................     69334  10.5
NE.....................................................     69335  10.0
NE.....................................................     69336  10.5
NE.....................................................     69337  7.0
NE.....................................................     69339  10.6
NE.....................................................     69340  10.0
NE.....................................................     69341  4.0
NE.....................................................     69343  10.0
NE.....................................................     69345  10.2
NE.....................................................     69346  10.5
NE.....................................................     69347  10.0
NE.....................................................     69348  10.3
NE.....................................................     69350  10.0
NE.....................................................     69351  10.0
NE.....................................................     69352  10.2
NE.....................................................     69353  4.0
NE.....................................................     69354  10.6
NE.....................................................     69355  4.0
NE.....................................................     69356  5.0
NE.....................................................     69357  5.0
NE.....................................................     69358  10.2
NE.....................................................     69360  10.0
NE.....................................................     69361  4.0
NE.....................................................     69363  4.0
NE.....................................................     69365  10.0
NE.....................................................     69366  10.0
NE.....................................................     69367  10.6
NH.....................................................     03031  1.0
NH.....................................................     03032  1.0
NH.....................................................     03033  2.1
NH.....................................................     03034  2.1
NH.....................................................     03036  2.0
NH.....................................................     03037  3.0
NH.....................................................     03038  1.0
NH.....................................................     03040  2.1
NH.....................................................     03041  1.0
NH.....................................................     03042  2.0
NH.....................................................     03043  3.0
NH.....................................................     03044  2.0
NH.....................................................     03045  1.0
NH.....................................................     03046  2.0
NH.....................................................     03047  3.0
NH.....................................................     03048  2.1
NH.....................................................     03049  2.1
NH.....................................................     03051  1.0
NH.....................................................     03052  1.0
NH.....................................................     03053  1.0
NH.....................................................     03054  1.0
NH.....................................................     03055  1.0
NH.....................................................     03057  2.1
NH.....................................................     03060  1.0
NH.....................................................     03061  1.0
NH.....................................................     03062  1.0
NH.....................................................     03063  1.0
NH.....................................................     03064  1.0
NH.....................................................     03070  2.1
NH.....................................................     03071  10.4

[[Page 70160]]

 
NH.....................................................     03073  1.0
NH.....................................................     03076  1.0
NH.....................................................     03077  2.0
NH.....................................................     03079  1.0
NH.....................................................     03082  2.1
NH.....................................................     03084  10.4
NH.....................................................     03086  2.0
NH.....................................................     03087  1.0
NH.....................................................     03101  1.0
NH.....................................................     03102  1.0
NH.....................................................     03103  1.0
NH.....................................................     03104  1.0
NH.....................................................     03105  1.0
NH.....................................................     03106  1.0
NH.....................................................     03107  1.0
NH.....................................................     03108  1.0
NH.....................................................     03109  1.0
NH.....................................................     03110  1.0
NH.....................................................     03111  1.0
NH.....................................................     03215  9.0
NH.....................................................     03216  6.0
NH.....................................................     03217  10.6
NH.....................................................     03218  6.0
NH.....................................................     03220  5.0
NH.....................................................     03221  10.5
NH.....................................................     03222  10.5
NH.....................................................     03223  9.0
NH.....................................................     03224  5.0
NH.....................................................     03225  6.0
NH.....................................................     03226  6.0
NH.....................................................     03227  10.0
NH.....................................................     03229  5.0
NH.....................................................     03230  10.5
NH.....................................................     03231  6.0
NH.....................................................     03233  10.0
NH.....................................................     03234  5.2
NH.....................................................     03235  4.0
NH.....................................................     03237  6.0
NH.....................................................     03238  10.6
NH.....................................................     03240  6.0
NH.....................................................     03241  5.0
NH.....................................................     03242  10.5
NH.....................................................     03243  10.5
NH.....................................................     03244  7.4
NH.....................................................     03245  7.0
NH.....................................................     03246  4.0
NH.....................................................     03247  4.0
NH.....................................................     03249  4.0
NH.....................................................     03251  10.6
NH.....................................................     03252  4.0
NH.....................................................     03253  10.5
NH.....................................................     03254  10.5
NH.....................................................     03255  10.5
NH.....................................................     03256  6.0
NH.....................................................     03257  10.0
NH.....................................................     03258  5.2
NH.....................................................     03259  10.0
NH.....................................................     03260  5.0
NH.....................................................     03261  6.0
NH.....................................................     03262  10.6
NH.....................................................     03263  5.0
NH.....................................................     03264  7.0
NH.....................................................     03266  9.0
NH.....................................................     03268  6.0
NH.....................................................     03269  6.0
NH.....................................................     03272  10.5
NH.....................................................     03273  5.0
NH.....................................................     03274  9.0
NH.....................................................     03275  4.2
NH.....................................................     03276  4.0
NH.....................................................     03278  5.0
NH.....................................................     03279  10.6
NH.....................................................     03280  9.0
NH.....................................................     03281  2.1
NH.....................................................     03282  6.0
NH.....................................................     03284  5.0
NH.....................................................     03287  10.5
NH.....................................................     03289  5.0
NH.....................................................     03290  3.0
NH.....................................................     03291  3.0
NH.....................................................     03293  10.6
NH.....................................................     03298  10.5
NH.....................................................     03299  10.5
NH.....................................................     03301  4.2
NH.....................................................     03302  4.2
NH.....................................................     03303  4.2
NH.....................................................     03304  4.2
NH.....................................................     03305  4.2
NH.....................................................     03307  5.0
NH.....................................................     03431  4.0
NH.....................................................     03435  4.0
NH.....................................................     03440  10.6
NH.....................................................     03441  5.0
NH.....................................................     03442  3.0
NH.....................................................     03443  5.0
NH.....................................................     03444  5.0
NH.....................................................     03445  5.0
NH.....................................................     03446  5.0
NH.....................................................     03447  6.0
NH.....................................................     03448  5.0
NH.....................................................     03449  8.0
NH.....................................................     03450  5.0
NH.....................................................     03451  8.0
NH.....................................................     03452  7.0
NH.....................................................     03455  5.0
NH.....................................................     03456  5.0
NH.....................................................     03457  5.0
NH.....................................................     03458  7.0
NH.....................................................     03461  10.6
NH.....................................................     03462  5.0
NH.....................................................     03464  5.0
NH.....................................................     03465  5.0
NH.....................................................     03466  5.0
NH.....................................................     03467  5.0
NH.....................................................     03468  7.0
NH.....................................................     03469  5.0
NH.....................................................     03470  5.0
NH.....................................................     03561  7.0
NH.....................................................     03570  4.0
NH.....................................................     03574  10.3
NH.....................................................     03575  10.6
NH.....................................................     03576  10.5
NH.....................................................     03579  5.0
NH.....................................................     03580  10.3
NH.....................................................     03581  4.0
NH.....................................................     03582  10.0
NH.....................................................     03583  10.5
NH.....................................................     03584  10.6
NH.....................................................     03585  10.6
NH.....................................................     03586  10.6
NH.....................................................     03587  10.5
NH.....................................................     03588  5.0
NH.....................................................     03589  10.5
NH.....................................................     03590  10.0
NH.....................................................     03592  10.0
NH.....................................................     03593  10.5
NH.....................................................     03595  10.6
NH.....................................................     03597  10.5
NH.....................................................     03598  10.6
NH.....................................................     03601  9.0
NH.....................................................     03602  5.0
NH.....................................................     03603  7.0
NH.....................................................     03604  5.0
NH.....................................................     03605  9.0
NH.....................................................     03607  9.0
NH.....................................................     03608  10.5
NH.....................................................     03609  10.5
NH.....................................................     03740  10.6
NH.....................................................     03741  5.0
NH.....................................................     03743  7.0
NH.....................................................     03745  5.0
NH.....................................................     03746  5.0
NH.....................................................     03748  4.0
NH.....................................................     03749  4.0
NH.....................................................     03750  5.0
NH.....................................................     03751  9.0
NH.....................................................     03752  9.0
NH.....................................................     03753  5.0
NH.....................................................     03754  7.0
NH.....................................................     03755  4.0
NH.....................................................     03756  4.0
NH.....................................................     03765  10.0
NH.....................................................     03766  4.0
NH.....................................................     03768  5.0
NH.....................................................     03769  5.0
NH.....................................................     03770  5.0
NH.....................................................     03771  10.6
NH.....................................................     03773  7.0
NH.....................................................     03774  10.0
NH.....................................................     03777  6.0
NH.....................................................     03779  6.0
NH.....................................................     03780  10.0
NH.....................................................     03781  5.0
NH.....................................................     03782  9.0
NH.....................................................     03784  4.0
NH.....................................................     03785  10.0
NH.....................................................     03801  1.0
NH.....................................................     03802  1.0
NH.....................................................     03803  1.0
NH.....................................................     03804  1.0
NH.....................................................     03805  1.0
NH.....................................................     03809  10.5
NH.....................................................     03810  10.5
NH.....................................................     03811  1.0
NH.....................................................     03812  10.0
NH.....................................................     03813  10.0
NH.....................................................     03814  10.0
NH.....................................................     03815  2.0
NH.....................................................     03816  10.0
NH.....................................................     03817  10.0
NH.....................................................     03818  10.0
NH.....................................................     03819  1.0
NH.....................................................     03820  1.0
NH.....................................................     03821  1.0
NH.....................................................     03822  1.0
NH.....................................................     03823  1.0
NH.....................................................     03824  1.0
NH.....................................................     03825  2.0
NH.....................................................     03826  1.0
NH.....................................................     03827  2.0
NH.....................................................     03830  3.0
NH.....................................................     03832  10.0
NH.....................................................     03833  1.0
NH.....................................................     03835  2.0
NH.....................................................     03836  10.0
NH.....................................................     03837  6.0
NH.....................................................     03838  10.0

[[Page 70161]]

 
NH.....................................................     03839  1.0
NH.....................................................     03840  1.0
NH.....................................................     03841  1.0
NH.....................................................     03842  1.0
NH.....................................................     03843  1.0
NH.....................................................     03844  2.0
NH.....................................................     03845  10.0
NH.....................................................     03846  10.0
NH.....................................................     03847  10.0
NH.....................................................     03848  1.0
NH.....................................................     03849  10.0
NH.....................................................     03850  10.0
NH.....................................................     03851  1.0
NH.....................................................     03852  1.0
NH.....................................................     03853  10.0
NH.....................................................     03854  1.0
NH.....................................................     03855  3.0
NH.....................................................     03856  3.0
NH.....................................................     03857  3.0
NH.....................................................     03858  1.0
NH.....................................................     03859  1.0
NH.....................................................     03860  10.0
NH.....................................................     03862  1.0
NH.....................................................     03864  10.0
NH.....................................................     03865  1.0
NH.....................................................     03866  1.0
NH.....................................................     03867  1.0
NH.....................................................     03868  1.0
NH.....................................................     03869  1.0
NH.....................................................     03870  1.0
NH.....................................................     03871  1.0
NH.....................................................     03872  3.0
NH.....................................................     03873  1.0
NH.....................................................     03874  1.0
NH.....................................................     03875  10.0
NH.....................................................     03878  1.0
NH.....................................................     03882  10.0
NH.....................................................     03883  10.0
NH.....................................................     03884  2.0
NH.....................................................     03885  3.0
NH.....................................................     03886  10.0
NH.....................................................     03887  3.0
NH.....................................................     03890  10.0
NH.....................................................     03894  10.0
NH.....................................................     03896  10.0
NH.....................................................     03897  10.0
NJ.....................................................     07001  1.0
NJ.....................................................     07002  1.0
NJ.....................................................     07003  1.0
NJ.....................................................     07004  1.0
NJ.....................................................     07005  1.0
NJ.....................................................     07006  1.0
NJ.....................................................     07007  1.0
NJ.....................................................     07008  1.0
NJ.....................................................     07009  1.0
NJ.....................................................     07010  1.0
NJ.....................................................     07011  1.0
NJ.....................................................     07012  1.0
NJ.....................................................     07013  1.0
NJ.....................................................     07014  1.0
NJ.....................................................     07015  1.0
NJ.....................................................     07016  1.0
NJ.....................................................     07017  1.0
NJ.....................................................     07018  1.0
NJ.....................................................     07019  1.0
NJ.....................................................     07020  1.0
NJ.....................................................     07021  1.0
NJ.....................................................     07022  1.0
NJ.....................................................     07023  1.0
NJ.....................................................     07024  1.0
NJ.....................................................     07026  1.0
NJ.....................................................     07027  1.0
NJ.....................................................     07028  1.0
NJ.....................................................     07029  1.0
NJ.....................................................     07030  1.0
NJ.....................................................     07031  1.0
NJ.....................................................     07032  1.0
NJ.....................................................     07033  1.0
NJ.....................................................     07034  1.0
NJ.....................................................     07035  1.0
NJ.....................................................     07036  1.0
NJ.....................................................     07039  1.0
NJ.....................................................     07040  1.0
NJ.....................................................     07041  1.0
NJ.....................................................     07042  1.0
NJ.....................................................     07043  1.0
NJ.....................................................     07044  1.0
NJ.....................................................     07045  1.0
NJ.....................................................     07046  1.0
NJ.....................................................     07047  1.0
NJ.....................................................     07050  1.0
NJ.....................................................     07051  1.0
NJ.....................................................     07052  1.0
NJ.....................................................     07054  1.0
NJ.....................................................     07055  1.0
NJ.....................................................     07057  1.0
NJ.....................................................     07058  1.0
NJ.....................................................     07059  1.0
NJ.....................................................     07060  1.0
NJ.....................................................     07061  1.0
NJ.....................................................     07062  1.0
NJ.....................................................     07063  1.0
NJ.....................................................     07064  1.0
NJ.....................................................     07065  1.0
NJ.....................................................     07066  1.0
NJ.....................................................     07067  1.0
NJ.....................................................     07068  1.0
NJ.....................................................     07069  1.0
NJ.....................................................     07070  1.0
NJ.....................................................     07071  1.0
NJ.....................................................     07072  1.0
NJ.....................................................     07073  1.0
NJ.....................................................     07074  1.0
NJ.....................................................     07075  1.0
NJ.....................................................     07076  1.0
NJ.....................................................     07077  1.0
NJ.....................................................     07078  1.0
NJ.....................................................     07079  1.0
NJ.....................................................     07080  1.0
NJ.....................................................     07081  1.0
NJ.....................................................     07082  1.0
NJ.....................................................     07083  1.0
NJ.....................................................     07086  1.0
NJ.....................................................     07087  1.0
NJ.....................................................     07088  1.0
NJ.....................................................     07090  1.0
NJ.....................................................     07091  1.0
NJ.....................................................     07092  1.0
NJ.....................................................     07093  1.0
NJ.....................................................     07094  1.0
NJ.....................................................     07095  1.0
NJ.....................................................     07096  1.0
NJ.....................................................     07097  1.0
NJ.....................................................     07099  1.0
NJ.....................................................     07101  1.0
NJ.....................................................     07102  1.0
NJ.....................................................     07103  1.0
NJ.....................................................     07104  1.0
NJ.....................................................     07105  1.0
NJ.....................................................     07106  1.0
NJ.....................................................     07107  1.0
NJ.....................................................     07108  1.0
NJ.....................................................     07109  1.0
NJ.....................................................     07110  1.0
NJ.....................................................     07111  1.0
NJ.....................................................     07112  1.0
NJ.....................................................     07114  1.0
NJ.....................................................     07175  1.0
NJ.....................................................     07182  1.0
NJ.....................................................     07184  1.0
NJ.....................................................     07188  1.0
NJ.....................................................     07189  1.0
NJ.....................................................     07191  1.0
NJ.....................................................     07192  1.0
NJ.....................................................     07193  1.0
NJ.....................................................     07194  1.0
NJ.....................................................     07195  1.0
NJ.....................................................     07197  1.0
NJ.....................................................     07198  1.0
NJ.....................................................     07199  1.0
NJ.....................................................     07201  1.0
NJ.....................................................     07202  1.0
NJ.....................................................     07203  1.0
NJ.....................................................     07204  1.0
NJ.....................................................     07205  1.0
NJ.....................................................     07206  1.0
NJ.....................................................     07207  1.0
NJ.....................................................     07208  1.0
NJ.....................................................     07302  1.0
NJ.....................................................     07303  1.0
NJ.....................................................     07304  1.0
NJ.....................................................     07305  1.0
NJ.....................................................     07306  1.0
NJ.....................................................     07307  1.0
NJ.....................................................     07308  1.0
NJ.....................................................     07309  1.0
NJ.....................................................     07310  1.0
NJ.....................................................     07311  1.0
NJ.....................................................     07390  1.0
NJ.....................................................     07395  1.0
NJ.....................................................     07399  1.0
NJ.....................................................     07401  1.0
NJ.....................................................     07403  1.0
NJ.....................................................     07405  1.0
NJ.....................................................     07407  1.0
NJ.....................................................     07410  1.0
NJ.....................................................     07416  2.0
NJ.....................................................     07417  1.0
NJ.....................................................     07418  2.0
NJ.....................................................     07419  2.0
NJ.....................................................     07420  1.0
NJ.....................................................     07421  2.0
NJ.....................................................     07422  2.0
NJ.....................................................     07423  1.0
NJ.....................................................     07424  1.0
NJ.....................................................     07428  2.0
NJ.....................................................     07430  1.0
NJ.....................................................     07432  1.0
NJ.....................................................     07435  1.0
NJ.....................................................     07436  1.0
NJ.....................................................     07438  2.0
NJ.....................................................     07439  2.0
NJ.....................................................     07440  1.0
NJ.....................................................     07442  1.0
NJ.....................................................     07444  1.0
NJ.....................................................     07446  1.0
NJ.....................................................     07450  1.0

[[Page 70162]]

 
NJ.....................................................     07451  1.0
NJ.....................................................     07452  1.0
NJ.....................................................     07456  1.0
NJ.....................................................     07457  1.0
NJ.....................................................     07458  1.0
NJ.....................................................     07460  2.0
NJ.....................................................     07461  2.0
NJ.....................................................     07462  2.0
NJ.....................................................     07463  1.0
NJ.....................................................     07465  1.0
NJ.....................................................     07470  1.0
NJ.....................................................     07474  1.0
NJ.....................................................     07477  1.0
NJ.....................................................     07480  1.0
NJ.....................................................     07481  1.0
NJ.....................................................     07495  1.0
NJ.....................................................     07498  1.0
NJ.....................................................     07501  1.0
NJ.....................................................     07502  1.0
NJ.....................................................     07503  1.0
NJ.....................................................     07504  1.0
NJ.....................................................     07505  1.0
NJ.....................................................     07506  1.0
NJ.....................................................     07507  1.0
NJ.....................................................     07508  1.0
NJ.....................................................     07509  1.0
NJ.....................................................     07510  1.0
NJ.....................................................     07511  1.0
NJ.....................................................     07512  1.0
NJ.....................................................     07513  1.0
NJ.....................................................     07514  1.0
NJ.....................................................     07522  1.0
NJ.....................................................     07524  1.0
NJ.....................................................     07533  1.0
NJ.....................................................     07538  1.0
NJ.....................................................     07543  1.0
NJ.....................................................     07544  1.0
NJ.....................................................     07601  1.0
NJ.....................................................     07602  1.0
NJ.....................................................     07603  1.0
NJ.....................................................     07604  1.0
NJ.....................................................     07605  1.0
NJ.....................................................     07606  1.0
NJ.....................................................     07607  1.0
NJ.....................................................     07608  1.0
NJ.....................................................     07620  1.0
NJ.....................................................     07621  1.0
NJ.....................................................     07624  1.0
NJ.....................................................     07626  1.0
NJ.....................................................     07627  1.0
NJ.....................................................     07628  1.0
NJ.....................................................     07630  1.0
NJ.....................................................     07631  1.0
NJ.....................................................     07632  1.0
NJ.....................................................     07640  1.0
NJ.....................................................     07641  1.0
NJ.....................................................     07642  1.0
NJ.....................................................     07643  1.0
NJ.....................................................     07644  1.0
NJ.....................................................     07645  1.0
NJ.....................................................     07646  1.0
NJ.....................................................     07647  1.0
NJ.....................................................     07648  1.0
NJ.....................................................     07649  1.0
NJ.....................................................     07650  1.0
NJ.....................................................     07652  1.0
NJ.....................................................     07653  1.0
NJ.....................................................     07656  1.0
NJ.....................................................     07657  1.0
NJ.....................................................     07660  1.0
NJ.....................................................     07661  1.0
NJ.....................................................     07662  1.0
NJ.....................................................     07663  1.0
NJ.....................................................     07666  1.0
NJ.....................................................     07670  1.0
NJ.....................................................     07675  1.0
NJ.....................................................     07676  1.0
NJ.....................................................     07677  1.0
NJ.....................................................     07699  1.0
NJ.....................................................     07701  1.0
NJ.....................................................     07702  1.0
NJ.....................................................     07703  1.0
NJ.....................................................     07704  1.0
NJ.....................................................     07709  1.0
NJ.....................................................     07710  1.0
NJ.....................................................     07711  1.0
NJ.....................................................     07712  1.0
NJ.....................................................     07715  1.0
NJ.....................................................     07716  1.0
NJ.....................................................     07717  1.0
NJ.....................................................     07718  1.0
NJ.....................................................     07719  1.0
NJ.....................................................     07720  1.0
NJ.....................................................     07721  1.0
NJ.....................................................     07722  1.0
NJ.....................................................     07723  1.0
NJ.....................................................     07724  1.0
NJ.....................................................     07726  1.0
NJ.....................................................     07727  1.0
NJ.....................................................     07728  1.0
NJ.....................................................     07730  1.0
NJ.....................................................     07731  1.0
NJ.....................................................     07732  1.0
NJ.....................................................     07733  1.0
NJ.....................................................     07734  1.0
NJ.....................................................     07735  1.0
NJ.....................................................     07737  1.0
NJ.....................................................     07738  1.0
NJ.....................................................     07739  1.0
NJ.....................................................     07740  1.0
NJ.....................................................     07746  1.0
NJ.....................................................     07747  1.0
NJ.....................................................     07748  1.0
NJ.....................................................     07750  1.0
NJ.....................................................     07751  1.0
NJ.....................................................     07752  1.0
NJ.....................................................     07753  1.0
NJ.....................................................     07754  1.0
NJ.....................................................     07755  1.0
NJ.....................................................     07756  1.0
NJ.....................................................     07757  1.0
NJ.....................................................     07758  1.0
NJ.....................................................     07760  1.0
NJ.....................................................     07762  1.0
NJ.....................................................     07763  1.0
NJ.....................................................     07764  1.0
NJ.....................................................     07765  1.0
NJ.....................................................     07777  1.0
NJ.....................................................     07799  1.0
NJ.....................................................     07801  1.0
NJ.....................................................     07802  1.0
NJ.....................................................     07803  1.0
NJ.....................................................     07806  1.0
NJ.....................................................     07820  1.0
NJ.....................................................     07821  1.0
NJ.....................................................     07822  2.0
NJ.....................................................     07823  2.0
NJ.....................................................     07825  2.0
NJ.....................................................     07826  2.0
NJ.....................................................     07827  2.0
NJ.....................................................     07828  1.0
NJ.....................................................     07829  2.0
NJ.....................................................     07830  2.0
NJ.....................................................     07831  2.0
NJ.....................................................     07832  2.0
NJ.....................................................     07833  2.0
NJ.....................................................     07834  1.0
NJ.....................................................     07836  1.0
NJ.....................................................     07837  1.0
NJ.....................................................     07838  2.0
NJ.....................................................     07839  1.0
NJ.....................................................     07840  1.0
NJ.....................................................     07842  1.0
NJ.....................................................     07843  1.0
NJ.....................................................     07844  2.0
NJ.....................................................     07845  1.0
NJ.....................................................     07846  2.0
NJ.....................................................     07847  1.0
NJ.....................................................     07848  2.0
NJ.....................................................     07849  1.0
NJ.....................................................     07850  1.0
NJ.....................................................     07851  2.0
NJ.....................................................     07852  1.0
NJ.....................................................     07853  1.0
NJ.....................................................     07855  2.0
NJ.....................................................     07856  1.0
NJ.....................................................     07857  1.0
NJ.....................................................     07860  2.0
NJ.....................................................     07863  2.0
NJ.....................................................     07865  1.0
NJ.....................................................     07866  1.0
NJ.....................................................     07869  1.0
NJ.....................................................     07870  1.0
NJ.....................................................     07871  1.0
NJ.....................................................     07874  1.0
NJ.....................................................     07875  2.0
NJ.....................................................     07876  1.0
NJ.....................................................     07877  2.0
NJ.....................................................     07878  1.0
NJ.....................................................     07879  1.0
NJ.....................................................     07880  1.0
NJ.....................................................     07881  2.0
NJ.....................................................     07882  2.0
NJ.....................................................     07885  1.0
NJ.....................................................     07890  2.0
NJ.....................................................     07901  1.0
NJ.....................................................     07902  1.0
NJ.....................................................     07920  1.0
NJ.....................................................     07921  1.0
NJ.....................................................     07922  1.0
NJ.....................................................     07924  1.0
NJ.....................................................     07926  1.0
NJ.....................................................     07927  1.0
NJ.....................................................     07928  1.0
NJ.....................................................     07930  1.0
NJ.....................................................     07931  1.0
NJ.....................................................     07932  1.0
NJ.....................................................     07933  1.0
NJ.....................................................     07934  1.0
NJ.....................................................     07935  1.0
NJ.....................................................     07936  1.0
NJ.....................................................     07938  1.0
NJ.....................................................     07939  1.0
NJ.....................................................     07940  1.0
NJ.....................................................     07945  1.0
NJ.....................................................     07946  1.0
NJ.....................................................     07950  1.0

[[Page 70163]]

 
NJ.....................................................     07960  1.0
NJ.....................................................     07961  1.0
NJ.....................................................     07962  1.0
NJ.....................................................     07963  1.0
NJ.....................................................     07970  1.0
NJ.....................................................     07974  1.0
NJ.....................................................     07976  2.0
NJ.....................................................     07977  1.0
NJ.....................................................     07978  1.0
NJ.....................................................     07979  2.0
NJ.....................................................     07980  1.0
NJ.....................................................     07981  1.0
NJ.....................................................     07983  1.0
NJ.....................................................     07999  1.0
NJ.....................................................     08001  2.0
NJ.....................................................     08002  1.0
NJ.....................................................     08003  1.0
NJ.....................................................     08004  1.0
NJ.....................................................     08005  1.0
NJ.....................................................     08006  1.0
NJ.....................................................     08007  1.0
NJ.....................................................     08008  1.0
NJ.....................................................     08009  1.0
NJ.....................................................     08010  1.0
NJ.....................................................     08011  1.0
NJ.....................................................     08012  1.0
NJ.....................................................     08014  1.0
NJ.....................................................     08015  4.2
NJ.....................................................     08016  1.0
NJ.....................................................     08018  1.0
NJ.....................................................     08019  2.1
NJ.....................................................     08020  1.0
NJ.....................................................     08021  1.0
NJ.....................................................     08022  2.1
NJ.....................................................     08023  1.0
NJ.....................................................     08025  1.0
NJ.....................................................     08026  1.0
NJ.....................................................     08027  1.0
NJ.....................................................     08028  1.0
NJ.....................................................     08029  1.0
NJ.....................................................     08030  1.0
NJ.....................................................     08031  1.0
NJ.....................................................     08032  1.0
NJ.....................................................     08033  1.0
NJ.....................................................     08034  1.0
NJ.....................................................     08035  1.0
NJ.....................................................     08036  1.0
NJ.....................................................     08037  4.2
NJ.....................................................     08038  2.0
NJ.....................................................     08039  1.0
NJ.....................................................     08041  2.0
NJ.....................................................     08042  1.0
NJ.....................................................     08043  1.0
NJ.....................................................     08045  1.0
NJ.....................................................     08046  1.0
NJ.....................................................     08048  1.0
NJ.....................................................     08049  1.0
NJ.....................................................     08050  1.0
NJ.....................................................     08051  1.0
NJ.....................................................     08052  1.0
NJ.....................................................     08053  1.0
NJ.....................................................     08054  1.0
NJ.....................................................     08055  1.0
NJ.....................................................     08056  1.0
NJ.....................................................     08057  1.0
NJ.....................................................     08059  1.0
NJ.....................................................     08060  1.0
NJ.....................................................     08061  1.0
NJ.....................................................     08062  1.0
NJ.....................................................     08063  1.0
NJ.....................................................     08064  1.0
NJ.....................................................     08065  1.0
NJ.....................................................     08066  1.0
NJ.....................................................     08067  2.0
NJ.....................................................     08068  1.0
NJ.....................................................     08069  1.0
NJ.....................................................     08070  1.0
NJ.....................................................     08071  1.0
NJ.....................................................     08072  2.0
NJ.....................................................     08073  1.0
NJ.....................................................     08074  1.0
NJ.....................................................     08075  1.0
NJ.....................................................     08076  1.0
NJ.....................................................     08077  1.0
NJ.....................................................     08078  1.0
NJ.....................................................     08079  2.0
NJ.....................................................     08080  1.0
NJ.....................................................     08081  1.0
NJ.....................................................     08083  1.0
NJ.....................................................     08084  1.0
NJ.....................................................     08085  1.0
NJ.....................................................     08086  1.0
NJ.....................................................     08087  1.0
NJ.....................................................     08088  1.0
NJ.....................................................     08089  1.0
NJ.....................................................     08090  1.0
NJ.....................................................     08091  1.0
NJ.....................................................     08092  1.0
NJ.....................................................     08093  1.0
NJ.....................................................     08094  1.0
NJ.....................................................     08095  4.2
NJ.....................................................     08096  1.0
NJ.....................................................     08097  1.0
NJ.....................................................     08098  2.0
NJ.....................................................     08099  1.0
NJ.....................................................     08101  1.0
NJ.....................................................     08102  1.0
NJ.....................................................     08103  1.0
NJ.....................................................     08104  1.0
NJ.....................................................     08105  1.0
NJ.....................................................     08106  1.0
NJ.....................................................     08107  1.0
NJ.....................................................     08108  1.0
NJ.....................................................     08109  1.0
NJ.....................................................     08110  1.0
NJ.....................................................     08201  1.0
NJ.....................................................     08202  1.0
NJ.....................................................     08203  1.0
NJ.....................................................     08204  1.0
NJ.....................................................     08205  1.0
NJ.....................................................     08210  1.0
NJ.....................................................     08212  1.0
NJ.....................................................     08213  2.0
NJ.....................................................     08214  1.0
NJ.....................................................     08215  2.0
NJ.....................................................     08217  4.2
NJ.....................................................     08218  1.0
NJ.....................................................     08219  1.0
NJ.....................................................     08220  1.0
NJ.....................................................     08221  1.0
NJ.....................................................     08223  1.0
NJ.....................................................     08224  1.0
NJ.....................................................     08225  1.0
NJ.....................................................     08226  1.0
NJ.....................................................     08230  1.0
NJ.....................................................     08231  1.0
NJ.....................................................     08232  1.0
NJ.....................................................     08234  1.0
NJ.....................................................     08240  2.0
NJ.....................................................     08241  1.0
NJ.....................................................     08242  1.0
NJ.....................................................     08243  1.0
NJ.....................................................     08244  1.0
NJ.....................................................     08245  1.0
NJ.....................................................     08246  1.0
NJ.....................................................     08247  1.0
NJ.....................................................     08248  1.0
NJ.....................................................     08250  1.0
NJ.....................................................     08251  1.0
NJ.....................................................     08252  1.0
NJ.....................................................     08260  1.0
NJ.....................................................     08270  1.0
NJ.....................................................     08302  4.2
NJ.....................................................     08310  3.0
NJ.....................................................     08311  2.0
NJ.....................................................     08312  1.0
NJ.....................................................     08313  4.2
NJ.....................................................     08314  2.1
NJ.....................................................     08315  2.0
NJ.....................................................     08316  1.0
NJ.....................................................     08317  2.0
NJ.....................................................     08318  1.0
NJ.....................................................     08319  2.0
NJ.....................................................     08320  4.2
NJ.....................................................     08321  2.0
NJ.....................................................     08322  2.0
NJ.....................................................     08323  5.2
NJ.....................................................     08324  2.1
NJ.....................................................     08326  1.0
NJ.....................................................     08327  2.1
NJ.....................................................     08328  1.0
NJ.....................................................     08329  2.0
NJ.....................................................     08330  1.0
NJ.....................................................     08332  1.0
NJ.....................................................     08340  3.0
NJ.....................................................     08341  1.0
NJ.....................................................     08342  1.0
NJ.....................................................     08343  2.0
NJ.....................................................     08344  1.0
NJ.....................................................     08345  2.0
NJ.....................................................     08346  3.0
NJ.....................................................     08347  1.0
NJ.....................................................     08348  1.0
NJ.....................................................     08349  2.0
NJ.....................................................     08350  3.0
NJ.....................................................     08352  4.2
NJ.....................................................     08353  4.2
NJ.....................................................     08360  1.0
NJ.....................................................     08361  1.0
NJ.....................................................     08362  1.0
NJ.....................................................     08401  1.0
NJ.....................................................     08402  1.0
NJ.....................................................     08403  1.0
NJ.....................................................     08404  1.0
NJ.....................................................     08405  1.0
NJ.....................................................     08406  1.0
NJ.....................................................     08501  1.0
NJ.....................................................     08502  1.0
NJ.....................................................     08504  1.0
NJ.....................................................     08505  1.0
NJ.....................................................     08510  2.0
NJ.....................................................     08511  4.2
NJ.....................................................     08512  2.0
NJ.....................................................     08514  2.0
NJ.....................................................     08515  2.1
NJ.....................................................     08518  1.0
NJ.....................................................     08520  2.0

[[Page 70164]]

 
NJ.....................................................     08525  2.0
NJ.....................................................     08526  2.0
NJ.....................................................     08527  1.0
NJ.....................................................     08528  1.0
NJ.....................................................     08530  3.0
NJ.....................................................     08533  4.2
NJ.....................................................     08534  1.0
NJ.....................................................     08535  2.0
NJ.....................................................     08536  2.0
NJ.....................................................     08540  1.0
NJ.....................................................     08541  1.0
NJ.....................................................     08542  1.0
NJ.....................................................     08543  1.0
NJ.....................................................     08544  1.0
NJ.....................................................     08550  2.0
NJ.....................................................     08551  2.0
NJ.....................................................     08553  1.0
NJ.....................................................     08554  1.0
NJ.....................................................     08555  2.0
NJ.....................................................     08556  2.0
NJ.....................................................     08557  2.0
NJ.....................................................     08558  1.0
NJ.....................................................     08559  2.0
NJ.....................................................     08560  1.0
NJ.....................................................     08561  2.0
NJ.....................................................     08562  4.2
NJ.....................................................     08570  2.0
NJ.....................................................     08601  1.0
NJ.....................................................     08602  1.0
NJ.....................................................     08603  1.0
NJ.....................................................     08604  1.0
NJ.....................................................     08605  1.0
NJ.....................................................     08606  1.0
NJ.....................................................     08607  1.0
NJ.....................................................     08608  1.0
NJ.....................................................     08609  1.0
NJ.....................................................     08610  1.0
NJ.....................................................     08611  1.0
NJ.....................................................     08618  1.0
NJ.....................................................     08619  1.0
NJ.....................................................     08620  1.0
NJ.....................................................     08625  1.0
NJ.....................................................     08628  1.0
NJ.....................................................     08629  1.0
NJ.....................................................     08638  1.0
NJ.....................................................     08640  4.2
NJ.....................................................     08641  4.2
NJ.....................................................     08645  1.0
NJ.....................................................     08646  1.0
NJ.....................................................     08647  1.0
NJ.....................................................     08648  1.0
NJ.....................................................     08650  1.0
NJ.....................................................     08666  1.0
NJ.....................................................     08677  1.0
NJ.....................................................     08690  1.0
NJ.....................................................     08691  1.0
NJ.....................................................     08695  1.0
NJ.....................................................     08701  1.0
NJ.....................................................     08720  1.0
NJ.....................................................     08721  1.0
NJ.....................................................     08722  1.0
NJ.....................................................     08723  1.0
NJ.....................................................     08724  1.0
NJ.....................................................     08730  1.0
NJ.....................................................     08731  1.0
NJ.....................................................     08732  1.0
NJ.....................................................     08733  1.0
NJ.....................................................     08734  1.0
NJ.....................................................     08735  1.0
NJ.....................................................     08736  1.0
NJ.....................................................     08738  1.0
NJ.....................................................     08739  1.0
NJ.....................................................     08740  1.0
NJ.....................................................     08741  1.0
NJ.....................................................     08742  1.0
NJ.....................................................     08750  1.0
NJ.....................................................     08751  1.0
NJ.....................................................     08752  1.0
NJ.....................................................     08753  1.0
NJ.....................................................     08754  1.0
NJ.....................................................     08755  1.0
NJ.....................................................     08756  1.0
NJ.....................................................     08757  1.0
NJ.....................................................     08758  1.0
NJ.....................................................     08759  1.0
NJ.....................................................     08801  1.0
NJ.....................................................     08802  2.0
NJ.....................................................     08803  2.0
NJ.....................................................     08804  2.0
NJ.....................................................     08805  1.0
NJ.....................................................     08807  1.0
NJ.....................................................     08808  2.0
NJ.....................................................     08809  1.0
NJ.....................................................     08810  1.0
NJ.....................................................     08812  1.0
NJ.....................................................     08816  1.0
NJ.....................................................     08817  1.0
NJ.....................................................     08818  1.0
NJ.....................................................     08820  1.0
NJ.....................................................     08821  1.0
NJ.....................................................     08822  1.0
NJ.....................................................     08823  1.0
NJ.....................................................     08824  1.0
NJ.....................................................     08825  2.0
NJ.....................................................     08826  2.0
NJ.....................................................     08827  2.0
NJ.....................................................     08828  1.0
NJ.....................................................     08829  1.0
NJ.....................................................     08830  1.0
NJ.....................................................     08831  1.0
NJ.....................................................     08832  1.0
NJ.....................................................     08833  1.0
NJ.....................................................     08834  2.0
NJ.....................................................     08835  1.0
NJ.....................................................     08836  1.0
NJ.....................................................     08837  1.0
NJ.....................................................     08840  1.0
NJ.....................................................     08844  1.0
NJ.....................................................     08846  1.0
NJ.....................................................     08848  2.0
NJ.....................................................     08850  1.0
NJ.....................................................     08852  1.0
NJ.....................................................     08853  1.0
NJ.....................................................     08854  1.0
NJ.....................................................     08855  1.0
NJ.....................................................     08857  1.0
NJ.....................................................     08858  1.0
NJ.....................................................     08859  1.0
NJ.....................................................     08861  1.0
NJ.....................................................     08862  1.0
NJ.....................................................     08863  1.0
NJ.....................................................     08865  1.0
NJ.....................................................     08867  2.0
NJ.....................................................     08868  2.0
NJ.....................................................     08869  1.0
NJ.....................................................     08870  1.0
NJ.....................................................     08871  1.0
NJ.....................................................     08872  1.0
NJ.....................................................     08873  1.0
NJ.....................................................     08875  1.0
NJ.....................................................     08876  1.0
NJ.....................................................     08877  1.0
NJ.....................................................     08878  1.0
NJ.....................................................     08879  1.0
NJ.....................................................     08880  1.0
NJ.....................................................     08882  1.0
NJ.....................................................     08884  1.0
NJ.....................................................     08885  1.0
NJ.....................................................     08886  1.0
NJ.....................................................     08887  1.0
NJ.....................................................     08888  1.0
NJ.....................................................     08889  1.0
NJ.....................................................     08890  1.0
NJ.....................................................     08896  1.0
NJ.....................................................     08899  1.0
NJ.....................................................     08901  1.0
NJ.....................................................     08902  1.0
NJ.....................................................     08903  1.0
NJ.....................................................     08904  1.0
NJ.....................................................     08905  1.0
NJ.....................................................     08906  1.0
NJ.....................................................     08922  1.0
NJ.....................................................     08933  1.0
NJ.....................................................     08988  1.0
NJ.....................................................     08989  1.0
NM.....................................................     87001  2.0
NM.....................................................     87002  4.2
NM.....................................................     87004  1.0
NM.....................................................     87005  5.0
NM.....................................................     87006  10.6
NM.....................................................     87007  10.1
NM.....................................................     87008  2.0
NM.....................................................     87009  10.4
NM.....................................................     87010  2.0
NM.....................................................     87011  7.0
NM.....................................................     87012  10.0
NM.....................................................     87013  10.4
NM.....................................................     87014  4.0
NM.....................................................     87015  2.0
NM.....................................................     87016  2.0
NM.....................................................     87017  10.5
NM.....................................................     87018  10.4
NM.....................................................     87020  4.0
NM.....................................................     87021  4.0
NM.....................................................     87022  2.0
NM.....................................................     87023  2.0
NM.....................................................     87024  2.0
NM.....................................................     87025  2.0
NM.....................................................     87026  2.0
NM.....................................................     87027  10.4
NM.....................................................     87028  10.6
NM.....................................................     87029  10.0
NM.....................................................     87031  2.0
NM.....................................................     87032  2.0
NM.....................................................     87034  4.0
NM.....................................................     87035  2.0
NM.....................................................     87036  10.4
NM.....................................................     87037  2.0
NM.....................................................     87038  10.1
NM.....................................................     87040  4.0
NM.....................................................     87041  2.0
NM.....................................................     87042  2.0
NM.....................................................     87043  2.0
NM.....................................................     87044  2.0
NM.....................................................     87045  10.5
NM.....................................................     87046  10.0
NM.....................................................     87047  2.0

[[Page 70165]]

 
NM.....................................................     87048  1.0
NM.....................................................     87049  4.0
NM.....................................................     87051  4.0
NM.....................................................     87052  2.0
NM.....................................................     87053  2.0
NM.....................................................     87056  2.0
NM.....................................................     87059  2.0
NM.....................................................     87060  2.0
NM.....................................................     87061  2.0
NM.....................................................     87062  10.6
NM.....................................................     87063  10.4
NM.....................................................     87064  10.5
NM.....................................................     87068  2.0
NM.....................................................     87070  2.0
NM.....................................................     87072  2.0
NM.....................................................     87083  2.0
NM.....................................................     87101  1.0
NM.....................................................     87102  1.0
NM.....................................................     87103  1.0
NM.....................................................     87104  1.0
NM.....................................................     87105  1.0
NM.....................................................     87106  1.0
NM.....................................................     87107  1.0
NM.....................................................     87108  1.0
NM.....................................................     87109  1.0
NM.....................................................     87110  1.0
NM.....................................................     87111  1.0
NM.....................................................     87112  1.0
NM.....................................................     87113  1.0
NM.....................................................     87114  1.0
NM.....................................................     87115  2.0
NM.....................................................     87116  1.0
NM.....................................................     87117  1.0
NM.....................................................     87118  1.0
NM.....................................................     87119  1.0
NM.....................................................     87120  1.0
NM.....................................................     87121  1.0
NM.....................................................     87122  1.0
NM.....................................................     87123  1.0
NM.....................................................     87124  1.0
NM.....................................................     87125  1.0
NM.....................................................     87131  1.0
NM.....................................................     87144  1.0
NM.....................................................     87151  1.0
NM.....................................................     87153  1.0
NM.....................................................     87154  1.0
NM.....................................................     87158  1.0
NM.....................................................     87174  1.0
NM.....................................................     87176  1.0
NM.....................................................     87181  1.0
NM.....................................................     87184  1.0
NM.....................................................     87185  1.0
NM.....................................................     87187  1.0
NM.....................................................     87190  1.0
NM.....................................................     87191  1.0
NM.....................................................     87192  1.0
NM.....................................................     87193  1.0
NM.....................................................     87194  1.0
NM.....................................................     87195  1.0
NM.....................................................     87196  1.0
NM.....................................................     87197  1.0
NM.....................................................     87198  1.0
NM.....................................................     87199  1.0
NM.....................................................     87301  4.0
NM.....................................................     87302  4.0
NM.....................................................     87305  4.0
NM.....................................................     87310  5.0
NM.....................................................     87311  4.0
NM.....................................................     87312  5.0
NM.....................................................     87313  10.5
NM.....................................................     87315  5.0
NM.....................................................     87316  4.0
NM.....................................................     87317  4.0
NM.....................................................     87319  4.0
NM.....................................................     87320  9.2
NM.....................................................     87321  10.2
NM.....................................................     87322  4.0
NM.....................................................     87323  10.5
NM.....................................................     87325  5.0
NM.....................................................     87326  4.0
NM.....................................................     87327  5.0
NM.....................................................     87328  9.2
NM.....................................................     87347  5.0
NM.....................................................     87357  4.0
NM.....................................................     87364  7.3
NM.....................................................     87365  10.5
NM.....................................................     87375  4.0
NM.....................................................     87401  1.0
NM.....................................................     87402  1.0
NM.....................................................     87410  1.0
NM.....................................................     87412  2.0
NM.....................................................     87413  2.0
NM.....................................................     87415  1.0
NM.....................................................     87416  1.0
NM.....................................................     87417  1.0
NM.....................................................     87418  1.0
NM.....................................................     87419  10.1
NM.....................................................     87420  7.3
NM.....................................................     87421  1.0
NM.....................................................     87455  7.3
NM.....................................................     87461  7.3
NM.....................................................     87499  1.0
NM.....................................................     87500  1.0
NM.....................................................     87501  1.0
NM.....................................................     87502  1.0
NM.....................................................     87503  1.0
NM.....................................................     87504  1.0
NM.....................................................     87505  1.0
NM.....................................................     87506  2.0
NM.....................................................     87507  1.0
NM.....................................................     87508  2.0
NM.....................................................     87509  1.0
NM.....................................................     87510  10.5
NM.....................................................     87511  4.0
NM.....................................................     87512  10.2
NM.....................................................     87513  10.2
NM.....................................................     87514  10.2
NM.....................................................     87515  10.0
NM.....................................................     87516  10.5
NM.....................................................     87517  5.0
NM.....................................................     87518  10.0
NM.....................................................     87519  10.2
NM.....................................................     87520  10.0
NM.....................................................     87521  4.0
NM.....................................................     87522  4.0
NM.....................................................     87523  4.0
NM.....................................................     87524  10.2
NM.....................................................     87525  4.0
NM.....................................................     87527  4.0
NM.....................................................     87528  10.0
NM.....................................................     87529  4.0
NM.....................................................     87530  10.5
NM.....................................................     87531  4.0
NM.....................................................     87532  4.0
NM.....................................................     87533  4.0
NM.....................................................     87535  2.0
NM.....................................................     87537  4.0
NM.....................................................     87538  1.0
NM.....................................................     87539  10.5
NM.....................................................     87540  2.0
NM.....................................................     87543  10.5
NM.....................................................     87544  4.0
NM.....................................................     87545  4.0
NM.....................................................     87548  10.5
NM.....................................................     87549  5.0
NM.....................................................     87551  10.0
NM.....................................................     87552  2.0
NM.....................................................     87553  10.5
NM.....................................................     87554  10.5
NM.....................................................     87556  10.2
NM.....................................................     87557  4.0
NM.....................................................     87558  10.2
NM.....................................................     87560  2.0
NM.....................................................     87562  2.0
NM.....................................................     87564  10.2
NM.....................................................     87565  2.0
NM.....................................................     87566  4.0
NM.....................................................     87567  4.0
NM.....................................................     87569  2.0
NM.....................................................     87571  4.0
NM.....................................................     87573  2.0
NM.....................................................     87574  2.0
NM.....................................................     87575  10.0
NM.....................................................     87576  4.0
NM.....................................................     87577  5.0
NM.....................................................     87578  4.0
NM.....................................................     87579  10.5
NM.....................................................     87580  10.2
NM.....................................................     87581  10.5
NM.....................................................     87582  4.0
NM.....................................................     87583  4.0
NM.....................................................     87592  1.0
NM.....................................................     87594  1.0
NM.....................................................     87701  4.0
NM.....................................................     87710  10.0
NM.....................................................     87711  7.0
NM.....................................................     87712  10.5
NM.....................................................     87713  10.5
NM.....................................................     87714  10.0
NM.....................................................     87715  10.5
NM.....................................................     87718  10.0
NM.....................................................     87722  10.5
NM.....................................................     87723  10.5
NM.....................................................     87724  7.0
NM.....................................................     87728  10.0
NM.....................................................     87729  10.0
NM.....................................................     87730  10.0
NM.....................................................     87731  5.0
NM.....................................................     87732  10.5
NM.....................................................     87733  10.0
NM.....................................................     87734  10.5
NM.....................................................     87735  10.5
NM.....................................................     87736  10.5
NM.....................................................     87740  7.0
NM.....................................................     87742  5.0
NM.....................................................     87743  10.0
NM.....................................................     87745  5.0
NM.....................................................     87746  10.0
NM.....................................................     87747  10.0
NM.....................................................     87749  10.0
NM.....................................................     87750  10.5
NM.....................................................     87752  10.5
NM.....................................................     87753  10.5
NM.....................................................     87801  7.0
NM.....................................................     87820  10.0
NM.....................................................     87821  10.0
NM.....................................................     87823  10.6

[[Page 70166]]

 
NM.....................................................     87824  10.0
NM.....................................................     87825  10.6
NM.....................................................     87827  10.0
NM.....................................................     87828  10.6
NM.....................................................     87829  10.0
NM.....................................................     87830  10.0
NM.....................................................     87831  10.6
NM.....................................................     87832  7.0
NM.....................................................     87901  7.0
NM.....................................................     87930  10.3
NM.....................................................     87931  10.3
NM.....................................................     87933  10.3
NM.....................................................     87935  7.0
NM.....................................................     87936  10.4
NM.....................................................     87937  10.4
NM.....................................................     87939  7.0
NM.....................................................     87940  10.4
NM.....................................................     87941  10.4
NM.....................................................     87942  10.3
NM.....................................................     87943  10.3
NM.....................................................     88001  1.0
NM.....................................................     88002  10.4
NM.....................................................     88003  1.0
NM.....................................................     88004  1.0
NM.....................................................     88005  1.0
NM.....................................................     88006  1.0
NM.....................................................     88007  1.0
NM.....................................................     88008  1.0
NM.....................................................     88009  7.0
NM.....................................................     88011  1.0
NM.....................................................     88012  1.0
NM.....................................................     88020  10.6
NM.....................................................     88021  1.0
NM.....................................................     88022  7.2
NM.....................................................     88023  7.2
NM.....................................................     88024  2.0
NM.....................................................     88025  10.2
NM.....................................................     88026  7.2
NM.....................................................     88027  2.1
NM.....................................................     88028  10.2
NM.....................................................     88029  4.0
NM.....................................................     88030  4.0
NM.....................................................     88031  4.0
NM.....................................................     88032  1.0
NM.....................................................     88033  1.0
NM.....................................................     88034  7.2
NM.....................................................     88036  4.0
NM.....................................................     88038  4.0
NM.....................................................     88039  10.0
NM.....................................................     88040  5.0
NM.....................................................     88041  5.0
NM.....................................................     88042  10.3
NM.....................................................     88043  5.0
NM.....................................................     88044  2.1
NM.....................................................     88045  7.0
NM.....................................................     88046  1.0
NM.....................................................     88047  2.1
NM.....................................................     88048  2.1
NM.....................................................     88049  5.0
NM.....................................................     88051  10.2
NM.....................................................     88052  1.0
NM.....................................................     88053  4.0
NM.....................................................     88054  10.4
NM.....................................................     88055  10.2
NM.....................................................     88056  10.6
NM.....................................................     88058  2.1
NM.....................................................     88061  4.0
NM.....................................................     88062  4.0
NM.....................................................     88063  1.0
NM.....................................................     88065  4.0
NM.....................................................     88072  2.1
NM.....................................................     88081  2.0
NM.....................................................     88101  4.0
NM.....................................................     88102  4.0
NM.....................................................     88103  4.0
NM.....................................................     88112  5.0
NM.....................................................     88113  10.2
NM.....................................................     88114  10.6
NM.....................................................     88115  4.0
NM.....................................................     88116  10.2
NM.....................................................     88118  10.2
NM.....................................................     88119  10.0
NM.....................................................     88120  5.0
NM.....................................................     88121  10.3
NM.....................................................     88122  10.2
NM.....................................................     88123  10.2
NM.....................................................     88124  5.0
NM.....................................................     88125  10.2
NM.....................................................     88126  10.2
NM.....................................................     88130  4.0
NM.....................................................     88132  10.2
NM.....................................................     88133  5.0
NM.....................................................     88134  10.0
NM.....................................................     88135  5.0
NM.....................................................     88136  10.0
NM.....................................................     88201  4.0
NM.....................................................     88202  4.0
NM.....................................................     88203  4.0
NM.....................................................     88210  4.0
NM.....................................................     88211  4.0
NM.....................................................     88213  10.6
NM.....................................................     88220  4.0
NM.....................................................     88221  4.0
NM.....................................................     88230  10.2
NM.....................................................     88231  7.2
NM.....................................................     88232  10.5
NM.....................................................     88240  4.0
NM.....................................................     88241  4.0
NM.....................................................     88242  4.0
NM.....................................................     88244  4.0
NM.....................................................     88250  5.0
NM.....................................................     88252  10.5
NM.....................................................     88253  10.5
NM.....................................................     88254  4.0
NM.....................................................     88255  4.0
NM.....................................................     88256  5.0
NM.....................................................     88260  7.4
NM.....................................................     88262  7.4
NM.....................................................     88263  5.0
NM.....................................................     88264  10.6
NM.....................................................     88265  4.0
NM.....................................................     88267  10.6
NM.....................................................     88268  4.0
NM.....................................................     88301  10.6
NM.....................................................     88310  4.0
NM.....................................................     88311  4.0
NM.....................................................     88312  7.0
NM.....................................................     88314  5.0
NM.....................................................     88316  10.3
NM.....................................................     88317  2.0
NM.....................................................     88318  10.6
NM.....................................................     88321  10.4
NM.....................................................     88323  10.3
NM.....................................................     88324  7.0
NM.....................................................     88325  2.0
NM.....................................................     88330  10.5
NM.....................................................     88336  7.0
NM.....................................................     88337  4.0
NM.....................................................     88338  10.3
NM.....................................................     88339  2.0
NM.....................................................     88340  10.6
NM.....................................................     88341  10.3
NM.....................................................     88342  2.0
NM.....................................................     88343  7.0
NM.....................................................     88344  2.0
NM.....................................................     88345  7.0
NM.....................................................     88346  7.0
NM.....................................................     88347  2.0
NM.....................................................     88348  7.0
NM.....................................................     88349  2.0
NM.....................................................     88350  2.0
NM.....................................................     88351  7.0
NM.....................................................     88352  5.0
NM.....................................................     88353  7.0
NM.....................................................     88354  2.0
NM.....................................................     88355  7.0
NM.....................................................     88401  7.0
NM.....................................................     88410  10.0
NM.....................................................     88411  10.6
NM.....................................................     88414  10.0
NM.....................................................     88415  10.0
NM.....................................................     88416  5.0
NM.....................................................     88417  7.0
NM.....................................................     88418  10.0
NM.....................................................     88419  10.0
NM.....................................................     88421  5.0
NM.....................................................     88422  10.0
NM.....................................................     88424  10.0
NM.....................................................     88426  10.6
NM.....................................................     88427  10.3
NM.....................................................     88430  10.6
NM.....................................................     88431  5.0
NM.....................................................     88433  7.0
NM.....................................................     88434  10.6
NM.....................................................     88435  7.0
NM.....................................................     88436  10.0
NM.....................................................     88437  10.0
NM.....................................................     88439  5.0
NV.....................................................     88901  1.0
NV.....................................................     88905  1.0
NV.....................................................     89001  10.0
NV.....................................................     89003  10.0
NV.....................................................     89004  2.0
NV.....................................................     89005  2.0
NV.....................................................     89006  2.0
NV.....................................................     89007  2.0
NV.....................................................     89008  10.0
NV.....................................................     89009  1.0
NV.....................................................     89010  10.0
NV.....................................................     89011  1.0
NV.....................................................     89012  1.0
NV.....................................................     89013  10.0
NV.....................................................     89014  1.0
NV.....................................................     89015  1.0
NV.....................................................     89016  1.0
NV.....................................................     89017  10.0
NV.....................................................     89018  2.0
NV.....................................................     89019  2.0
NV.....................................................     89020  10.0
NV.....................................................     89021  2.0
NV.....................................................     89022  10.0
NV.....................................................     89023  10.0
NV.....................................................     89024  7.3
NV.....................................................     89025  2.0
NV.....................................................     89026  2.0
NV.....................................................     89027  7.3
NV.....................................................     89028  7.3

[[Page 70167]]

 
NV.....................................................     89029  7.3
NV.....................................................     89030  1.0
NV.....................................................     89031  1.0
NV.....................................................     89032  1.0
NV.....................................................     89033  1.0
NV.....................................................     89036  1.0
NV.....................................................     89039  10.4
NV.....................................................     89040  2.0
NV.....................................................     89041  10.4
NV.....................................................     89042  10.0
NV.....................................................     89043  10.0
NV.....................................................     89044  10.0
NV.....................................................     89045  10.0
NV.....................................................     89046  10.4
NV.....................................................     89047  10.0
NV.....................................................     89048  4.2
NV.....................................................     89049  10.0
NV.....................................................     89052  1.0
NV.....................................................     89053  2.0
NV.....................................................     89060  4.2
NV.....................................................     89061  4.2
NV.....................................................     89070  2.0
NV.....................................................     89074  1.0
NV.....................................................     89077  1.0
NV.....................................................     89081  1.0
NV.....................................................     89084  1.0
NV.....................................................     89085  1.0
NV.....................................................     89086  1.0
NV.....................................................     89087  1.0
NV.....................................................     89101  1.0
NV.....................................................     89102  1.0
NV.....................................................     89103  1.0
NV.....................................................     89104  1.0
NV.....................................................     89105  1.0
NV.....................................................     89106  1.0
NV.....................................................     89107  1.0
NV.....................................................     89108  1.0
NV.....................................................     89109  1.0
NV.....................................................     89110  1.0
NV.....................................................     89111  1.0
NV.....................................................     89112  1.0
NV.....................................................     89113  1.0
NV.....................................................     89114  1.0
NV.....................................................     89115  1.0
NV.....................................................     89116  1.0
NV.....................................................     89117  1.0
NV.....................................................     89118  1.0
NV.....................................................     89119  1.0
NV.....................................................     89120  1.0
NV.....................................................     89121  1.0
NV.....................................................     89122  1.0
NV.....................................................     89123  1.0
NV.....................................................     89124  2.0
NV.....................................................     89125  1.0
NV.....................................................     89126  1.0
NV.....................................................     89127  1.0
NV.....................................................     89128  1.0
NV.....................................................     89129  1.0
NV.....................................................     89130  1.0
NV.....................................................     89131  1.0
NV.....................................................     89132  1.0
NV.....................................................     89133  1.0
NV.....................................................     89134  1.0
NV.....................................................     89135  1.0
NV.....................................................     89136  1.0
NV.....................................................     89137  1.0
NV.....................................................     89138  1.0
NV.....................................................     89139  1.0
NV.....................................................     89140  1.0
NV.....................................................     89141  2.0
NV.....................................................     89142  1.0
NV.....................................................     89143  1.0
NV.....................................................     89144  1.0
NV.....................................................     89145  1.0
NV.....................................................     89146  1.0
NV.....................................................     89147  1.0
NV.....................................................     89148  1.0
NV.....................................................     89149  1.0
NV.....................................................     89150  1.0
NV.....................................................     89151  1.0
NV.....................................................     89152  1.0
NV.....................................................     89153  1.0
NV.....................................................     89154  1.0
NV.....................................................     89155  1.0
NV.....................................................     89156  1.0
NV.....................................................     89157  1.0
NV.....................................................     89159  1.0
NV.....................................................     89160  1.0
NV.....................................................     89161  1.0
NV.....................................................     89162  1.0
NV.....................................................     89163  1.0
NV.....................................................     89164  1.0
NV.....................................................     89165  1.0
NV.....................................................     89166  1.0
NV.....................................................     89170  1.0
NV.....................................................     89173  1.0
NV.....................................................     89177  1.0
NV.....................................................     89178  1.0
NV.....................................................     89179  1.0
NV.....................................................     89180  1.0
NV.....................................................     89185  1.0
NV.....................................................     89191  1.0
NV.....................................................     89193  1.0
NV.....................................................     89195  1.0
NV.....................................................     89199  1.0
NV.....................................................     89301  7.0
NV.....................................................     89310  10.3
NV.....................................................     89311  8.0
NV.....................................................     89314  7.0
NV.....................................................     89315  7.0
NV.....................................................     89316  10.0
NV.....................................................     89317  7.0
NV.....................................................     89318  7.0
NV.....................................................     89319  7.0
NV.....................................................     89402  4.2
NV.....................................................     89403  2.0
NV.....................................................     89404  7.0
NV.....................................................     89405  2.0
NV.....................................................     89406  4.0
NV.....................................................     89407  4.0
NV.....................................................     89408  2.0
NV.....................................................     89409  10.0
NV.....................................................     89410  4.2
NV.....................................................     89411  4.0
NV.....................................................     89412  2.0
NV.....................................................     89413  4.0
NV.....................................................     89414  8.0
NV.....................................................     89415  7.0
NV.....................................................     89418  10.6
NV.....................................................     89419  10.6
NV.....................................................     89420  8.0
NV.....................................................     89421  7.0
NV.....................................................     89422  8.0
NV.....................................................     89423  1.0
NV.....................................................     89424  2.0
NV.....................................................     89425  7.0
NV.....................................................     89426  7.0
NV.....................................................     89427  6.0
NV.....................................................     89428  1.0
NV.....................................................     89429  10.4
NV.....................................................     89430  10.3
NV.....................................................     89431  1.0
NV.....................................................     89432  1.0
NV.....................................................     89433  1.0
NV.....................................................     89434  1.0
NV.....................................................     89435  1.0
NV.....................................................     89436  1.0
NV.....................................................     89438  8.0
NV.....................................................     89439  1.0
NV.....................................................     89440  2.0
NV.....................................................     89442  2.0
NV.....................................................     89444  10.5
NV.....................................................     89445  7.0
NV.....................................................     89446  7.0
NV.....................................................     89447  7.0
NV.....................................................     89448  4.0
NV.....................................................     89449  4.0
NV.....................................................     89450  4.2
NV.....................................................     89451  4.2
NV.....................................................     89452  4.2
NV.....................................................     89460  4.2
NV.....................................................     89496  4.0
NV.....................................................     89501  1.0
NV.....................................................     89502  1.0
NV.....................................................     89503  1.0
NV.....................................................     89504  1.0
NV.....................................................     89505  1.0
NV.....................................................     89506  1.0
NV.....................................................     89507  1.0
NV.....................................................     89509  1.0
NV.....................................................     89510  2.0
NV.....................................................     89511  1.0
NV.....................................................     89512  1.0
NV.....................................................     89513  1.0
NV.....................................................     89515  1.0
NV.....................................................     89520  1.0
NV.....................................................     89521  1.0
NV.....................................................     89523  1.0
NV.....................................................     89533  1.0
NV.....................................................     89555  1.0
NV.....................................................     89557  1.0
NV.....................................................     89570  1.0
NV.....................................................     89595  1.0
NV.....................................................     89599  1.0
NV.....................................................     89701  1.0
NV.....................................................     89702  1.0
NV.....................................................     89703  1.0
NV.....................................................     89704  1.0
NV.....................................................     89705  1.0
NV.....................................................     89706  1.0
NV.....................................................     89711  1.0
NV.....................................................     89712  1.0
NV.....................................................     89713  1.0
NV.....................................................     89714  1.0
NV.....................................................     89721  1.0
NV.....................................................     89801  4.0
NV.....................................................     89802  4.0
NV.....................................................     89803  4.0
NV.....................................................     89815  5.0
NV.....................................................     89820  7.0
NV.....................................................     89821  10.0
NV.....................................................     89822  10.5
NV.....................................................     89823  4.0
NV.....................................................     89824  4.0
NV.....................................................     89825  10.0
NV.....................................................     89826  10.0
NV.....................................................     89828  5.0

[[Page 70168]]

 
NV.....................................................     89830  7.0
NV.....................................................     89831  10.5
NV.....................................................     89832  10.5
NV.....................................................     89833  10.5
NV.....................................................     89834  10.0
NV.....................................................     89835  7.0
NV.....................................................     89883  7.0
NY.....................................................     00501  1.0
NY.....................................................     00544  1.0
NY.....................................................     06390  7.3
NY.....................................................     10001  1.0
NY.....................................................     10002  1.0
NY.....................................................     10003  1.0
NY.....................................................     10004  1.0
NY.....................................................     10005  1.0
NY.....................................................     10006  1.0
NY.....................................................     10007  1.0
NY.....................................................     10008  1.0
NY.....................................................     10009  1.0
NY.....................................................     10010  1.0
NY.....................................................     10011  1.0
NY.....................................................     10012  1.0
NY.....................................................     10013  1.0
NY.....................................................     10014  1.0
NY.....................................................     10015  1.0
NY.....................................................     10016  1.0
NY.....................................................     10017  1.0
NY.....................................................     10018  1.0
NY.....................................................     10019  1.0
NY.....................................................     10020  1.0
NY.....................................................     10021  1.0
NY.....................................................     10022  1.0
NY.....................................................     10023  1.0
NY.....................................................     10024  1.0
NY.....................................................     10025  1.0
NY.....................................................     10026  1.0
NY.....................................................     10027  1.0
NY.....................................................     10028  1.0
NY.....................................................     10029  1.0
NY.....................................................     10030  1.0
NY.....................................................     10031  1.0
NY.....................................................     10032  1.0
NY.....................................................     10033  1.0
NY.....................................................     10034  1.0
NY.....................................................     10035  1.0
NY.....................................................     10036  1.0
NY.....................................................     10037  1.0
NY.....................................................     10038  1.0
NY.....................................................     10039  1.0
NY.....................................................     10040  1.0
NY.....................................................     10041  1.0
NY.....................................................     10043  1.0
NY.....................................................     10044  1.0
NY.....................................................     10045  1.0
NY.....................................................     10046  1.0
NY.....................................................     10047  1.0
NY.....................................................     10048  1.0
NY.....................................................     10055  1.0
NY.....................................................     10060  1.0
NY.....................................................     10069  1.0
NY.....................................................     10072  1.0
NY.....................................................     10079  1.0
NY.....................................................     10080  1.0
NY.....................................................     10081  1.0
NY.....................................................     10082  1.0
NY.....................................................     10087  1.0
NY.....................................................     10090  1.0
NY.....................................................     10094  1.0
NY.....................................................     10095  1.0
NY.....................................................     10096  1.0
NY.....................................................     10098  1.0
NY.....................................................     10099  1.0
NY.....................................................     10101  1.0
NY.....................................................     10102  1.0
NY.....................................................     10103  1.0
NY.....................................................     10104  1.0
NY.....................................................     10105  1.0
NY.....................................................     10106  1.0
NY.....................................................     10107  1.0
NY.....................................................     10108  1.0
NY.....................................................     10109  1.0
NY.....................................................     10110  1.0
NY.....................................................     10111  1.0
NY.....................................................     10112  1.0
NY.....................................................     10113  1.0
NY.....................................................     10114  1.0
NY.....................................................     10115  1.0
NY.....................................................     10116  1.0
NY.....................................................     10117  1.0
NY.....................................................     10118  1.0
NY.....................................................     10119  1.0
NY.....................................................     10120  1.0
NY.....................................................     10121  1.0
NY.....................................................     10122  1.0
NY.....................................................     10123  1.0
NY.....................................................     10124  1.0
NY.....................................................     10125  1.0
NY.....................................................     10126  1.0
NY.....................................................     10128  1.0
NY.....................................................     10129  1.0
NY.....................................................     10130  1.0
NY.....................................................     10131  1.0
NY.....................................................     10132  1.0
NY.....................................................     10133  1.0
NY.....................................................     10138  1.0
NY.....................................................     10149  1.0
NY.....................................................     10150  1.0
NY.....................................................     10151  1.0
NY.....................................................     10152  1.0
NY.....................................................     10153  1.0
NY.....................................................     10154  1.0
NY.....................................................     10155  1.0
NY.....................................................     10156  1.0
NY.....................................................     10157  1.0
NY.....................................................     10158  1.0
NY.....................................................     10159  1.0
NY.....................................................     10160  1.0
NY.....................................................     10161  1.0
NY.....................................................     10162  1.0
NY.....................................................     10163  1.0
NY.....................................................     10164  1.0
NY.....................................................     10165  1.0
NY.....................................................     10166  1.0
NY.....................................................     10167  1.0
NY.....................................................     10168  1.0
NY.....................................................     10169  1.0
NY.....................................................     10170  1.0
NY.....................................................     10171  1.0
NY.....................................................     10172  1.0
NY.....................................................     10173  1.0
NY.....................................................     10174  1.0
NY.....................................................     10175  1.0
NY.....................................................     10176  1.0
NY.....................................................     10177  1.0
NY.....................................................     10178  1.0
NY.....................................................     10179  1.0
NY.....................................................     10184  1.0
NY.....................................................     10185  1.0
NY.....................................................     10196  1.0
NY.....................................................     10197  1.0
NY.....................................................     10199  1.0
NY.....................................................     10203  1.0
NY.....................................................     10211  1.0
NY.....................................................     10212  1.0
NY.....................................................     10213  1.0
NY.....................................................     10242  1.0
NY.....................................................     10249  1.0
NY.....................................................     10256  1.0
NY.....................................................     10257  1.0
NY.....................................................     10258  1.0
NY.....................................................     10259  1.0
NY.....................................................     10260  1.0
NY.....................................................     10261  1.0
NY.....................................................     10265  1.0
NY.....................................................     10268  1.0
NY.....................................................     10269  1.0
NY.....................................................     10270  1.0
NY.....................................................     10271  1.0
NY.....................................................     10272  1.0
NY.....................................................     10273  1.0
NY.....................................................     10274  1.0
NY.....................................................     10275  1.0
NY.....................................................     10276  1.0
NY.....................................................     10277  1.0
NY.....................................................     10278  1.0
NY.....................................................     10279  1.0
NY.....................................................     10280  1.0
NY.....................................................     10281  1.0
NY.....................................................     10282  1.0
NY.....................................................     10285  1.0
NY.....................................................     10286  1.0
NY.....................................................     10292  1.0
NY.....................................................     10301  1.0
NY.....................................................     10302  1.0
NY.....................................................     10303  1.0
NY.....................................................     10304  1.0
NY.....................................................     10305  1.0
NY.....................................................     10306  1.0
NY.....................................................     10307  1.0
NY.....................................................     10308  1.0
NY.....................................................     10309  1.0
NY.....................................................     10310  1.0
NY.....................................................     10311  1.0
NY.....................................................     10312  1.0
NY.....................................................     10313  1.0
NY.....................................................     10314  1.0
NY.....................................................     10451  1.0
NY.....................................................     10452  1.0
NY.....................................................     10453  1.0
NY.....................................................     10454  1.0
NY.....................................................     10455  1.0
NY.....................................................     10456  1.0
NY.....................................................     10457  1.0
NY.....................................................     10458  1.0
NY.....................................................     10459  1.0
NY.....................................................     10460  1.0
NY.....................................................     10461  1.0
NY.....................................................     10462  1.0
NY.....................................................     10463  1.0
NY.....................................................     10464  1.0
NY.....................................................     10465  1.0
NY.....................................................     10466  1.0
NY.....................................................     10467  1.0
NY.....................................................     10468  1.0
NY.....................................................     10469  1.0
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NY.....................................................     10474  1.0
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NY.....................................................     10499  1.0
NY.....................................................     10501  1.0
NY.....................................................     10502  1.0
NY.....................................................     10503  1.0
NY.....................................................     10504  1.0
NY.....................................................     10505  1.0
NY.....................................................     10506  2.0
NY.....................................................     10507  1.0
NY.....................................................     10509  1.0
NY.....................................................     10510  1.0
NY.....................................................     10511  1.0
NY.....................................................     10512  1.0
NY.....................................................     10514  1.0
NY.....................................................     10516  2.0
NY.....................................................     10517  1.0
NY.....................................................     10518  1.0
NY.....................................................     10519  1.0
NY.....................................................     10520  1.0
NY.....................................................     10521  1.0
NY.....................................................     10522  1.0
NY.....................................................     10523  1.0
NY.....................................................     10524  1.0
NY.....................................................     10526  1.0
NY.....................................................     10527  1.0
NY.....................................................     10528  1.0
NY.....................................................     10530  1.0
NY.....................................................     10532  1.0
NY.....................................................     10533  1.0
NY.....................................................     10535  1.0
NY.....................................................     10536  1.0
NY.....................................................     10537  1.0
NY.....................................................     10538  1.0
NY.....................................................     10540  1.0
NY.....................................................     10541  1.0
NY.....................................................     10542  1.0
NY.....................................................     10543  1.0
NY.....................................................     10545  1.0
NY.....................................................     10546  1.0
NY.....................................................     10547  1.0
NY.....................................................     10548  1.0
NY.....................................................     10549  1.0
NY.....................................................     10550  1.0
NY.....................................................     10551  1.0
NY.....................................................     10552  1.0
NY.....................................................     10553  1.0
NY.....................................................     10557  1.0
NY.....................................................     10558  1.0
NY.....................................................     10560  1.0
NY.....................................................     10562  1.0
NY.....................................................     10566  1.0
NY.....................................................     10567  1.0
NY.....................................................     10570  1.0
NY.....................................................     10571  1.0
NY.....................................................     10572  1.0
NY.....................................................     10573  1.0
NY.....................................................     10576  2.0
NY.....................................................     10577  1.0
NY.....................................................     10578  1.0
NY.....................................................     10579  1.0
NY.....................................................     10580  1.0
NY.....................................................     10583  1.0
NY.....................................................     10587  1.0
NY.....................................................     10588  1.0
NY.....................................................     10589  1.0
NY.....................................................     10590  1.0
NY.....................................................     10591  1.0
NY.....................................................     10594  1.0
NY.....................................................     10595  1.0
NY.....................................................     10596  1.0
NY.....................................................     10597  1.0
NY.....................................................     10598  1.0
NY.....................................................     10601  1.0
NY.....................................................     10602  1.0
NY.....................................................     10603  1.0
NY.....................................................     10604  1.0
NY.....................................................     10605  1.0
NY.....................................................     10606  1.0
NY.....................................................     10607  1.0
NY.....................................................     10610  1.0
NY.....................................................     10650  1.0
NY.....................................................     10701  1.0
NY.....................................................     10702  1.0
NY.....................................................     10703  1.0
NY.....................................................     10704  1.0
NY.....................................................     10705  1.0
NY.....................................................     10706  1.0
NY.....................................................     10707  1.0
NY.....................................................     10708  1.0
NY.....................................................     10709  1.0
NY.....................................................     10710  1.0
NY.....................................................     10801  1.0
NY.....................................................     10802  1.0
NY.....................................................     10803  1.0
NY.....................................................     10804  1.0
NY.....................................................     10805  1.0
NY.....................................................     10901  1.0
NY.....................................................     10910  2.0
NY.....................................................     10911  1.0
NY.....................................................     10912  2.0
NY.....................................................     10913  1.0
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NY.....................................................     11933  2.0
NY.....................................................     11934  1.0
NY.....................................................     11935  2.0
NY.....................................................     11937  7.3
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NY.....................................................     12401  1.0
NY.....................................................     12402  1.0
NY.....................................................     12404  3.0
NY.....................................................     12405  10.6
NY.....................................................     12406  10.0
NY.....................................................     12407  10.0
NY.....................................................     12409  3.0
NY.....................................................     12410  3.0
NY.....................................................     12411  1.0
NY.....................................................     12412  2.0
NY.....................................................     12413  10.6
NY.....................................................     12414  7.3
NY.....................................................     12416  3.0
NY.....................................................     12417  1.0
NY.....................................................     12418  10.4
NY.....................................................     12419  1.0
NY.....................................................     12420  3.0
NY.....................................................     12421  10.0
NY.....................................................     12422  10.4
NY.....................................................     12423  10.4
NY.....................................................     12424  10.4
NY.....................................................     12427  10.4
NY.....................................................     12428  7.3
NY.....................................................     12429  1.0
NY.....................................................     12430  10.0
NY.....................................................     12431  10.4
NY.....................................................     12432  2.0
NY.....................................................     12433  2.0
NY.....................................................     12434  10.0
NY.....................................................     12435  8.0
NY.....................................................     12436  10.4
NY.....................................................     12438  10.0
NY.....................................................     12439  10.4
NY.....................................................     12440  2.0
NY.....................................................     12441  10.4
NY.....................................................     12442  10.4
NY.....................................................     12443  1.0
NY.....................................................     12444  10.4
NY.....................................................     12446  3.0
NY.....................................................     12448  3.0
NY.....................................................     12449  1.0
NY.....................................................     12450  10.4
NY.....................................................     12451  10.6
NY.....................................................     12452  10.4
NY.....................................................     12453  2.0
NY.....................................................     12454  10.4
NY.....................................................     12455  10.0
NY.....................................................     12456  2.0
NY.....................................................     12457  3.0
NY.....................................................     12458  7.3
NY.....................................................     12459  10.0
NY.....................................................     12460  10.4
NY.....................................................     12461  2.0
NY.....................................................     12463  9.0
NY.....................................................     12464  3.0
NY.....................................................     12465  10.4
NY.....................................................     12466  1.0
NY.....................................................     12468  10.4
NY.....................................................     12469  2.0
NY.....................................................     12470  10.6
NY.....................................................     12471  2.1
NY.....................................................     12472  1.0
NY.....................................................     12473  10.6
NY.....................................................     12474  10.0
NY.....................................................     12475  1.0
NY.....................................................     12477  2.0
NY.....................................................     12480  10.0
NY.....................................................     12481  2.0
NY.....................................................     12482  10.6
NY.....................................................     12483  7.3
NY.....................................................     12484  2.0
NY.....................................................     12485  10.4
NY.....................................................     12486  1.0
NY.....................................................     12487  2.1
NY.....................................................     12489  3.0
NY.....................................................     12490  2.0
NY.....................................................     12491  2.0
NY.....................................................     12492  10.4
NY.....................................................     12493  1.0
NY.....................................................     12494  2.0
NY.....................................................     12495  3.0
NY.....................................................     12496  10.4
NY.....................................................     12498  2.0
NY.....................................................     12501  2.0
NY.....................................................     12502  10.4
NY.....................................................     12503  10.4
NY.....................................................     12504  7.3
NY.....................................................     12506  2.0
NY.....................................................     12507  7.3
NY.....................................................     12508  1.0
NY.....................................................     12510  2.1
NY.....................................................     12511  1.0
NY.....................................................     12512  1.0
NY.....................................................     12513  5.0
NY.....................................................     12514  2.0
NY.....................................................     12515  2.0
NY.....................................................     12516  10.0
NY.....................................................     12517  10.0
NY.....................................................     12518  1.0

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NY.....................................................     12520  1.0
NY.....................................................     12521  5.0
NY.....................................................     12522  3.0
NY.....................................................     12523  6.0
NY.....................................................     12524  1.0
NY.....................................................     12525  2.0
NY.....................................................     12526  10.5
NY.....................................................     12527  1.0
NY.....................................................     12528  1.0
NY.....................................................     12529  10.4
NY.....................................................     12530  5.0
NY.....................................................     12531  2.0
NY.....................................................     12533  1.0
NY.....................................................     12534  4.0
NY.....................................................     12537  1.0
NY.....................................................     12538  1.0
NY.....................................................     12540  2.1
NY.....................................................     12541  10.4
NY.....................................................     12542  1.0
NY.....................................................     12543  2.1
NY.....................................................     12544  10.5
NY.....................................................     12545  2.0
NY.....................................................     12546  3.0
NY.....................................................     12547  1.0
NY.....................................................     12548  2.0
NY.....................................................     12549  2.1
NY.....................................................     12550  1.0
NY.....................................................     12551  1.0
NY.....................................................     12552  1.0
NY.....................................................     12553  1.0
NY.....................................................     12555  1.0
NY.....................................................     12561  2.0
NY.....................................................     12563  1.0
NY.....................................................     12564  2.0
NY.....................................................     12565  4.0
NY.....................................................     12566  3.0
NY.....................................................     12567  3.0
NY.....................................................     12568  1.0
NY.....................................................     12569  1.0
NY.....................................................     12570  1.0
NY.....................................................     12571  7.3
NY.....................................................     12572  3.0
NY.....................................................     12574  3.0
NY.....................................................     12575  1.0
NY.....................................................     12577  1.0
NY.....................................................     12578  2.0
NY.....................................................     12580  2.0
NY.....................................................     12581  2.0
NY.....................................................     12582  1.0
NY.....................................................     12583  7.3
NY.....................................................     12584  1.0
NY.....................................................     12585  2.1
NY.....................................................     12586  1.0
NY.....................................................     12588  3.0
NY.....................................................     12589  1.0
NY.....................................................     12590  1.0
NY.....................................................     12592  2.0
NY.....................................................     12593  10.0
NY.....................................................     12594  2.0
NY.....................................................     12601  1.0
NY.....................................................     12602  1.0
NY.....................................................     12603  1.0
NY.....................................................     12604  1.0
NY.....................................................     12701  7.0
NY.....................................................     12719  10.5
NY.....................................................     12720  10.6
NY.....................................................     12721  3.0
NY.....................................................     12722  3.0
NY.....................................................     12723  10.0
NY.....................................................     12724  10.6
NY.....................................................     12725  10.4
NY.....................................................     12726  10.4
NY.....................................................     12727  10.4
NY.....................................................     12729  4.2
NY.....................................................     12732  10.5
NY.....................................................     12733  7.0
NY.....................................................     12734  9.0
NY.....................................................     12736  10.0
NY.....................................................     12737  10.5
NY.....................................................     12738  9.0
NY.....................................................     12740  10.6
NY.....................................................     12741  10.0
NY.....................................................     12742  8.3
NY.....................................................     12743  10.5
NY.....................................................     12745  10.0
NY.....................................................     12746  4.2
NY.....................................................     12747  10.6
NY.....................................................     12748  10.6
NY.....................................................     12749  10.6
NY.....................................................     12750  10.0
NY.....................................................     12751  8.3
NY.....................................................     12752  10.4
NY.....................................................     12754  7.0
NY.....................................................     12758  10.6
NY.....................................................     12759  10.6
NY.....................................................     12760  10.0
NY.....................................................     12762  10.6
NY.....................................................     12763  7.0
NY.....................................................     12764  10.4
NY.....................................................     12765  10.6
NY.....................................................     12766  10.6
NY.....................................................     12767  10.6
NY.....................................................     12768  7.0
NY.....................................................     12769  3.0
NY.....................................................     12770  10.5
NY.....................................................     12771  4.2
NY.....................................................     12775  9.0
NY.....................................................     12776  10.6
NY.....................................................     12777  9.0
NY.....................................................     12778  7.0
NY.....................................................     12779  7.0
NY.....................................................     12780  4.2
NY.....................................................     12781  3.0
NY.....................................................     12782  10.4
NY.....................................................     12783  10.6
NY.....................................................     12784  7.0
NY.....................................................     12785  4.2
NY.....................................................     12786  10.6
NY.....................................................     12787  9.0
NY.....................................................     12788  10.6
NY.....................................................     12789  7.0
NY.....................................................     12790  3.0
NY.....................................................     12791  10.6
NY.....................................................     12792  10.5
NY.....................................................     12801  1.0
NY.....................................................     12803  1.0
NY.....................................................     12804  1.0
NY.....................................................     12808  3.0
NY.....................................................     12809  2.0
NY.....................................................     12810  2.0
NY.....................................................     12811  10.4
NY.....................................................     12812  10.0
NY.....................................................     12814  10.4
NY.....................................................     12815  3.0
NY.....................................................     12816  10.4
NY.....................................................     12817  3.0
NY.....................................................     12819  10.4
NY.....................................................     12820  2.0
NY.....................................................     12821  2.0
NY.....................................................     12822  7.1
NY.....................................................     12823  9.1
NY.....................................................     12824  10.4
NY.....................................................     12827  2.0
NY.....................................................     12828  1.0
NY.....................................................     12831  1.1
NY.....................................................     12832  7.3
NY.....................................................     12833  2.1
NY.....................................................     12834  9.1
NY.....................................................     12835  3.0
NY.....................................................     12836  3.0
NY.....................................................     12837  10.4
NY.....................................................     12838  2.0
NY.....................................................     12839  1.0
NY.....................................................     12841  10.4
NY.....................................................     12842  10.0
NY.....................................................     12843  10.4
NY.....................................................     12844  2.0
NY.....................................................     12845  2.0
NY.....................................................     12846  2.0
NY.....................................................     12847  10.0
NY.....................................................     12848  9.1
NY.....................................................     12849  7.3
NY.....................................................     12850  2.0
NY.....................................................     12851  10.6
NY.....................................................     12852  10.6
NY.....................................................     12853  10.4
NY.....................................................     12854  10.4
NY.....................................................     12855  10.6
NY.....................................................     12856  10.4
NY.....................................................     12857  10.6
NY.....................................................     12858  10.6
NY.....................................................     12859  2.1
NY.....................................................     12860  3.0
NY.....................................................     12861  10.4
NY.....................................................     12862  3.0
NY.....................................................     12863  1.1
NY.....................................................     12864  10.0
NY.....................................................     12865  10.4
NY.....................................................     12866  1.1
NY.....................................................     12870  10.6
NY.....................................................     12871  2.1
NY.....................................................     12872  10.6
NY.....................................................     12873  10.4
NY.....................................................     12874  3.0
NY.....................................................     12878  2.0
NY.....................................................     12879  10.6
NY.....................................................     12883  7.0
NY.....................................................     12884  2.1
NY.....................................................     12885  2.0
NY.....................................................     12886  10.4
NY.....................................................     12887  10.4
NY.....................................................     12901  4.0
NY.....................................................     12903  4.0
NY.....................................................     12910  5.0
NY.....................................................     12911  5.0
NY.....................................................     12912  5.0
NY.....................................................     12913  8.0
NY.....................................................     12914  10.5
NY.....................................................     12915  10.2
NY.....................................................     12916  5.0
NY.....................................................     12917  10.2
NY.....................................................     12918  5.0
NY.....................................................     12919  10.5
NY.....................................................     12920  10.2
NY.....................................................     12921  5.0
NY.....................................................     12922  10.6
NY.....................................................     12923  5.0

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NY.....................................................     12924  5.0
NY.....................................................     12926  10.2
NY.....................................................     12927  8.0
NY.....................................................     12928  9.0
NY.....................................................     12929  5.0
NY.....................................................     12930  10.5
NY.....................................................     12932  10.0
NY.....................................................     12933  5.0
NY.....................................................     12934  5.0
NY.....................................................     12935  5.0
NY.....................................................     12936  10.0
NY.....................................................     12937  10.5
NY.....................................................     12939  7.0
NY.....................................................     12941  10.6
NY.....................................................     12942  10.0
NY.....................................................     12943  10.0
NY.....................................................     12944  5.0
NY.....................................................     12945  7.0
NY.....................................................     12946  7.0
NY.....................................................     12949  10.6
NY.....................................................     12950  10.0
NY.....................................................     12952  5.0
NY.....................................................     12953  4.0
NY.....................................................     12955  5.0
NY.....................................................     12956  10.6
NY.....................................................     12957  5.0
NY.....................................................     12958  5.0
NY.....................................................     12959  5.0
NY.....................................................     12960  10.6
NY.....................................................     12961  10.6
NY.....................................................     12962  5.0
NY.....................................................     12964  10.0
NY.....................................................     12965  10.6
NY.....................................................     12966  5.0
NY.....................................................     12967  10.6
NY.....................................................     12969  5.0
NY.....................................................     12970  8.0
NY.....................................................     12972  5.0
NY.....................................................     12973  10.6
NY.....................................................     12974  10.6
NY.....................................................     12975  5.0
NY.....................................................     12976  8.0
NY.....................................................     12977  7.0
NY.....................................................     12978  5.0
NY.....................................................     12979  10.5
NY.....................................................     12980  10.5
NY.....................................................     12981  5.0
NY.....................................................     12983  7.0
NY.....................................................     12985  5.0
NY.....................................................     12986  7.0
NY.....................................................     12987  8.0
NY.....................................................     12989  8.0
NY.....................................................     12992  5.0
NY.....................................................     12993  10.0
NY.....................................................     12995  4.0
NY.....................................................     12996  10.0
NY.....................................................     12997  8.0
NY.....................................................     12998  10.6
NY.....................................................     13020  2.0
NY.....................................................     13021  4.2
NY.....................................................     13022  4.2
NY.....................................................     13024  4.2
NY.....................................................     13026  10.4
NY.....................................................     13027  1.0
NY.....................................................     13028  2.0
NY.....................................................     13029  1.0
NY.....................................................     13030  1.0
NY.....................................................     13031  1.0
NY.....................................................     13032  4.2
NY.....................................................     13033  2.0
NY.....................................................     13034  5.0
NY.....................................................     13035  2.0
NY.....................................................     13036  2.0
NY.....................................................     13037  2.0
NY.....................................................     13039  1.0
NY.....................................................     13040  5.0
NY.....................................................     13041  1.0
NY.....................................................     13042  2.0
NY.....................................................     13043  4.2
NY.....................................................     13044  2.0
NY.....................................................     13045  4.0
NY.....................................................     13051  2.0
NY.....................................................     13052  3.0
NY.....................................................     13053  2.0
NY.....................................................     13054  5.0
NY.....................................................     13056  4.0
NY.....................................................     13057  1.0
NY.....................................................     13060  2.0
NY.....................................................     13061  10.4
NY.....................................................     13062  1.0
NY.....................................................     13063  2.0
NY.....................................................     13064  3.0
NY.....................................................     13065  4.0
NY.....................................................     13066  1.0
NY.....................................................     13068  2.0
NY.....................................................     13069  4.2
NY.....................................................     13071  10.4
NY.....................................................     13072  3.0
NY.....................................................     13073  2.0
NY.....................................................     13074  6.1
NY.....................................................     13076  2.0
NY.....................................................     13077  4.0
NY.....................................................     13078  1.0
NY.....................................................     13080  2.0
NY.....................................................     13081  10.4
NY.....................................................     13082  1.0
NY.....................................................     13083  3.0
NY.....................................................     13084  2.0
NY.....................................................     13087  5.2
NY.....................................................     13088  1.0
NY.....................................................     13089  1.0
NY.....................................................     13090  1.0
NY.....................................................     13092  6.1
NY.....................................................     13093  4.2
NY.....................................................     13101  4.0
NY.....................................................     13102  2.0
NY.....................................................     13103  2.0
NY.....................................................     13104  1.0
NY.....................................................     13107  2.0
NY.....................................................     13108  1.0
NY.....................................................     13110  2.0
NY.....................................................     13111  3.0
NY.....................................................     13112  2.0
NY.....................................................     13113  2.0
NY.....................................................     13114  2.0
NY.....................................................     13115  4.2
NY.....................................................     13116  1.0
NY.....................................................     13117  3.0
NY.....................................................     13118  7.4
NY.....................................................     13119  2.0
NY.....................................................     13120  1.0
NY.....................................................     13121  2.0
NY.....................................................     13122  2.0
NY.....................................................     13123  2.0
NY.....................................................     13124  10.6
NY.....................................................     13126  4.2
NY.....................................................     13129  3.0
NY.....................................................     13131  2.0
NY.....................................................     13132  2.0
NY.....................................................     13134  10.4
NY.....................................................     13135  1.0
NY.....................................................     13136  10.6
NY.....................................................     13137  1.0
NY.....................................................     13138  2.0
NY.....................................................     13139  5.2
NY.....................................................     13140  3.0
NY.....................................................     13141  5.2
NY.....................................................     13142  10.4
NY.....................................................     13143  10.4
NY.....................................................     13144  3.0
NY.....................................................     13145  3.0
NY.....................................................     13146  10.5
NY.....................................................     13147  5.2
NY.....................................................     13148  4.0
NY.....................................................     13152  2.0
NY.....................................................     13153  2.0
NY.....................................................     13154  10.5
NY.....................................................     13155  10.6
NY.....................................................     13156  3.0
NY.....................................................     13157  3.0
NY.....................................................     13158  5.2
NY.....................................................     13159  2.0
NY.....................................................     13160  5.0
NY.....................................................     13162  3.0
NY.....................................................     13163  4.2
NY.....................................................     13164  2.0
NY.....................................................     13165  4.0
NY.....................................................     13166  3.0
NY.....................................................     13167  2.0
NY.....................................................     13201  1.0
NY.....................................................     13202  1.0
NY.....................................................     13203  1.0
NY.....................................................     13204  1.0
NY.....................................................     13205  1.0
NY.....................................................     13206  1.0
NY.....................................................     13207  1.0
NY.....................................................     13208  1.0
NY.....................................................     13209  1.0
NY.....................................................     13210  1.0
NY.....................................................     13211  1.0
NY.....................................................     13212  1.0
NY.....................................................     13214  1.0
NY.....................................................     13215  1.0
NY.....................................................     13217  1.0
NY.....................................................     13218  1.0
NY.....................................................     13219  1.0
NY.....................................................     13220  1.0
NY.....................................................     13221  1.0
NY.....................................................     13224  1.0
NY.....................................................     13225  1.0
NY.....................................................     13235  1.0
NY.....................................................     13244  1.0
NY.....................................................     13250  1.0
NY.....................................................     13251  1.0
NY.....................................................     13252  1.0
NY.....................................................     13260  1.0
NY.....................................................     13261  1.0
NY.....................................................     13290  1.0
NY.....................................................     13301  10.4
NY.....................................................     13302  2.0
NY.....................................................     13303  5.2
NY.....................................................     13304  2.0
NY.....................................................     13305  10.6
NY.....................................................     13308  3.0
NY.....................................................     13309  10.4
NY.....................................................     13310  10.4
NY.....................................................     13312  10.6

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NY.....................................................     13313  2.0
NY.....................................................     13314  3.0
NY.....................................................     13315  10.5
NY.....................................................     13316  10.5
NY.....................................................     13317  7.0
NY.....................................................     13318  2.0
NY.....................................................     13319  1.0
NY.....................................................     13320  10.0
NY.....................................................     13321  1.0
NY.....................................................     13322  1.0
NY.....................................................     13323  1.0
NY.....................................................     13324  2.0
NY.....................................................     13325  10.0
NY.....................................................     13326  10.5
NY.....................................................     13327  10.6
NY.....................................................     13328  2.0
NY.....................................................     13329  10.5
NY.....................................................     13331  2.0
NY.....................................................     13332  8.0
NY.....................................................     13333  10.0
NY.....................................................     13334  10.4
NY.....................................................     13335  10.5
NY.....................................................     13337  10.5
NY.....................................................     13338  2.0
NY.....................................................     13339  7.0
NY.....................................................     13340  4.1
NY.....................................................     13341  1.0
NY.....................................................     13342  10.5
NY.....................................................     13343  8.0
NY.....................................................     13345  10.6
NY.....................................................     13346  7.0
NY.....................................................     13348  10.5
NY.....................................................     13350  4.2
NY.....................................................     13352  2.0
NY.....................................................     13353  10.0
NY.....................................................     13354  2.0
NY.....................................................     13355  8.0
NY.....................................................     13357  4.2
NY.....................................................     13360  10.0
NY.....................................................     13361  10.1
NY.....................................................     13362  2.0
NY.....................................................     13363  5.2
NY.....................................................     13364  3.0
NY.....................................................     13365  7.4
NY.....................................................     13367  7.4
NY.....................................................     13368  10.0
NY.....................................................     13401  3.0
NY.....................................................     13402  8.0
NY.....................................................     13403  1.0
NY.....................................................     13404  7.4
NY.....................................................     13406  2.0
NY.....................................................     13407  4.2
NY.....................................................     13408  10.4
NY.....................................................     13409  6.1
NY.....................................................     13410  7.0
NY.....................................................     13411  10.6
NY.....................................................     13413  1.0
NY.....................................................     13415  10.5
NY.....................................................     13416  2.0
NY.....................................................     13417  1.0
NY.....................................................     13418  3.0
NY.....................................................     13420  2.0
NY.....................................................     13421  4.2
NY.....................................................     13424  2.0
NY.....................................................     13425  2.0
NY.....................................................     13426  3.0
NY.....................................................     13428  7.0
NY.....................................................     13431  2.0
NY.....................................................     13433  10.6
NY.....................................................     13435  2.0
NY.....................................................     13436  10.0
NY.....................................................     13437  3.0
NY.....................................................     13438  2.0
NY.....................................................     13439  10.4
NY.....................................................     13440  4.2
NY.....................................................     13441  4.2
NY.....................................................     13442  4.2
NY.....................................................     13449  4.2
NY.....................................................     13450  10.0
NY.....................................................     13452  10.0
NY.....................................................     13454  9.0
NY.....................................................     13455  2.0
NY.....................................................     13456  1.0
NY.....................................................     13457  10.5
NY.....................................................     13459  10.6
NY.....................................................     13460  10.6
NY.....................................................     13461  4.2
NY.....................................................     13464  10.6
NY.....................................................     13465  8.0
NY.....................................................     13468  10.0
NY.....................................................     13469  1.0
NY.....................................................     13470  6.0
NY.....................................................     13471  5.2
NY.....................................................     13472  2.0
NY.....................................................     13473  10.0
NY.....................................................     13475  10.5
NY.....................................................     13476  4.2
NY.....................................................     13477  4.2
NY.....................................................     13478  5.0
NY.....................................................     13479  1.0
NY.....................................................     13480  2.0
NY.....................................................     13482  10.5
NY.....................................................     13483  5.2
NY.....................................................     13484  10.4
NY.....................................................     13485  3.0
NY.....................................................     13486  5.2
NY.....................................................     13488  10.0
NY.....................................................     13489  10.0
NY.....................................................     13490  2.0
NY.....................................................     13491  2.0
NY.....................................................     13492  1.0
NY.....................................................     13493  2.0
NY.....................................................     13494  2.0
NY.....................................................     13495  1.0
NY.....................................................     13501  1.0
NY.....................................................     13502  1.0
NY.....................................................     13503  1.0
NY.....................................................     13504  1.0
NY.....................................................     13505  1.0
NY.....................................................     13599  1.0
NY.....................................................     13601  4.0
NY.....................................................     13602  4.0
NY.....................................................     13603  4.0
NY.....................................................     13605  5.0
NY.....................................................     13606  5.0
NY.....................................................     13607  10.2
NY.....................................................     13608  5.0
NY.....................................................     13611  10.5
NY.....................................................     13612  4.0
NY.....................................................     13613  6.0
NY.....................................................     13614  10.5
NY.....................................................     13615  4.0
NY.....................................................     13616  5.0
NY.....................................................     13617  7.0
NY.....................................................     13618  5.0
NY.....................................................     13619  5.0
NY.....................................................     13620  10.6
NY.....................................................     13621  5.0
NY.....................................................     13622  5.0
NY.....................................................     13623  10.6
NY.....................................................     13624  10.2
NY.....................................................     13625  8.0
NY.....................................................     13626  7.4
NY.....................................................     13627  5.0
NY.....................................................     13628  5.0
NY.....................................................     13630  10.6
NY.....................................................     13631  5.0
NY.....................................................     13632  5.0
NY.....................................................     13633  10.6
NY.....................................................     13634  5.0
NY.....................................................     13635  10.6
NY.....................................................     13636  10.5
NY.....................................................     13637  4.0
NY.....................................................     13638  4.0
NY.....................................................     13639  10.6
NY.....................................................     13640  10.2
NY.....................................................     13641  10.2
NY.....................................................     13642  7.4
NY.....................................................     13643  5.0
NY.....................................................     13645  7.4
NY.....................................................     13646  10.6
NY.....................................................     13647  7.0
NY.....................................................     13648  10.6
NY.....................................................     13649  6.0
NY.....................................................     13650  5.0
NY.....................................................     13651  5.0
NY.....................................................     13652  10.6
NY.....................................................     13654  5.0
NY.....................................................     13655  6.0
NY.....................................................     13656  10.2
NY.....................................................     13657  5.0
NY.....................................................     13658  10.5
NY.....................................................     13659  10.5
NY.....................................................     13660  10.5
NY.....................................................     13661  10.5
NY.....................................................     13662  4.0
NY.....................................................     13664  4.0
NY.....................................................     13665  5.0
NY.....................................................     13666  10.6
NY.....................................................     13667  5.0
NY.....................................................     13668  8.0
NY.....................................................     13669  4.0
NY.....................................................     13670  10.6
NY.....................................................     13671  5.0
NY.....................................................     13672  8.0
NY.....................................................     13673  4.0
NY.....................................................     13674  5.0
NY.....................................................     13675  10.2
NY.....................................................     13676  7.0
NY.....................................................     13677  10.6
NY.....................................................     13678  5.0
NY.....................................................     13679  10.2
NY.....................................................     13680  7.0
NY.....................................................     13681  10.6
NY.....................................................     13682  5.0
NY.....................................................     13683  6.0
NY.....................................................     13684  10.6
NY.....................................................     13685  5.0
NY.....................................................     13687  8.0
NY.....................................................     13690  10.6
NY.....................................................     13691  5.0
NY.....................................................     13692  10.2
NY.....................................................     13693  5.0
NY.....................................................     13694  10.5
NY.....................................................     13695  10.6
NY.....................................................     13696  6.0
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NY.....................................................     13699  7.0
NY.....................................................     13730  10.4
NY.....................................................     13731  10.0
NY.....................................................     13732  1.0
NY.....................................................     13733  10.4
NY.....................................................     13734  2.0
NY.....................................................     13736  2.0
NY.....................................................     13737  1.0
NY.....................................................     13738  4.0
NY.....................................................     13739  10.0
NY.....................................................     13740  10.0
NY.....................................................     13743  2.1
NY.....................................................     13744  2.0
NY.....................................................     13745  1.0
NY.....................................................     13746  2.0
NY.....................................................     13747  5.0
NY.....................................................     13748  1.0
NY.....................................................     13749  1.0
NY.....................................................     13750  5.0
NY.....................................................     13751  5.0
NY.....................................................     13752  10.0
NY.....................................................     13753  10.0
NY.....................................................     13754  3.0
NY.....................................................     13755  10.0
NY.....................................................     13756  10.0
NY.....................................................     13757  10.0
NY.....................................................     13758  10.6
NY.....................................................     13760  1.0
NY.....................................................     13761  1.0
NY.....................................................     13762  1.0
NY.....................................................     13763  1.0
NY.....................................................     13774  10.0
NY.....................................................     13775  10.5
NY.....................................................     13776  10.5
NY.....................................................     13777  2.0
NY.....................................................     13778  10.4
NY.....................................................     13780  9.0
NY.....................................................     13782  10.0
NY.....................................................     13783  10.0
NY.....................................................     13784  2.0
NY.....................................................     13786  5.0
NY.....................................................     13787  2.0
NY.....................................................     13788  10.0
NY.....................................................     13790  1.0
NY.....................................................     13794  2.0
NY.....................................................     13795  1.0
NY.....................................................     13796  5.0
NY.....................................................     13797  2.0
NY.....................................................     13801  10.6
NY.....................................................     13802  2.0
NY.....................................................     13803  5.0
NY.....................................................     13804  10.6
NY.....................................................     13806  10.0
NY.....................................................     13807  5.0
NY.....................................................     13808  10.5
NY.....................................................     13809  9.0
NY.....................................................     13810  10.5
NY.....................................................     13811  2.0
NY.....................................................     13812  2.0
NY.....................................................     13813  2.0
NY.....................................................     13814  7.0
NY.....................................................     13815  7.0
NY.....................................................     13820  4.0
NY.....................................................     13825  5.0
NY.....................................................     13826  2.0
NY.....................................................     13827  2.0
NY.....................................................     13830  9.0
NY.....................................................     13832  10.6
NY.....................................................     13833  2.0
NY.....................................................     13834  5.0
NY.....................................................     13835  2.0
NY.....................................................     13837  10.0
NY.....................................................     13838  7.0
NY.....................................................     13839  7.0
NY.....................................................     13840  2.0
NY.....................................................     13841  10.4
NY.....................................................     13842  10.0
NY.....................................................     13843  10.6
NY.....................................................     13844  10.6
NY.....................................................     13845  2.0
NY.....................................................     13846  10.5
NY.....................................................     13847  7.0
NY.....................................................     13848  2.0
NY.....................................................     13849  9.2
NY.....................................................     13850  1.0
NY.....................................................     13851  1.0
NY.....................................................     13856  7.0
NY.....................................................     13859  9.2
NY.....................................................     13860  4.0
NY.....................................................     13861  4.0
NY.....................................................     13862  2.0
NY.....................................................     13863  5.0
NY.....................................................     13864  2.1
NY.....................................................     13865  2.0
NY.....................................................     13901  1.0
NY.....................................................     13902  1.0
NY.....................................................     13903  1.0
NY.....................................................     13904  1.0
NY.....................................................     13905  1.0
NY.....................................................     14001  2.0
NY.....................................................     14004  1.0
NY.....................................................     14005  3.0
NY.....................................................     14006  1.0
NY.....................................................     14008  5.2
NY.....................................................     14009  7.3
NY.....................................................     14010  1.0
NY.....................................................     14011  7.4
NY.....................................................     14012  10.5
NY.....................................................     14013  2.0
NY.....................................................     14020  4.2
NY.....................................................     14021  4.2
NY.....................................................     14024  10.4
NY.....................................................     14025  1.0
NY.....................................................     14026  1.0
NY.....................................................     14027  2.0
NY.....................................................     14028  5.0
NY.....................................................     14029  8.3
NY.....................................................     14030  2.0
NY.....................................................     14031  1.0
NY.....................................................     14032  2.0
NY.....................................................     14033  2.0
NY.....................................................     14034  7.1
NY.....................................................     14035  7.1
NY.....................................................     14036  2.0
NY.....................................................     14037  2.0
NY.....................................................     14038  1.0
NY.....................................................     14039  10.4
NY.....................................................     14040  3.0
NY.....................................................     14041  10.4
NY.....................................................     14042  7.3
NY.....................................................     14043  1.0
NY.....................................................     14047  1.0
NY.....................................................     14048  4.0
NY.....................................................     14051  1.0
NY.....................................................     14052  2.0
NY.....................................................     14054  6.1
NY.....................................................     14055  2.0
NY.....................................................     14056  4.2
NY.....................................................     14057  1.0
NY.....................................................     14058  6.0
NY.....................................................     14059  1.0
NY.....................................................     14060  10.5
NY.....................................................     14061  2.0
NY.....................................................     14062  5.0
NY.....................................................     14063  4.0
NY.....................................................     14065  8.3
NY.....................................................     14066  10.6
NY.....................................................     14067  5.1
NY.....................................................     14068  1.0
NY.....................................................     14069  2.0
NY.....................................................     14070  7.1
NY.....................................................     14072  1.0
NY.....................................................     14075  1.0
NY.....................................................     14080  2.0
NY.....................................................     14081  2.0
NY.....................................................     14082  2.0
NY.....................................................     14083  2.0
NY.....................................................     14085  1.0
NY.....................................................     14086  1.0
NY.....................................................     14091  2.0
NY.....................................................     14092  1.0
NY.....................................................     14094  4.1
NY.....................................................     14095  4.1
NY.....................................................     14098  10.4
NY.....................................................     14101  7.3
NY.....................................................     14102  2.0
NY.....................................................     14103  7.0
NY.....................................................     14105  6.0
NY.....................................................     14107  1.0
NY.....................................................     14108  5.2
NY.....................................................     14109  1.0
NY.....................................................     14110  1.0
NY.....................................................     14111  2.0
NY.....................................................     14112  1.0
NY.....................................................     14113  2.0
NY.....................................................     14120  1.0
NY.....................................................     14125  6.0
NY.....................................................     14126  5.0
NY.....................................................     14127  1.0
NY.....................................................     14129  7.1
NY.....................................................     14130  10.6
NY.....................................................     14131  2.0
NY.....................................................     14132  1.0
NY.....................................................     14133  8.3
NY.....................................................     14134  2.0
NY.....................................................     14135  2.0
NY.....................................................     14136  2.0
NY.....................................................     14138  10.4
NY.....................................................     14139  2.0
NY.....................................................     14140  1.0
NY.....................................................     14141  7.1
NY.....................................................     14143  2.0
NY.....................................................     14144  1.0
NY.....................................................     14145  3.0
NY.....................................................     14150  1.0
NY.....................................................     14151  1.0
NY.....................................................     14166  4.0
NY.....................................................     14167  3.0
NY.....................................................     14168  7.1
NY.....................................................     14169  2.0
NY.....................................................     14170  2.0
NY.....................................................     14171  3.0
NY.....................................................     14172  2.0
NY.....................................................     14173  7.3
NY.....................................................     14174  1.0
NY.....................................................     14201  1.0
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NY.....................................................     14203  1.0
NY.....................................................     14204  1.0
NY.....................................................     14205  1.0
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NY.....................................................     14207  1.0
NY.....................................................     14208  1.0
NY.....................................................     14209  1.0
NY.....................................................     14210  1.0
NY.....................................................     14211  1.0
NY.....................................................     14212  1.0
NY.....................................................     14213  1.0
NY.....................................................     14214  1.0
NY.....................................................     14215  1.0
NY.....................................................     14216  1.0
NY.....................................................     14217  1.0
NY.....................................................     14218  1.0
NY.....................................................     14219  1.0
NY.....................................................     14220  1.0
NY.....................................................     14221  1.0
NY.....................................................     14222  1.0
NY.....................................................     14223  1.0
NY.....................................................     14224  1.0
NY.....................................................     14225  1.0
NY.....................................................     14226  1.0
NY.....................................................     14227  1.0
NY.....................................................     14228  1.0
NY.....................................................     14231  1.0
NY.....................................................     14233  1.0
NY.....................................................     14240  1.0
NY.....................................................     14241  1.0
NY.....................................................     14260  1.0
NY.....................................................     14261  1.0
NY.....................................................     14263  1.0
NY.....................................................     14264  1.0
NY.....................................................     14265  1.0
NY.....................................................     14267  1.0
NY.....................................................     14269  1.0
NY.....................................................     14270  1.0
NY.....................................................     14272  1.0
NY.....................................................     14273  1.0
NY.....................................................     14276  1.0
NY.....................................................     14280  1.0
NY.....................................................     14301  1.0
NY.....................................................     14302  1.0
NY.....................................................     14303  1.0
NY.....................................................     14304  1.0
NY.....................................................     14305  1.0
NY.....................................................     14410  1.0
NY.....................................................     14411  7.3
NY.....................................................     14413  10.4
NY.....................................................     14414  2.0
NY.....................................................     14415  7.0
NY.....................................................     14416  2.0
NY.....................................................     14418  3.0
NY.....................................................     14420  1.0
NY.....................................................     14422  2.0
NY.....................................................     14423  2.0
NY.....................................................     14424  2.0
NY.....................................................     14425  1.0
NY.....................................................     14427  10.6
NY.....................................................     14428  2.0
NY.....................................................     14429  2.0
NY.....................................................     14430  1.0
NY.....................................................     14432  4.1
NY.....................................................     14433  10.6
NY.....................................................     14435  2.0
NY.....................................................     14437  3.0
NY.....................................................     14441  10.6
NY.....................................................     14443  2.0
NY.....................................................     14445  1.0
NY.....................................................     14449  2.0
NY.....................................................     14450  1.0
NY.....................................................     14452  2.0
NY.....................................................     14453  1.0
NY.....................................................     14454  7.3
NY.....................................................     14456  4.0
NY.....................................................     14461  6.0
NY.....................................................     14462  3.0
NY.....................................................     14463  4.0
NY.....................................................     14464  2.0
NY.....................................................     14466  2.0
NY.....................................................     14467  1.0
NY.....................................................     14468  1.0
NY.....................................................     14469  2.0
NY.....................................................     14470  2.0
NY.....................................................     14471  2.0
NY.....................................................     14472  2.0
NY.....................................................     14475  2.0
NY.....................................................     14476  2.0
NY.....................................................     14477  2.0
NY.....................................................     14478  7.0
NY.....................................................     14479  7.3
NY.....................................................     14480  2.0
NY.....................................................     14481  3.0
NY.....................................................     14482  2.0
NY.....................................................     14485  2.0
NY.....................................................     14486  3.0
NY.....................................................     14487  2.0
NY.....................................................     14488  2.0
NY.....................................................     14489  7.3
NY.....................................................     14502  1.0
NY.....................................................     14504  4.1
NY.....................................................     14505  2.0
NY.....................................................     14506  2.0
NY.....................................................     14507  3.0
NY.....................................................     14508  2.0
NY.....................................................     14510  9.1
NY.....................................................     14511  2.0
NY.....................................................     14512  10.4
NY.....................................................     14513  4.1
NY.....................................................     14514  1.0
NY.....................................................     14515  1.0
NY.....................................................     14516  10.4
NY.....................................................     14517  10.4
NY.....................................................     14518  4.0
NY.....................................................     14519  2.0
NY.....................................................     14520  2.0
NY.....................................................     14521  3.0
NY.....................................................     14522  4.1
NY.....................................................     14525  6.1
NY.....................................................     14526  1.0
NY.....................................................     14527  7.0
NY.....................................................     14529  10.4
NY.....................................................     14530  9.0
NY.....................................................     14532  10.5
NY.....................................................     14533  3.0
NY.....................................................     14534  1.0
NY.....................................................     14536  10.4
NY.....................................................     14537  4.1
NY.....................................................     14538  2.0
NY.....................................................     14539  3.0
NY.....................................................     14541  5.0
NY.....................................................     14542  7.3
NY.....................................................     14543  2.0
NY.....................................................     14544  3.0
NY.....................................................     14545  3.0
NY.....................................................     14546  2.0
NY.....................................................     14547  6.0
NY.....................................................     14548  4.1
NY.....................................................     14549  10.6
NY.....................................................     14550  10.6
NY.....................................................     14551  2.0
NY.....................................................     14555  2.0
NY.....................................................     14556  9.1
NY.....................................................     14557  2.0
NY.....................................................     14558  2.0
NY.....................................................     14559  1.0
NY.....................................................     14560  2.0
NY.....................................................     14561  6.0
NY.....................................................     14563  2.0
NY.....................................................     14564  1.0
NY.....................................................     14568  2.0
NY.....................................................     14569  7.0
NY.....................................................     14571  2.0
NY.....................................................     14572  10.4
NY.....................................................     14580  1.0
NY.....................................................     14585  2.0
NY.....................................................     14586  1.0
NY.....................................................     14588  3.0
NY.....................................................     14589  2.0
NY.....................................................     14590  10.4
NY.....................................................     14591  10.4
NY.....................................................     14592  3.0
NY.....................................................     14602  1.0
NY.....................................................     14603  1.0
NY.....................................................     14604  1.0
NY.....................................................     14605  1.0
NY.....................................................     14606  1.0
NY.....................................................     14607  1.0
NY.....................................................     14608  1.0
NY.....................................................     14609  1.0
NY.....................................................     14610  1.0
NY.....................................................     14611  1.0
NY.....................................................     14612  1.0
NY.....................................................     14613  1.0
NY.....................................................     14614  1.0
NY.....................................................     14615  1.0
NY.....................................................     14616  1.0
NY.....................................................     14617  1.0
NY.....................................................     14618  1.0
NY.....................................................     14619  1.0
NY.....................................................     14620  1.0
NY.....................................................     14621  1.0
NY.....................................................     14622  1.0
NY.....................................................     14623  1.0
NY.....................................................     14624  1.0
NY.....................................................     14625  1.0
NY.....................................................     14626  1.0
NY.....................................................     14627  1.0
NY.....................................................     14638  1.0
NY.....................................................     14639  1.0
NY.....................................................     14642  1.0
NY.....................................................     14643  1.0
NY.....................................................     14644  1.0
NY.....................................................     14645  1.0
NY.....................................................     14646  1.0
NY.....................................................     14647  1.0
NY.....................................................     14649  1.0
NY.....................................................     14650  1.0
NY.....................................................     14651  1.0
NY.....................................................     14652  1.0
NY.....................................................     14653  1.0
NY.....................................................     14664  1.0
NY.....................................................     14673  1.0
NY.....................................................     14683  1.0
NY.....................................................     14692  1.0
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NY.....................................................     14701  4.0
NY.....................................................     14702  4.0
NY.....................................................     14703  4.0
NY.....................................................     14704  4.0
NY.....................................................     14706  4.0
NY.....................................................     14707  7.0
NY.....................................................     14708  7.0
NY.....................................................     14709  10.0
NY.....................................................     14710  5.0
NY.....................................................     14711  10.5
NY.....................................................     14712  5.0
NY.....................................................     14714  10.5
NY.....................................................     14715  5.0
NY.....................................................     14716  5.0
NY.....................................................     14717  10.5
NY.....................................................     14718  5.0
NY.....................................................     14719  10.4
NY.....................................................     14720  4.0
NY.....................................................     14721  5.0
NY.....................................................     14722  10.5
NY.....................................................     14723  6.0
NY.....................................................     14724  10.5
NY.....................................................     14726  10.4
NY.....................................................     14727  10.5
NY.....................................................     14728  10.5
NY.....................................................     14729  3.0
NY.....................................................     14730  10.2
NY.....................................................     14731  10.6
NY.....................................................     14732  5.0
NY.....................................................     14733  4.0
NY.....................................................     14735  10.0
NY.....................................................     14736  3.0
NY.....................................................     14737  10.4
NY.....................................................     14738  5.0
NY.....................................................     14739  10.6
NY.....................................................     14740  5.0
NY.....................................................     14741  5.0
NY.....................................................     14742  4.0
NY.....................................................     14743  4.0
NY.....................................................     14744  10.0
NY.....................................................     14745  10.0
NY.....................................................     14747  5.0
NY.....................................................     14748  4.0
NY.....................................................     14750  4.0
NY.....................................................     14751  10.4
NY.....................................................     14752  10.5
NY.....................................................     14753  4.0
NY.....................................................     14754  5.0
NY.....................................................     14755  10.6
NY.....................................................     14756  5.0
NY.....................................................     14757  10.5
NY.....................................................     14758  5.0
NY.....................................................     14760  4.0
NY.....................................................     14766  10.4
NY.....................................................     14767  5.0
NY.....................................................     14769  5.0
NY.....................................................     14770  4.0
NY.....................................................     14772  10.2
NY.....................................................     14774  5.0
NY.....................................................     14775  3.0
NY.....................................................     14777  10.5
NY.....................................................     14778  4.0
NY.....................................................     14779  7.4
NY.....................................................     14781  10.5
NY.....................................................     14782  5.0
NY.....................................................     14783  10.2
NY.....................................................     14784  10.5
NY.....................................................     14785  5.0
NY.....................................................     14786  10.5
NY.....................................................     14787  7.4
NY.....................................................     14788  4.0
NY.....................................................     14801  6.0
NY.....................................................     14802  7.0
NY.....................................................     14803  7.0
NY.....................................................     14804  7.0
NY.....................................................     14805  10.4
NY.....................................................     14806  8.0
NY.....................................................     14807  6.0
NY.....................................................     14808  10.0
NY.....................................................     14809  10.6
NY.....................................................     14810  7.4
NY.....................................................     14812  5.1
NY.....................................................     14813  10.6
NY.....................................................     14814  2.0
NY.....................................................     14815  6.0
NY.....................................................     14816  1.0
NY.....................................................     14817  2.0
NY.....................................................     14818  2.0
NY.....................................................     14819  6.0
NY.....................................................     14820  6.0
NY.....................................................     14821  5.0
NY.....................................................     14822  6.0
NY.....................................................     14823  5.0
NY.....................................................     14824  10.4
NY.....................................................     14825  2.0
NY.....................................................     14826  10.0
NY.....................................................     14827  4.2
NY.....................................................     14830  4.2
NY.....................................................     14831  4.2
NY.....................................................     14836  10.4
NY.....................................................     14837  10.6
NY.....................................................     14838  2.0
NY.....................................................     14839  10.5
NY.....................................................     14840  10.6
NY.....................................................     14841  2.0
NY.....................................................     14842  10.6
NY.....................................................     14843  4.0
NY.....................................................     14844  1.0
NY.....................................................     14845  1.0
NY.....................................................     14846  10.4
NY.....................................................     14847  2.0
NY.....................................................     14850  1.0
NY.....................................................     14851  1.0
NY.....................................................     14852  1.0
NY.....................................................     14853  1.0
NY.....................................................     14854  2.0
NY.....................................................     14855  10.5
NY.....................................................     14856  7.4
NY.....................................................     14857  10.6
NY.....................................................     14858  5.2
NY.....................................................     14859  5.0
NY.....................................................     14860  3.0
NY.....................................................     14861  2.0
NY.....................................................     14863  2.0
NY.....................................................     14864  2.0
NY.....................................................     14865  10.4
NY.....................................................     14867  2.0
NY.....................................................     14869  10.4
NY.....................................................     14870  4.2
NY.....................................................     14871  1.0
NY.....................................................     14872  2.0
NY.....................................................     14873  10.6
NY.....................................................     14874  10.6
NY.....................................................     14876  7.3
NY.....................................................     14877  10.5
NY.....................................................     14878  9.1
NY.....................................................     14879  8.4
NY.....................................................     14880  7.0
NY.....................................................     14881  2.0
NY.....................................................     14882  2.0
NY.....................................................     14883  2.0
NY.....................................................     14884  6.0
NY.....................................................     14885  10.5
NY.....................................................     14886  2.0
NY.....................................................     14887  10.6
NY.....................................................     14889  2.0
NY.....................................................     14891  7.3
NY.....................................................     14892  4.0
NY.....................................................     14893  10.6
NY.....................................................     14894  1.0
NY.....................................................     14895  7.0
NY.....................................................     14897  7.0
NY.....................................................     14898  6.0
NY.....................................................     14901  1.0
NY.....................................................     14902  1.0
NY.....................................................     14903  1.0
NY.....................................................     14904  1.0
NY.....................................................     14905  1.0
NY.....................................................     14925  1.0
OH.....................................................     43001  2.0
OH.....................................................     43002  1.0
OH.....................................................     43003  2.0
OH.....................................................     43004  1.0
OH.....................................................     43005  2.1
OH.....................................................     43006  9.0
OH.....................................................     43007  2.0
OH.....................................................     43008  1.0
OH.....................................................     43009  6.0
OH.....................................................     43010  6.1
OH.....................................................     43011  2.0
OH.....................................................     43013  2.0
OH.....................................................     43014  5.0
OH.....................................................     43015  2.0
OH.....................................................     43016  1.0
OH.....................................................     43017  1.0
OH.....................................................     43018  2.0
OH.....................................................     43019  5.0
OH.....................................................     43021  2.0
OH.....................................................     43022  4.0
OH.....................................................     43023  1.0
OH.....................................................     43025  1.0
OH.....................................................     43026  1.0
OH.....................................................     43027  2.1
OH.....................................................     43028  5.0
OH.....................................................     43029  2.0
OH.....................................................     43030  2.0
OH.....................................................     43031  2.0
OH.....................................................     43032  2.0
OH.....................................................     43033  2.0
OH.....................................................     43035  1.0
OH.....................................................     43036  2.0
OH.....................................................     43037  5.2
OH.....................................................     43040  2.0
OH.....................................................     43041  2.0
OH.....................................................     43044  6.1
OH.....................................................     43045  2.0
OH.....................................................     43046  1.0
OH.....................................................     43047  6.0
OH.....................................................     43048  2.0
OH.....................................................     43050  4.0
OH.....................................................     43054  1.0
OH.....................................................     43055  1.0
OH.....................................................     43056  1.0
OH.....................................................     43058  1.0
OH.....................................................     43060  6.0
OH.....................................................     43061  2.0
OH.....................................................     43062  2.0

[[Page 70179]]

 
OH.....................................................     43064  2.0
OH.....................................................     43065  1.0
OH.....................................................     43066  2.0
OH.....................................................     43067  2.0
OH.....................................................     43068  1.0
OH.....................................................     43070  10.5
OH.....................................................     43071  2.1
OH.....................................................     43072  3.0
OH.....................................................     43073  2.0
OH.....................................................     43074  2.0
OH.....................................................     43076  2.0
OH.....................................................     43077  2.0
OH.....................................................     43078  4.2
OH.....................................................     43080  2.1
OH.....................................................     43081  1.0
OH.....................................................     43082  1.0
OH.....................................................     43083  4.2
OH.....................................................     43084  6.0
OH.....................................................     43085  1.0
OH.....................................................     43086  1.0
OH.....................................................     43093  1.0
OH.....................................................     43098  1.0
OH.....................................................     43101  3.0
OH.....................................................     43102  2.0
OH.....................................................     43103  2.0
OH.....................................................     43105  2.0
OH.....................................................     43106  5.2
OH.....................................................     43107  5.2
OH.....................................................     43109  1.0
OH.....................................................     43110  1.0
OH.....................................................     43111  7.4
OH.....................................................     43112  2.0
OH.....................................................     43113  4.2
OH.....................................................     43115  5.0
OH.....................................................     43116  2.0
OH.....................................................     43117  2.0
OH.....................................................     43119  1.0
OH.....................................................     43123  1.0
OH.....................................................     43125  1.0
OH.....................................................     43126  2.0
OH.....................................................     43127  7.4
OH.....................................................     43128  6.0
OH.....................................................     43130  4.2
OH.....................................................     43135  3.0
OH.....................................................     43136  1.0
OH.....................................................     43137  1.0
OH.....................................................     43138  7.4
OH.....................................................     43140  7.1
OH.....................................................     43142  4.0
OH.....................................................     43143  2.0
OH.....................................................     43144  5.0
OH.....................................................     43145  3.0
OH.....................................................     43146  2.0
OH.....................................................     43147  1.0
OH.....................................................     43148  2.0
OH.....................................................     43149  3.0
OH.....................................................     43150  5.2
OH.....................................................     43151  7.1
OH.....................................................     43152  8.3
OH.....................................................     43153  9.1
OH.....................................................     43154  2.0
OH.....................................................     43155  5.2
OH.....................................................     43156  3.0
OH.....................................................     43157  2.0
OH.....................................................     43158  7.4
OH.....................................................     43160  4.0
OH.....................................................     43162  2.0
OH.....................................................     43163  4.2
OH.....................................................     43164  3.0
OH.....................................................     43195  1.0
OH.....................................................     43196  1.0
OH.....................................................     43198  1.0
OH.....................................................     43199  1.0
OH.....................................................     43201  1.0
OH.....................................................     43202  1.0
OH.....................................................     43203  1.0
OH.....................................................     43204  1.0
OH.....................................................     43205  1.0
OH.....................................................     43206  1.0
OH.....................................................     43207  1.0
OH.....................................................     43209  1.0
OH.....................................................     43210  1.0
OH.....................................................     43211  1.0
OH.....................................................     43212  1.0
OH.....................................................     43213  1.0
OH.....................................................     43214  1.0
OH.....................................................     43215  1.0
OH.....................................................     43216  1.0
OH.....................................................     43217  1.0
OH.....................................................     43218  1.0
OH.....................................................     43219  1.0
OH.....................................................     43220  1.0
OH.....................................................     43221  1.0
OH.....................................................     43222  1.0
OH.....................................................     43223  1.0
OH.....................................................     43224  1.0
OH.....................................................     43226  1.0
OH.....................................................     43227  1.0
OH.....................................................     43228  1.0
OH.....................................................     43229  1.0
OH.....................................................     43230  1.0
OH.....................................................     43231  1.0
OH.....................................................     43232  1.0
OH.....................................................     43234  1.0
OH.....................................................     43235  1.0
OH.....................................................     43236  1.0
OH.....................................................     43240  1.0
OH.....................................................     43251  1.0
OH.....................................................     43260  1.0
OH.....................................................     43265  1.0
OH.....................................................     43266  1.0
OH.....................................................     43268  1.0
OH.....................................................     43270  1.0
OH.....................................................     43271  1.0
OH.....................................................     43272  1.0
OH.....................................................     43279  1.0
OH.....................................................     43287  1.0
OH.....................................................     43291  1.0
OH.....................................................     43299  1.0
OH.....................................................     43301  4.0
OH.....................................................     43302  4.0
OH.....................................................     43306  4.0
OH.....................................................     43307  4.0
OH.....................................................     43310  6.0
OH.....................................................     43311  4.0
OH.....................................................     43314  5.0
OH.....................................................     43315  3.0
OH.....................................................     43316  7.4
OH.....................................................     43317  5.0
OH.....................................................     43318  10.5
OH.....................................................     43319  6.0
OH.....................................................     43320  9.1
OH.....................................................     43321  3.0
OH.....................................................     43322  4.0
OH.....................................................     43323  8.4
OH.....................................................     43324  6.0
OH.....................................................     43325  4.2
OH.....................................................     43326  7.0
OH.....................................................     43330  7.0
OH.....................................................     43331  9.2
OH.....................................................     43332  5.0
OH.....................................................     43333  10.5
OH.....................................................     43334  2.0
OH.....................................................     43335  5.0
OH.....................................................     43336  6.0
OH.....................................................     43337  4.0
OH.....................................................     43338  7.3
OH.....................................................     43340  8.0
OH.....................................................     43341  5.0
OH.....................................................     43342  5.2
OH.....................................................     43343  10.5
OH.....................................................     43344  10.0
OH.....................................................     43345  8.0
OH.....................................................     43346  9.0
OH.....................................................     43347  6.0
OH.....................................................     43348  9.2
OH.....................................................     43349  2.0
OH.....................................................     43350  2.0
OH.....................................................     43351  7.0
OH.....................................................     43356  5.2
OH.....................................................     43357  6.0
OH.....................................................     43358  6.0
OH.....................................................     43359  8.4
OH.....................................................     43360  6.0
OH.....................................................     43402  4.2
OH.....................................................     43403  4.2
OH.....................................................     43406  3.0
OH.....................................................     43407  5.0
OH.....................................................     43408  2.0
OH.....................................................     43410  7.4
OH.....................................................     43412  2.0
OH.....................................................     43413  6.0
OH.....................................................     43414  4.2
OH.....................................................     43416  2.0
OH.....................................................     43420  4.0
OH.....................................................     43430  2.0
OH.....................................................     43431  10.5
OH.....................................................     43432  2.0
OH.....................................................     43433  4.0
OH.....................................................     43434  1.0
OH.....................................................     43435  5.0
OH.....................................................     43436  10.0
OH.....................................................     43437  6.0
OH.....................................................     43438  1.0
OH.....................................................     43439  4.0
OH.....................................................     43440  6.0
OH.....................................................     43441  2.0
OH.....................................................     43442  5.2
OH.....................................................     43443  2.0
OH.....................................................     43445  2.0
OH.....................................................     43446  4.0
OH.....................................................     43447  1.0
OH.....................................................     43449  6.0
OH.....................................................     43450  2.0
OH.....................................................     43451  5.2
OH.....................................................     43452  4.0
OH.....................................................     43456  10.0
OH.....................................................     43457  3.0
OH.....................................................     43458  6.0
OH.....................................................     43460  1.0
OH.....................................................     43462  5.2
OH.....................................................     43463  1.0
OH.....................................................     43464  3.0
OH.....................................................     43465  1.0
OH.....................................................     43466  3.0
OH.....................................................     43467  3.0
OH.....................................................     43468  2.0

[[Page 70180]]

 
OH.....................................................     43469  2.0
OH.....................................................     43501  10.6
OH.....................................................     43502  7.0
OH.....................................................     43504  2.0
OH.....................................................     43505  10.6
OH.....................................................     43506  7.0
OH.....................................................     43510  9.1
OH.....................................................     43511  5.2
OH.....................................................     43512  4.0
OH.....................................................     43515  2.0
OH.....................................................     43516  10.6
OH.....................................................     43517  10.6
OH.....................................................     43518  10.6
OH.....................................................     43519  4.0
OH.....................................................     43520  7.0
OH.....................................................     43521  8.0
OH.....................................................     43522  2.0
OH.....................................................     43523  8.0
OH.....................................................     43524  10.6
OH.....................................................     43525  2.0
OH.....................................................     43526  7.3
OH.....................................................     43527  8.4
OH.....................................................     43528  1.0
OH.....................................................     43529  10.6
OH.....................................................     43530  4.0
OH.....................................................     43531  10.6
OH.....................................................     43532  9.1
OH.....................................................     43533  9.1
OH.....................................................     43534  8.0
OH.....................................................     43535  8.0
OH.....................................................     43536  6.0
OH.....................................................     43537  1.0
OH.....................................................     43540  2.0
OH.....................................................     43541  5.2
OH.....................................................     43542  1.0
OH.....................................................     43543  7.0
OH.....................................................     43545  7.0
OH.....................................................     43547  2.0
OH.....................................................     43548  8.4
OH.....................................................     43549  9.2
OH.....................................................     43550  7.0
OH.....................................................     43551  1.0
OH.....................................................     43552  1.0
OH.....................................................     43553  7.0
OH.....................................................     43554  10.6
OH.....................................................     43555  7.0
OH.....................................................     43556  6.0
OH.....................................................     43557  9.0
OH.....................................................     43558  2.0
OH.....................................................     43560  1.0
OH.....................................................     43565  4.2
OH.....................................................     43566  1.0
OH.....................................................     43567  7.0
OH.....................................................     43569  5.2
OH.....................................................     43570  10.6
OH.....................................................     43571  2.0
OH.....................................................     43601  1.0
OH.....................................................     43602  1.0
OH.....................................................     43603  1.0
OH.....................................................     43604  1.0
OH.....................................................     43605  1.0
OH.....................................................     43606  1.0
OH.....................................................     43607  1.0
OH.....................................................     43608  1.0
OH.....................................................     43609  1.0
OH.....................................................     43610  1.0
OH.....................................................     43611  1.0
OH.....................................................     43612  1.0
OH.....................................................     43613  1.0
OH.....................................................     43614  1.0
OH.....................................................     43615  1.0
OH.....................................................     43616  1.0
OH.....................................................     43617  1.0
OH.....................................................     43618  2.0
OH.....................................................     43619  1.0
OH.....................................................     43620  1.0
OH.....................................................     43623  1.0
OH.....................................................     43624  1.0
OH.....................................................     43635  1.0
OH.....................................................     43652  1.0
OH.....................................................     43654  1.0
OH.....................................................     43656  1.0
OH.....................................................     43657  1.0
OH.....................................................     43659  1.0
OH.....................................................     43660  1.0
OH.....................................................     43661  1.0
OH.....................................................     43666  1.0
OH.....................................................     43667  1.0
OH.....................................................     43681  1.0
OH.....................................................     43682  1.0
OH.....................................................     43697  1.0
OH.....................................................     43699  1.0
OH.....................................................     43701  4.0
OH.....................................................     43702  4.0
OH.....................................................     43711  5.0
OH.....................................................     43713  7.3
OH.....................................................     43716  10.0
OH.....................................................     43717  7.4
OH.....................................................     43718  2.0
OH.....................................................     43719  2.0
OH.....................................................     43720  5.0
OH.....................................................     43721  2.0
OH.....................................................     43722  5.0
OH.....................................................     43723  4.0
OH.....................................................     43724  7.4
OH.....................................................     43725  4.0
OH.....................................................     43727  5.0
OH.....................................................     43728  9.0
OH.....................................................     43730  9.1
OH.....................................................     43731  9.2
OH.....................................................     43732  5.0
OH.....................................................     43733  5.0
OH.....................................................     43734  5.0
OH.....................................................     43735  5.0
OH.....................................................     43736  6.0
OH.....................................................     43738  2.0
OH.....................................................     43739  2.0
OH.....................................................     43740  1.0
OH.....................................................     43746  5.2
OH.....................................................     43747  10.0
OH.....................................................     43748  9.1
OH.....................................................     43749  5.0
OH.....................................................     43750  4.0
OH.....................................................     43752  10.0
OH.....................................................     43754  10.0
OH.....................................................     43755  5.0
OH.....................................................     43756  7.0
OH.....................................................     43757  10.0
OH.....................................................     43758  7.0
OH.....................................................     43759  2.0
OH.....................................................     43760  2.0
OH.....................................................     43761  9.1
OH.....................................................     43762  7.4
OH.....................................................     43764  7.4
OH.....................................................     43766  9.1
OH.....................................................     43767  7.4
OH.....................................................     43768  5.0
OH.....................................................     43771  5.0
OH.....................................................     43772  5.0
OH.....................................................     43773  6.0
OH.....................................................     43777  5.0
OH.....................................................     43778  6.0
OH.....................................................     43779  6.0
OH.....................................................     43780  5.0
OH.....................................................     43782  9.1
OH.....................................................     43783  3.0
OH.....................................................     43786  10.0
OH.....................................................     43787  9.0
OH.....................................................     43788  6.0
OH.....................................................     43789  10.0
OH.....................................................     43791  4.0
OH.....................................................     43793  10.0
OH.....................................................     43802  5.0
OH.....................................................     43803  7.4
OH.....................................................     43804  10.0
OH.....................................................     43805  6.0
OH.....................................................     43811  5.0
OH.....................................................     43812  4.0
OH.....................................................     43821  10.2
OH.....................................................     43822  5.0
OH.....................................................     43824  5.0
OH.....................................................     43828  4.0
OH.....................................................     43830  5.0
OH.....................................................     43832  7.4
OH.....................................................     43836  4.0
OH.....................................................     43837  5.0
OH.....................................................     43840  5.0
OH.....................................................     43842  10.2
OH.....................................................     43843  6.0
OH.....................................................     43844  6.0
OH.....................................................     43845  5.0
OH.....................................................     43901  2.0
OH.....................................................     43902  2.0
OH.....................................................     43903  2.0
OH.....................................................     43905  1.0
OH.....................................................     43906  2.0
OH.....................................................     43907  7.4
OH.....................................................     43908  2.0
OH.....................................................     43909  1.0
OH.....................................................     43910  2.0
OH.....................................................     43912  1.0
OH.....................................................     43913  1.0
OH.....................................................     43914  10.0
OH.....................................................     43915  10.6
OH.....................................................     43916  1.0
OH.....................................................     43917  2.1
OH.....................................................     43920  4.0
OH.....................................................     43925  2.0
OH.....................................................     43926  1.0
OH.....................................................     43927  1.0
OH.....................................................     43928  1.0
OH.....................................................     43930  2.0
OH.....................................................     43931  10.6
OH.....................................................     43932  2.0
OH.....................................................     43933  2.0
OH.....................................................     43934  1.0
OH.....................................................     43935  1.0
OH.....................................................     43937  1.0
OH.....................................................     43938  1.0
OH.....................................................     43939  2.1
OH.....................................................     43940  2.0
OH.....................................................     43941  2.1
OH.....................................................     43942  2.0
OH.....................................................     43943  2.0
OH.....................................................     43944  2.0
OH.....................................................     43945  6.0
OH.....................................................     43946  10.6

[[Page 70181]]

 
OH.....................................................     43947  1.0
OH.....................................................     43948  2.1
OH.....................................................     43950  1.0
OH.....................................................     43951  2.0
OH.....................................................     43952  1.0
OH.....................................................     43953  1.0
OH.....................................................     43961  1.0
OH.....................................................     43962  6.0
OH.....................................................     43963  1.0
OH.....................................................     43964  1.0
OH.....................................................     43967  2.0
OH.....................................................     43968  4.0
OH.....................................................     43970  2.0
OH.....................................................     43971  1.0
OH.....................................................     43972  1.0
OH.....................................................     43973  5.0
OH.....................................................     43974  7.4
OH.....................................................     43976  3.0
OH.....................................................     43977  2.0
OH.....................................................     43981  7.4
OH.....................................................     43983  2.0
OH.....................................................     43984  3.0
OH.....................................................     43985  2.0
OH.....................................................     43986  3.0
OH.....................................................     43988  6.0
OH.....................................................     44001  1.0
OH.....................................................     44003  10.5
OH.....................................................     44004  4.2
OH.....................................................     44005  4.2
OH.....................................................     44010  2.0
OH.....................................................     44011  1.0
OH.....................................................     44012  1.0
OH.....................................................     44017  1.0
OH.....................................................     44021  7.1
OH.....................................................     44022  1.0
OH.....................................................     44023  1.0
OH.....................................................     44024  2.0
OH.....................................................     44026  1.0
OH.....................................................     44028  2.0
OH.....................................................     44030  4.0
OH.....................................................     44032  10.5
OH.....................................................     44033  2.0
OH.....................................................     44035  1.0
OH.....................................................     44036  1.0
OH.....................................................     44039  1.0
OH.....................................................     44040  2.0
OH.....................................................     44041  4.2
OH.....................................................     44044  1.0
OH.....................................................     44045  1.0
OH.....................................................     44046  3.0
OH.....................................................     44047  7.2
OH.....................................................     44048  5.0
OH.....................................................     44049  7.1
OH.....................................................     44050  2.1
OH.....................................................     44052  1.0
OH.....................................................     44053  1.0
OH.....................................................     44054  1.0
OH.....................................................     44055  1.0
OH.....................................................     44056  1.0
OH.....................................................     44057  1.0
OH.....................................................     44060  1.0
OH.....................................................     44061  1.0
OH.....................................................     44062  7.1
OH.....................................................     44064  2.0
OH.....................................................     44065  2.0
OH.....................................................     44067  1.0
OH.....................................................     44068  4.0
OH.....................................................     44070  1.0
OH.....................................................     44072  1.0
OH.....................................................     44073  1.0
OH.....................................................     44074  1.0
OH.....................................................     44076  10.4
OH.....................................................     44077  1.0
OH.....................................................     44080  7.1
OH.....................................................     44081  1.0
OH.....................................................     44082  5.0
OH.....................................................     44084  2.0
OH.....................................................     44085  2.0
OH.....................................................     44086  2.0
OH.....................................................     44087  1.0
OH.....................................................     44088  4.2
OH.....................................................     44089  1.0
OH.....................................................     44090  7.1
OH.....................................................     44092  1.0
OH.....................................................     44093  10.5
OH.....................................................     44094  1.0
OH.....................................................     44095  1.0
OH.....................................................     44096  1.0
OH.....................................................     44097  1.0
OH.....................................................     44099  10.4
OH.....................................................     44101  1.0
OH.....................................................     44102  1.0
OH.....................................................     44103  1.0
OH.....................................................     44104  1.0
OH.....................................................     44105  1.0
OH.....................................................     44106  1.0
OH.....................................................     44107  1.0
OH.....................................................     44108  1.0
OH.....................................................     44109  1.0
OH.....................................................     44110  1.0
OH.....................................................     44111  1.0
OH.....................................................     44112  1.0
OH.....................................................     44113  1.0
OH.....................................................     44114  1.0
OH.....................................................     44115  1.0
OH.....................................................     44116  1.0
OH.....................................................     44117  1.0
OH.....................................................     44118  1.0
OH.....................................................     44119  1.0
OH.....................................................     44120  1.0
OH.....................................................     44121  1.0
OH.....................................................     44122  1.0
OH.....................................................     44123  1.0
OH.....................................................     44124  1.0
OH.....................................................     44125  1.0
OH.....................................................     44126  1.0
OH.....................................................     44127  1.0
OH.....................................................     44128  1.0
OH.....................................................     44129  1.0
OH.....................................................     44130  1.0
OH.....................................................     44131  1.0
OH.....................................................     44132  1.0
OH.....................................................     44133  1.0
OH.....................................................     44134  1.0
OH.....................................................     44135  1.0
OH.....................................................     44136  1.0
OH.....................................................     44137  1.0
OH.....................................................     44138  1.0
OH.....................................................     44139  1.0
OH.....................................................     44140  1.0
OH.....................................................     44141  1.0
OH.....................................................     44142  1.0
OH.....................................................     44143  1.0
OH.....................................................     44144  1.0
OH.....................................................     44145  1.0
OH.....................................................     44146  1.0
OH.....................................................     44147  1.0
OH.....................................................     44149  1.0
OH.....................................................     44178  1.0
OH.....................................................     44181  1.0
OH.....................................................     44185  1.0
OH.....................................................     44188  1.0
OH.....................................................     44189  1.0
OH.....................................................     44190  1.0
OH.....................................................     44191  1.0
OH.....................................................     44192  1.0
OH.....................................................     44193  1.0
OH.....................................................     44194  1.0
OH.....................................................     44195  1.0
OH.....................................................     44197  1.0
OH.....................................................     44198  1.0
OH.....................................................     44199  1.0
OH.....................................................     44201  2.1
OH.....................................................     44202  1.0
OH.....................................................     44203  1.0
OH.....................................................     44210  1.0
OH.....................................................     44211  1.0
OH.....................................................     44212  1.0
OH.....................................................     44214  6.0
OH.....................................................     44215  4.1
OH.....................................................     44216  1.0
OH.....................................................     44217  3.0
OH.....................................................     44221  1.0
OH.....................................................     44222  1.0
OH.....................................................     44223  1.0
OH.....................................................     44224  1.0
OH.....................................................     44230  1.0
OH.....................................................     44231  2.0
OH.....................................................     44232  1.0
OH.....................................................     44233  2.0
OH.....................................................     44234  2.0
OH.....................................................     44235  3.0
OH.....................................................     44236  1.0
OH.....................................................     44237  1.0
OH.....................................................     44240  1.0
OH.....................................................     44241  1.0
OH.....................................................     44242  1.0
OH.....................................................     44243  1.0
OH.....................................................     44250  1.0
OH.....................................................     44251  3.0
OH.....................................................     44253  2.0
OH.....................................................     44254  5.0
OH.....................................................     44255  2.0
OH.....................................................     44256  4.1
OH.....................................................     44258  4.1
OH.....................................................     44260  1.0
OH.....................................................     44262  1.0
OH.....................................................     44264  1.0
OH.....................................................     44265  2.1
OH.....................................................     44266  1.0
OH.....................................................     44270  2.0
OH.....................................................     44272  2.1
OH.....................................................     44273  3.0
OH.....................................................     44274  1.0
OH.....................................................     44275  3.0
OH.....................................................     44276  10.5
OH.....................................................     44278  1.0
OH.....................................................     44280  2.0
OH.....................................................     44281  1.0
OH.....................................................     44282  1.0
OH.....................................................     44285  1.0
OH.....................................................     44286  1.0
OH.....................................................     44287  6.0
OH.....................................................     44288  2.0
OH.....................................................     44301  1.0
OH.....................................................     44302  1.0
OH.....................................................     44303  1.0

[[Page 70182]]

 
OH.....................................................     44304  1.0
OH.....................................................     44305  1.0
OH.....................................................     44306  1.0
OH.....................................................     44307  1.0
OH.....................................................     44308  1.0
OH.....................................................     44309  1.0
OH.....................................................     44310  1.0
OH.....................................................     44311  1.0
OH.....................................................     44312  1.0
OH.....................................................     44313  1.0
OH.....................................................     44314  1.0
OH.....................................................     44315  1.0
OH.....................................................     44316  1.0
OH.....................................................     44317  1.0
OH.....................................................     44319  1.0
OH.....................................................     44320  1.0
OH.....................................................     44321  1.0
OH.....................................................     44322  1.0
OH.....................................................     44325  1.0
OH.....................................................     44326  1.0
OH.....................................................     44328  1.0
OH.....................................................     44333  1.0
OH.....................................................     44334  1.0
OH.....................................................     44372  1.0
OH.....................................................     44393  1.0
OH.....................................................     44396  1.0
OH.....................................................     44398  1.0
OH.....................................................     44399  1.0
OH.....................................................     44401  2.0
OH.....................................................     44402  2.0
OH.....................................................     44403  2.0
OH.....................................................     44404  2.0
OH.....................................................     44405  1.0
OH.....................................................     44406  1.0
OH.....................................................     44408  3.0
OH.....................................................     44410  1.0
OH.....................................................     44411  2.1
OH.....................................................     44412  2.1
OH.....................................................     44413  9.1
OH.....................................................     44415  9.1
OH.....................................................     44416  2.0
OH.....................................................     44417  2.0
OH.....................................................     44418  2.0
OH.....................................................     44420  1.0
OH.....................................................     44422  1.0
OH.....................................................     44423  10.6
OH.....................................................     44424  2.0
OH.....................................................     44425  1.0
OH.....................................................     44427  10.1
OH.....................................................     44428  2.0
OH.....................................................     44429  2.1
OH.....................................................     44430  1.0
OH.....................................................     44431  3.0
OH.....................................................     44432  9.1
OH.....................................................     44436  2.0
OH.....................................................     44437  1.0
OH.....................................................     44438  1.0
OH.....................................................     44439  7.1
OH.....................................................     44440  1.0
OH.....................................................     44441  6.0
OH.....................................................     44442  1.0
OH.....................................................     44443  1.0
OH.....................................................     44444  1.0
OH.....................................................     44445  3.0
OH.....................................................     44446  1.0
OH.....................................................     44449  2.1
OH.....................................................     44450  2.0
OH.....................................................     44451  2.0
OH.....................................................     44452  2.0
OH.....................................................     44453  2.0
OH.....................................................     44454  1.0
OH.....................................................     44455  9.1
OH.....................................................     44460  4.2
OH.....................................................     44470  2.0
OH.....................................................     44471  1.0
OH.....................................................     44473  2.0
OH.....................................................     44481  2.0
OH.....................................................     44482  2.0
OH.....................................................     44483  1.0
OH.....................................................     44484  1.0
OH.....................................................     44485  1.0
OH.....................................................     44486  2.0
OH.....................................................     44487  2.0
OH.....................................................     44488  2.0
OH.....................................................     44490  3.0
OH.....................................................     44491  9.1
OH.....................................................     44492  9.1
OH.....................................................     44493  10.6
OH.....................................................     44501  1.0
OH.....................................................     44502  1.0
OH.....................................................     44503  1.0
OH.....................................................     44504  1.0
OH.....................................................     44505  1.0
OH.....................................................     44506  1.0
OH.....................................................     44507  1.0
OH.....................................................     44509  1.0
OH.....................................................     44510  1.0
OH.....................................................     44511  1.0
OH.....................................................     44512  1.0
OH.....................................................     44513  1.0
OH.....................................................     44514  1.0
OH.....................................................     44515  1.0
OH.....................................................     44555  1.0
OH.....................................................     44598  1.0
OH.....................................................     44599  1.0
OH.....................................................     44601  4.2
OH.....................................................     44606  5.0
OH.....................................................     44607  10.1
OH.....................................................     44608  2.0
OH.....................................................     44609  4.2
OH.....................................................     44610  10.5
OH.....................................................     44611  6.0
OH.....................................................     44612  2.0
OH.....................................................     44613  2.0
OH.....................................................     44614  1.0
OH.....................................................     44615  7.1
OH.....................................................     44617  10.0
OH.....................................................     44618  10.4
OH.....................................................     44619  4.2
OH.....................................................     44620  2.0
OH.....................................................     44621  4.0
OH.....................................................     44622  4.0
OH.....................................................     44624  10.0
OH.....................................................     44625  10.6
OH.....................................................     44626  2.0
OH.....................................................     44627  10.5
OH.....................................................     44628  9.0
OH.....................................................     44629  5.0
OH.....................................................     44630  1.0
OH.....................................................     44631  7.1
OH.....................................................     44632  1.0
OH.....................................................     44633  10.6
OH.....................................................     44634  5.0
OH.....................................................     44636  10.4
OH.....................................................     44637  9.0
OH.....................................................     44638  6.0
OH.....................................................     44639  4.0
OH.....................................................     44640  4.2
OH.....................................................     44641  1.0
OH.....................................................     44643  2.0
OH.....................................................     44644  2.0
OH.....................................................     44645  2.0
OH.....................................................     44646  1.0
OH.....................................................     44647  1.0
OH.....................................................     44648  1.0
OH.....................................................     44650  4.2
OH.....................................................     44651  3.0
OH.....................................................     44652  1.0
OH.....................................................     44653  4.0
OH.....................................................     44654  10.5
OH.....................................................     44656  5.2
OH.....................................................     44657  7.1
OH.....................................................     44659  10.0
OH.....................................................     44660  10.5
OH.....................................................     44661  6.0
OH.....................................................     44662  2.0
OH.....................................................     44663  4.0
OH.....................................................     44665  4.2
OH.....................................................     44666  2.1
OH.....................................................     44667  7.4
OH.....................................................     44669  2.0
OH.....................................................     44670  2.0
OH.....................................................     44671  5.2
OH.....................................................     44672  4.2
OH.....................................................     44675  2.0
OH.....................................................     44676  5.0
OH.....................................................     44677  4.0
OH.....................................................     44678  5.2
OH.....................................................     44679  4.0
OH.....................................................     44680  4.0
OH.....................................................     44681  10.5
OH.....................................................     44682  5.0
OH.....................................................     44683  4.0
OH.....................................................     44685  1.0
OH.....................................................     44687  10.5
OH.....................................................     44688  2.0
OH.....................................................     44689  10.0
OH.....................................................     44690  10.0
OH.....................................................     44691  4.0
OH.....................................................     44693  5.0
OH.....................................................     44695  6.0
OH.....................................................     44697  2.0
OH.....................................................     44699  5.0
OH.....................................................     44701  1.0
OH.....................................................     44702  1.0
OH.....................................................     44703  1.0
OH.....................................................     44704  1.0
OH.....................................................     44705  1.0
OH.....................................................     44706  1.0
OH.....................................................     44707  1.0
OH.....................................................     44708  1.0
OH.....................................................     44709  1.0
OH.....................................................     44710  1.0
OH.....................................................     44711  1.0
OH.....................................................     44712  1.0
OH.....................................................     44714  1.0
OH.....................................................     44718  1.0
OH.....................................................     44720  1.0
OH.....................................................     44721  1.0
OH.....................................................     44730  1.0
OH.....................................................     44735  1.0
OH.....................................................     44750  1.0
OH.....................................................     44760  1.0
OH.....................................................     44767  1.0
OH.....................................................     44798  1.0
OH.....................................................     44799  1.0
OH.....................................................     44802  6.0

[[Page 70183]]

 
OH.....................................................     44804  4.0
OH.....................................................     44805  4.0
OH.....................................................     44807  6.0
OH.....................................................     44809  4.0
OH.....................................................     44811  7.3
OH.....................................................     44813  2.0
OH.....................................................     44814  2.0
OH.....................................................     44815  6.0
OH.....................................................     44816  2.0
OH.....................................................     44817  6.0
OH.....................................................     44818  6.0
OH.....................................................     44820  4.0
OH.....................................................     44822  2.0
OH.....................................................     44824  1.0
OH.....................................................     44825  6.0
OH.....................................................     44826  6.1
OH.....................................................     44827  4.2
OH.....................................................     44828  7.3
OH.....................................................     44830  4.0
OH.....................................................     44833  4.2
OH.....................................................     44836  6.0
OH.....................................................     44837  6.0
OH.....................................................     44838  4.0
OH.....................................................     44839  1.0
OH.....................................................     44840  5.0
OH.....................................................     44841  6.0
OH.....................................................     44842  7.0
OH.....................................................     44843  2.0
OH.....................................................     44844  8.0
OH.....................................................     44845  8.0
OH.....................................................     44846  2.0
OH.....................................................     44847  4.2
OH.....................................................     44848  4.0
OH.....................................................     44849  8.4
OH.....................................................     44850  3.0
OH.....................................................     44851  10.5
OH.....................................................     44853  6.0
OH.....................................................     44854  10.5
OH.....................................................     44855  5.0
OH.....................................................     44856  4.2
OH.....................................................     44857  4.2
OH.....................................................     44859  5.0
OH.....................................................     44860  8.4
OH.....................................................     44861  4.0
OH.....................................................     44862  1.0
OH.....................................................     44864  6.0
OH.....................................................     44865  3.0
OH.....................................................     44866  6.0
OH.....................................................     44867  5.0
OH.....................................................     44870  1.0
OH.....................................................     44871  1.0
OH.....................................................     44874  4.0
OH.....................................................     44875  4.1
OH.....................................................     44878  2.0
OH.....................................................     44880  6.0
OH.....................................................     44881  4.0
OH.....................................................     44882  8.0
OH.....................................................     44883  4.0
OH.....................................................     44887  10.5
OH.....................................................     44888  4.0
OH.....................................................     44889  2.0
OH.....................................................     44890  4.0
OH.....................................................     44901  1.0
OH.....................................................     44902  1.0
OH.....................................................     44903  1.0
OH.....................................................     44904  1.0
OH.....................................................     44905  1.0
OH.....................................................     44906  1.0
OH.....................................................     44907  1.0
OH.....................................................     44999  1.0
OH.....................................................     45001  1.0
OH.....................................................     45002  1.0
OH.....................................................     45003  6.0
OH.....................................................     45004  1.0
OH.....................................................     45005  1.0
OH.....................................................     45011  1.0
OH.....................................................     45012  1.0
OH.....................................................     45013  1.0
OH.....................................................     45014  1.0
OH.....................................................     45015  1.0
OH.....................................................     45018  1.0
OH.....................................................     45025  1.0
OH.....................................................     45026  1.0
OH.....................................................     45030  1.0
OH.....................................................     45032  2.0
OH.....................................................     45033  1.0
OH.....................................................     45034  1.0
OH.....................................................     45036  2.0
OH.....................................................     45039  1.0
OH.....................................................     45040  1.0
OH.....................................................     45041  1.0
OH.....................................................     45042  1.0
OH.....................................................     45043  1.0
OH.....................................................     45044  1.0
OH.....................................................     45050  1.0
OH.....................................................     45051  1.0
OH.....................................................     45052  1.0
OH.....................................................     45053  2.0
OH.....................................................     45054  2.0
OH.....................................................     45055  1.0
OH.....................................................     45056  4.2
OH.....................................................     45061  1.0
OH.....................................................     45062  1.0
OH.....................................................     45063  1.0
OH.....................................................     45064  2.0
OH.....................................................     45065  1.0
OH.....................................................     45066  1.0
OH.....................................................     45067  1.0
OH.....................................................     45068  2.0
OH.....................................................     45069  1.0
OH.....................................................     45070  9.1
OH.....................................................     45071  1.0
OH.....................................................     45073  1.0
OH.....................................................     45099  1.0
OH.....................................................     45101  4.0
OH.....................................................     45102  1.0
OH.....................................................     45103  1.0
OH.....................................................     45105  10.4
OH.....................................................     45106  2.0
OH.....................................................     45107  2.0
OH.....................................................     45110  2.0
OH.....................................................     45111  1.0
OH.....................................................     45112  2.0
OH.....................................................     45113  5.2
OH.....................................................     45114  2.0
OH.....................................................     45115  2.0
OH.....................................................     45118  2.0
OH.....................................................     45119  2.0
OH.....................................................     45120  2.0
OH.....................................................     45121  7.1
OH.....................................................     45122  2.0
OH.....................................................     45123  7.4
OH.....................................................     45130  2.0
OH.....................................................     45131  7.1
OH.....................................................     45132  6.0
OH.....................................................     45133  8.0
OH.....................................................     45135  6.0
OH.....................................................     45138  5.0
OH.....................................................     45140  1.0
OH.....................................................     45142  6.0
OH.....................................................     45144  10.4
OH.....................................................     45145  2.0
OH.....................................................     45146  5.2
OH.....................................................     45147  1.0
OH.....................................................     45148  5.2
OH.....................................................     45150  1.0
OH.....................................................     45152  2.0
OH.....................................................     45153  2.0
OH.....................................................     45154  2.0
OH.....................................................     45155  8.0
OH.....................................................     45156  2.0
OH.....................................................     45157  1.0
OH.....................................................     45158  2.0
OH.....................................................     45159  5.0
OH.....................................................     45160  2.0
OH.....................................................     45162  2.0
OH.....................................................     45164  4.0
OH.....................................................     45165  7.4
OH.....................................................     45166  5.0
OH.....................................................     45167  10.4
OH.....................................................     45168  2.0
OH.....................................................     45169  5.0
OH.....................................................     45171  2.0
OH.....................................................     45172  8.0
OH.....................................................     45174  1.0
OH.....................................................     45176  2.0
OH.....................................................     45177  4.0
OH.....................................................     45201  1.0
OH.....................................................     45202  1.0
OH.....................................................     45203  1.0
OH.....................................................     45204  1.0
OH.....................................................     45205  1.0
OH.....................................................     45206  1.0
OH.....................................................     45207  1.0
OH.....................................................     45208  1.0
OH.....................................................     45209  1.0
OH.....................................................     45210  1.0
OH.....................................................     45211  1.0
OH.....................................................     45212  1.0
OH.....................................................     45213  1.0
OH.....................................................     45214  1.0
OH.....................................................     45215  1.0
OH.....................................................     45216  1.0
OH.....................................................     45217  1.0
OH.....................................................     45218  1.0
OH.....................................................     45219  1.0
OH.....................................................     45220  1.0
OH.....................................................     45221  1.0
OH.....................................................     45222  1.0
OH.....................................................     45223  1.0
OH.....................................................     45224  1.0
OH.....................................................     45225  1.0
OH.....................................................     45226  1.0
OH.....................................................     45227  1.0
OH.....................................................     45228  1.0
OH.....................................................     45229  1.0
OH.....................................................     45230  1.0
OH.....................................................     45231  1.0
OH.....................................................     45232  1.0
OH.....................................................     45233  1.0
OH.....................................................     45234  1.0
OH.....................................................     45235  1.0
OH.....................................................     45236  1.0
OH.....................................................     45237  1.0
OH.....................................................     45238  1.0
OH.....................................................     45239  1.0
OH.....................................................     45240  1.0

[[Page 70184]]

 
OH.....................................................     45241  1.0
OH.....................................................     45242  1.0
OH.....................................................     45243  1.0
OH.....................................................     45244  1.0
OH.....................................................     45245  1.0
OH.....................................................     45246  1.0
OH.....................................................     45247  1.0
OH.....................................................     45248  1.0
OH.....................................................     45249  1.0
OH.....................................................     45250  1.0
OH.....................................................     45251  1.0
OH.....................................................     45252  1.0
OH.....................................................     45253  1.0
OH.....................................................     45254  1.0
OH.....................................................     45255  1.0
OH.....................................................     45258  1.0
OH.....................................................     45262  1.0
OH.....................................................     45263  1.0
OH.....................................................     45264  1.0
OH.....................................................     45267  1.0
OH.....................................................     45268  1.0
OH.....................................................     45269  1.0
OH.....................................................     45270  1.0
OH.....................................................     45271  1.0
OH.....................................................     45273  1.0
OH.....................................................     45274  1.0
OH.....................................................     45275  1.0
OH.....................................................     45277  1.0
OH.....................................................     45280  1.0
OH.....................................................     45296  1.0
OH.....................................................     45298  1.0
OH.....................................................     45299  1.0
OH.....................................................     45301  1.0
OH.....................................................     45302  6.0
OH.....................................................     45303  5.0
OH.....................................................     45304  2.0
OH.....................................................     45305  1.0
OH.....................................................     45306  6.0
OH.....................................................     45307  2.0
OH.....................................................     45308  3.0
OH.....................................................     45309  2.0
OH.....................................................     45310  10.5
OH.....................................................     45311  9.1
OH.....................................................     45312  2.0
OH.....................................................     45314  7.1
OH.....................................................     45315  1.0
OH.....................................................     45316  2.0
OH.....................................................     45317  2.0
OH.....................................................     45318  2.0
OH.....................................................     45319  2.0
OH.....................................................     45320  7.3
OH.....................................................     45321  3.0
OH.....................................................     45322  1.0
OH.....................................................     45323  1.0
OH.....................................................     45324  1.0
OH.....................................................     45325  2.0
OH.....................................................     45326  2.0
OH.....................................................     45327  1.0
OH.....................................................     45328  3.0
OH.....................................................     45330  2.0
OH.....................................................     45331  4.2
OH.....................................................     45332  5.0
OH.....................................................     45333  5.0
OH.....................................................     45334  6.0
OH.....................................................     45335  2.0
OH.....................................................     45336  6.0
OH.....................................................     45337  2.0
OH.....................................................     45338  2.0
OH.....................................................     45339  2.0
OH.....................................................     45340  6.0
OH.....................................................     45341  1.0
OH.....................................................     45342  1.0
OH.....................................................     45343  1.0
OH.....................................................     45344  2.0
OH.....................................................     45345  2.0
OH.....................................................     45346  5.0
OH.....................................................     45347  5.2
OH.....................................................     45348  10.5
OH.....................................................     45349  1.0
OH.....................................................     45350  10.5
OH.....................................................     45351  10.5
OH.....................................................     45352  4.2
OH.....................................................     45353  4.0
OH.....................................................     45354  2.0
OH.....................................................     45356  4.2
OH.....................................................     45358  2.0
OH.....................................................     45359  2.0
OH.....................................................     45360  4.0
OH.....................................................     45361  2.0
OH.....................................................     45362  10.5
OH.....................................................     45363  5.0
OH.....................................................     45365  4.0
OH.....................................................     45367  4.0
OH.....................................................     45368  2.0
OH.....................................................     45369  2.0
OH.....................................................     45370  2.0
OH.....................................................     45371  1.0
OH.....................................................     45372  1.0
OH.....................................................     45373  1.0
OH.....................................................     45374  1.0
OH.....................................................     45377  1.0
OH.....................................................     45378  2.0
OH.....................................................     45380  7.4
OH.....................................................     45381  2.0
OH.....................................................     45382  3.0
OH.....................................................     45383  1.0
OH.....................................................     45384  1.0
OH.....................................................     45385  1.0
OH.....................................................     45387  2.0
OH.....................................................     45388  10.5
OH.....................................................     45389  2.0
OH.....................................................     45390  7.4
OH.....................................................     45401  1.0
OH.....................................................     45402  1.0
OH.....................................................     45403  1.0
OH.....................................................     45404  1.0
OH.....................................................     45405  1.0
OH.....................................................     45406  1.0
OH.....................................................     45407  1.0
OH.....................................................     45408  1.0
OH.....................................................     45409  1.0
OH.....................................................     45410  1.0
OH.....................................................     45412  1.0
OH.....................................................     45413  1.0
OH.....................................................     45414  1.0
OH.....................................................     45415  1.0
OH.....................................................     45416  1.0
OH.....................................................     45417  1.0
OH.....................................................     45418  1.0
OH.....................................................     45419  1.0
OH.....................................................     45420  1.0
OH.....................................................     45422  1.0
OH.....................................................     45423  1.0
OH.....................................................     45424  1.0
OH.....................................................     45426  1.0
OH.....................................................     45427  1.0
OH.....................................................     45428  1.0
OH.....................................................     45429  1.0
OH.....................................................     45430  1.0
OH.....................................................     45431  1.0
OH.....................................................     45432  1.0
OH.....................................................     45433  1.0
OH.....................................................     45434  1.0
OH.....................................................     45435  1.0
OH.....................................................     45437  1.0
OH.....................................................     45439  1.0
OH.....................................................     45440  1.0
OH.....................................................     45441  1.0
OH.....................................................     45448  1.0
OH.....................................................     45449  1.0
OH.....................................................     45454  1.0
OH.....................................................     45458  1.0
OH.....................................................     45459  1.0
OH.....................................................     45463  1.0
OH.....................................................     45469  1.0
OH.....................................................     45470  1.0
OH.....................................................     45475  1.0
OH.....................................................     45479  1.0
OH.....................................................     45481  1.0
OH.....................................................     45482  1.0
OH.....................................................     45490  1.0
OH.....................................................     45501  1.0
OH.....................................................     45502  1.0
OH.....................................................     45503  1.0
OH.....................................................     45504  1.0
OH.....................................................     45505  1.0
OH.....................................................     45506  1.0
OH.....................................................     45601  4.0
OH.....................................................     45612  5.0
OH.....................................................     45613  8.0
OH.....................................................     45614  5.0
OH.....................................................     45616  9.0
OH.....................................................     45617  4.0
OH.....................................................     45618  8.1
OH.....................................................     45619  1.0
OH.....................................................     45620  5.0
OH.....................................................     45621  7.0
OH.....................................................     45622  10.5
OH.....................................................     45623  5.0
OH.....................................................     45624  5.0
OH.....................................................     45628  5.0
OH.....................................................     45629  5.2
OH.....................................................     45630  5.0
OH.....................................................     45631  5.0
OH.....................................................     45633  5.2
OH.....................................................     45634  10.0
OH.....................................................     45636  5.2
OH.....................................................     45638  1.0
OH.....................................................     45640  7.0
OH.....................................................     45642  8.0
OH.....................................................     45643  5.0
OH.....................................................     45644  5.2
OH.....................................................     45645  2.0
OH.....................................................     45646  8.0
OH.....................................................     45647  5.0
OH.....................................................     45648  5.0
OH.....................................................     45650  9.0
OH.....................................................     45651  10.0
OH.....................................................     45652  5.0
OH.....................................................     45653  5.0
OH.....................................................     45654  10.5
OH.....................................................     45656  9.0
OH.....................................................     45657  5.0
OH.....................................................     45658  5.0
OH.....................................................     45659  2.0
OH.....................................................     45660  10.4
OH.....................................................     45661  8.0

[[Page 70185]]

 
OH.....................................................     45662  4.0
OH.....................................................     45663  5.0
OH.....................................................     45669  1.0
OH.....................................................     45671  5.0
OH.....................................................     45672  9.2
OH.....................................................     45673  5.0
OH.....................................................     45674  5.0
OH.....................................................     45675  1.0
OH.....................................................     45677  4.0
OH.....................................................     45678  2.0
OH.....................................................     45679  10.4
OH.....................................................     45680  1.0
OH.....................................................     45681  6.0
OH.....................................................     45682  5.0
OH.....................................................     45683  8.0
OH.....................................................     45684  5.0
OH.....................................................     45685  5.0
OH.....................................................     45686  6.0
OH.....................................................     45687  5.0
OH.....................................................     45688  2.0
OH.....................................................     45690  7.4
OH.....................................................     45692  7.0
OH.....................................................     45693  7.3
OH.....................................................     45694  4.0
OH.....................................................     45695  10.5
OH.....................................................     45696  2.0
OH.....................................................     45697  8.1
OH.....................................................     45698  10.0
OH.....................................................     45699  5.0
OH.....................................................     45701  4.0
OH.....................................................     45710  5.0
OH.....................................................     45711  5.0
OH.....................................................     45712  2.0
OH.....................................................     45713  2.0
OH.....................................................     45714  1.0
OH.....................................................     45715  2.0
OH.....................................................     45716  7.4
OH.....................................................     45717  7.4
OH.....................................................     45719  4.0
OH.....................................................     45720  3.0
OH.....................................................     45721  2.0
OH.....................................................     45723  2.0
OH.....................................................     45724  2.0
OH.....................................................     45727  8.3
OH.....................................................     45729  2.0
OH.....................................................     45732  5.0
OH.....................................................     45734  10.0
OH.....................................................     45735  5.0
OH.....................................................     45739  2.0
OH.....................................................     45740  5.0
OH.....................................................     45741  6.0
OH.....................................................     45742  2.0
OH.....................................................     45743  3.0
OH.....................................................     45744  2.0
OH.....................................................     45745  2.0
OH.....................................................     45746  2.0
OH.....................................................     45750  1.0
OH.....................................................     45760  7.4
OH.....................................................     45761  4.0
OH.....................................................     45764  7.4
OH.....................................................     45766  5.0
OH.....................................................     45767  2.0
OH.....................................................     45768  2.0
OH.....................................................     45769  9.2
OH.....................................................     45770  10.6
OH.....................................................     45771  10.6
OH.....................................................     45772  3.0
OH.....................................................     45773  2.0
OH.....................................................     45775  6.0
OH.....................................................     45776  9.2
OH.....................................................     45777  5.0
OH.....................................................     45778  5.0
OH.....................................................     45779  10.6
OH.....................................................     45780  4.0
OH.....................................................     45782  5.0
OH.....................................................     45783  2.0
OH.....................................................     45784  2.0
OH.....................................................     45786  10.1
OH.....................................................     45787  10.1
OH.....................................................     45788  2.0
OH.....................................................     45789  2.0
OH.....................................................     45801  1.0
OH.....................................................     45802  1.0
OH.....................................................     45804  1.0
OH.....................................................     45805  1.0
OH.....................................................     45806  1.0
OH.....................................................     45807  1.0
OH.....................................................     45808  1.0
OH.....................................................     45809  1.0
OH.....................................................     45810  7.3
OH.....................................................     45812  9.0
OH.....................................................     45813  10.4
OH.....................................................     45814  5.0
OH.....................................................     45815  10.6
OH.....................................................     45816  4.0
OH.....................................................     45817  7.3
OH.....................................................     45819  4.2
OH.....................................................     45820  1.0
OH.....................................................     45821  10.4
OH.....................................................     45822  4.0
OH.....................................................     45826  4.0
OH.....................................................     45827  9.0
OH.....................................................     45828  4.0
OH.....................................................     45830  3.0
OH.....................................................     45831  9.0
OH.....................................................     45832  5.0
OH.....................................................     45833  7.1
OH.....................................................     45835  9.0
OH.....................................................     45836  9.0
OH.....................................................     45837  9.0
OH.....................................................     45838  5.0
OH.....................................................     45839  4.0
OH.....................................................     45840  4.0
OH.....................................................     45841  5.0
OH.....................................................     45843  9.0
OH.....................................................     45844  10.4
OH.....................................................     45845  6.0
OH.....................................................     45846  10.5
OH.....................................................     45848  7.3
OH.....................................................     45849  10.5
OH.....................................................     45850  2.0
OH.....................................................     45851  10.4
OH.....................................................     45853  10.4
OH.....................................................     45854  1.0
OH.....................................................     45855  7.0
OH.....................................................     45856  10.6
OH.....................................................     45858  5.0
OH.....................................................     45859  9.0
OH.....................................................     45860  10.5
OH.....................................................     45861  10.5
OH.....................................................     45862  10.5
OH.....................................................     45863  5.0
OH.....................................................     45864  10.6
OH.....................................................     45865  7.0
OH.....................................................     45866  4.0
OH.....................................................     45867  5.0
OH.....................................................     45868  5.0
OH.....................................................     45869  7.0
OH.....................................................     45870  4.2
OH.....................................................     45871  10.0
OH.....................................................     45872  9.2
OH.....................................................     45873  10.5
OH.....................................................     45874  5.0
OH.....................................................     45875  7.3
OH.....................................................     45876  10.4
OH.....................................................     45877  10.6
OH.....................................................     45879  7.0
OH.....................................................     45880  10.4
OH.....................................................     45881  5.0
OH.....................................................     45882  10.5
OH.....................................................     45883  10.5
OH.....................................................     45884  4.2
OH.....................................................     45885  7.0
OH.....................................................     45886  5.0
OH.....................................................     45887  2.0
OH.....................................................     45888  4.2
OH.....................................................     45889  5.0
OH.....................................................     45890  5.0
OH.....................................................     45891  4.0
OH.....................................................     45893  3.0
OH.....................................................     45894  5.0
OH.....................................................     45895  4.2
OH.....................................................     45896  2.0
OH.....................................................     45897  9.0
OH.....................................................     45898  5.0
OH.....................................................     45899  5.0
OH.....................................................     45944  1.0
OH.....................................................     45950  1.0
OH.....................................................     45999  1.0
OK.....................................................     73001  10.6
OK.....................................................     73002  10.5
OK.....................................................     73003  1.0
OK.....................................................     73004  2.0
OK.....................................................     73005  7.0
OK.....................................................     73006  10.1
OK.....................................................     73007  2.0
OK.....................................................     73008  1.0
OK.....................................................     73009  10.4
OK.....................................................     73010  2.0
OK.....................................................     73011  10.5
OK.....................................................     73013  1.0
OK.....................................................     73014  2.0
OK.....................................................     73015  10.0
OK.....................................................     73016  2.0
OK.....................................................     73017  10.4
OK.....................................................     73018  4.0
OK.....................................................     73019  1.1
OK.....................................................     73020  1.0
OK.....................................................     73021  10.6
OK.....................................................     73022  4.1
OK.....................................................     73023  4.0
OK.....................................................     73024  10.6
OK.....................................................     73026  2.1
OK.....................................................     73027  2.0
OK.....................................................     73028  2.0
OK.....................................................     73029  10.4
OK.....................................................     73030  10.6
OK.....................................................     73031  2.0
OK.....................................................     73032  10.6
OK.....................................................     73033  10.6
OK.....................................................     73034  1.0
OK.....................................................     73036  4.1
OK.....................................................     73038  10.6
OK.....................................................     73039  10.6
OK.....................................................     73040  10.4
OK.....................................................     73041  10.0
OK.....................................................     73042  8.0

[[Page 70186]]

 
OK.....................................................     73043  10.6
OK.....................................................     73044  2.0
OK.....................................................     73045  2.0
OK.....................................................     73047  10.4
OK.....................................................     73048  10.6
OK.....................................................     73049  2.0
OK.....................................................     73050  2.0
OK.....................................................     73051  2.1
OK.....................................................     73052  7.0
OK.....................................................     73053  10.4
OK.....................................................     73054  2.0
OK.....................................................     73055  7.4
OK.....................................................     73056  2.0
OK.....................................................     73057  10.6
OK.....................................................     73058  2.0
OK.....................................................     73059  2.0
OK.....................................................     73061  10.5
OK.....................................................     73062  10.0
OK.....................................................     73063  2.0
OK.....................................................     73064  1.0
OK.....................................................     73065  2.0
OK.....................................................     73066  1.0
OK.....................................................     73067  10.5
OK.....................................................     73068  1.1
OK.....................................................     73069  1.1
OK.....................................................     73070  1.1
OK.....................................................     73071  1.1
OK.....................................................     73072  1.1
OK.....................................................     73073  2.0
OK.....................................................     73074  8.0
OK.....................................................     73075  7.0
OK.....................................................     73077  7.0
OK.....................................................     73078  2.0
OK.....................................................     73079  2.0
OK.....................................................     73080  7.3
OK.....................................................     73082  10.5
OK.....................................................     73083  1.0
OK.....................................................     73084  1.0
OK.....................................................     73085  1.0
OK.....................................................     73086  7.0
OK.....................................................     73089  2.0
OK.....................................................     73090  4.1
OK.....................................................     73092  5.0
OK.....................................................     73093  3.0
OK.....................................................     73094  7.0
OK.....................................................     73095  3.0
OK.....................................................     73096  7.0
OK.....................................................     73097  1.0
OK.....................................................     73098  10.6
OK.....................................................     73099  1.0
OK.....................................................     73101  1.0
OK.....................................................     73102  1.0
OK.....................................................     73103  1.0
OK.....................................................     73104  1.0
OK.....................................................     73105  1.0
OK.....................................................     73106  1.0
OK.....................................................     73107  1.0
OK.....................................................     73108  1.0
OK.....................................................     73109  1.0
OK.....................................................     73110  1.0
OK.....................................................     73111  1.0
OK.....................................................     73112  1.0
OK.....................................................     73113  1.0
OK.....................................................     73114  1.0
OK.....................................................     73115  1.0
OK.....................................................     73116  1.0
OK.....................................................     73117  1.0
OK.....................................................     73118  1.0
OK.....................................................     73119  1.0
OK.....................................................     73120  1.0
OK.....................................................     73121  1.0
OK.....................................................     73122  1.0
OK.....................................................     73123  1.0
OK.....................................................     73124  1.0
OK.....................................................     73125  1.0
OK.....................................................     73126  1.0
OK.....................................................     73127  1.0
OK.....................................................     73128  1.0
OK.....................................................     73129  1.0
OK.....................................................     73130  1.0
OK.....................................................     73131  1.0
OK.....................................................     73132  1.0
OK.....................................................     73134  1.0
OK.....................................................     73135  1.0
OK.....................................................     73136  1.0
OK.....................................................     73137  1.0
OK.....................................................     73139  1.0
OK.....................................................     73140  1.0
OK.....................................................     73141  1.0
OK.....................................................     73142  1.0
OK.....................................................     73143  1.0
OK.....................................................     73144  1.0
OK.....................................................     73145  1.0
OK.....................................................     73146  1.0
OK.....................................................     73147  1.0
OK.....................................................     73148  1.0
OK.....................................................     73149  1.0
OK.....................................................     73150  1.0
OK.....................................................     73151  2.0
OK.....................................................     73152  1.0
OK.....................................................     73153  1.0
OK.....................................................     73154  1.0
OK.....................................................     73155  1.0
OK.....................................................     73156  1.0
OK.....................................................     73157  1.0
OK.....................................................     73159  1.0
OK.....................................................     73160  1.0
OK.....................................................     73162  1.0
OK.....................................................     73163  1.0
OK.....................................................     73164  1.0
OK.....................................................     73165  2.0
OK.....................................................     73167  1.0
OK.....................................................     73169  1.0
OK.....................................................     73170  1.0
OK.....................................................     73172  1.0
OK.....................................................     73173  2.0
OK.....................................................     73178  1.0
OK.....................................................     73179  1.0
OK.....................................................     73184  1.0
OK.....................................................     73185  1.0
OK.....................................................     73189  1.0
OK.....................................................     73190  1.0
OK.....................................................     73193  1.0
OK.....................................................     73194  1.0
OK.....................................................     73195  1.0
OK.....................................................     73196  1.0
OK.....................................................     73197  1.0
OK.....................................................     73198  1.0
OK.....................................................     73199  1.0
OK.....................................................     73401  4.0
OK.....................................................     73402  4.0
OK.....................................................     73403  4.0
OK.....................................................     73425  4.0
OK.....................................................     73430  10.0
OK.....................................................     73432  9.0
OK.....................................................     73433  10.6
OK.....................................................     73434  10.6
OK.....................................................     73435  10.5
OK.....................................................     73436  5.0
OK.....................................................     73437  10.5
OK.....................................................     73438  10.5
OK.....................................................     73439  10.6
OK.....................................................     73440  10.6
OK.....................................................     73441  10.0
OK.....................................................     73442  5.0
OK.....................................................     73443  5.0
OK.....................................................     73444  5.0
OK.....................................................     73446  7.0
OK.....................................................     73447  9.2
OK.....................................................     73448  10.5
OK.....................................................     73449  5.0
OK.....................................................     73450  9.0
OK.....................................................     73453  10.0
OK.....................................................     73455  9.2
OK.....................................................     73456  10.5
OK.....................................................     73458  5.0
OK.....................................................     73459  10.0
OK.....................................................     73460  7.0
OK.....................................................     73461  9.0
OK.....................................................     73463  10.5
OK.....................................................     73476  10.6
OK.....................................................     73481  10.5
OK.....................................................     73487  5.0
OK.....................................................     73488  10.5
OK.....................................................     73491  4.0
OK.....................................................     73501  1.0
OK.....................................................     73502  1.0
OK.....................................................     73503  1.0
OK.....................................................     73505  1.0
OK.....................................................     73506  1.0
OK.....................................................     73507  1.0
OK.....................................................     73520  10.5
OK.....................................................     73521  4.0
OK.....................................................     73522  4.0
OK.....................................................     73523  4.0
OK.....................................................     73526  5.0
OK.....................................................     73527  2.0
OK.....................................................     73528  2.0
OK.....................................................     73529  5.0
OK.....................................................     73530  10.6
OK.....................................................     73531  10.4
OK.....................................................     73532  5.0
OK.....................................................     73533  4.0
OK.....................................................     73534  4.0
OK.....................................................     73536  4.0
OK.....................................................     73537  5.0
OK.....................................................     73538  2.0
OK.....................................................     73539  5.0
OK.....................................................     73540  2.0
OK.....................................................     73541  2.0
OK.....................................................     73542  7.0
OK.....................................................     73543  2.0
OK.....................................................     73544  10.0
OK.....................................................     73546  10.4
OK.....................................................     73547  10.5
OK.....................................................     73548  10.5
OK.....................................................     73549  5.0
OK.....................................................     73550  10.0
OK.....................................................     73551  10.6
OK.....................................................     73552  2.0
OK.....................................................     73553  10.4
OK.....................................................     73554  7.4
OK.....................................................     73555  7.0
OK.....................................................     73556  4.0
OK.....................................................     73557  2.0
OK.....................................................     73558  1.0
OK.....................................................     73559  10.5

[[Page 70187]]

 
OK.....................................................     73560  5.0
OK.....................................................     73561  10.0
OK.....................................................     73562  10.4
OK.....................................................     73564  10.5
OK.....................................................     73565  10.0
OK.....................................................     73566  10.5
OK.....................................................     73567  2.0
OK.....................................................     73568  10.4
OK.....................................................     73569  10.0
OK.....................................................     73570  10.5
OK.....................................................     73571  10.0
OK.....................................................     73572  7.1
OK.....................................................     73573  10.5
OK.....................................................     73601  7.0
OK.....................................................     73620  7.0
OK.....................................................     73622  10.6
OK.....................................................     73624  10.6
OK.....................................................     73625  10.6
OK.....................................................     73626  10.6
OK.....................................................     73627  7.0
OK.....................................................     73628  10.6
OK.....................................................     73632  7.0
OK.....................................................     73638  10.6
OK.....................................................     73639  10.6
OK.....................................................     73641  10.6
OK.....................................................     73642  10.6
OK.....................................................     73644  7.0
OK.....................................................     73645  10.6
OK.....................................................     73646  10.0
OK.....................................................     73647  10.6
OK.....................................................     73648  7.0
OK.....................................................     73650  10.6
OK.....................................................     73651  7.0
OK.....................................................     73654  10.0
OK.....................................................     73655  10.5
OK.....................................................     73658  10.0
OK.....................................................     73659  10.0
OK.....................................................     73660  10.6
OK.....................................................     73661  10.6
OK.....................................................     73662  7.0
OK.....................................................     73663  10.0
OK.....................................................     73664  10.6
OK.....................................................     73666  10.6
OK.....................................................     73667  10.0
OK.....................................................     73668  10.6
OK.....................................................     73669  10.6
OK.....................................................     73673  10.5
OK.....................................................     73701  4.0
OK.....................................................     73702  4.0
OK.....................................................     73703  4.0
OK.....................................................     73705  4.0
OK.....................................................     73706  4.0
OK.....................................................     73716  10.5
OK.....................................................     73717  7.0
OK.....................................................     73718  10.2
OK.....................................................     73719  10.0
OK.....................................................     73720  5.0
OK.....................................................     73722  10.0
OK.....................................................     73724  10.6
OK.....................................................     73726  10.5
OK.....................................................     73727  5.0
OK.....................................................     73728  10.0
OK.....................................................     73729  10.2
OK.....................................................     73730  5.0
OK.....................................................     73731  10.6
OK.....................................................     73733  5.0
OK.....................................................     73734  8.0
OK.....................................................     73735  5.0
OK.....................................................     73736  4.0
OK.....................................................     73737  10.0
OK.....................................................     73738  5.0
OK.....................................................     73739  10.5
OK.....................................................     73741  10.5
OK.....................................................     73742  10.5
OK.....................................................     73743  5.0
OK.....................................................     73744  10.6
OK.....................................................     73746  10.6
OK.....................................................     73747  10.0
OK.....................................................     73749  10.0
OK.....................................................     73750  7.0
OK.....................................................     73753  5.0
OK.....................................................     73754  4.0
OK.....................................................     73755  10.6
OK.....................................................     73756  8.0
OK.....................................................     73757  8.0
OK.....................................................     73758  10.0
OK.....................................................     73759  10.0
OK.....................................................     73760  10.2
OK.....................................................     73761  10.5
OK.....................................................     73762  2.0
OK.....................................................     73763  10.0
OK.....................................................     73764  8.0
OK.....................................................     73766  10.5
OK.....................................................     73768  10.2
OK.....................................................     73770  10.0
OK.....................................................     73771  10.0
OK.....................................................     73772  7.0
OK.....................................................     73773  5.0
OK.....................................................     73801  4.0
OK.....................................................     73802  4.0
OK.....................................................     73832  10.0
OK.....................................................     73834  10.0
OK.....................................................     73835  10.5
OK.....................................................     73838  10.0
OK.....................................................     73840  10.5
OK.....................................................     73841  5.0
OK.....................................................     73842  7.0
OK.....................................................     73843  10.5
OK.....................................................     73844  5.0
OK.....................................................     73847  5.0
OK.....................................................     73848  10.0
OK.....................................................     73851  10.0
OK.....................................................     73852  10.2
OK.....................................................     73853  5.0
OK.....................................................     73855  10.0
OK.....................................................     73857  5.0
OK.....................................................     73858  10.5
OK.....................................................     73859  10.5
OK.....................................................     73860  10.6
OK.....................................................     73901  10.2
OK.....................................................     73931  10.0
OK.....................................................     73932  10.0
OK.....................................................     73933  10.0
OK.....................................................     73937  10.0
OK.....................................................     73938  5.0
OK.....................................................     73939  10.2
OK.....................................................     73942  4.0
OK.....................................................     73944  10.2
OK.....................................................     73945  10.2
OK.....................................................     73946  10.0
OK.....................................................     73947  10.0
OK.....................................................     73949  10.5
OK.....................................................     73950  5.0
OK.....................................................     73951  10.2
OK.....................................................     74001  3.0
OK.....................................................     74002  3.0
OK.....................................................     74003  4.0
OK.....................................................     74004  4.0
OK.....................................................     74005  4.0
OK.....................................................     74006  4.0
OK.....................................................     74008  1.0
OK.....................................................     74009  7.0
OK.....................................................     74010  7.1
OK.....................................................     74011  1.0
OK.....................................................     74012  1.0
OK.....................................................     74013  1.0
OK.....................................................     74014  1.0
OK.....................................................     74015  1.0
OK.....................................................     74016  2.0
OK.....................................................     74017  4.1
OK.....................................................     74018  4.1
OK.....................................................     74019  4.1
OK.....................................................     74020  2.0
OK.....................................................     74021  2.0
OK.....................................................     74022  5.0
OK.....................................................     74023  7.4
OK.....................................................     74026  9.0
OK.....................................................     74027  10.5
OK.....................................................     74028  2.0
OK.....................................................     74029  4.0
OK.....................................................     74030  2.0
OK.....................................................     74031  4.1
OK.....................................................     74032  5.0
OK.....................................................     74033  2.0
OK.....................................................     74034  2.0
OK.....................................................     74035  7.3
OK.....................................................     74036  2.0
OK.....................................................     74037  1.0
OK.....................................................     74038  2.0
OK.....................................................     74039  2.0
OK.....................................................     74041  2.0
OK.....................................................     74042  10.5
OK.....................................................     74043  1.0
OK.....................................................     74044  2.0
OK.....................................................     74045  10.0
OK.....................................................     74046  2.0
OK.....................................................     74047  2.0
OK.....................................................     74048  7.4
OK.....................................................     74050  1.0
OK.....................................................     74051  2.0
OK.....................................................     74052  2.0
OK.....................................................     74053  2.0
OK.....................................................     74054  7.3
OK.....................................................     74055  2.0
OK.....................................................     74056  7.0
OK.....................................................     74058  10.5
OK.....................................................     74059  5.0
OK.....................................................     74060  2.0
OK.....................................................     74061  2.0
OK.....................................................     74062  7.4
OK.....................................................     74063  1.0
OK.....................................................     74066  1.0
OK.....................................................     74067  1.0
OK.....................................................     74068  2.0
OK.....................................................     74070  2.0
OK.....................................................     74071  7.1
OK.....................................................     74072  4.0
OK.....................................................     74073  1.0
OK.....................................................     74074  4.0
OK.....................................................     74075  4.0
OK.....................................................     74076  4.0
OK.....................................................     74077  4.0
OK.....................................................     74078  4.0
OK.....................................................     74079  10.6
OK.....................................................     74080  2.0
OK.....................................................     74081  2.0
OK.....................................................     74082  2.0

[[Page 70188]]

 
OK.....................................................     74083  4.0
OK.....................................................     74084  7.3
OK.....................................................     74085  6.0
OK.....................................................     74101  1.0
OK.....................................................     74102  1.0
OK.....................................................     74103  1.0
OK.....................................................     74104  1.0
OK.....................................................     74105  1.0
OK.....................................................     74106  1.0
OK.....................................................     74107  1.0
OK.....................................................     74108  1.0
OK.....................................................     74110  1.0
OK.....................................................     74112  1.0
OK.....................................................     74114  1.0
OK.....................................................     74115  1.0
OK.....................................................     74116  1.0
OK.....................................................     74117  2.0
OK.....................................................     74119  1.0
OK.....................................................     74120  1.0
OK.....................................................     74121  1.0
OK.....................................................     74126  1.0
OK.....................................................     74127  1.0
OK.....................................................     74128  1.0
OK.....................................................     74129  1.0
OK.....................................................     74130  1.0
OK.....................................................     74131  1.0
OK.....................................................     74132  1.0
OK.....................................................     74133  1.0
OK.....................................................     74134  1.0
OK.....................................................     74135  1.0
OK.....................................................     74136  1.0
OK.....................................................     74137  1.0
OK.....................................................     74141  1.0
OK.....................................................     74145  1.0
OK.....................................................     74146  1.0
OK.....................................................     74147  1.0
OK.....................................................     74148  1.0
OK.....................................................     74149  1.0
OK.....................................................     74150  1.0
OK.....................................................     74152  1.0
OK.....................................................     74153  1.0
OK.....................................................     74155  1.0
OK.....................................................     74156  1.0
OK.....................................................     74157  1.0
OK.....................................................     74158  1.0
OK.....................................................     74159  1.0
OK.....................................................     74169  1.0
OK.....................................................     74170  1.0
OK.....................................................     74171  1.0
OK.....................................................     74172  1.0
OK.....................................................     74182  1.0
OK.....................................................     74183  1.0
OK.....................................................     74184  1.0
OK.....................................................     74186  1.0
OK.....................................................     74187  1.0
OK.....................................................     74189  1.0
OK.....................................................     74192  1.0
OK.....................................................     74193  1.0
OK.....................................................     74194  1.0
OK.....................................................     74301  7.0
OK.....................................................     74330  10.3
OK.....................................................     74331  6.0
OK.....................................................     74332  8.0
OK.....................................................     74333  10.6
OK.....................................................     74335  4.0
OK.....................................................     74337  10.6
OK.....................................................     74338  5.0
OK.....................................................     74339  4.0
OK.....................................................     74340  10.6
OK.....................................................     74342  10.0
OK.....................................................     74343  10.5
OK.....................................................     74344  7.0
OK.....................................................     74345  7.0
OK.....................................................     74346  10.6
OK.....................................................     74347  6.0
OK.....................................................     74349  7.0
OK.....................................................     74350  10.6
OK.....................................................     74352  10.6
OK.....................................................     74354  4.0
OK.....................................................     74355  4.0
OK.....................................................     74358  4.0
OK.....................................................     74359  6.0
OK.....................................................     74360  5.0
OK.....................................................     74361  7.0
OK.....................................................     74362  7.0
OK.....................................................     74363  5.0
OK.....................................................     74364  6.0
OK.....................................................     74365  10.6
OK.....................................................     74366  10.6
OK.....................................................     74367  10.6
OK.....................................................     74368  6.0
OK.....................................................     74369  10.6
OK.....................................................     74370  10.5
OK.....................................................     74401  4.0
OK.....................................................     74402  4.0
OK.....................................................     74403  4.0
OK.....................................................     74421  2.0
OK.....................................................     74422  2.0
OK.....................................................     74423  5.0
OK.....................................................     74425  5.0
OK.....................................................     74426  7.0
OK.....................................................     74427  5.0
OK.....................................................     74428  10.6
OK.....................................................     74429  1.0
OK.....................................................     74430  5.0
OK.....................................................     74431  7.4
OK.....................................................     74432  10.5
OK.....................................................     74434  5.0
OK.....................................................     74435  10.6
OK.....................................................     74436  2.0
OK.....................................................     74437  7.4
OK.....................................................     74438  10.6
OK.....................................................     74440  10.6
OK.....................................................     74441  10.5
OK.....................................................     74442  5.0
OK.....................................................     74444  4.0
OK.....................................................     74445  2.0
OK.....................................................     74446  7.3
OK.....................................................     74447  4.2
OK.....................................................     74450  5.0
OK.....................................................     74451  5.0
OK.....................................................     74452  6.0
OK.....................................................     74454  2.0
OK.....................................................     74455  5.0
OK.....................................................     74456  4.2
OK.....................................................     74457  5.0
OK.....................................................     74458  2.0
OK.....................................................     74459  7.0
OK.....................................................     74460  7.4
OK.....................................................     74461  10.0
OK.....................................................     74462  7.0
OK.....................................................     74463  5.0
OK.....................................................     74464  4.0
OK.....................................................     74465  4.0
OK.....................................................     74467  7.3
OK.....................................................     74468  5.0
OK.....................................................     74469  5.0
OK.....................................................     74470  5.0
OK.....................................................     74471  5.0
OK.....................................................     74472  10.6
OK.....................................................     74477  7.3
OK.....................................................     74501  4.0
OK.....................................................     74502  4.0
OK.....................................................     74521  9.0
OK.....................................................     74522  4.0
OK.....................................................     74523  10.0
OK.....................................................     74525  8.0
OK.....................................................     74528  5.0
OK.....................................................     74529  6.0
OK.....................................................     74530  9.0
OK.....................................................     74531  10.5
OK.....................................................     74533  8.0
OK.....................................................     74534  5.0
OK.....................................................     74535  5.0
OK.....................................................     74536  10.0
OK.....................................................     74538  10.6
OK.....................................................     74540  9.0
OK.....................................................     74542  8.0
OK.....................................................     74543  10.0
OK.....................................................     74545  7.0
OK.....................................................     74546  5.0
OK.....................................................     74547  5.0
OK.....................................................     74549  10.0
OK.....................................................     74552  10.6
OK.....................................................     74553  5.0
OK.....................................................     74554  4.0
OK.....................................................     74555  8.0
OK.....................................................     74556  10.6
OK.....................................................     74557  10.0
OK.....................................................     74558  10.0
OK.....................................................     74559  7.0
OK.....................................................     74560  5.0
OK.....................................................     74561  6.0
OK.....................................................     74562  10.0
OK.....................................................     74563  8.0
OK.....................................................     74565  4.0
OK.....................................................     74567  10.0
OK.....................................................     74569  9.0
OK.....................................................     74570  10.5
OK.....................................................     74571  10.0
OK.....................................................     74572  5.0
OK.....................................................     74574  9.0
OK.....................................................     74576  9.0
OK.....................................................     74577  10.0
OK.....................................................     74578  7.0
OK.....................................................     74601  4.0
OK.....................................................     74602  4.0
OK.....................................................     74603  4.0
OK.....................................................     74604  4.0
OK.....................................................     74630  8.0
OK.....................................................     74631  7.4
OK.....................................................     74632  10.6
OK.....................................................     74633  10.5
OK.....................................................     74636  10.0
OK.....................................................     74637  5.0
OK.....................................................     74640  5.0
OK.....................................................     74641  5.0
OK.....................................................     74643  10.0
OK.....................................................     74644  10.5
OK.....................................................     74646  7.4
OK.....................................................     74647  10.2
OK.....................................................     74650  10.0
OK.....................................................     74651  10.5
OK.....................................................     74652  10.5
OK.....................................................     74653  7.4
OK.....................................................     74701  4.0
OK.....................................................     74702  4.0

[[Page 70189]]

 
OK.....................................................     74720  2.0
OK.....................................................     74721  5.0
OK.....................................................     74722  10.6
OK.....................................................     74723  5.0
OK.....................................................     74724  10.6
OK.....................................................     74726  5.0
OK.....................................................     74727  10.6
OK.....................................................     74728  7.0
OK.....................................................     74729  5.0
OK.....................................................     74730  5.0
OK.....................................................     74731  2.0
OK.....................................................     74733  2.0
OK.....................................................     74734  10.6
OK.....................................................     74735  10.6
OK.....................................................     74736  7.0
OK.....................................................     74737  7.0
OK.....................................................     74738  8.0
OK.....................................................     74740  10.6
OK.....................................................     74741  2.0
OK.....................................................     74743  7.0
OK.....................................................     74745  7.0
OK.....................................................     74747  2.0
OK.....................................................     74748  9.0
OK.....................................................     74750  10.6
OK.....................................................     74752  10.6
OK.....................................................     74753  5.0
OK.....................................................     74754  10.6
OK.....................................................     74755  10.6
OK.....................................................     74756  10.6
OK.....................................................     74759  10.6
OK.....................................................     74760  10.6
OK.....................................................     74761  10.6
OK.....................................................     74764  10.6
OK.....................................................     74766  10.6
OK.....................................................     74801  4.2
OK.....................................................     74802  4.2
OK.....................................................     74804  4.2
OK.....................................................     74818  7.0
OK.....................................................     74820  4.0
OK.....................................................     74821  4.0
OK.....................................................     74824  6.1
OK.....................................................     74825  5.0
OK.....................................................     74826  3.0
OK.....................................................     74827  10.5
OK.....................................................     74829  10.4
OK.....................................................     74830  9.0
OK.....................................................     74831  10.5
OK.....................................................     74832  6.1
OK.....................................................     74833  8.0
OK.....................................................     74834  7.3
OK.....................................................     74836  7.0
OK.....................................................     74837  7.0
OK.....................................................     74839  10.0
OK.....................................................     74840  4.2
OK.....................................................     74842  5.0
OK.....................................................     74843  5.0
OK.....................................................     74844  5.0
OK.....................................................     74845  10.6
OK.....................................................     74848  7.0
OK.....................................................     74849  10.5
OK.....................................................     74850  8.0
OK.....................................................     74851  2.0
OK.....................................................     74852  4.2
OK.....................................................     74854  9.0
OK.....................................................     74855  2.0
OK.....................................................     74856  9.2
OK.....................................................     74857  2.0
OK.....................................................     74859  7.0
OK.....................................................     74860  10.4
OK.....................................................     74864  10.4
OK.....................................................     74865  5.0
OK.....................................................     74866  9.0
OK.....................................................     74867  10.6
OK.....................................................     74868  7.0
OK.....................................................     74869  9.0
OK.....................................................     74871  5.0
OK.....................................................     74872  10.5
OK.....................................................     74873  4.2
OK.....................................................     74875  6.1
OK.....................................................     74878  3.0
OK.....................................................     74880  10.6
OK.....................................................     74881  2.0
OK.....................................................     74883  10.0
OK.....................................................     74884  7.0
OK.....................................................     74901  1.0
OK.....................................................     74902  2.0
OK.....................................................     74930  3.0
OK.....................................................     74931  8.0
OK.....................................................     74932  3.0
OK.....................................................     74935  8.0
OK.....................................................     74936  2.0
OK.....................................................     74937  7.0
OK.....................................................     74939  7.0
OK.....................................................     74940  7.0
OK.....................................................     74941  3.0
OK.....................................................     74942  8.0
OK.....................................................     74943  8.0
OK.....................................................     74944  8.0
OK.....................................................     74945  7.3
OK.....................................................     74946  2.0
OK.....................................................     74947  7.3
OK.....................................................     74948  2.0
OK.....................................................     74949  10.0
OK.....................................................     74951  3.0
OK.....................................................     74953  7.3
OK.....................................................     74954  2.0
OK.....................................................     74955  7.3
OK.....................................................     74956  3.0
OK.....................................................     74957  10.6
OK.....................................................     74959  2.0
OK.....................................................     74960  8.0
OK.....................................................     74962  10.6
OK.....................................................     74963  10.6
OK.....................................................     74964  5.0
OK.....................................................     74965  10.5
OK.....................................................     74966  8.0
OR.....................................................     97001  10.5
OR.....................................................     97002  2.0
OR.....................................................     97004  2.0
OR.....................................................     97005  1.0
OR.....................................................     97006  1.0
OR.....................................................     97007  1.0
OR.....................................................     97008  1.0
OR.....................................................     97009  1.0
OR.....................................................     97010  2.0
OR.....................................................     97011  2.0
OR.....................................................     97013  2.0
OR.....................................................     97014  10.2
OR.....................................................     97015  1.0
OR.....................................................     97016  10.4
OR.....................................................     97017  2.0
OR.....................................................     97018  4.1
OR.....................................................     97019  2.0
OR.....................................................     97020  2.0
OR.....................................................     97021  10.5
OR.....................................................     97022  2.0
OR.....................................................     97023  2.0
OR.....................................................     97024  1.0
OR.....................................................     97026  2.0
OR.....................................................     97027  1.0
OR.....................................................     97028  2.0
OR.....................................................     97029  10.5
OR.....................................................     97030  1.0
OR.....................................................     97031  4.0
OR.....................................................     97032  2.0
OR.....................................................     97033  10.5
OR.....................................................     97034  1.0
OR.....................................................     97035  1.0
OR.....................................................     97036  1.0
OR.....................................................     97037  10.5
OR.....................................................     97038  2.0
OR.....................................................     97039  10.5
OR.....................................................     97040  5.0
OR.....................................................     97041  10.2
OR.....................................................     97042  2.0
OR.....................................................     97044  5.0
OR.....................................................     97045  1.0
OR.....................................................     97048  1.0
OR.....................................................     97049  2.0
OR.....................................................     97050  10.5
OR.....................................................     97051  4.1
OR.....................................................     97053  4.1
OR.....................................................     97054  2.0
OR.....................................................     97055  2.0
OR.....................................................     97056  4.1
OR.....................................................     97057  10.5
OR.....................................................     97058  4.0
OR.....................................................     97060  1.0
OR.....................................................     97062  1.0
OR.....................................................     97063  10.5
OR.....................................................     97064  2.0
OR.....................................................     97065  10.5
OR.....................................................     97067  2.0
OR.....................................................     97068  1.0
OR.....................................................     97070  1.0
OR.....................................................     97071  2.0
OR.....................................................     97075  1.0
OR.....................................................     97076  1.0
OR.....................................................     97077  1.0
OR.....................................................     97078  1.0
OR.....................................................     97080  1.0
OR.....................................................     97101  5.2
OR.....................................................     97102  7.4
OR.....................................................     97103  4.0
OR.....................................................     97106  2.0
OR.....................................................     97107  8.0
OR.....................................................     97108  8.0
OR.....................................................     97109  2.0
OR.....................................................     97110  7.4
OR.....................................................     97111  2.0
OR.....................................................     97112  10.6
OR.....................................................     97113  1.0
OR.....................................................     97114  4.2
OR.....................................................     97115  2.0
OR.....................................................     97116  1.0
OR.....................................................     97117  2.0
OR.....................................................     97118  10.3
OR.....................................................     97119  2.0
OR.....................................................     97121  4.0
OR.....................................................     97122  10.6
OR.....................................................     97123  1.0
OR.....................................................     97124  1.0
OR.....................................................     97125  2.0
OR.....................................................     97127  2.0
OR.....................................................     97128  4.2
OR.....................................................     97130  10.6
OR.....................................................     97131  10.6

[[Page 70190]]

 
OR.....................................................     97132  2.0
OR.....................................................     97133  2.0
OR.....................................................     97134  7.0
OR.....................................................     97135  10.6
OR.....................................................     97136  10.3
OR.....................................................     97137  10.4
OR.....................................................     97138  7.4
OR.....................................................     97140  1.0
OR.....................................................     97141  7.0
OR.....................................................     97143  7.0
OR.....................................................     97144  2.0
OR.....................................................     97145  7.4
OR.....................................................     97146  4.0
OR.....................................................     97147  10.3
OR.....................................................     97148  2.0
OR.....................................................     97149  10.6
OR.....................................................     97201  1.0
OR.....................................................     97202  1.0
OR.....................................................     97203  1.0
OR.....................................................     97204  1.0
OR.....................................................     97205  1.0
OR.....................................................     97206  1.0
OR.....................................................     97207  1.0
OR.....................................................     97208  1.0
OR.....................................................     97209  1.0
OR.....................................................     97210  1.0
OR.....................................................     97211  1.0
OR.....................................................     97212  1.0
OR.....................................................     97213  1.0
OR.....................................................     97214  1.0
OR.....................................................     97215  1.0
OR.....................................................     97216  1.0
OR.....................................................     97217  1.0
OR.....................................................     97218  1.0
OR.....................................................     97219  1.0
OR.....................................................     97220  1.0
OR.....................................................     97221  1.0
OR.....................................................     97222  1.0
OR.....................................................     97223  1.0
OR.....................................................     97224  1.0
OR.....................................................     97225  1.0
OR.....................................................     97227  1.0
OR.....................................................     97228  1.0
OR.....................................................     97229  1.0
OR.....................................................     97230  1.0
OR.....................................................     97231  2.0
OR.....................................................     97232  1.0
OR.....................................................     97233  1.0
OR.....................................................     97236  1.0
OR.....................................................     97238  1.0
OR.....................................................     97239  1.0
OR.....................................................     97240  1.0
OR.....................................................     97242  1.0
OR.....................................................     97251  1.0
OR.....................................................     97253  1.0
OR.....................................................     97254  1.0
OR.....................................................     97255  1.0
OR.....................................................     97256  1.0
OR.....................................................     97258  1.0
OR.....................................................     97259  1.0
OR.....................................................     97266  1.0
OR.....................................................     97267  1.0
OR.....................................................     97268  1.0
OR.....................................................     97269  1.0
OR.....................................................     97271  1.0
OR.....................................................     97272  1.0
OR.....................................................     97280  1.0
OR.....................................................     97281  1.0
OR.....................................................     97282  1.0
OR.....................................................     97283  1.0
OR.....................................................     97286  1.0
OR.....................................................     97290  1.0
OR.....................................................     97291  1.0
OR.....................................................     97292  1.0
OR.....................................................     97293  1.0
OR.....................................................     97294  1.0
OR.....................................................     97296  1.0
OR.....................................................     97298  1.0
OR.....................................................     97299  1.0
OR.....................................................     97301  1.0
OR.....................................................     97302  1.0
OR.....................................................     97303  1.0
OR.....................................................     97304  1.0
OR.....................................................     97305  1.0
OR.....................................................     97306  1.0
OR.....................................................     97307  1.0
OR.....................................................     97308  1.0
OR.....................................................     97309  1.0
OR.....................................................     97310  1.0
OR.....................................................     97311  1.0
OR.....................................................     97312  1.0
OR.....................................................     97313  1.0
OR.....................................................     97314  1.0
OR.....................................................     97321  4.2
OR.....................................................     97322  4.2
OR.....................................................     97324  2.0
OR.....................................................     97325  2.0
OR.....................................................     97326  8.0
OR.....................................................     97327  10.5
OR.....................................................     97329  10.5
OR.....................................................     97330  1.0
OR.....................................................     97331  1.0
OR.....................................................     97333  1.0
OR.....................................................     97335  5.0
OR.....................................................     97336  7.4
OR.....................................................     97338  4.1
OR.....................................................     97339  1.0
OR.....................................................     97341  7.0
OR.....................................................     97342  2.0
OR.....................................................     97343  8.0
OR.....................................................     97344  10.4
OR.....................................................     97345  7.4
OR.....................................................     97346  2.0
OR.....................................................     97347  10.4
OR.....................................................     97348  2.0
OR.....................................................     97350  2.0
OR.....................................................     97351  4.2
OR.....................................................     97352  2.0
OR.....................................................     97355  4.0
OR.....................................................     97357  8.0
OR.....................................................     97358  3.0
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PA.....................................................     15555  4.0
PA.....................................................     15557  5.0
PA.....................................................     15558  10.0
PA.....................................................     15559  10.6
PA.....................................................     15560  4.0
PA.....................................................     15561  4.0
PA.....................................................     15562  10.0
PA.....................................................     15563  10.5
PA.....................................................     15564  5.0
PA.....................................................     15565  10.0
PA.....................................................     15601  1.0
PA.....................................................     15605  1.0
PA.....................................................     15606  1.0
PA.....................................................     15610  2.0
PA.....................................................     15611  1.0
PA.....................................................     15612  1.0
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PA.....................................................     15616  1.0
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PA.....................................................     15664  1.0
PA.....................................................     15665  1.0
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PA.....................................................     15668  1.0
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PA.....................................................     15672  1.0
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PA.....................................................     15679  1.0
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PA.....................................................     15697  1.0
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PA.....................................................     15711  10.5
PA.....................................................     15712  5.0
PA.....................................................     15713  4.0
PA.....................................................     15714  9.0
PA.....................................................     15715  7.0
PA.....................................................     15716  7.2
PA.....................................................     15717  7.2
PA.....................................................     15720  5.2
PA.....................................................     15721  10.5
PA.....................................................     15722  9.0
PA.....................................................     15723  4.0
PA.....................................................     15724  5.0
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PA.....................................................     15747  5.0
PA.....................................................     15748  4.0
PA.....................................................     15750  7.2
PA.....................................................     15752  4.0
PA.....................................................     15753  10.5
PA.....................................................     15754  4.0
PA.....................................................     15756  6.0
PA.....................................................     15757  5.0
PA.....................................................     15758  9.0
PA.....................................................     15759  5.0
PA.....................................................     15760  9.1
PA.....................................................     15761  9.0
PA.....................................................     15762  9.1
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PA.....................................................     15765  5.0
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PA.....................................................     15772  9.0
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PA.....................................................     15783  2.0
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PA.....................................................     15801  4.0
PA.....................................................     15821  5.0
PA.....................................................     15822  5.0
PA.....................................................     15823  5.0
PA.....................................................     15824  10.5
PA.....................................................     15825  7.0
PA.....................................................     15827  5.0
PA.....................................................     15828  10.0
PA.....................................................     15829  8.0
PA.....................................................     15831  5.0
PA.....................................................     15832  8.0
PA.....................................................     15834  8.0
PA.....................................................     15840  6.0
PA.....................................................     15841  5.0
PA.....................................................     15845  7.2
PA.....................................................     15846  5.0
PA.....................................................     15847  7.0
PA.....................................................     15848  5.0
PA.....................................................     15849  5.0
PA.....................................................     15851  5.0
PA.....................................................     15853  7.4
PA.....................................................     15856  5.0
PA.....................................................     15857  4.0
PA.....................................................     15860  10.4
PA.....................................................     15861  8.0
PA.....................................................     15863  5.0
PA.....................................................     15864  8.0
PA.....................................................     15865  5.0
PA.....................................................     15866  5.0
PA.....................................................     15868  5.0
PA.....................................................     15870  6.0
PA.....................................................     15901  1.0
PA.....................................................     15902  1.0
PA.....................................................     15904  1.0
PA.....................................................     15905  1.0
PA.....................................................     15906  1.0
PA.....................................................     15907  1.0
PA.....................................................     15909  1.0
PA.....................................................     15915  1.0
PA.....................................................     15920  6.1
PA.....................................................     15921  2.0
PA.....................................................     15922  7.3
PA.....................................................     15923  2.0
PA.....................................................     15924  3.0
PA.....................................................     15925  2.0
PA.....................................................     15926  3.0
PA.....................................................     15927  7.3
PA.....................................................     15928  2.0
PA.....................................................     15929  4.0
PA.....................................................     15930  1.0
PA.....................................................     15931  7.3
PA.....................................................     15934  1.0
PA.....................................................     15935  2.0
PA.....................................................     15936  10.5
PA.....................................................     15937  2.0
PA.....................................................     15938  2.0
PA.....................................................     15940  2.0
PA.....................................................     15942  2.0
PA.....................................................     15943  2.0
PA.....................................................     15944  2.0
PA.....................................................     15945  1.0
PA.....................................................     15946  3.0
PA.....................................................     15948  7.3
PA.....................................................     15949  5.2
PA.....................................................     15951  1.0
PA.....................................................     15952  1.0
PA.....................................................     15953  2.0
PA.....................................................     15954  6.1
PA.....................................................     15955  2.0
PA.....................................................     15956  2.0
PA.....................................................     15957  5.2
PA.....................................................     15958  2.0
PA.....................................................     15959  1.0
PA.....................................................     15960  3.0
PA.....................................................     15961  3.0
PA.....................................................     15962  3.0
PA.....................................................     15963  1.0
PA.....................................................     16001  4.2
PA.....................................................     16002  2.0
PA.....................................................     16003  4.2
PA.....................................................     16016  5.2
PA.....................................................     16017  5.2
PA.....................................................     16018  6.0
PA.....................................................     16020  6.0
PA.....................................................     16021  9.2
PA.....................................................     16022  6.0
PA.....................................................     16023  2.0
PA.....................................................     16024  2.0
PA.....................................................     16025  5.2
PA.....................................................     16027  2.0
PA.....................................................     16028  10.6
PA.....................................................     16029  4.2
PA.....................................................     16030  6.0
PA.....................................................     16033  2.0
PA.....................................................     16034  5.2
PA.....................................................     16035  9.2
PA.....................................................     16036  10.0
PA.....................................................     16037  2.0
PA.....................................................     16038  9.2
PA.....................................................     16039  4.2
PA.....................................................     16040  6.0
PA.....................................................     16041  6.0
PA.....................................................     16045  4.2
PA.....................................................     16046  1.0
PA.....................................................     16048  6.0
PA.....................................................     16049  6.0
PA.....................................................     16050  6.0
PA.....................................................     16051  6.1
PA.....................................................     16052  6.1
PA.....................................................     16053  2.0
PA.....................................................     16054  10.0
PA.....................................................     16055  1.0
PA.....................................................     16056  2.0
PA.....................................................     16057  9.2
PA.....................................................     16058  10.0
PA.....................................................     16059  2.0
PA.....................................................     16061  5.2
PA.....................................................     16063  2.0
PA.....................................................     16066  1.0
PA.....................................................     16101  4.0
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PA.....................................................     16111  5.0
PA.....................................................     16112  5.2
PA.....................................................     16113  7.3
PA.....................................................     16114  9.0
PA.....................................................     16115  2.0
PA.....................................................     16116  5.2
PA.....................................................     16117  1.0
PA.....................................................     16120  5.2
PA.....................................................     16121  1.0
PA.....................................................     16123  1.0
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PA.....................................................     16125  7.3
PA.....................................................     16127  4.0
PA.....................................................     16130  9.0
PA.....................................................     16131  5.0
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[[Page 70195]]

 
PA.....................................................     16137  7.1
PA.....................................................     16140  5.2
PA.....................................................     16141  2.0
PA.....................................................     16142  5.2
PA.....................................................     16143  5.2
PA.....................................................     16145  10.0
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PA.....................................................     16148  1.0
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PA.....................................................     16154  2.0
PA.....................................................     16155  5.2
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PA.....................................................     16159  2.0
PA.....................................................     16160  2.0
PA.....................................................     16161  1.0
PA.....................................................     16172  7.3
PA.....................................................     16201  4.2
PA.....................................................     16210  5.2
PA.....................................................     16211  5.0
PA.....................................................     16212  2.0
PA.....................................................     16213  10.0
PA.....................................................     16214  7.0
PA.....................................................     16215  4.2
PA.....................................................     16217  10.0
PA.....................................................     16218  6.0
PA.....................................................     16220  10.0
PA.....................................................     16221  10.6
PA.....................................................     16222  10.0
PA.....................................................     16223  10.6
PA.....................................................     16224  10.6
PA.....................................................     16225  10.0
PA.....................................................     16226  4.2
PA.....................................................     16228  4.2
PA.....................................................     16229  1.0
PA.....................................................     16230  10.6
PA.....................................................     16232  10.6
PA.....................................................     16233  10.0
PA.....................................................     16234  10.6
PA.....................................................     16235  10.6
PA.....................................................     16236  4.2
PA.....................................................     16238  4.2
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PA.....................................................     16240  10.0
PA.....................................................     16242  10.6
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PA.....................................................     16253  10.6
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PA.....................................................     16257  10.6
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PA.....................................................     16259  5.2
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PA.....................................................     16262  4.2
PA.....................................................     16263  5.0
PA.....................................................     16301  4.0
PA.....................................................     16311  9.0
PA.....................................................     16312  6.0
PA.....................................................     16313  4.0
PA.....................................................     16314  5.0
PA.....................................................     16316  5.0
PA.....................................................     16317  9.0
PA.....................................................     16319  4.0
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PA.....................................................     16322  10.0
PA.....................................................     16323  7.0
PA.....................................................     16326  10.6
PA.....................................................     16327  5.0
PA.....................................................     16328  7.0
PA.....................................................     16329  5.0
PA.....................................................     16331  10.6
PA.....................................................     16332  10.6
PA.....................................................     16333  7.0
PA.....................................................     16334  10.6
PA.....................................................     16335  4.0
PA.....................................................     16340  5.0
PA.....................................................     16341  9.0
PA.....................................................     16342  10.6
PA.....................................................     16343  4.0
PA.....................................................     16344  4.0
PA.....................................................     16345  5.0
PA.....................................................     16346  4.0
PA.....................................................     16347  5.0
PA.....................................................     16350  6.0
PA.....................................................     16351  5.0
PA.....................................................     16352  4.0
PA.....................................................     16353  10.0
PA.....................................................     16354  7.0
PA.....................................................     16360  10.5
PA.....................................................     16361  10.0
PA.....................................................     16362  10.6
PA.....................................................     16364  4.0
PA.....................................................     16365  4.0
PA.....................................................     16366  4.0
PA.....................................................     16367  4.0
PA.....................................................     16368  4.0
PA.....................................................     16369  4.0
PA.....................................................     16370  10.0
PA.....................................................     16371  5.0
PA.....................................................     16372  10.6
PA.....................................................     16373  10.5
PA.....................................................     16374  10.5
PA.....................................................     16375  10.6
PA.....................................................     16388  4.0
PA.....................................................     16401  2.0
PA.....................................................     16402  6.0
PA.....................................................     16403  10.4
PA.....................................................     16404  10.5
PA.....................................................     16405  6.0
PA.....................................................     16406  10.5
PA.....................................................     16407  7.3
PA.....................................................     16410  2.0
PA.....................................................     16411  2.0
PA.....................................................     16412  7.1
PA.....................................................     16413  7.3
PA.....................................................     16415  1.0
PA.....................................................     16416  5.0
PA.....................................................     16417  1.0
PA.....................................................     16420  5.0
PA.....................................................     16421  1.0
PA.....................................................     16422  5.0
PA.....................................................     16423  1.0
PA.....................................................     16424  10.5
PA.....................................................     16426  2.0
PA.....................................................     16427  2.0
PA.....................................................     16428  2.0
PA.....................................................     16430  2.0
PA.....................................................     16432  2.0
PA.....................................................     16433  4.0
PA.....................................................     16434  10.4
PA.....................................................     16435  10.5
PA.....................................................     16436  5.0
PA.....................................................     16438  2.0
PA.....................................................     16440  10.4
PA.....................................................     16441  2.0
PA.....................................................     16442  2.0
PA.....................................................     16443  2.0
PA.....................................................     16444  7.1
PA.....................................................     16475  2.0
PA.....................................................     16501  1.0
PA.....................................................     16502  1.0
PA.....................................................     16503  1.0
PA.....................................................     16504  1.0
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PA.....................................................     16509  1.0
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PA.....................................................     16514  1.0
PA.....................................................     16515  1.0
PA.....................................................     16522  1.0
PA.....................................................     16530  1.0
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PA.....................................................     16532  1.0
PA.....................................................     16533  1.0
PA.....................................................     16534  1.0
PA.....................................................     16538  1.0
PA.....................................................     16541  1.0
PA.....................................................     16544  1.0
PA.....................................................     16546  1.0
PA.....................................................     16550  1.0
PA.....................................................     16553  1.0
PA.....................................................     16554  1.0
PA.....................................................     16563  1.0
PA.....................................................     16565  1.0
PA.....................................................     16601  1.0
PA.....................................................     16602  1.0
PA.....................................................     16603  1.0
PA.....................................................     16611  4.0
PA.....................................................     16613  2.0
PA.....................................................     16616  10.4
PA.....................................................     16617  1.0
PA.....................................................     16619  2.0
PA.....................................................     16620  9.2
PA.....................................................     16621  10.5
PA.....................................................     16622  6.0
PA.....................................................     16623  6.0
PA.....................................................     16624  3.0
PA.....................................................     16625  2.0
PA.....................................................     16627  10.4
PA.....................................................     16629  2.0
PA.....................................................     16630  2.0
PA.....................................................     16631  2.0
PA.....................................................     16633  10.6
PA.....................................................     16634  10.5
PA.....................................................     16635  1.0
PA.....................................................     16636  3.0
PA.....................................................     16637  2.0
PA.....................................................     16638  5.0
PA.....................................................     16639  2.0
PA.....................................................     16640  2.0
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[[Page 70196]]

 
PA.....................................................     16647  5.0
PA.....................................................     16648  1.0
PA.....................................................     16650  10.4
PA.....................................................     16651  9.2
PA.....................................................     16652  4.0
PA.....................................................     16654  4.0
PA.....................................................     16655  3.0
PA.....................................................     16656  10.4
PA.....................................................     16657  5.0
PA.....................................................     16659  10.4
PA.....................................................     16660  4.0
PA.....................................................     16661  5.0
PA.....................................................     16662  2.0
PA.....................................................     16663  9.2
PA.....................................................     16664  10.4
PA.....................................................     16665  1.0
PA.....................................................     16666  7.3
PA.....................................................     16667  9.0
PA.....................................................     16668  3.0
PA.....................................................     16669  4.0
PA.....................................................     16670  3.0
PA.....................................................     16671  9.2
PA.....................................................     16672  10.6
PA.....................................................     16673  2.0
PA.....................................................     16674  10.5
PA.....................................................     16675  3.0
PA.....................................................     16677  7.3
PA.....................................................     16678  10.4
PA.....................................................     16679  10.6
PA.....................................................     16680  9.2
PA.....................................................     16681  5.0
PA.....................................................     16682  2.0
PA.....................................................     16683  2.0
PA.....................................................     16684  1.0
PA.....................................................     16685  6.0
PA.....................................................     16686  2.0
PA.....................................................     16689  10.0
PA.....................................................     16691  10.0
PA.....................................................     16692  10.5
PA.....................................................     16693  2.0
PA.....................................................     16694  10.6
PA.....................................................     16695  10.4
PA.....................................................     16698  9.2
PA.....................................................     16699  2.0
PA.....................................................     16701  4.0
PA.....................................................     16720  10.0
PA.....................................................     16724  10.5
PA.....................................................     16725  4.0
PA.....................................................     16726  10.5
PA.....................................................     16727  5.0
PA.....................................................     16728  10.5
PA.....................................................     16729  6.0
PA.....................................................     16730  10.5
PA.....................................................     16731  6.0
PA.....................................................     16732  5.0
PA.....................................................     16733  10.5
PA.....................................................     16734  10.5
PA.....................................................     16735  7.0
PA.....................................................     16738  5.0
PA.....................................................     16740  10.5
PA.....................................................     16743  10.0
PA.....................................................     16744  6.0
PA.....................................................     16745  6.0
PA.....................................................     16746  10.0
PA.....................................................     16748  10.0
PA.....................................................     16749  10.5
PA.....................................................     16750  10.0
PA.....................................................     16801  1.0
PA.....................................................     16802  1.0
PA.....................................................     16803  1.0
PA.....................................................     16804  1.0
PA.....................................................     16805  1.0
PA.....................................................     16820  2.0
PA.....................................................     16821  6.1
PA.....................................................     16822  4.2
PA.....................................................     16823  2.0
PA.....................................................     16825  5.0
PA.....................................................     16826  2.0
PA.....................................................     16827  1.0
PA.....................................................     16828  2.0
PA.....................................................     16829  2.0
PA.....................................................     16830  4.0
PA.....................................................     16832  2.0
PA.....................................................     16833  4.0
PA.....................................................     16834  6.1
PA.....................................................     16835  2.0
PA.....................................................     16836  5.0
PA.....................................................     16837  4.0
PA.....................................................     16838  4.0
PA.....................................................     16839  6.1
PA.....................................................     16840  6.1
PA.....................................................     16841  2.0
PA.....................................................     16843  4.0
PA.....................................................     16844  2.0
PA.....................................................     16845  5.0
PA.....................................................     16847  6.1
PA.....................................................     16848  5.2
PA.....................................................     16849  6.1
PA.....................................................     16850  5.0
PA.....................................................     16851  1.0
PA.....................................................     16852  2.0
PA.....................................................     16853  2.0
PA.....................................................     16854  2.0
PA.....................................................     16855  5.0
PA.....................................................     16856  2.0
PA.....................................................     16858  6.1
PA.....................................................     16859  2.0
PA.....................................................     16860  6.1
PA.....................................................     16861  5.0
PA.....................................................     16863  5.0
PA.....................................................     16864  2.0
PA.....................................................     16865  1.0
PA.....................................................     16866  7.3
PA.....................................................     16868  1.0
PA.....................................................     16870  2.0
PA.....................................................     16871  10.5
PA.....................................................     16872  2.0
PA.....................................................     16873  4.0
PA.....................................................     16874  2.0
PA.....................................................     16875  2.0
PA.....................................................     16876  5.0
PA.....................................................     16877  2.0
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[[Page 70198]]

 
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PA.....................................................     17768  10.0
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PA.....................................................     18212  1.0
PA.....................................................     18214  6.0
PA.....................................................     18216  1.0
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PA.....................................................     18244  1.0
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PA.....................................................     18249  1.0
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PA.....................................................     18301  4.2
PA.....................................................     18320  4.2
PA.....................................................     18321  4.2
PA.....................................................     18322  4.2
PA.....................................................     18323  10.5
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PR.....................................................     00715    U
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PR.....................................................     00782    U
PR.....................................................     00783    U
PR.....................................................     00784    R
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PR.....................................................     00987    U
PR.....................................................     00988    U
PW.....................................................     96940    R
RI.....................................................     02801  2.0
RI.....................................................     02802  1.0
RI.....................................................     02804  3.0
RI.....................................................     02806  1.0
RI.....................................................     02807  2.0
RI.....................................................     02808  4.1
RI.....................................................     02809  1.0
RI.....................................................     02812  2.0
RI.....................................................     02813  2.0
RI.....................................................     02814  2.0
RI.....................................................     02815  2.0
RI.....................................................     02816  1.0
RI.....................................................     02817  2.0
RI.....................................................     02818  1.0
RI.....................................................     02822  2.0
RI.....................................................     02823  1.0
RI.....................................................     02824  1.0
RI.....................................................     02825  2.0
RI.....................................................     02826  1.0
RI.....................................................     02827  2.0
RI.....................................................     02828  1.0
RI.....................................................     02829  2.0
RI.....................................................     02830  1.0
RI.....................................................     02831  1.0
RI.....................................................     02832  3.0
RI.....................................................     02833  3.0
RI.....................................................     02835  1.0
RI.....................................................     02836  2.0
RI.....................................................     02837  2.0
RI.....................................................     02838  1.0
RI.....................................................     02839  1.0
RI.....................................................     02840  1.0
RI.....................................................     02841  1.0
RI.....................................................     02842  1.0
RI.....................................................     02852  1.0
RI.....................................................     02854  1.0
RI.....................................................     02857  2.0
RI.....................................................     02858  1.0
RI.....................................................     02859  1.0
RI.....................................................     02860  1.0
RI.....................................................     02861  1.0
RI.....................................................     02862  1.0
RI.....................................................     02863  1.0
RI.....................................................     02864  1.0
RI.....................................................     02865  1.0
RI.....................................................     02871  1.0
RI.....................................................     02872  1.0
RI.....................................................     02873  3.0
RI.....................................................     02874  1.0
RI.....................................................     02875  2.0
RI.....................................................     02876  1.0
RI.....................................................     02877  2.0
RI.....................................................     02878  1.0
RI.....................................................     02879  1.0
RI.....................................................     02880  1.0
RI.....................................................     02881  1.0
RI.....................................................     02882  1.0
RI.....................................................     02883  1.0
RI.....................................................     02885  1.0
RI.....................................................     02886  1.0
RI.....................................................     02887  1.0
RI.....................................................     02888  1.0
RI.....................................................     02889  1.0
RI.....................................................     02891  4.1
RI.....................................................     02892  2.0
RI.....................................................     02893  1.0
RI.....................................................     02894  2.0
RI.....................................................     02895  1.0
RI.....................................................     02896  1.0
RI.....................................................     02898  2.0
RI.....................................................     02901  1.0
RI.....................................................     02902  1.0
RI.....................................................     02903  1.0
RI.....................................................     02904  1.0
RI.....................................................     02905  1.0
RI.....................................................     02906  1.0
RI.....................................................     02907  1.0
RI.....................................................     02908  1.0
RI.....................................................     02909  1.0
RI.....................................................     02910  1.0
RI.....................................................     02911  1.0
RI.....................................................     02912  1.0
RI.....................................................     02914  1.0
RI.....................................................     02915  1.0
RI.....................................................     02916  1.0
RI.....................................................     02917  1.0
RI.....................................................     02918  1.0
RI.....................................................     02919  1.0
RI.....................................................     02920  1.0
RI.....................................................     02921  1.0
RI.....................................................     02940  1.0
SC.....................................................     29001  9.1
SC.....................................................     29002  1.0
SC.....................................................     29003  7.4
SC.....................................................     29006  2.0
SC.....................................................     29009  5.0
SC.....................................................     29010  7.4
SC.....................................................     29014  10.5
SC.....................................................     29015  6.1
SC.....................................................     29016  2.0
SC.....................................................     29018  5.0
SC.....................................................     29020  4.2
SC.....................................................     29030  6.1
SC.....................................................     29031  5.0
SC.....................................................     29032  5.0
SC.....................................................     29033  1.0
SC.....................................................     29036  2.0
SC.....................................................     29037  6.0
SC.....................................................     29038  5.0
SC.....................................................     29039  5.0
SC.....................................................     29040  2.0
SC.....................................................     29041  10.6
SC.....................................................     29042  7.0
SC.....................................................     29044  2.0
SC.....................................................     29045  2.0
SC.....................................................     29046  7.4

[[Page 70204]]

 
SC.....................................................     29047  6.0
SC.....................................................     29048  3.0
SC.....................................................     29051  10.0
SC.....................................................     29052  2.0
SC.....................................................     29053  2.0
SC.....................................................     29054  2.0
SC.....................................................     29055  10.5
SC.....................................................     29056  9.0
SC.....................................................     29058  5.0
SC.....................................................     29059  10.4
SC.....................................................     29061  2.0
SC.....................................................     29062  6.1
SC.....................................................     29063  1.0
SC.....................................................     29065  6.1
SC.....................................................     29067  6.0
SC.....................................................     29069  2.0
SC.....................................................     29070  2.0
SC.....................................................     29071  1.0
SC.....................................................     29072  1.0
SC.....................................................     29073  1.0
SC.....................................................     29074  5.0
SC.....................................................     29075  2.0
SC.....................................................     29078  4.2
SC.....................................................     29079  4.2
SC.....................................................     29080  10.6
SC.....................................................     29081  10.6
SC.....................................................     29082  10.5
SC.....................................................     29101  10.5
SC.....................................................     29102  10.6
SC.....................................................     29104  2.0
SC.....................................................     29105  3.0
SC.....................................................     29106  6.1
SC.....................................................     29107  5.2
SC.....................................................     29108  4.2
SC.....................................................     29111  10.4
SC.....................................................     29112  5.2
SC.....................................................     29113  6.0
SC.....................................................     29114  2.0
SC.....................................................     29115  4.0
SC.....................................................     29116  4.0
SC.....................................................     29117  4.0
SC.....................................................     29118  4.0
SC.....................................................     29122  2.0
SC.....................................................     29123  2.0
SC.....................................................     29125  2.0
SC.....................................................     29126  5.2
SC.....................................................     29127  2.0
SC.....................................................     29128  6.1
SC.....................................................     29129  10.4
SC.....................................................     29130  2.0
SC.....................................................     29132  7.1
SC.....................................................     29133  4.0
SC.....................................................     29135  10.5
SC.....................................................     29137  3.0
SC.....................................................     29138  7.0
SC.....................................................     29142  10.5
SC.....................................................     29143  10.0
SC.....................................................     29145  5.0
SC.....................................................     29146  6.0
SC.....................................................     29147  1.0
SC.....................................................     29148  10.4
SC.....................................................     29150  1.0
SC.....................................................     29151  1.0
SC.....................................................     29152  1.0
SC.....................................................     29153  2.0
SC.....................................................     29154  1.0
SC.....................................................     29160  2.0
SC.....................................................     29161  2.0
SC.....................................................     29162  10.4
SC.....................................................     29163  10.5
SC.....................................................     29164  2.1
SC.....................................................     29166  10.4
SC.....................................................     29168  2.0
SC.....................................................     29169  1.0
SC.....................................................     29170  1.0
SC.....................................................     29171  1.0
SC.....................................................     29172  1.0
SC.....................................................     29175  6.1
SC.....................................................     29176  7.1
SC.....................................................     29177  2.0
SC.....................................................     29178  10.5
SC.....................................................     29180  7.1
SC.....................................................     29201  1.0
SC.....................................................     29202  1.0
SC.....................................................     29203  1.0
SC.....................................................     29204  1.0
SC.....................................................     29205  1.0
SC.....................................................     29206  1.0
SC.....................................................     29207  1.0
SC.....................................................     29208  1.0
SC.....................................................     29209  1.0
SC.....................................................     29210  1.0
SC.....................................................     29211  1.0
SC.....................................................     29212  1.0
SC.....................................................     29214  1.0
SC.....................................................     29215  1.0
SC.....................................................     29216  1.0
SC.....................................................     29217  1.0
SC.....................................................     29218  1.0
SC.....................................................     29219  1.0
SC.....................................................     29220  1.0
SC.....................................................     29221  1.0
SC.....................................................     29222  1.0
SC.....................................................     29223  1.0
SC.....................................................     29224  1.0
SC.....................................................     29225  1.0
SC.....................................................     29226  1.0
SC.....................................................     29227  1.0
SC.....................................................     29228  1.0
SC.....................................................     29229  1.0
SC.....................................................     29230  1.0
SC.....................................................     29240  1.0
SC.....................................................     29250  1.0
SC.....................................................     29260  1.0
SC.....................................................     29290  1.0
SC.....................................................     29292  1.0
SC.....................................................     29301  1.0
SC.....................................................     29302  1.0
SC.....................................................     29303  1.0
SC.....................................................     29304  1.0
SC.....................................................     29305  1.0
SC.....................................................     29306  1.0
SC.....................................................     29307  1.0
SC.....................................................     29316  1.0
SC.....................................................     29318  1.0
SC.....................................................     29319  1.0
SC.....................................................     29320  1.0
SC.....................................................     29321  4.2
SC.....................................................     29322  2.0
SC.....................................................     29323  2.0
SC.....................................................     29324  1.0
SC.....................................................     29325  4.0
SC.....................................................     29329  1.0
SC.....................................................     29330  2.0
SC.....................................................     29331  2.0
SC.....................................................     29332  6.0
SC.....................................................     29333  1.0
SC.....................................................     29334  1.0
SC.....................................................     29335  2.0
SC.....................................................     29336  1.0
SC.....................................................     29338  1.0
SC.....................................................     29340  4.0
SC.....................................................     29341  4.0
SC.....................................................     29342  4.0
SC.....................................................     29346  1.0
SC.....................................................     29348  1.0
SC.....................................................     29349  1.0
SC.....................................................     29351  5.0
SC.....................................................     29353  2.0
SC.....................................................     29355  10.5
SC.....................................................     29356  2.0
SC.....................................................     29360  4.0
SC.....................................................     29364  4.2
SC.....................................................     29365  1.0
SC.....................................................     29368  2.0
SC.....................................................     29369  1.0
SC.....................................................     29370  6.0
SC.....................................................     29372  2.0
SC.....................................................     29373  2.0
SC.....................................................     29374  2.0
SC.....................................................     29375  2.1
SC.....................................................     29376  2.0
SC.....................................................     29377  1.0
SC.....................................................     29378  1.0
SC.....................................................     29379  4.2
SC.....................................................     29384  6.0
SC.....................................................     29385  1.0
SC.....................................................     29386  1.0
SC.....................................................     29388  2.1
SC.....................................................     29390  1.0
SC.....................................................     29391  1.0
SC.....................................................     29395  2.0
SC.....................................................     29401  1.0
SC.....................................................     29402  1.0
SC.....................................................     29403  1.0
SC.....................................................     29404  1.0
SC.....................................................     29405  1.0
SC.....................................................     29406  1.0
SC.....................................................     29407  1.0
SC.....................................................     29409  1.0
SC.....................................................     29410  1.0
SC.....................................................     29412  1.0
SC.....................................................     29413  1.0
SC.....................................................     29414  1.0
SC.....................................................     29415  1.0
SC.....................................................     29416  1.0
SC.....................................................     29417  1.0
SC.....................................................     29418  1.0
SC.....................................................     29419  1.0
SC.....................................................     29420  1.0
SC.....................................................     29422  1.0
SC.....................................................     29423  1.0
SC.....................................................     29424  1.0
SC.....................................................     29425  1.0
SC.....................................................     29426  2.0
SC.....................................................     29429  2.0
SC.....................................................     29430  2.0
SC.....................................................     29431  2.0
SC.....................................................     29432  5.0
SC.....................................................     29433  2.0
SC.....................................................     29434  2.0
SC.....................................................     29435  2.0
SC.....................................................     29436  2.0
SC.....................................................     29437  2.0
SC.....................................................     29438  2.0
SC.....................................................     29439  1.0
SC.....................................................     29440  4.2

[[Page 70205]]

 
SC.....................................................     29442  4.2
SC.....................................................     29445  1.0
SC.....................................................     29446  10.4
SC.....................................................     29447  10.4
SC.....................................................     29448  2.0
SC.....................................................     29449  2.0
SC.....................................................     29450  2.0
SC.....................................................     29451  1.0
SC.....................................................     29452  10.4
SC.....................................................     29453  2.0
SC.....................................................     29455  2.0
SC.....................................................     29456  1.0
SC.....................................................     29457  2.0
SC.....................................................     29458  2.0
SC.....................................................     29461  7.1
SC.....................................................     29464  1.0
SC.....................................................     29465  1.0
SC.....................................................     29466  1.0
SC.....................................................     29468  2.0
SC.....................................................     29469  7.1
SC.....................................................     29470  2.0
SC.....................................................     29471  2.0
SC.....................................................     29472  2.0
SC.....................................................     29474  2.0
SC.....................................................     29475  5.0
SC.....................................................     29476  2.0
SC.....................................................     29477  10.4
SC.....................................................     29479  2.0
SC.....................................................     29481  10.0
SC.....................................................     29482  1.0
SC.....................................................     29483  1.0
SC.....................................................     29484  1.0
SC.....................................................     29485  1.0
SC.....................................................     29487  2.0
SC.....................................................     29488  5.0
SC.....................................................     29492  2.0
SC.....................................................     29493  5.0
SC.....................................................     29501  1.0
SC.....................................................     29502  1.0
SC.....................................................     29503  1.0
SC.....................................................     29504  1.0
SC.....................................................     29505  1.0
SC.....................................................     29506  1.0
SC.....................................................     29510  7.2
SC.....................................................     29511  2.0
SC.....................................................     29512  4.0
SC.....................................................     29516  5.0
SC.....................................................     29518  10.6
SC.....................................................     29519  7.0
SC.....................................................     29520  7.0
SC.....................................................     29525  5.0
SC.....................................................     29526  1.0
SC.....................................................     29527  2.0
SC.....................................................     29528  1.0
SC.....................................................     29530  2.0
SC.....................................................     29532  4.1
SC.....................................................     29536  4.0
SC.....................................................     29540  1.0
SC.....................................................     29541  2.0
SC.....................................................     29542  4.0
SC.....................................................     29543  6.0
SC.....................................................     29544  2.0
SC.....................................................     29545  2.0
SC.....................................................     29546  2.0
SC.....................................................     29547  5.0
SC.....................................................     29550  4.2
SC.....................................................     29551  4.2
SC.....................................................     29554  10.0
SC.....................................................     29555  10.4
SC.....................................................     29556  7.0
SC.....................................................     29560  7.3
SC.....................................................     29563  6.0
SC.....................................................     29564  9.0
SC.....................................................     29565  6.0
SC.....................................................     29566  1.0
SC.....................................................     29567  5.0
SC.....................................................     29568  2.0
SC.....................................................     29569  2.0
SC.....................................................     29570  6.0
SC.....................................................     29571  7.0
SC.....................................................     29572  1.0
SC.....................................................     29573  4.0
SC.....................................................     29574  7.0
SC.....................................................     29575  1.0
SC.....................................................     29576  1.0
SC.....................................................     29577  1.0
SC.....................................................     29578  1.0
SC.....................................................     29579  1.0
SC.....................................................     29580  9.0
SC.....................................................     29581  2.0
SC.....................................................     29582  1.0
SC.....................................................     29583  2.0
SC.....................................................     29584  9.2
SC.....................................................     29585  7.3
SC.....................................................     29587  1.0
SC.....................................................     29588  1.0
SC.....................................................     29589  7.0
SC.....................................................     29590  9.0
SC.....................................................     29591  2.0
SC.....................................................     29592  6.0
SC.....................................................     29593  6.1
SC.....................................................     29594  6.0
SC.....................................................     29596  8.0
SC.....................................................     29597  1.0
SC.....................................................     29598  1.0
SC.....................................................     29601  1.0
SC.....................................................     29602  1.0
SC.....................................................     29603  1.0
SC.....................................................     29604  1.0
SC.....................................................     29605  1.0
SC.....................................................     29606  1.0
SC.....................................................     29607  1.0
SC.....................................................     29608  1.0
SC.....................................................     29609  1.0
SC.....................................................     29610  1.0
SC.....................................................     29611  1.0
SC.....................................................     29612  1.0
SC.....................................................     29613  1.0
SC.....................................................     29614  1.0
SC.....................................................     29615  1.0
SC.....................................................     29616  1.0
SC.....................................................     29617  1.0
SC.....................................................     29620  7.4
SC.....................................................     29621  1.0
SC.....................................................     29622  1.0
SC.....................................................     29623  1.0
SC.....................................................     29624  1.0
SC.....................................................     29625  1.0
SC.....................................................     29626  1.0
SC.....................................................     29627  2.0
SC.....................................................     29628  10.6
SC.....................................................     29630  4.2
SC.....................................................     29631  4.2
SC.....................................................     29632  4.2
SC.....................................................     29633  4.2
SC.....................................................     29634  4.2
SC.....................................................     29635  2.0
SC.....................................................     29636  1.0
SC.....................................................     29638  6.1
SC.....................................................     29639  10.4
SC.....................................................     29640  1.0
SC.....................................................     29641  1.0
SC.....................................................     29642  1.0
SC.....................................................     29643  5.0
SC.....................................................     29644  2.1
SC.....................................................     29645  2.1
SC.....................................................     29646  4.0
SC.....................................................     29647  5.0
SC.....................................................     29648  4.0
SC.....................................................     29649  4.0
SC.....................................................     29650  1.0
SC.....................................................     29651  1.0
SC.....................................................     29652  1.0
SC.....................................................     29653  5.0
SC.....................................................     29654  2.0
SC.....................................................     29655  2.0
SC.....................................................     29656  4.2
SC.....................................................     29657  1.0
SC.....................................................     29658  5.0
SC.....................................................     29659  2.0
SC.....................................................     29661  2.0
SC.....................................................     29662  2.0
SC.....................................................     29664  5.0
SC.....................................................     29665  4.2
SC.....................................................     29666  5.0
SC.....................................................     29667  4.2
SC.....................................................     29669  2.0
SC.....................................................     29670  4.2
SC.....................................................     29671  1.0
SC.....................................................     29672  4.2
SC.....................................................     29673  1.0
SC.....................................................     29675  5.0
SC.....................................................     29676  5.0
SC.....................................................     29677  4.2
SC.....................................................     29678  4.2
SC.....................................................     29679  4.2
SC.....................................................     29680  2.0
SC.....................................................     29681  2.0
SC.....................................................     29682  2.0
SC.....................................................     29683  2.0
SC.....................................................     29684  2.0
SC.....................................................     29685  2.0
SC.....................................................     29686  5.0
SC.....................................................     29687  1.0
SC.....................................................     29688  2.0
SC.....................................................     29689  2.0
SC.....................................................     29690  2.0
SC.....................................................     29691  5.0
SC.....................................................     29692  5.0
SC.....................................................     29693  5.0
SC.....................................................     29695  5.0
SC.....................................................     29696  5.0
SC.....................................................     29697  2.0
SC.....................................................     29698  1.0
SC.....................................................     29702  5.0
SC.....................................................     29703  2.0
SC.....................................................     29704  2.1
SC.....................................................     29706  4.0
SC.....................................................     29708  1.0
SC.....................................................     29709  8.0
SC.....................................................     29710  2.0
SC.....................................................     29712  3.0
SC.....................................................     29714  3.0
SC.....................................................     29715  1.0
SC.....................................................     29716  1.0
SC.....................................................     29717  3.0
SC.....................................................     29718  9.0

[[Page 70206]]

 
SC.....................................................     29720  4.0
SC.....................................................     29721  4.0
SC.....................................................     29722  4.0
SC.....................................................     29724  3.0
SC.....................................................     29726  2.1
SC.....................................................     29727  9.0
SC.....................................................     29728  7.3
SC.....................................................     29729  3.0
SC.....................................................     29730  1.1
SC.....................................................     29731  1.1
SC.....................................................     29732  1.1
SC.....................................................     29733  1.1
SC.....................................................     29734  1.1
SC.....................................................     29741  9.0
SC.....................................................     29742  3.0
SC.....................................................     29743  3.0
SC.....................................................     29744  4.0
SC.....................................................     29745  2.1
SC.....................................................     29801  1.0
SC.....................................................     29802  1.0
SC.....................................................     29803  1.0
SC.....................................................     29804  1.0
SC.....................................................     29805  2.0
SC.....................................................     29808  9.0
SC.....................................................     29809  2.0
SC.....................................................     29810  7.0
SC.....................................................     29812  8.0
SC.....................................................     29813  8.0
SC.....................................................     29816  1.0
SC.....................................................     29817  10.6
SC.....................................................     29819  5.0
SC.....................................................     29821  2.0
SC.....................................................     29822  2.0
SC.....................................................     29824  7.3
SC.....................................................     29826  10.4
SC.....................................................     29827  8.0
SC.....................................................     29828  1.0
SC.....................................................     29829  1.0
SC.....................................................     29831  2.0
SC.....................................................     29832  10.6
SC.....................................................     29834  1.0
SC.....................................................     29835  10.5
SC.....................................................     29836  7.0
SC.....................................................     29838  2.0
SC.....................................................     29839  1.0
SC.....................................................     29840  10.0
SC.....................................................     29841  1.0
SC.....................................................     29842  2.0
SC.....................................................     29843  10.6
SC.....................................................     29844  2.0
SC.....................................................     29845  2.0
SC.....................................................     29846  8.0
SC.....................................................     29847  2.0
SC.....................................................     29848  5.0
SC.....................................................     29849  8.0
SC.....................................................     29850  1.0
SC.....................................................     29851  1.0
SC.....................................................     29853  10.4
SC.....................................................     29856  2.0
SC.....................................................     29860  2.0
SC.....................................................     29861  1.0
SC.....................................................     29899  10.5
SC.....................................................     29901  4.0
SC.....................................................     29902  4.0
SC.....................................................     29903  4.0
SC.....................................................     29904  4.0
SC.....................................................     29905  4.0
SC.....................................................     29906  4.0
SC.....................................................     29907  4.0
SC.....................................................     29909  5.0
SC.....................................................     29910  5.0
SC.....................................................     29911  8.0
SC.....................................................     29912  7.4
SC.....................................................     29913  7.0
SC.....................................................     29914  5.0
SC.....................................................     29915  4.0
SC.....................................................     29916  10.5
SC.....................................................     29918  7.0
SC.....................................................     29920  5.0
SC.....................................................     29921  7.0
SC.....................................................     29922  10.6
SC.....................................................     29923  7.0
SC.....................................................     29924  7.0
SC.....................................................     29925  4.0
SC.....................................................     29926  4.0
SC.....................................................     29927  10.5
SC.....................................................     29928  4.0
SC.....................................................     29929  10.5
SC.....................................................     29931  5.0
SC.....................................................     29932  7.0
SC.....................................................     29933  7.0
SC.....................................................     29934  8.4
SC.....................................................     29935  4.0
SC.....................................................     29936  7.4
SC.....................................................     29938  4.0
SC.....................................................     29939  7.0
SC.....................................................     29940  5.0
SC.....................................................     29941  5.0
SC.....................................................     29943  8.4
SC.....................................................     29944  7.0
SC.....................................................     29945  5.0
SD.....................................................     57001  10.4
SD.....................................................     57002  5.0
SD.....................................................     57003  2.0
SD.....................................................     57004  10.4
SD.....................................................     57005  2.0
SD.....................................................     57006  4.0
SD.....................................................     57007  4.0
SD.....................................................     57010  5.0
SD.....................................................     57012  10.4
SD.....................................................     57013  7.1
SD.....................................................     57014  10.4
SD.....................................................     57015  10.1
SD.....................................................     57016  8.3
SD.....................................................     57017  10.4
SD.....................................................     57018  2.0
SD.....................................................     57020  2.0
SD.....................................................     57021  10.4
SD.....................................................     57022  2.0
SD.....................................................     57024  10.4
SD.....................................................     57025  2.0
SD.....................................................     57026  5.0
SD.....................................................     57027  3.0
SD.....................................................     57028  10.4
SD.....................................................     57029  10.0
SD.....................................................     57030  2.0
SD.....................................................     57031  5.0
SD.....................................................     57032  1.0
SD.....................................................     57033  2.0
SD.....................................................     57034  3.0
SD.....................................................     57035  2.0
SD.....................................................     57036  10.4
SD.....................................................     57037  5.0
SD.....................................................     57038  1.0
SD.....................................................     57039  2.0
SD.....................................................     57040  5.0
SD.....................................................     57041  2.0
SD.....................................................     57042  7.0
SD.....................................................     57043  10.1
SD.....................................................     57044  5.0
SD.....................................................     57045  10.0
SD.....................................................     57046  5.0
SD.....................................................     57047  10.1
SD.....................................................     57048  10.4
SD.....................................................     57049  1.0
SD.....................................................     57050  8.0
SD.....................................................     57051  10.5
SD.....................................................     57052  10.0
SD.....................................................     57053  10.1
SD.....................................................     57054  8.0
SD.....................................................     57055  2.0
SD.....................................................     57056  2.0
SD.....................................................     57057  8.0
SD.....................................................     57058  10.4
SD.....................................................     57059  10.5
SD.....................................................     57061  4.0
SD.....................................................     57062  10.0
SD.....................................................     57063  10.5
SD.....................................................     57064  1.0
SD.....................................................     57065  10.4
SD.....................................................     57066  10.5
SD.....................................................     57067  5.0
SD.....................................................     57068  2.0
SD.....................................................     57069  4.0
SD.....................................................     57070  10.4
SD.....................................................     57071  5.0
SD.....................................................     57072  5.0
SD.....................................................     57073  5.0
SD.....................................................     57075  8.3
SD.....................................................     57076  8.0
SD.....................................................     57077  2.0
SD.....................................................     57078  4.0
SD.....................................................     57079  4.0
SD.....................................................     57101  1.0
SD.....................................................     57103  1.0
SD.....................................................     57104  1.0
SD.....................................................     57105  1.0
SD.....................................................     57106  1.0
SD.....................................................     57107  1.0
SD.....................................................     57108  1.0
SD.....................................................     57109  1.0
SD.....................................................     57110  1.0
SD.....................................................     57117  1.0
SD.....................................................     57118  1.0
SD.....................................................     57186  1.0
SD.....................................................     57188  1.0
SD.....................................................     57189  1.0
SD.....................................................     57192  1.0
SD.....................................................     57193  1.0
SD.....................................................     57194  1.0
SD.....................................................     57195  1.0
SD.....................................................     57196  1.0
SD.....................................................     57197  1.0
SD.....................................................     57198  2.0
SD.....................................................     57201  4.0
SD.....................................................     57212  10.5
SD.....................................................     57213  10.0
SD.....................................................     57214  10.5
SD.....................................................     57216  7.0
SD.....................................................     57217  10.5
SD.....................................................     57218  10.0
SD.....................................................     57219  10.0
SD.....................................................     57220  5.0
SD.....................................................     57221  10.5
SD.....................................................     57223  10.5
SD.....................................................     57224  10.0
SD.....................................................     57225  10.5

[[Page 70207]]

 
SD.....................................................     57226  10.0
SD.....................................................     57227  10.6
SD.....................................................     57231  10.0
SD.....................................................     57232  10.0
SD.....................................................     57233  10.5
SD.....................................................     57234  10.5
SD.....................................................     57235  5.0
SD.....................................................     57236  10.5
SD.....................................................     57237  10.0
SD.....................................................     57238  10.0
SD.....................................................     57239  10.0
SD.....................................................     57241  10.5
SD.....................................................     57242  10.5
SD.....................................................     57243  5.0
SD.....................................................     57245  5.0
SD.....................................................     57246  8.0
SD.....................................................     57247  10.0
SD.....................................................     57248  10.5
SD.....................................................     57249  10.5
SD.....................................................     57251  7.0
SD.....................................................     57252  7.0
SD.....................................................     57253  7.0
SD.....................................................     57255  10.0
SD.....................................................     57256  10.0
SD.....................................................     57257  10.0
SD.....................................................     57258  10.5
SD.....................................................     57259  8.0
SD.....................................................     57260  10.0
SD.....................................................     57261  10.0
SD.....................................................     57262  10.0
SD.....................................................     57263  5.0
SD.....................................................     57264  8.0
SD.....................................................     57265  8.0
SD.....................................................     57266  10.0
SD.....................................................     57268  10.0
SD.....................................................     57269  8.0
SD.....................................................     57270  10.0
SD.....................................................     57271  10.0
SD.....................................................     57272  5.0
SD.....................................................     57273  10.0
SD.....................................................     57274  10.0
SD.....................................................     57276  5.0
SD.....................................................     57278  10.0
SD.....................................................     57279  10.6
SD.....................................................     57301  4.0
SD.....................................................     57311  5.0
SD.....................................................     57312  10.0
SD.....................................................     57313  10.0
SD.....................................................     57314  10.5
SD.....................................................     57315  10.0
SD.....................................................     57317  10.0
SD.....................................................     57319  10.4
SD.....................................................     57321  10.0
SD.....................................................     57322  5.0
SD.....................................................     57323  10.0
SD.....................................................     57324  5.0
SD.....................................................     57325  10.0
SD.....................................................     57326  10.0
SD.....................................................     57328  10.0
SD.....................................................     57329  10.0
SD.....................................................     57330  10.0
SD.....................................................     57331  10.5
SD.....................................................     57332  5.0
SD.....................................................     57334  5.0
SD.....................................................     57335  10.0
SD.....................................................     57337  10.0
SD.....................................................     57339  10.0
SD.....................................................     57340  5.0
SD.....................................................     57341  10.0
SD.....................................................     57342  10.0
SD.....................................................     57344  10.0
SD.....................................................     57345  10.0
SD.....................................................     57346  10.0
SD.....................................................     57348  5.0
SD.....................................................     57349  10.0
SD.....................................................     57350  4.0
SD.....................................................     57353  10.0
SD.....................................................     57354  10.0
SD.....................................................     57355  10.0
SD.....................................................     57356  10.0
SD.....................................................     57358  10.0
SD.....................................................     57359  10.5
SD.....................................................     57361  10.0
SD.....................................................     57362  10.0
SD.....................................................     57363  5.0
SD.....................................................     57364  10.0
SD.....................................................     57365  10.0
SD.....................................................     57366  10.5
SD.....................................................     57367  10.0
SD.....................................................     57368  10.5
SD.....................................................     57369  10.0
SD.....................................................     57370  10.0
SD.....................................................     57371  10.0
SD.....................................................     57373  10.0
SD.....................................................     57374  10.4
SD.....................................................     57375  10.5
SD.....................................................     57376  10.0
SD.....................................................     57379  5.0
SD.....................................................     57380  10.0
SD.....................................................     57381  5.0
SD.....................................................     57382  10.0
SD.....................................................     57383  10.5
SD.....................................................     57384  5.0
SD.....................................................     57385  10.5
SD.....................................................     57386  5.0
SD.....................................................     57399  4.0
SD.....................................................     57401  4.0
SD.....................................................     57402  4.0
SD.....................................................     57420  10.6
SD.....................................................     57421  10.0
SD.....................................................     57422  10.0
SD.....................................................     57424  10.3
SD.....................................................     57426  5.0
SD.....................................................     57427  5.0
SD.....................................................     57428  10.0
SD.....................................................     57429  10.6
SD.....................................................     57430  10.0
SD.....................................................     57432  10.5
SD.....................................................     57433  10.5
SD.....................................................     57434  10.6
SD.....................................................     57435  10.0
SD.....................................................     57436  10.6
SD.....................................................     57437  10.0
SD.....................................................     57438  10.0
SD.....................................................     57439  10.6
SD.....................................................     57440  10.6
SD.....................................................     57441  5.0
SD.....................................................     57442  10.0
SD.....................................................     57445  5.0
SD.....................................................     57446  10.5
SD.....................................................     57448  10.0
SD.....................................................     57449  10.5
SD.....................................................     57450  10.0
SD.....................................................     57451  10.2
SD.....................................................     57452  10.6
SD.....................................................     57454  10.0
SD.....................................................     57455  10.0
SD.....................................................     57456  10.0
SD.....................................................     57457  10.0
SD.....................................................     57460  5.0
SD.....................................................     57461  10.3
SD.....................................................     57465  10.3
SD.....................................................     57466  10.0
SD.....................................................     57467  10.0
SD.....................................................     57468  10.0
SD.....................................................     57469  7.0
SD.....................................................     57470  10.0
SD.....................................................     57471  10.0
SD.....................................................     57472  10.6
SD.....................................................     57473  10.0
SD.....................................................     57474  5.0
SD.....................................................     57475  10.0
SD.....................................................     57476  10.3
SD.....................................................     57477  10.6
SD.....................................................     57479  5.0
SD.....................................................     57481  5.0
SD.....................................................     57501  4.0
SD.....................................................     57520  10.5
SD.....................................................     57521  10.0
SD.....................................................     57522  5.0
SD.....................................................     57523  10.0
SD.....................................................     57528  10.3
SD.....................................................     57529  10.0
SD.....................................................     57531  10.0
SD.....................................................     57532  4.0
SD.....................................................     57533  10.0
SD.....................................................     57534  10.3
SD.....................................................     57536  5.0
SD.....................................................     57537  4.0
SD.....................................................     57538  10.0
SD.....................................................     57540  10.0
SD.....................................................     57541  10.3
SD.....................................................     57542  10.0
SD.....................................................     57543  10.0
SD.....................................................     57544  10.0
SD.....................................................     57547  10.0
SD.....................................................     57548  10.0
SD.....................................................     57551  10.0
SD.....................................................     57552  10.0
SD.....................................................     57553  10.0
SD.....................................................     57555  10.0
SD.....................................................     57559  10.0
SD.....................................................     57560  10.0
SD.....................................................     57562  10.0
SD.....................................................     57563  10.0
SD.....................................................     57564  10.5
SD.....................................................     57566  10.0
SD.....................................................     57567  10.0
SD.....................................................     57568  10.0
SD.....................................................     57569  10.0
SD.....................................................     57570  10.0
SD.....................................................     57571  10.0
SD.....................................................     57572  10.0
SD.....................................................     57574  10.0
SD.....................................................     57576  10.0
SD.....................................................     57577  10.0
SD.....................................................     57579  10.0
SD.....................................................     57580  7.0
SD.....................................................     57584  10.3
SD.....................................................     57585  10.0
SD.....................................................     57601  7.0
SD.....................................................     57620  10.0
SD.....................................................     57621  10.0
SD.....................................................     57622  10.0
SD.....................................................     57623  10.0
SD.....................................................     57625  10.0
SD.....................................................     57626  10.4

[[Page 70208]]

 
SD.....................................................     57630  10.0
SD.....................................................     57631  10.6
SD.....................................................     57632  10.0
SD.....................................................     57633  10.0
SD.....................................................     57634  10.0
SD.....................................................     57636  10.0
SD.....................................................     57638  10.0
SD.....................................................     57639  10.0
SD.....................................................     57640  10.0
SD.....................................................     57641  10.0
SD.....................................................     57642  10.0
SD.....................................................     57644  10.0
SD.....................................................     57645  10.0
SD.....................................................     57646  10.0
SD.....................................................     57648  10.0
SD.....................................................     57649  10.0
SD.....................................................     57650  10.0
SD.....................................................     57651  10.0
SD.....................................................     57652  10.0
SD.....................................................     57656  10.0
SD.....................................................     57657  10.0
SD.....................................................     57658  10.6
SD.....................................................     57659  10.0
SD.....................................................     57660  10.0
SD.....................................................     57661  10.0
SD.....................................................     57701  1.0
SD.....................................................     57702  1.0
SD.....................................................     57703  1.0
SD.....................................................     57706  7.3
SD.....................................................     57709  1.0
SD.....................................................     57714  10.6
SD.....................................................     57716  8.0
SD.....................................................     57717  7.4
SD.....................................................     57718  1.0
SD.....................................................     57719  1.0
SD.....................................................     57720  10.0
SD.....................................................     57722  10.4
SD.....................................................     57724  10.0
SD.....................................................     57725  2.0
SD.....................................................     57730  10.0
SD.....................................................     57732  10.5
SD.....................................................     57735  10.3
SD.....................................................     57736  10.4
SD.....................................................     57737  10.4
SD.....................................................     57738  10.4
SD.....................................................     57741  2.0
SD.....................................................     57744  10.4
SD.....................................................     57745  2.0
SD.....................................................     57747  7.0
SD.....................................................     57748  10.4
SD.....................................................     57750  10.0
SD.....................................................     57751  2.0
SD.....................................................     57752  8.0
SD.....................................................     57754  10.3
SD.....................................................     57755  10.0
SD.....................................................     57756  8.0
SD.....................................................     57758  10.4
SD.....................................................     57759  10.0
SD.....................................................     57760  10.6
SD.....................................................     57761  2.0
SD.....................................................     57762  10.6
SD.....................................................     57763  10.3
SD.....................................................     57764  7.0
SD.....................................................     57766  10.3
SD.....................................................     57767  2.0
SD.....................................................     57769  2.0
SD.....................................................     57770  7.0
SD.....................................................     57772  8.0
SD.....................................................     57773  10.0
SD.....................................................     57775  2.0
SD.....................................................     57776  10.0
SD.....................................................     57777  10.4
SD.....................................................     57779  10.5
SD.....................................................     57780  2.0
SD.....................................................     57782  10.3
SD.....................................................     57783  4.0
SD.....................................................     57785  7.3
SD.....................................................     57787  10.4
SD.....................................................     57788  10.6
SD.....................................................     57790  2.0
SD.....................................................     57791  2.0
SD.....................................................     57792  10.4
SD.....................................................     57793  10.5
SD.....................................................     57794  10.3
SD.....................................................     57799  4.0
TN.....................................................     37010  1.0
TN.....................................................     37011  1.0
TN.....................................................     37012  10.6
TN.....................................................     37013  1.0
TN.....................................................     37014  2.0
TN.....................................................     37015  2.0
TN.....................................................     37016  2.0
TN.....................................................     37018  9.1
TN.....................................................     37019  8.0
TN.....................................................     37020  5.2
TN.....................................................     37022  2.0
TN.....................................................     37023  2.0
TN.....................................................     37024  1.0
TN.....................................................     37025  2.0
TN.....................................................     37026  2.0
TN.....................................................     37027  1.0
TN.....................................................     37028  2.0
TN.....................................................     37029  4.2
TN.....................................................     37030  7.0
TN.....................................................     37031  2.0
TN.....................................................     37032  2.0
TN.....................................................     37033  10.4
TN.....................................................     37034  2.0
TN.....................................................     37035  2.0
TN.....................................................     37036  5.2
TN.....................................................     37037  2.1
TN.....................................................     37040  1.0
TN.....................................................     37041  1.0
TN.....................................................     37042  1.0
TN.....................................................     37043  1.0
TN.....................................................     37044  1.0
TN.....................................................     37046  2.0
TN.....................................................     37047  8.0
TN.....................................................     37048  2.0
TN.....................................................     37049  2.0
TN.....................................................     37050  2.0
TN.....................................................     37051  5.2
TN.....................................................     37052  2.0
TN.....................................................     37055  4.2
TN.....................................................     37056  4.2
TN.....................................................     37057  7.3
TN.....................................................     37058  10.4
TN.....................................................     37059  10.6
TN.....................................................     37060  2.1
TN.....................................................     37061  10.5
TN.....................................................     37062  2.0
TN.....................................................     37063  5.2
TN.....................................................     37064  1.0
TN.....................................................     37065  1.0
TN.....................................................     37066  1.0
TN.....................................................     37067  1.0
TN.....................................................     37068  1.0
TN.....................................................     37069  1.0
TN.....................................................     37070  1.0
TN.....................................................     37071  1.0
TN.....................................................     37072  1.0
TN.....................................................     37073  1.0
TN.....................................................     37074  2.0
TN.....................................................     37075  1.0
TN.....................................................     37076  1.0
TN.....................................................     37077  1.0
TN.....................................................     37078  8.0
TN.....................................................     37079  2.0
TN.....................................................     37080  2.0
TN.....................................................     37082  2.0
TN.....................................................     37083  7.3
TN.....................................................     37085  2.1
TN.....................................................     37086  1.1
TN.....................................................     37087  4.1
TN.....................................................     37088  4.1
TN.....................................................     37089  1.1
TN.....................................................     37090  2.0
TN.....................................................     37091  7.0
TN.....................................................     37095  10.6
TN.....................................................     37096  10.0
TN.....................................................     37097  10.0
TN.....................................................     37098  2.0
TN.....................................................     37101  6.0
TN.....................................................     37110  4.0
TN.....................................................     37111  4.0
TN.....................................................     37115  1.0
TN.....................................................     37116  1.0
TN.....................................................     37118  2.1
TN.....................................................     37119  7.1
TN.....................................................     37121  1.0
TN.....................................................     37122  1.0
TN.....................................................     37127  1.1
TN.....................................................     37128  1.1
TN.....................................................     37129  1.1
TN.....................................................     37130  1.1
TN.....................................................     37131  1.1
TN.....................................................     37132  1.1
TN.....................................................     37133  1.1
TN.....................................................     37134  10.6
TN.....................................................     37135  2.0
TN.....................................................     37136  5.2
TN.....................................................     37137  3.0
TN.....................................................     37138  1.0
TN.....................................................     37140  3.0
TN.....................................................     37141  2.0
TN.....................................................     37142  2.0
TN.....................................................     37143  2.0
TN.....................................................     37144  8.0
TN.....................................................     37145  8.0
TN.....................................................     37146  2.0
TN.....................................................     37148  7.1
TN.....................................................     37149  2.1
TN.....................................................     37150  10.6
TN.....................................................     37151  8.0
TN.....................................................     37152  1.0
TN.....................................................     37153  2.1
TN.....................................................     37155  1.0
TN.....................................................     37160  4.0
TN.....................................................     37161  4.0
TN.....................................................     37162  4.0
TN.....................................................     37165  5.2
TN.....................................................     37166  7.0
TN.....................................................     37167  1.1
TN.....................................................     37171  2.0
TN.....................................................     37172  1.0
TN.....................................................     37174  2.0
TN.....................................................     37175  10.0

[[Page 70209]]

 
TN.....................................................     37178  10.0
TN.....................................................     37179  2.0
TN.....................................................     37180  5.2
TN.....................................................     37181  5.2
TN.....................................................     37183  5.0
TN.....................................................     37184  5.2
TN.....................................................     37185  7.0
TN.....................................................     37186  2.0
TN.....................................................     37187  2.0
TN.....................................................     37188  2.0
TN.....................................................     37189  1.0
TN.....................................................     37190  2.0
TN.....................................................     37191  2.0
TN.....................................................     37201  1.0
TN.....................................................     37202  1.0
TN.....................................................     37203  1.0
TN.....................................................     37204  1.0
TN.....................................................     37205  1.0
TN.....................................................     37206  1.0
TN.....................................................     37207  1.0
TN.....................................................     37208  1.0
TN.....................................................     37209  1.0
TN.....................................................     37210  1.0
TN.....................................................     37211  1.0
TN.....................................................     37212  1.0
TN.....................................................     37213  1.0
TN.....................................................     37214  1.0
TN.....................................................     37215  1.0
TN.....................................................     37216  1.0
TN.....................................................     37217  1.0
TN.....................................................     37218  1.0
TN.....................................................     37219  1.0
TN.....................................................     37220  1.0
TN.....................................................     37221  1.0
TN.....................................................     37222  1.0
TN.....................................................     37224  1.0
TN.....................................................     37227  1.0
TN.....................................................     37228  1.0
TN.....................................................     37229  1.0
TN.....................................................     37230  1.0
TN.....................................................     37232  1.0
TN.....................................................     37234  1.0
TN.....................................................     37235  1.0
TN.....................................................     37236  1.0
TN.....................................................     37237  1.0
TN.....................................................     37238  1.0
TN.....................................................     37239  1.0
TN.....................................................     37240  1.0
TN.....................................................     37241  1.0
TN.....................................................     37242  1.0
TN.....................................................     37243  1.0
TN.....................................................     37244  1.0
TN.....................................................     37245  1.0
TN.....................................................     37246  1.0
TN.....................................................     37247  1.0
TN.....................................................     37248  1.0
TN.....................................................     37249  1.0
TN.....................................................     37250  1.0
TN.....................................................     37301  10.5
TN.....................................................     37302  1.0
TN.....................................................     37303  4.0
TN.....................................................     37304  2.0
TN.....................................................     37305  10.5
TN.....................................................     37306  5.0
TN.....................................................     37307  2.0
TN.....................................................     37308  2.1
TN.....................................................     37309  5.2
TN.....................................................     37310  1.0
TN.....................................................     37311  1.0
TN.....................................................     37312  1.0
TN.....................................................     37313  10.4
TN.....................................................     37314  10.5
TN.....................................................     37315  1.0
TN.....................................................     37316  2.0
TN.....................................................     37317  10.0
TN.....................................................     37318  4.0
TN.....................................................     37320  1.0
TN.....................................................     37321  7.3
TN.....................................................     37322  10.5
TN.....................................................     37323  1.0
TN.....................................................     37324  5.0
TN.....................................................     37325  2.0
TN.....................................................     37326  10.0
TN.....................................................     37327  10.4
TN.....................................................     37328  8.3
TN.....................................................     37329  5.0
TN.....................................................     37330  5.0
TN.....................................................     37331  7.2
TN.....................................................     37332  8.3
TN.....................................................     37333  10.0
TN.....................................................     37334  7.3
TN.....................................................     37335  8.3
TN.....................................................     37336  2.1
TN.....................................................     37337  10.3
TN.....................................................     37338  8.3
TN.....................................................     37339  10.4
TN.....................................................     37340  2.0
TN.....................................................     37341  1.0
TN.....................................................     37342  8.4
TN.....................................................     37343  1.0
TN.....................................................     37345  6.0
TN.....................................................     37347  2.0
TN.....................................................     37348  8.3
TN.....................................................     37349  7.4
TN.....................................................     37350  1.0
TN.....................................................     37351  1.0
TN.....................................................     37352  5.0
TN.....................................................     37353  2.1
TN.....................................................     37354  7.0
TN.....................................................     37355  7.4
TN.....................................................     37356  10.6
TN.....................................................     37357  5.0
TN.....................................................     37359  8.3
TN.....................................................     37360  5.0
TN.....................................................     37361  2.0
TN.....................................................     37362  2.0
TN.....................................................     37363  1.0
TN.....................................................     37364  1.0
TN.....................................................     37365  10.4
TN.....................................................     37366  10.6
TN.....................................................     37367  10.0
TN.....................................................     37369  2.0
TN.....................................................     37370  5.2
TN.....................................................     37371  4.0
TN.....................................................     37373  2.0
TN.....................................................     37374  2.0
TN.....................................................     37375  10.0
TN.....................................................     37376  10.0
TN.....................................................     37377  1.0
TN.....................................................     37378  4.0
TN.....................................................     37379  1.0
TN.....................................................     37380  7.3
TN.....................................................     37381  8.0
TN.....................................................     37382  5.0
TN.....................................................     37383  10.0
TN.....................................................     37384  1.0
TN.....................................................     37385  10.5
TN.....................................................     37387  10.6
TN.....................................................     37388  4.0
TN.....................................................     37389  7.4
TN.....................................................     37391  10.0
TN.....................................................     37394  5.0
TN.....................................................     37396  2.0
TN.....................................................     37397  2.0
TN.....................................................     37398  4.0
TN.....................................................     37401  1.0
TN.....................................................     37402  1.0
TN.....................................................     37403  1.0
TN.....................................................     37404  1.0
TN.....................................................     37405  1.0
TN.....................................................     37406  1.0
TN.....................................................     37407  1.0
TN.....................................................     37408  1.0
TN.....................................................     37409  1.0
TN.....................................................     37410  1.0
TN.....................................................     37411  1.0
TN.....................................................     37412  1.0
TN.....................................................     37414  1.0
TN.....................................................     37415  1.0
TN.....................................................     37416  1.0
TN.....................................................     37419  1.0
TN.....................................................     37421  1.0
TN.....................................................     37422  1.0
TN.....................................................     37424  1.0
TN.....................................................     37450  1.0
TN.....................................................     37501  1.0
TN.....................................................     37544  1.0
TN.....................................................     37601  1.0
TN.....................................................     37602  1.0
TN.....................................................     37604  1.0
TN.....................................................     37605  1.0
TN.....................................................     37614  1.0
TN.....................................................     37615  1.0
TN.....................................................     37616  5.0
TN.....................................................     37617  1.0
TN.....................................................     37618  1.0
TN.....................................................     37620  1.0
TN.....................................................     37621  1.0
TN.....................................................     37625  1.0
TN.....................................................     37640  8.1
TN.....................................................     37641  5.2
TN.....................................................     37642  1.0
TN.....................................................     37643  1.0
TN.....................................................     37644  1.0
TN.....................................................     37645  1.0
TN.....................................................     37650  7.3
TN.....................................................     37656  2.0
TN.....................................................     37657  8.0
TN.....................................................     37658  1.0
TN.....................................................     37659  2.0
TN.....................................................     37660  1.0
TN.....................................................     37662  1.0
TN.....................................................     37663  1.0
TN.....................................................     37664  1.0
TN.....................................................     37665  1.0
TN.....................................................     37669  1.0
TN.....................................................     37680  9.0
TN.....................................................     37681  2.0
TN.....................................................     37682  1.0
TN.....................................................     37683  7.4
TN.....................................................     37684  1.0
TN.....................................................     37686  2.0
TN.....................................................     37687  10.0
TN.....................................................     37688  8.0
TN.....................................................     37690  2.0
TN.....................................................     37691  9.0
TN.....................................................     37692  2.0

[[Page 70210]]

 
TN.....................................................     37694  2.0
TN.....................................................     37699  2.0
TN.....................................................     37701  1.0
TN.....................................................     37705  2.0
TN.....................................................     37707  6.0
TN.....................................................     37708  2.0
TN.....................................................     37709  2.0
TN.....................................................     37710  5.2
TN.....................................................     37711  10.4
TN.....................................................     37713  5.2
TN.....................................................     37714  4.0
TN.....................................................     37715  6.0
TN.....................................................     37716  4.2
TN.....................................................     37717  4.2
TN.....................................................     37719  4.2
TN.....................................................     37721  1.0
TN.....................................................     37722  5.0
TN.....................................................     37723  5.0
TN.....................................................     37724  6.0
TN.....................................................     37725  6.1
TN.....................................................     37726  10.6
TN.....................................................     37727  5.0
TN.....................................................     37729  5.0
TN.....................................................     37730  6.0
TN.....................................................     37731  8.0
TN.....................................................     37732  10.6
TN.....................................................     37733  10.6
TN.....................................................     37737  2.0
TN.....................................................     37738  10.5
TN.....................................................     37742  2.0
TN.....................................................     37743  4.0
TN.....................................................     37744  4.0
TN.....................................................     37745  4.0
TN.....................................................     37748  4.0
TN.....................................................     37752  5.0
TN.....................................................     37753  5.0
TN.....................................................     37754  2.0
TN.....................................................     37755  10.6
TN.....................................................     37756  10.0
TN.....................................................     37757  4.0
TN.....................................................     37760  1.0
TN.....................................................     37762  10.5
TN.....................................................     37763  4.1
TN.....................................................     37764  6.1
TN.....................................................     37765  10.0
TN.....................................................     37766  4.0
TN.....................................................     37769  4.0
TN.....................................................     37770  9.0
TN.....................................................     37771  1.0
TN.....................................................     37772  1.0
TN.....................................................     37773  8.0
TN.....................................................     37774  2.0
TN.....................................................     37777  1.0
TN.....................................................     37778  2.0
TN.....................................................     37779  2.0
TN.....................................................     37801  1.0
TN.....................................................     37802  1.0
TN.....................................................     37803  1.0
TN.....................................................     37804  1.0
TN.....................................................     37806  2.0
TN.....................................................     37807  2.0
TN.....................................................     37809  5.0
TN.....................................................     37810  5.0
TN.....................................................     37811  2.0
TN.....................................................     37813  1.0
TN.....................................................     37814  1.0
TN.....................................................     37815  1.0
TN.....................................................     37816  1.0
TN.....................................................     37818  5.0
TN.....................................................     37819  10.5
TN.....................................................     37820  2.1
TN.....................................................     37821  4.0
TN.....................................................     37822  4.0
TN.....................................................     37824  8.0
TN.....................................................     37825  8.0
TN.....................................................     37826  5.0
TN.....................................................     37828  2.0
TN.....................................................     37829  5.0
TN.....................................................     37830  4.2
TN.....................................................     37831  4.2
TN.....................................................     37840  4.2
TN.....................................................     37841  7.0
TN.....................................................     37843  5.0
TN.....................................................     37845  4.2
TN.....................................................     37846  3.0
TN.....................................................     37847  10.6
TN.....................................................     37848  10.4
TN.....................................................     37849  1.0
TN.....................................................     37851  6.0
TN.....................................................     37852  10.6
TN.....................................................     37853  1.0
TN.....................................................     37854  4.0
TN.....................................................     37857  7.0
TN.....................................................     37860  2.0
TN.....................................................     37861  10.4
TN.....................................................     37862  4.0
TN.....................................................     37863  4.0
TN.....................................................     37864  4.0
TN.....................................................     37865  1.0
TN.....................................................     37866  3.0
TN.....................................................     37867  5.0
TN.....................................................     37868  4.0
TN.....................................................     37869  10.0
TN.....................................................     37870  6.0
TN.....................................................     37871  2.0
TN.....................................................     37872  10.6
TN.....................................................     37873  2.0
TN.....................................................     37874  7.3
TN.....................................................     37876  5.0
TN.....................................................     37877  1.0
TN.....................................................     37878  2.0
TN.....................................................     37879  7.0
TN.....................................................     37880  6.0
TN.....................................................     37881  10.4
TN.....................................................     37882  2.0
TN.....................................................     37885  10.4
TN.....................................................     37886  2.0
TN.....................................................     37887  7.4
TN.....................................................     37888  10.4
TN.....................................................     37890  1.0
TN.....................................................     37891  2.0
TN.....................................................     37892  10.3
TN.....................................................     37901  1.0
TN.....................................................     37902  1.0
TN.....................................................     37909  1.0
TN.....................................................     37912  1.0
TN.....................................................     37914  1.0
TN.....................................................     37915  1.0
TN.....................................................     37916  1.0
TN.....................................................     37917  1.0
TN.....................................................     37918  1.0
TN.....................................................     37919  1.0
TN.....................................................     37920  1.0
TN.....................................................     37921  1.0
TN.....................................................     37922  1.0
TN.....................................................     37923  1.0
TN.....................................................     37924  1.0
TN.....................................................     37927  1.0
TN.....................................................     37928  1.0
TN.....................................................     37929  1.0
TN.....................................................     37930  1.0
TN.....................................................     37931  1.0
TN.....................................................     37932  1.0
TN.....................................................     37933  1.0
TN.....................................................     37934  1.0
TN.....................................................     37938  1.0
TN.....................................................     37939  1.0
TN.....................................................     37940  1.0
TN.....................................................     37950  1.0
TN.....................................................     37955  1.0
TN.....................................................     37990  1.0
TN.....................................................     37995  1.0
TN.....................................................     37996  1.0
TN.....................................................     37997  1.0
TN.....................................................     37998  1.0
TN.....................................................     38001  10.4
TN.....................................................     38002  1.0
TN.....................................................     38004  2.0
TN.....................................................     38006  10.4
TN.....................................................     38007  4.0
TN.....................................................     38008  7.0
TN.....................................................     38010  2.0
TN.....................................................     38011  2.0
TN.....................................................     38012  4.0
TN.....................................................     38014  1.0
TN.....................................................     38015  2.0
TN.....................................................     38016  1.0
TN.....................................................     38017  1.0
TN.....................................................     38018  1.0
TN.....................................................     38019  7.3
TN.....................................................     38021  10.5
TN.....................................................     38023  2.0
TN.....................................................     38024  4.0
TN.....................................................     38025  4.0
TN.....................................................     38027  1.0
TN.....................................................     38028  2.0
TN.....................................................     38029  1.0
TN.....................................................     38030  5.0
TN.....................................................     38034  10.5
TN.....................................................     38036  2.0
TN.....................................................     38037  8.0
TN.....................................................     38039  2.0
TN.....................................................     38040  8.0
TN.....................................................     38041  8.0
TN.....................................................     38042  7.0
TN.....................................................     38044  9.0
TN.....................................................     38045  2.0
TN.....................................................     38046  2.0
TN.....................................................     38047  4.0
TN.....................................................     38048  2.0
TN.....................................................     38049  2.0
TN.....................................................     38050  10.5
TN.....................................................     38052  10.6
TN.....................................................     38053  1.0
TN.....................................................     38054  1.0
TN.....................................................     38055  1.0
TN.....................................................     38057  2.0
TN.....................................................     38058  2.0
TN.....................................................     38059  4.0
TN.....................................................     38060  2.0
TN.....................................................     38061  10.6
TN.....................................................     38063  7.0
TN.....................................................     38066  2.0
TN.....................................................     38067  2.0
TN.....................................................     38068  2.0
TN.....................................................     38069  6.1
TN.....................................................     38070  4.0

[[Page 70211]]

 
TN.....................................................     38071  2.0
TN.....................................................     38074  7.0
TN.....................................................     38075  7.0
TN.....................................................     38076  2.0
TN.....................................................     38077  10.5
TN.....................................................     38079  10.5
TN.....................................................     38080  10.5
TN.....................................................     38083  1.0
TN.....................................................     38088  1.0
TN.....................................................     38101  1.0
TN.....................................................     38103  1.0
TN.....................................................     38104  1.0
TN.....................................................     38105  1.0
TN.....................................................     38106  1.0
TN.....................................................     38107  1.0
TN.....................................................     38108  1.0
TN.....................................................     38109  1.0
TN.....................................................     38110  1.0
TN.....................................................     38111  1.0
TN.....................................................     38112  1.0
TN.....................................................     38113  1.0
TN.....................................................     38114  1.0
TN.....................................................     38115  1.0
TN.....................................................     38116  1.0
TN.....................................................     38117  1.0
TN.....................................................     38118  1.0
TN.....................................................     38119  1.0
TN.....................................................     38120  1.0
TN.....................................................     38122  1.0
TN.....................................................     38124  1.0
TN.....................................................     38125  1.0
TN.....................................................     38126  1.0
TN.....................................................     38127  1.0
TN.....................................................     38128  1.0
TN.....................................................     38129  1.0
TN.....................................................     38130  1.0
TN.....................................................     38131  1.0
TN.....................................................     38132  1.0
TN.....................................................     38133  1.0
TN.....................................................     38134  1.0
TN.....................................................     38135  1.0
TN.....................................................     38136  1.0
TN.....................................................     38137  1.0
TN.....................................................     38138  1.0
TN.....................................................     38139  1.0
TN.....................................................     38140  1.0
TN.....................................................     38141  1.0
TN.....................................................     38142  1.0
TN.....................................................     38143  1.0
TN.....................................................     38145  1.0
TN.....................................................     38146  1.0
TN.....................................................     38147  1.0
TN.....................................................     38148  1.0
TN.....................................................     38150  1.0
TN.....................................................     38151  1.0
TN.....................................................     38152  1.0
TN.....................................................     38157  1.0
TN.....................................................     38159  1.0
TN.....................................................     38161  1.0
TN.....................................................     38163  1.0
TN.....................................................     38165  1.0
TN.....................................................     38166  1.0
TN.....................................................     38167  1.0
TN.....................................................     38168  1.0
TN.....................................................     38173  1.0
TN.....................................................     38174  1.0
TN.....................................................     38175  1.0
TN.....................................................     38177  1.0
TN.....................................................     38181  1.0
TN.....................................................     38182  1.0
TN.....................................................     38183  1.0
TN.....................................................     38184  1.0
TN.....................................................     38186  1.0
TN.....................................................     38187  1.0
TN.....................................................     38188  1.0
TN.....................................................     38190  1.0
TN.....................................................     38193  1.0
TN.....................................................     38194  1.0
TN.....................................................     38195  1.0
TN.....................................................     38197  1.0
TN.....................................................     38201  7.0
TN.....................................................     38220  9.0
TN.....................................................     38221  10.5
TN.....................................................     38222  5.0
TN.....................................................     38223  4.0
TN.....................................................     38224  5.0
TN.....................................................     38225  10.6
TN.....................................................     38226  9.0
TN.....................................................     38229  10.6
TN.....................................................     38230  10.0
TN.....................................................     38231  5.0
TN.....................................................     38232  6.0
TN.....................................................     38233  6.0
TN.....................................................     38235  9.0
TN.....................................................     38236  5.0
TN.....................................................     38237  7.0
TN.....................................................     38238  7.0
TN.....................................................     38240  5.0
TN.....................................................     38241  10.6
TN.....................................................     38242  4.0
TN.....................................................     38251  5.0
TN.....................................................     38253  5.0
TN.....................................................     38254  6.0
TN.....................................................     38255  8.0
TN.....................................................     38256  5.0
TN.....................................................     38257  7.4
TN.....................................................     38258  9.0
TN.....................................................     38259  4.0
TN.....................................................     38260  5.0
TN.....................................................     38261  4.0
TN.....................................................     38271  4.0
TN.....................................................     38281  4.0
TN.....................................................     38301  1.0
TN.....................................................     38302  1.0
TN.....................................................     38303  1.0
TN.....................................................     38305  1.0
TN.....................................................     38308  1.0
TN.....................................................     38310  10.6
TN.....................................................     38311  10.0
TN.....................................................     38313  2.0
TN.....................................................     38314  1.0
TN.....................................................     38315  8.0
TN.....................................................     38316  8.0
TN.....................................................     38317  10.0
TN.....................................................     38318  10.0
TN.....................................................     38320  8.0
TN.....................................................     38321  2.0
TN.....................................................     38324  10.6
TN.....................................................     38326  10.6
TN.....................................................     38327  9.0
TN.....................................................     38328  8.0
TN.....................................................     38329  10.0
TN.....................................................     38330  7.0
TN.....................................................     38331  7.3
TN.....................................................     38332  3.0
TN.....................................................     38333  8.0
TN.....................................................     38334  3.0
TN.....................................................     38336  10.4
TN.....................................................     38337  3.0
TN.....................................................     38338  7.3
TN.....................................................     38339  5.0
TN.....................................................     38340  7.1
TN.....................................................     38341  9.0
TN.....................................................     38342  10.0
TN.....................................................     38343  7.3
TN.....................................................     38344  10.6
TN.....................................................     38345  8.3
TN.....................................................     38346  8.0
TN.....................................................     38347  3.0
TN.....................................................     38348  2.0
TN.....................................................     38351  7.3
TN.....................................................     38352  3.0
TN.....................................................     38355  2.0
TN.....................................................     38356  2.0
TN.....................................................     38357  5.0
TN.....................................................     38358  7.3
TN.....................................................     38359  10.6
TN.....................................................     38361  9.0
TN.....................................................     38362  2.0
TN.....................................................     38363  10.6
TN.....................................................     38365  10.6
TN.....................................................     38366  2.0
TN.....................................................     38367  8.4
TN.....................................................     38368  8.0
TN.....................................................     38369  7.0
TN.....................................................     38370  9.0
TN.....................................................     38371  8.0
TN.....................................................     38372  7.0
TN.....................................................     38374  8.0
TN.....................................................     38375  7.0
TN.....................................................     38376  10.6
TN.....................................................     38377  7.1
TN.....................................................     38378  1.0
TN.....................................................     38379  9.0
TN.....................................................     38380  10.6
TN.....................................................     38381  9.0
TN.....................................................     38382  7.3
TN.....................................................     38387  10.6
TN.....................................................     38388  8.3
TN.....................................................     38389  4.0
TN.....................................................     38390  10.6
TN.....................................................     38391  2.0
TN.....................................................     38392  2.0
TN.....................................................     38393  8.4
TN.....................................................     38401  4.2
TN.....................................................     38402  4.2
TN.....................................................     38425  10.0
TN.....................................................     38449  9.0
TN.....................................................     38450  10.0
TN.....................................................     38451  5.0
TN.....................................................     38452  10.4
TN.....................................................     38453  8.0
TN.....................................................     38454  10.4
TN.....................................................     38455  9.0
TN.....................................................     38456  5.0
TN.....................................................     38457  5.0
TN.....................................................     38459  8.0
TN.....................................................     38460  8.0
TN.....................................................     38461  5.0
TN.....................................................     38462  7.4
TN.....................................................     38463  6.0
TN.....................................................     38464  4.0
TN.....................................................     38468  5.0
TN.....................................................     38469  5.0
TN.....................................................     38471  10.4
TN.....................................................     38472  9.2
TN.....................................................     38473  8.0

[[Page 70212]]

 
TN.....................................................     38474  5.0
TN.....................................................     38475  8.0
TN.....................................................     38476  2.0
TN.....................................................     38477  8.0
TN.....................................................     38478  7.0
TN.....................................................     38481  5.0
TN.....................................................     38482  5.1
TN.....................................................     38483  5.0
TN.....................................................     38485  10.0
TN.....................................................     38486  5.0
TN.....................................................     38487  5.1
TN.....................................................     38488  2.0
TN.....................................................     38501  4.0
TN.....................................................     38502  4.0
TN.....................................................     38503  4.0
TN.....................................................     38504  10.0
TN.....................................................     38505  4.0
TN.....................................................     38506  4.0
TN.....................................................     38541  8.0
TN.....................................................     38542  5.0
TN.....................................................     38543  8.0
TN.....................................................     38544  5.0
TN.....................................................     38545  5.0
TN.....................................................     38547  10.4
TN.....................................................     38548  5.0
TN.....................................................     38549  10.6
TN.....................................................     38550  5.0
TN.....................................................     38551  10.5
TN.....................................................     38552  10.6
TN.....................................................     38553  10.0
TN.....................................................     38554  5.0
TN.....................................................     38555  4.0
TN.....................................................     38556  10.0
TN.....................................................     38557  4.0
TN.....................................................     38558  5.0
TN.....................................................     38559  8.0
TN.....................................................     38560  10.6
TN.....................................................     38562  5.0
TN.....................................................     38563  10.4
TN.....................................................     38564  5.0
TN.....................................................     38565  10.0
TN.....................................................     38567  10.4
TN.....................................................     38568  8.4
TN.....................................................     38569  10.4
TN.....................................................     38570  7.4
TN.....................................................     38571  5.0
TN.....................................................     38572  5.0
TN.....................................................     38573  8.0
TN.....................................................     38574  7.2
TN.....................................................     38575  10.0
TN.....................................................     38577  10.6
TN.....................................................     38578  5.0
TN.....................................................     38579  8.0
TN.....................................................     38580  5.0
TN.....................................................     38581  5.0
TN.....................................................     38582  5.0
TN.....................................................     38583  8.0
TN.....................................................     38585  10.6
TN.....................................................     38587  8.0
TN.....................................................     38588  6.0
TN.....................................................     38589  10.0
TX.....................................................     73301  1.0
TX.....................................................     73344  1.0
TX.....................................................     75001  1.0
TX.....................................................     75002  1.0
TX.....................................................     75006  1.0
TX.....................................................     75007  1.0
TX.....................................................     75008  1.0
TX.....................................................     75009  2.0
TX.....................................................     75010  1.0
TX.....................................................     75011  1.0
TX.....................................................     75013  1.0
TX.....................................................     75014  1.0
TX.....................................................     75015  1.0
TX.....................................................     75016  1.0
TX.....................................................     75017  1.0
TX.....................................................     75019  2.0
TX.....................................................     75020  1.0
TX.....................................................     75021  1.0
TX.....................................................     75022  2.0
TX.....................................................     75023  1.0
TX.....................................................     75024  1.0
TX.....................................................     75025  1.0
TX.....................................................     75026  1.0
TX.....................................................     75027  2.0
TX.....................................................     75028  2.0
TX.....................................................     75029  2.0
TX.....................................................     75030  1.0
TX.....................................................     75032  1.0
TX.....................................................     75034  1.0
TX.....................................................     75035  1.0
TX.....................................................     75037  1.0
TX.....................................................     75038  1.0
TX.....................................................     75039  1.0
TX.....................................................     75040  1.0
TX.....................................................     75041  1.0
TX.....................................................     75042  1.0
TX.....................................................     75043  1.0
TX.....................................................     75044  1.0
TX.....................................................     75045  1.0
TX.....................................................     75046  1.0
TX.....................................................     75047  1.0
TX.....................................................     75048  1.0
TX.....................................................     75049  1.0
TX.....................................................     75050  1.0
TX.....................................................     75051  1.0
TX.....................................................     75052  1.0
TX.....................................................     75053  1.0
TX.....................................................     75054  1.0
TX.....................................................     75056  1.0
TX.....................................................     75057  2.0
TX.....................................................     75058  3.0
TX.....................................................     75060  1.0
TX.....................................................     75061  1.0
TX.....................................................     75062  1.0
TX.....................................................     75063  2.0
TX.....................................................     75065  2.0
TX.....................................................     75067  2.0
TX.....................................................     75068  2.0
TX.....................................................     75069  2.0
TX.....................................................     75070  2.0
TX.....................................................     75071  2.0
TX.....................................................     75074  1.0
TX.....................................................     75075  1.0
TX.....................................................     75076  2.0
TX.....................................................     75077  2.0
TX.....................................................     75078  2.0
TX.....................................................     75080  1.0
TX.....................................................     75081  1.0
TX.....................................................     75082  1.0
TX.....................................................     75083  1.0
TX.....................................................     75085  1.0
TX.....................................................     75086  1.0
TX.....................................................     75087  1.0
TX.....................................................     75088  1.0
TX.....................................................     75089  1.0
TX.....................................................     75090  1.0
TX.....................................................     75091  1.0
TX.....................................................     75092  1.0
TX.....................................................     75093  1.0
TX.....................................................     75094  1.0
TX.....................................................     75097  2.0
TX.....................................................     75098  1.0
TX.....................................................     75099  2.0
TX.....................................................     75101  4.2
TX.....................................................     75102  4.0
TX.....................................................     75103  3.0
TX.....................................................     75104  1.0
TX.....................................................     75105  6.1
TX.....................................................     75106  1.0
TX.....................................................     75109  4.0
TX.....................................................     75110  4.0
TX.....................................................     75114  2.0
TX.....................................................     75115  1.0
TX.....................................................     75116  1.0
TX.....................................................     75117  2.0
TX.....................................................     75118  2.0
TX.....................................................     75119  4.2
TX.....................................................     75120  4.2
TX.....................................................     75121  2.0
TX.....................................................     75123  1.0
TX.....................................................     75124  6.1
TX.....................................................     75125  2.0
TX.....................................................     75126  2.0
TX.....................................................     75127  10.6
TX.....................................................     75132  2.0
TX.....................................................     75134  1.0
TX.....................................................     75135  2.0
TX.....................................................     75137  1.0
TX.....................................................     75138  1.0
TX.....................................................     75140  7.0
TX.....................................................     75141  1.0
TX.....................................................     75142  2.0
TX.....................................................     75143  2.0
TX.....................................................     75144  5.0
TX.....................................................     75146  1.0
TX.....................................................     75147  2.0
TX.....................................................     75148  6.0
TX.....................................................     75149  1.0
TX.....................................................     75150  1.0
TX.....................................................     75151  4.0
TX.....................................................     75152  2.0
TX.....................................................     75153  5.0
TX.....................................................     75154  1.0
TX.....................................................     75155  6.1
TX.....................................................     75156  2.0
TX.....................................................     75157  2.0
TX.....................................................     75158  2.0
TX.....................................................     75159  1.0
TX.....................................................     75160  4.2
TX.....................................................     75161  2.0
TX.....................................................     75163  2.0
TX.....................................................     75164  2.0
TX.....................................................     75165  4.1
TX.....................................................     75166  2.0
TX.....................................................     75167  2.0
TX.....................................................     75168  4.1
TX.....................................................     75169  2.0
TX.....................................................     75172  2.0
TX.....................................................     75173  2.0
TX.....................................................     75180  1.0
TX.....................................................     75181  1.0
TX.....................................................     75182  1.0
TX.....................................................     75185  1.0
TX.....................................................     75187  1.0
TX.....................................................     75189  2.0
TX.....................................................     75201  1.0

[[Page 70213]]

 
TX.....................................................     75202  1.0
TX.....................................................     75203  1.0
TX.....................................................     75204  1.0
TX.....................................................     75205  1.0
TX.....................................................     75206  1.0
TX.....................................................     75207  1.0
TX.....................................................     75208  1.0
TX.....................................................     75209  1.0
TX.....................................................     75210  1.0
TX.....................................................     75211  1.0
TX.....................................................     75212  1.0
TX.....................................................     75214  1.0
TX.....................................................     75215  1.0
TX.....................................................     75216  1.0
TX.....................................................     75217  1.0
TX.....................................................     75218  1.0
TX.....................................................     75219  1.0
TX.....................................................     75220  1.0
TX.....................................................     75221  1.0
TX.....................................................     75222  1.0
TX.....................................................     75223  1.0
TX.....................................................     75224  1.0
TX.....................................................     75225  1.0
TX.....................................................     75226  1.0
TX.....................................................     75227  1.0
TX.....................................................     75228  1.0
TX.....................................................     75229  1.0
TX.....................................................     75230  1.0
TX.....................................................     75231  1.0
TX.....................................................     75232  1.0
TX.....................................................     75233  1.0
TX.....................................................     75234  1.0
TX.....................................................     75235  1.0
TX.....................................................     75236  1.0
TX.....................................................     75237  1.0
TX.....................................................     75238  1.0
TX.....................................................     75239  1.0
TX.....................................................     75240  1.0
TX.....................................................     75241  1.0
TX.....................................................     75242  1.0
TX.....................................................     75243  1.0
TX.....................................................     75244  1.0
TX.....................................................     75245  1.0
TX.....................................................     75246  1.0
TX.....................................................     75247  1.0
TX.....................................................     75248  1.0
TX.....................................................     75249  1.0
TX.....................................................     75250  1.0
TX.....................................................     75251  1.0
TX.....................................................     75252  1.0
TX.....................................................     75253  1.0
TX.....................................................     75254  1.0
TX.....................................................     75258  1.0
TX.....................................................     75260  1.0
TX.....................................................     75261  1.0
TX.....................................................     75262  1.0
TX.....................................................     75263  1.0
TX.....................................................     75264  1.0
TX.....................................................     75265  1.0
TX.....................................................     75266  1.0
TX.....................................................     75267  1.0
TX.....................................................     75270  1.0
TX.....................................................     75275  1.0
TX.....................................................     75277  1.0
TX.....................................................     75283  1.0
TX.....................................................     75284  1.0
TX.....................................................     75285  1.0
TX.....................................................     75286  1.0
TX.....................................................     75287  1.0
TX.....................................................     75295  1.0
TX.....................................................     75301  1.0
TX.....................................................     75303  1.0
TX.....................................................     75310  1.0
TX.....................................................     75312  1.0
TX.....................................................     75313  1.0
TX.....................................................     75315  1.0
TX.....................................................     75320  1.0
TX.....................................................     75323  1.0
TX.....................................................     75326  1.0
TX.....................................................     75336  1.0
TX.....................................................     75339  1.0
TX.....................................................     75342  1.0
TX.....................................................     75346  1.0
TX.....................................................     75353  1.0
TX.....................................................     75354  1.0
TX.....................................................     75355  1.0
TX.....................................................     75356  1.0
TX.....................................................     75357  1.0
TX.....................................................     75358  1.0
TX.....................................................     75359  1.0
TX.....................................................     75360  1.0
TX.....................................................     75363  1.0
TX.....................................................     75364  1.0
TX.....................................................     75367  1.0
TX.....................................................     75368  2.0
TX.....................................................     75369  1.0
TX.....................................................     75370  1.0
TX.....................................................     75371  1.0
TX.....................................................     75372  1.0
TX.....................................................     75373  1.0
TX.....................................................     75374  1.0
TX.....................................................     75376  1.0
TX.....................................................     75378  1.0
TX.....................................................     75379  1.0
TX.....................................................     75380  1.0
TX.....................................................     75381  1.0
TX.....................................................     75382  1.0
TX.....................................................     75386  1.0
TX.....................................................     75387  1.0
TX.....................................................     75388  1.0
TX.....................................................     75389  1.0
TX.....................................................     75390  1.0
TX.....................................................     75391  1.0
TX.....................................................     75392  1.0
TX.....................................................     75393  1.0
TX.....................................................     75394  1.0
TX.....................................................     75395  1.0
TX.....................................................     75396  1.0
TX.....................................................     75397  1.0
TX.....................................................     75398  1.0
TX.....................................................     75401  4.0
TX.....................................................     75402  4.0
TX.....................................................     75403  4.0
TX.....................................................     75404  4.0
TX.....................................................     75407  2.0
TX.....................................................     75409  2.0
TX.....................................................     75410  10.0
TX.....................................................     75411  5.0
TX.....................................................     75412  6.0
TX.....................................................     75413  3.0
TX.....................................................     75414  2.0
TX.....................................................     75415  9.0
TX.....................................................     75416  5.0
TX.....................................................     75417  10.5
TX.....................................................     75418  7.0
TX.....................................................     75420  10.5
TX.....................................................     75421  5.0
TX.....................................................     75422  6.1
TX.....................................................     75423  2.0
TX.....................................................     75424  2.0
TX.....................................................     75425  5.0
TX.....................................................     75426  7.4
TX.....................................................     75428  7.4
TX.....................................................     75429  7.4
TX.....................................................     75431  10.2
TX.....................................................     75432  10.6
TX.....................................................     75433  10.5
TX.....................................................     75434  5.0
TX.....................................................     75435  5.0
TX.....................................................     75436  5.0
TX.....................................................     75437  5.0
TX.....................................................     75438  9.0
TX.....................................................     75439  3.0
TX.....................................................     75440  10.4
TX.....................................................     75441  10.6
TX.....................................................     75442  2.0
TX.....................................................     75443  3.0
TX.....................................................     75444  10.0
TX.....................................................     75446  10.6
TX.....................................................     75447  8.0
TX.....................................................     75448  9.0
TX.....................................................     75449  9.0
TX.....................................................     75450  9.0
TX.....................................................     75451  8.0
TX.....................................................     75452  3.0
TX.....................................................     75453  6.1
TX.....................................................     75454  2.0
TX.....................................................     75455  10.2
TX.....................................................     75456  10.2
TX.....................................................     75457  10.0
TX.....................................................     75458  2.0
TX.....................................................     75459  2.0
TX.....................................................     75460  4.0
TX.....................................................     75461  4.0
TX.....................................................     75462  4.0
TX.....................................................     75468  5.0
TX.....................................................     75469  9.0
TX.....................................................     75470  5.0
TX.....................................................     75471  10.2
TX.....................................................     75472  3.0
TX.....................................................     75473  5.0
TX.....................................................     75474  2.0
TX.....................................................     75475  7.0
TX.....................................................     75476  8.0
TX.....................................................     75477  5.0
TX.....................................................     75478  10.2
TX.....................................................     75479  3.0
TX.....................................................     75480  10.6
TX.....................................................     75481  5.0
TX.....................................................     75482  4.0
TX.....................................................     75483  4.0
TX.....................................................     75485  2.0
TX.....................................................     75486  5.0
TX.....................................................     75487  10.0
TX.....................................................     75488  8.0
TX.....................................................     75489  1.0
TX.....................................................     75490  2.0
TX.....................................................     75491  2.1
TX.....................................................     75492  9.0
TX.....................................................     75493  5.0
TX.....................................................     75494  8.0
TX.....................................................     75495  2.0
TX.....................................................     75496  10.5
TX.....................................................     75497  10.0
TX.....................................................     75501  1.0
TX.....................................................     75503  1.0
TX.....................................................     75504  1.0

[[Page 70214]]

 
TX.....................................................     75505  1.0
TX.....................................................     75507  1.0
TX.....................................................     75550  8.0
TX.....................................................     75551  7.3
TX.....................................................     75554  8.0
TX.....................................................     75555  8.3
TX.....................................................     75556  8.1
TX.....................................................     75558  5.0
TX.....................................................     75559  2.0
TX.....................................................     75560  3.0
TX.....................................................     75561  2.0
TX.....................................................     75562  10.6
TX.....................................................     75563  10.6
TX.....................................................     75564  10.5
TX.....................................................     75565  8.3
TX.....................................................     75566  3.0
TX.....................................................     75567  2.0
TX.....................................................     75568  10.5
TX.....................................................     75569  1.0
TX.....................................................     75570  2.0
TX.....................................................     75571  10.5
TX.....................................................     75572  8.1
TX.....................................................     75573  2.0
TX.....................................................     75574  2.0
TX.....................................................     75599  1.0
TX.....................................................     75601  1.0
TX.....................................................     75602  1.0
TX.....................................................     75603  2.0
TX.....................................................     75604  1.0
TX.....................................................     75605  1.0
TX.....................................................     75606  1.0
TX.....................................................     75607  1.0
TX.....................................................     75608  1.0
TX.....................................................     75615  1.0
TX.....................................................     75630  10.5
TX.....................................................     75631  10.6
TX.....................................................     75633  7.0
TX.....................................................     75636  10.6
TX.....................................................     75637  7.0
TX.....................................................     75638  10.6
TX.....................................................     75639  8.3
TX.....................................................     75640  2.0
TX.....................................................     75641  2.0
TX.....................................................     75642  4.0
TX.....................................................     75643  8.0
TX.....................................................     75644  10.6
TX.....................................................     75645  2.0
TX.....................................................     75647  2.0
TX.....................................................     75650  2.0
TX.....................................................     75651  5.2
TX.....................................................     75652  5.0
TX.....................................................     75653  4.0
TX.....................................................     75654  4.0
TX.....................................................     75656  10.0
TX.....................................................     75657  10.5
TX.....................................................     75658  5.0
TX.....................................................     75659  2.0
TX.....................................................     75660  1.0
TX.....................................................     75661  2.0
TX.....................................................     75662  4.2
TX.....................................................     75663  4.2
TX.....................................................     75666  4.2
TX.....................................................     75667  6.0
TX.....................................................     75668  10.6
TX.....................................................     75669  8.0
TX.....................................................     75670  4.0
TX.....................................................     75671  4.0
TX.....................................................     75672  4.0
TX.....................................................     75680  4.0
TX.....................................................     75681  10.5
TX.....................................................     75682  10.4
TX.....................................................     75683  2.0
TX.....................................................     75684  10.4
TX.....................................................     75685  8.3
TX.....................................................     75686  8.0
TX.....................................................     75687  5.0
TX.....................................................     75688  4.0
TX.....................................................     75689  5.0
TX.....................................................     75691  2.0
TX.....................................................     75692  2.0
TX.....................................................     75693  1.0
TX.....................................................     75694  4.0
TX.....................................................     75701  1.0
TX.....................................................     75702  1.0
TX.....................................................     75703  1.0
TX.....................................................     75704  2.0
TX.....................................................     75705  2.0
TX.....................................................     75706  2.0
TX.....................................................     75707  2.0
TX.....................................................     75708  1.0
TX.....................................................     75709  2.0
TX.....................................................     75710  1.0
TX.....................................................     75711  1.0
TX.....................................................     75712  1.0
TX.....................................................     75713  1.0
TX.....................................................     75750  2.0
TX.....................................................     75751  4.0
TX.....................................................     75752  5.0
TX.....................................................     75754  2.0
TX.....................................................     75755  3.0
TX.....................................................     75756  2.0
TX.....................................................     75757  2.0
TX.....................................................     75758  2.0
TX.....................................................     75759  4.0
TX.....................................................     75760  5.0
TX.....................................................     75762  2.0
TX.....................................................     75763  10.5
TX.....................................................     75764  9.2
TX.....................................................     75765  10.4
TX.....................................................     75766  4.0
TX.....................................................     75770  3.0
TX.....................................................     75771  2.0
TX.....................................................     75772  9.2
TX.....................................................     75773  7.3
TX.....................................................     75778  2.0
TX.....................................................     75779  4.0
TX.....................................................     75780  2.0
TX.....................................................     75782  10.5
TX.....................................................     75783  10.0
TX.....................................................     75784  10.5
TX.....................................................     75785  9.2
TX.....................................................     75788  5.0
TX.....................................................     75789  2.0
TX.....................................................     75790  10.4
TX.....................................................     75791  1.0
TX.....................................................     75792  2.0
TX.....................................................     75797  3.0
TX.....................................................     75798  1.0
TX.....................................................     75799  1.0
TX.....................................................     75801  4.0
TX.....................................................     75802  4.0
TX.....................................................     75803  4.0
TX.....................................................     75831  10.0
TX.....................................................     75832  10.0
TX.....................................................     75833  10.0
TX.....................................................     75834  5.0
TX.....................................................     75835  7.0
TX.....................................................     75838  10.6
TX.....................................................     75839  5.0
TX.....................................................     75840  10.6
TX.....................................................     75844  10.6
TX.....................................................     75845  10.0
TX.....................................................     75846  10.0
TX.....................................................     75847  10.6
TX.....................................................     75848  10.5
TX.....................................................     75849  7.0
TX.....................................................     75850  10.0
TX.....................................................     75851  10.0
TX.....................................................     75852  8.0
TX.....................................................     75853  5.0
TX.....................................................     75855  10.0
TX.....................................................     75856  10.0
TX.....................................................     75858  10.6
TX.....................................................     75859  10.6
TX.....................................................     75860  7.0
TX.....................................................     75861  10.0
TX.....................................................     75862  6.0
TX.....................................................     75865  10.0
TX.....................................................     75880  10.0
TX.....................................................     75882  4.0
TX.....................................................     75884  10.0
TX.....................................................     75886  10.0
TX.....................................................     75901  4.0
TX.....................................................     75902  4.0
TX.....................................................     75903  4.0
TX.....................................................     75904  4.0
TX.....................................................     75915  4.0
TX.....................................................     75925  10.0
TX.....................................................     75926  5.0
TX.....................................................     75928  10.0
TX.....................................................     75929  10.5
TX.....................................................     75930  10.0
TX.....................................................     75931  8.0
TX.....................................................     75932  10.6
TX.....................................................     75933  10.0
TX.....................................................     75934  10.5
TX.....................................................     75935  8.0
TX.....................................................     75936  10.6
TX.....................................................     75937  5.0
TX.....................................................     75938  10.6
TX.....................................................     75939  10.5
TX.....................................................     75941  5.0
TX.....................................................     75942  8.0
TX.....................................................     75943  5.0
TX.....................................................     75944  5.0
TX.....................................................     75946  5.0
TX.....................................................     75947  10.0
TX.....................................................     75948  10.0
TX.....................................................     75949  5.0
TX.....................................................     75951  8.0
TX.....................................................     75954  10.6
TX.....................................................     75956  9.0
TX.....................................................     75958  4.0
TX.....................................................     75959  10.0
TX.....................................................     75960  10.5
TX.....................................................     75961  4.0
TX.....................................................     75962  4.0
TX.....................................................     75963  4.0
TX.....................................................     75964  4.0
TX.....................................................     75965  4.0
TX.....................................................     75966  10.6
TX.....................................................     75968  10.0
TX.....................................................     75969  5.0
TX.....................................................     75972  10.0
TX.....................................................     75973  8.0
TX.....................................................     75974  10.6
TX.....................................................     75975  10.5

[[Page 70215]]

 
TX.....................................................     75976  5.0
TX.....................................................     75977  10.6
TX.....................................................     75978  4.0
TX.....................................................     75979  8.0
TX.....................................................     75980  5.0
TX.....................................................     75990  8.0
TX.....................................................     76001  1.0
TX.....................................................     76002  1.0
TX.....................................................     76003  1.0
TX.....................................................     76004  1.0
TX.....................................................     76005  1.0
TX.....................................................     76006  1.0
TX.....................................................     76007  1.0
TX.....................................................     76008  2.0
TX.....................................................     76009  2.0
TX.....................................................     76010  1.0
TX.....................................................     76011  1.0
TX.....................................................     76012  1.0
TX.....................................................     76013  1.0
TX.....................................................     76014  1.0
TX.....................................................     76015  1.0
TX.....................................................     76016  1.0
TX.....................................................     76017  1.0
TX.....................................................     76018  1.0
TX.....................................................     76019  1.0
TX.....................................................     76020  1.0
TX.....................................................     76021  1.0
TX.....................................................     76022  1.0
TX.....................................................     76023  2.0
TX.....................................................     76028  1.0
TX.....................................................     76031  4.1
TX.....................................................     76033  4.1
TX.....................................................     76034  1.0
TX.....................................................     76035  4.2
TX.....................................................     76036  1.0
TX.....................................................     76039  1.0
TX.....................................................     76040  1.0
TX.....................................................     76041  2.0
TX.....................................................     76043  10.0
TX.....................................................     76044  2.0
TX.....................................................     76048  4.2
TX.....................................................     76049  4.2
TX.....................................................     76050  2.0
TX.....................................................     76051  1.0
TX.....................................................     76052  2.0
TX.....................................................     76053  1.0
TX.....................................................     76054  1.0
TX.....................................................     76055  3.0
TX.....................................................     76058  4.1
TX.....................................................     76059  4.1
TX.....................................................     76060  1.0
TX.....................................................     76061  2.0
TX.....................................................     76063  1.0
TX.....................................................     76064  2.0
TX.....................................................     76065  2.0
TX.....................................................     76066  2.0
TX.....................................................     76067  4.0
TX.....................................................     76068  4.0
TX.....................................................     76070  10.0
TX.....................................................     76071  2.0
TX.....................................................     76073  2.0
TX.....................................................     76077  10.0
TX.....................................................     76078  2.0
TX.....................................................     76082  2.0
TX.....................................................     76084  2.0
TX.....................................................     76085  2.0
TX.....................................................     76086  2.0
TX.....................................................     76087  2.0
TX.....................................................     76088  2.0
TX.....................................................     76092  1.0
TX.....................................................     76093  5.1
TX.....................................................     76094  1.0
TX.....................................................     76095  1.0
TX.....................................................     76096  1.0
TX.....................................................     76097  1.0
TX.....................................................     76098  1.0
TX.....................................................     76099  1.0
TX.....................................................     76101  1.0
TX.....................................................     76102  1.0
TX.....................................................     76103  1.0
TX.....................................................     76104  1.0
TX.....................................................     76105  1.0
TX.....................................................     76106  1.0
TX.....................................................     76107  1.0
TX.....................................................     76108  1.0
TX.....................................................     76109  1.0
TX.....................................................     76110  1.0
TX.....................................................     76111  1.0
TX.....................................................     76112  1.0
TX.....................................................     76113  1.0
TX.....................................................     76114  1.0
TX.....................................................     76115  1.0
TX.....................................................     76116  1.0
TX.....................................................     76117  1.0
TX.....................................................     76118  1.0
TX.....................................................     76119  1.0
TX.....................................................     76120  1.0
TX.....................................................     76121  1.0
TX.....................................................     76122  1.0
TX.....................................................     76123  1.0
TX.....................................................     76124  1.0
TX.....................................................     76126  1.0
TX.....................................................     76127  1.0
TX.....................................................     76129  1.0
TX.....................................................     76130  1.0
TX.....................................................     76131  1.0
TX.....................................................     76132  1.0
TX.....................................................     76133  1.0
TX.....................................................     76134  1.0
TX.....................................................     76135  1.0
TX.....................................................     76136  1.0
TX.....................................................     76137  1.0
TX.....................................................     76140  1.0
TX.....................................................     76147  1.0
TX.....................................................     76148  1.0
TX.....................................................     76150  1.0
TX.....................................................     76155  1.0
TX.....................................................     76161  1.0
TX.....................................................     76162  1.0
TX.....................................................     76163  1.0
TX.....................................................     76164  1.0
TX.....................................................     76177  1.0
TX.....................................................     76178  1.0
TX.....................................................     76179  1.0
TX.....................................................     76180  1.0
TX.....................................................     76181  1.0
TX.....................................................     76182  1.0
TX.....................................................     76185  1.0
TX.....................................................     76191  1.0
TX.....................................................     76192  1.0
TX.....................................................     76193  1.0
TX.....................................................     76195  1.0
TX.....................................................     76196  1.0
TX.....................................................     76197  1.0
TX.....................................................     76198  1.0
TX.....................................................     76199  1.0
TX.....................................................     76201  2.0
TX.....................................................     76202  2.0
TX.....................................................     76203  2.0
TX.....................................................     76204  2.0
TX.....................................................     76205  2.0
TX.....................................................     76206  2.0
TX.....................................................     76207  2.0
TX.....................................................     76208  2.0
TX.....................................................     76209  2.0
TX.....................................................     76210  2.0
TX.....................................................     76225  10.4
TX.....................................................     76226  2.0
TX.....................................................     76227  2.1
TX.....................................................     76228  2.0
TX.....................................................     76230  7.0
TX.....................................................     76233  3.0
TX.....................................................     76234  3.0
TX.....................................................     76238  3.0
TX.....................................................     76239  10.4
TX.....................................................     76240  4.2
TX.....................................................     76241  4.2
TX.....................................................     76244  1.0
TX.....................................................     76245  2.0
TX.....................................................     76246  3.0
TX.....................................................     76247  2.0
TX.....................................................     76248  1.0
TX.....................................................     76249  2.0
TX.....................................................     76250  10.2
TX.....................................................     76251  10.4
TX.....................................................     76252  10.2
TX.....................................................     76253  10.2
TX.....................................................     76255  7.0
TX.....................................................     76258  2.1
TX.....................................................     76259  2.0
TX.....................................................     76261  8.0
TX.....................................................     76262  1.0
TX.....................................................     76263  3.0
TX.....................................................     76264  2.0
TX.....................................................     76265  10.5
TX.....................................................     76266  2.1
TX.....................................................     76267  3.0
TX.....................................................     76268  1.0
TX.....................................................     76270  8.0
TX.....................................................     76271  3.0
TX.....................................................     76272  3.0
TX.....................................................     76273  7.1
TX.....................................................     76299  1.0
TX.....................................................     76301  1.0
TX.....................................................     76302  1.0
TX.....................................................     76305  2.0
TX.....................................................     76306  1.0
TX.....................................................     76307  1.0
TX.....................................................     76308  1.0
TX.....................................................     76309  1.0
TX.....................................................     76310  1.0
TX.....................................................     76311  1.0
TX.....................................................     76351  10.4
TX.....................................................     76352  7.1
TX.....................................................     76354  2.0
TX.....................................................     76357  2.0
TX.....................................................     76360  7.3
TX.....................................................     76363  10.0
TX.....................................................     76364  5.0
TX.....................................................     76365  7.1
TX.....................................................     76366  2.0
TX.....................................................     76367  2.0
TX.....................................................     76369  2.0
TX.....................................................     76370  2.0
TX.....................................................     76371  10.0
TX.....................................................     76372  8.0
TX.....................................................     76373  5.0

[[Page 70216]]

 
TX.....................................................     76374  7.0
TX.....................................................     76377  2.0
TX.....................................................     76379  10.4
TX.....................................................     76380  7.0
TX.....................................................     76384  4.0
TX.....................................................     76385  4.0
TX.....................................................     76388  10.6
TX.....................................................     76389  10.4
TX.....................................................     76401  4.0
TX.....................................................     76402  4.0
TX.....................................................     76424  7.0
TX.....................................................     76426  7.0
TX.....................................................     76427  10.6
TX.....................................................     76429  8.0
TX.....................................................     76430  10.4
TX.....................................................     76431  10.6
TX.....................................................     76432  5.0
TX.....................................................     76433  5.0
TX.....................................................     76435  10.6
TX.....................................................     76436  10.5
TX.....................................................     76437  7.0
TX.....................................................     76439  2.0
TX.....................................................     76442  7.0
TX.....................................................     76443  10.4
TX.....................................................     76444  10.5
TX.....................................................     76445  10.6
TX.....................................................     76446  7.4
TX.....................................................     76448  7.0
TX.....................................................     76449  10.5
TX.....................................................     76450  7.0
TX.....................................................     76452  10.6
TX.....................................................     76453  10.4
TX.....................................................     76454  10.6
TX.....................................................     76455  10.6
TX.....................................................     76457  10.5
TX.....................................................     76458  7.0
TX.....................................................     76459  10.6
TX.....................................................     76460  7.0
TX.....................................................     76461  4.0
TX.....................................................     76462  4.2
TX.....................................................     76463  10.4
TX.....................................................     76464  10.4
TX.....................................................     76465  5.0
TX.....................................................     76466  7.0
TX.....................................................     76467  5.0
TX.....................................................     76468  7.4
TX.....................................................     76469  10.4
TX.....................................................     76470  10.6
TX.....................................................     76471  10.5
TX.....................................................     76472  10.5
TX.....................................................     76474  8.0
TX.....................................................     76475  10.4
TX.....................................................     76476  4.2
TX.....................................................     76481  7.0
TX.....................................................     76483  10.0
TX.....................................................     76484  10.5
TX.....................................................     76485  2.0
TX.....................................................     76486  10.4
TX.....................................................     76487  2.0
TX.....................................................     76490  2.0
TX.....................................................     76491  10.0
TX.....................................................     76501  1.0
TX.....................................................     76502  1.0
TX.....................................................     76503  1.0
TX.....................................................     76504  1.0
TX.....................................................     76505  1.0
TX.....................................................     76508  1.0
TX.....................................................     76511  2.0
TX.....................................................     76513  1.0
TX.....................................................     76518  10.4
TX.....................................................     76519  10.4
TX.....................................................     76520  7.3
TX.....................................................     76522  1.0
TX.....................................................     76523  10.6
TX.....................................................     76524  2.0
TX.....................................................     76525  2.0
TX.....................................................     76526  2.0
TX.....................................................     76527  2.0
TX.....................................................     76528  4.0
TX.....................................................     76530  2.0
TX.....................................................     76531  7.0
TX.....................................................     76533  1.0
TX.....................................................     76534  2.0
TX.....................................................     76537  2.0
TX.....................................................     76538  2.0
TX.....................................................     76539  2.0
TX.....................................................     76540  1.0
TX.....................................................     76541  1.0
TX.....................................................     76542  1.0
TX.....................................................     76543  1.0
TX.....................................................     76544  1.0
TX.....................................................     76545  1.0
TX.....................................................     76546  1.0
TX.....................................................     76547  1.0
TX.....................................................     76548  1.0
TX.....................................................     76549  1.0
TX.....................................................     76550  7.3
TX.....................................................     76554  2.0
TX.....................................................     76556  10.4
TX.....................................................     76557  2.0
TX.....................................................     76558  4.0
TX.....................................................     76559  1.0
TX.....................................................     76561  2.0
TX.....................................................     76564  2.0
TX.....................................................     76565  10.6
TX.....................................................     76566  2.0
TX.....................................................     76567  7.3
TX.....................................................     76569  2.0
TX.....................................................     76570  10.4
TX.....................................................     76571  2.0
TX.....................................................     76573  2.0
TX.....................................................     76574  2.0
TX.....................................................     76577  2.0
TX.....................................................     76578  2.0
TX.....................................................     76579  2.0
TX.....................................................     76596  2.0
TX.....................................................     76597  4.0
TX.....................................................     76598  4.0
TX.....................................................     76599  4.0
TX.....................................................     76621  9.0
TX.....................................................     76622  10.6
TX.....................................................     76623  4.1
TX.....................................................     76624  2.0
TX.....................................................     76626  5.0
TX.....................................................     76627  3.0
TX.....................................................     76628  8.0
TX.....................................................     76629  10.0
TX.....................................................     76630  2.0
TX.....................................................     76631  8.0
TX.....................................................     76632  2.0
TX.....................................................     76633  2.0
TX.....................................................     76634  8.4
TX.....................................................     76635  10.1
TX.....................................................     76636  3.0
TX.....................................................     76637  10.6
TX.....................................................     76638  2.0
TX.....................................................     76639  5.0
TX.....................................................     76640  2.0
TX.....................................................     76641  5.0
TX.....................................................     76642  7.0
TX.....................................................     76643  1.0
TX.....................................................     76644  8.4
TX.....................................................     76645  7.0
TX.....................................................     76648  10.4
TX.....................................................     76649  10.4
TX.....................................................     76650  8.0
TX.....................................................     76651  2.0
TX.....................................................     76652  10.4
TX.....................................................     76653  8.0
TX.....................................................     76654  2.0
TX.....................................................     76655  2.0
TX.....................................................     76656  10.4
TX.....................................................     76657  2.0
TX.....................................................     76660  3.0
TX.....................................................     76661  7.3
TX.....................................................     76664  2.0
TX.....................................................     76665  10.4
TX.....................................................     76666  8.0
TX.....................................................     76667  7.0
TX.....................................................     76670  2.0
TX.....................................................     76671  3.0
TX.....................................................     76673  10.4
TX.....................................................     76675  2.0
TX.....................................................     76676  3.0
TX.....................................................     76678  10.1
TX.....................................................     76679  5.0
TX.....................................................     76680  10.6
TX.....................................................     76681  5.0
TX.....................................................     76682  2.0
TX.....................................................     76684  2.0
TX.....................................................     76685  2.0
TX.....................................................     76686  7.0
TX.....................................................     76687  8.0
TX.....................................................     76689  2.0
TX.....................................................     76690  10.4
TX.....................................................     76691  2.0
TX.....................................................     76692  10.6
TX.....................................................     76693  10.5
TX.....................................................     76701  1.0
TX.....................................................     76702  1.0
TX.....................................................     76703  1.0
TX.....................................................     76704  1.0
TX.....................................................     76705  1.0
TX.....................................................     76706  1.0
TX.....................................................     76707  1.0
TX.....................................................     76708  1.0
TX.....................................................     76710  1.0
TX.....................................................     76711  1.0
TX.....................................................     76712  1.0
TX.....................................................     76714  1.0
TX.....................................................     76715  1.0
TX.....................................................     76716  1.0
TX.....................................................     76795  1.0
TX.....................................................     76797  1.0
TX.....................................................     76798  1.0
TX.....................................................     76799  1.0
TX.....................................................     76801  4.0
TX.....................................................     76802  4.0
TX.....................................................     76803  4.0
TX.....................................................     76804  4.0
TX.....................................................     76820  10.0
TX.....................................................     76821  7.0
TX.....................................................     76823  5.0
TX.....................................................     76824  7.0
TX.....................................................     76825  7.0
TX.....................................................     76827  5.0
TX.....................................................     76828  8.0

[[Page 70217]]

 
TX.....................................................     76831  10.6
TX.....................................................     76832  10.6
TX.....................................................     76834  7.0
TX.....................................................     76836  10.3
TX.....................................................     76837  10.0
TX.....................................................     76841  10.0
TX.....................................................     76842  10.0
TX.....................................................     76844  10.0
TX.....................................................     76845  10.6
TX.....................................................     76848  10.0
TX.....................................................     76849  7.0
TX.....................................................     76852  10.3
TX.....................................................     76853  10.6
TX.....................................................     76854  10.3
TX.....................................................     76855  10.4
TX.....................................................     76856  10.0
TX.....................................................     76857  5.0
TX.....................................................     76858  10.3
TX.....................................................     76859  10.0
TX.....................................................     76861  10.1
TX.....................................................     76862  10.4
TX.....................................................     76864  10.0
TX.....................................................     76865  10.3
TX.....................................................     76866  10.4
TX.....................................................     76867  10.3
TX.....................................................     76869  10.0
TX.....................................................     76870  10.0
TX.....................................................     76871  10.6
TX.....................................................     76872  10.3
TX.....................................................     76873  10.6
TX.....................................................     76874  10.3
TX.....................................................     76875  10.1
TX.....................................................     76877  7.0
TX.....................................................     76878  10.6
TX.....................................................     76880  10.0
TX.....................................................     76882  10.6
TX.....................................................     76883  10.3
TX.....................................................     76884  10.6
TX.....................................................     76885  8.0
TX.....................................................     76886  1.0
TX.....................................................     76887  8.0
TX.....................................................     76888  10.6
TX.....................................................     76890  5.0
TX.....................................................     76901  1.0
TX.....................................................     76902  1.0
TX.....................................................     76903  1.0
TX.....................................................     76904  1.0
TX.....................................................     76905  1.0
TX.....................................................     76906  1.0
TX.....................................................     76908  1.0
TX.....................................................     76909  1.0
TX.....................................................     76930  10.4
TX.....................................................     76932  7.0
TX.....................................................     76933  10.4
TX.....................................................     76934  2.0
TX.....................................................     76935  2.0
TX.....................................................     76936  10.4
TX.....................................................     76937  10.4
TX.....................................................     76939  1.0
TX.....................................................     76940  2.0
TX.....................................................     76941  10.4
TX.....................................................     76943  7.0
TX.....................................................     76945  10.4
TX.....................................................     76949  10.4
TX.....................................................     76950  7.0
TX.....................................................     76951  10.0
TX.....................................................     76953  10.4
TX.....................................................     76955  2.0
TX.....................................................     76957  2.0
TX.....................................................     76958  2.0
TX.....................................................     77001  1.0
TX.....................................................     77002  1.0
TX.....................................................     77003  1.0
TX.....................................................     77004  1.0
TX.....................................................     77005  1.0
TX.....................................................     77006  1.0
TX.....................................................     77007  1.0
TX.....................................................     77008  1.0
TX.....................................................     77009  1.0
TX.....................................................     77010  1.0
TX.....................................................     77011  1.0
TX.....................................................     77012  1.0
TX.....................................................     77013  1.0
TX.....................................................     77014  1.0
TX.....................................................     77015  1.0
TX.....................................................     77016  1.0
TX.....................................................     77017  1.0
TX.....................................................     77018  1.0
TX.....................................................     77019  1.0
TX.....................................................     77020  1.0
TX.....................................................     77021  1.0
TX.....................................................     77022  1.0
TX.....................................................     77023  1.0
TX.....................................................     77024  1.0
TX.....................................................     77025  1.0
TX.....................................................     77026  1.0
TX.....................................................     77027  1.0
TX.....................................................     77028  1.0
TX.....................................................     77029  1.0
TX.....................................................     77030  1.0
TX.....................................................     77031  1.0
TX.....................................................     77032  1.0
TX.....................................................     77033  1.0
TX.....................................................     77034  1.0
TX.....................................................     77035  1.0
TX.....................................................     77036  1.0
TX.....................................................     77037  1.0
TX.....................................................     77038  1.0
TX.....................................................     77039  1.0
TX.....................................................     77040  1.0
TX.....................................................     77041  1.0
TX.....................................................     77042  1.0
TX.....................................................     77043  1.0
TX.....................................................     77044  1.0
TX.....................................................     77045  1.0
TX.....................................................     77046  1.0
TX.....................................................     77047  1.0
TX.....................................................     77048  1.0
TX.....................................................     77049  1.0
TX.....................................................     77050  1.0
TX.....................................................     77051  1.0
TX.....................................................     77052  1.0
TX.....................................................     77053  1.0
TX.....................................................     77054  1.0
TX.....................................................     77055  1.0
TX.....................................................     77056  1.0
TX.....................................................     77057  1.0
TX.....................................................     77058  1.0
TX.....................................................     77059  1.0
TX.....................................................     77060  1.0
TX.....................................................     77061  1.0
TX.....................................................     77062  1.0
TX.....................................................     77063  1.0
TX.....................................................     77064  1.0
TX.....................................................     77065  1.0
TX.....................................................     77066  1.0
TX.....................................................     77067  1.0
TX.....................................................     77068  1.0
TX.....................................................     77069  1.0
TX.....................................................     77070  1.0
TX.....................................................     77071  1.0
TX.....................................................     77072  1.0
TX.....................................................     77073  1.0
TX.....................................................     77074  1.0
TX.....................................................     77075  1.0
TX.....................................................     77076  1.0
TX.....................................................     77077  1.0
TX.....................................................     77078  1.0
TX.....................................................     77079  1.0
TX.....................................................     77080  1.0
TX.....................................................     77081  1.0
TX.....................................................     77082  1.0
TX.....................................................     77083  1.0
TX.....................................................     77084  1.0
TX.....................................................     77085  1.0
TX.....................................................     77086  1.0
TX.....................................................     77087  1.0
TX.....................................................     77088  1.0
TX.....................................................     77089  1.0
TX.....................................................     77090  1.0
TX.....................................................     77091  1.0
TX.....................................................     77092  1.0
TX.....................................................     77093  1.0
TX.....................................................     77094  1.0
TX.....................................................     77095  1.0
TX.....................................................     77096  1.0
TX.....................................................     77097  1.0
TX.....................................................     77098  1.0
TX.....................................................     77099  1.0
TX.....................................................     77201  1.0
TX.....................................................     77202  1.0
TX.....................................................     77203  1.0
TX.....................................................     77204  1.0
TX.....................................................     77205  1.0
TX.....................................................     77206  1.0
TX.....................................................     77207  1.0
TX.....................................................     77208  1.0
TX.....................................................     77209  1.0
TX.....................................................     77210  1.0
TX.....................................................     77212  1.0
TX.....................................................     77213  1.0
TX.....................................................     77215  1.0
TX.....................................................     77216  1.0
TX.....................................................     77217  1.0
TX.....................................................     77218  1.0
TX.....................................................     77219  1.0
TX.....................................................     77220  1.0
TX.....................................................     77221  1.0
TX.....................................................     77222  1.0
TX.....................................................     77223  1.0
TX.....................................................     77224  1.0
TX.....................................................     77225  1.0
TX.....................................................     77226  1.0
TX.....................................................     77227  1.0
TX.....................................................     77228  1.0
TX.....................................................     77229  1.0
TX.....................................................     77230  1.0
TX.....................................................     77231  1.0
TX.....................................................     77233  1.0
TX.....................................................     77234  1.0
TX.....................................................     77235  1.0
TX.....................................................     77236  1.0
TX.....................................................     77237  1.0
TX.....................................................     77238  1.0
TX.....................................................     77240  1.0
TX.....................................................     77241  1.0
TX.....................................................     77242  1.0

[[Page 70218]]

 
TX.....................................................     77243  1.0
TX.....................................................     77244  1.0
TX.....................................................     77245  1.0
TX.....................................................     77248  1.0
TX.....................................................     77249  1.0
TX.....................................................     77250  1.0
TX.....................................................     77251  1.0
TX.....................................................     77252  1.0
TX.....................................................     77253  1.0
TX.....................................................     77254  1.0
TX.....................................................     77255  1.0
TX.....................................................     77256  1.0
TX.....................................................     77257  1.0
TX.....................................................     77258  1.0
TX.....................................................     77259  1.0
TX.....................................................     77261  1.0
TX.....................................................     77262  1.0
TX.....................................................     77263  1.0
TX.....................................................     77265  1.0
TX.....................................................     77266  1.0
TX.....................................................     77267  1.0
TX.....................................................     77268  1.0
TX.....................................................     77269  1.0
TX.....................................................     77270  1.0
TX.....................................................     77271  1.0
TX.....................................................     77272  1.0
TX.....................................................     77273  1.0
TX.....................................................     77274  1.0
TX.....................................................     77275  1.0
TX.....................................................     77277  1.0
TX.....................................................     77279  1.0
TX.....................................................     77280  1.0
TX.....................................................     77281  1.0
TX.....................................................     77282  1.0
TX.....................................................     77284  1.0
TX.....................................................     77287  1.0
TX.....................................................     77288  1.0
TX.....................................................     77289  1.0
TX.....................................................     77290  1.0
TX.....................................................     77291  1.0
TX.....................................................     77292  1.0
TX.....................................................     77293  1.0
TX.....................................................     77297  1.0
TX.....................................................     77298  1.0
TX.....................................................     77299  1.0
TX.....................................................     77301  4.2
TX.....................................................     77302  2.0
TX.....................................................     77303  5.2
TX.....................................................     77304  4.2
TX.....................................................     77305  4.2
TX.....................................................     77306  5.2
TX.....................................................     77315  1.0
TX.....................................................     77316  2.0
TX.....................................................     77318  2.0
TX.....................................................     77320  4.0
TX.....................................................     77325  1.0
TX.....................................................     77326  10.6
TX.....................................................     77327  7.1
TX.....................................................     77328  2.0
TX.....................................................     77331  10.4
TX.....................................................     77332  10.6
TX.....................................................     77333  2.0
TX.....................................................     77334  4.0
TX.....................................................     77335  10.6
TX.....................................................     77336  1.0
TX.....................................................     77337  2.0
TX.....................................................     77338  1.0
TX.....................................................     77339  1.0
TX.....................................................     77340  4.0
TX.....................................................     77341  4.0
TX.....................................................     77342  4.0
TX.....................................................     77343  4.0
TX.....................................................     77344  4.0
TX.....................................................     77345  1.0
TX.....................................................     77346  1.0
TX.....................................................     77347  1.0
TX.....................................................     77348  4.0
TX.....................................................     77349  4.0
TX.....................................................     77350  10.6
TX.....................................................     77351  10.6
TX.....................................................     77353  2.0
TX.....................................................     77354  2.0
TX.....................................................     77355  2.0
TX.....................................................     77356  2.0
TX.....................................................     77357  1.0
TX.....................................................     77358  5.0
TX.....................................................     77359  6.1
TX.....................................................     77360  10.6
TX.....................................................     77362  2.0
TX.....................................................     77363  2.0
TX.....................................................     77364  6.1
TX.....................................................     77365  1.0
TX.....................................................     77367  4.0
TX.....................................................     77368  7.1
TX.....................................................     77369  7.1
TX.....................................................     77371  10.4
TX.....................................................     77372  2.0
TX.....................................................     77373  1.0
TX.....................................................     77374  3.0
TX.....................................................     77375  2.0
TX.....................................................     77376  3.0
TX.....................................................     77377  1.0
TX.....................................................     77378  5.0
TX.....................................................     77379  1.0
TX.....................................................     77380  2.0
TX.....................................................     77381  2.0
TX.....................................................     77382  2.0
TX.....................................................     77383  1.0
TX.....................................................     77384  2.0
TX.....................................................     77385  2.0
TX.....................................................     77386  2.0
TX.....................................................     77387  2.0
TX.....................................................     77388  1.0
TX.....................................................     77389  1.0
TX.....................................................     77391  1.0
TX.....................................................     77393  2.0
TX.....................................................     77396  1.0
TX.....................................................     77399  10.6
TX.....................................................     77401  1.0
TX.....................................................     77402  1.0
TX.....................................................     77404  4.0
TX.....................................................     77406  1.0
TX.....................................................     77410  1.0
TX.....................................................     77411  1.0
TX.....................................................     77412  10.6
TX.....................................................     77413  1.0
TX.....................................................     77414  4.0
TX.....................................................     77415  4.0
TX.....................................................     77417  2.0
TX.....................................................     77418  7.3
TX.....................................................     77419  10.2
TX.....................................................     77420  10.6
TX.....................................................     77422  2.0
TX.....................................................     77423  2.0
TX.....................................................     77426  5.2
TX.....................................................     77428  7.4
TX.....................................................     77429  1.0
TX.....................................................     77430  2.0
TX.....................................................     77431  2.0
TX.....................................................     77432  4.0
TX.....................................................     77433  2.0
TX.....................................................     77434  7.3
TX.....................................................     77435  10.4
TX.....................................................     77436  10.4
TX.....................................................     77437  4.0
TX.....................................................     77440  10.2
TX.....................................................     77441  2.0
TX.....................................................     77442  10.6
TX.....................................................     77443  10.4
TX.....................................................     77444  2.0
TX.....................................................     77445  7.1
TX.....................................................     77446  2.0
TX.....................................................     77447  2.0
TX.....................................................     77448  10.4
TX.....................................................     77449  1.0
TX.....................................................     77450  1.0
TX.....................................................     77451  2.0
TX.....................................................     77452  7.3
TX.....................................................     77453  7.3
TX.....................................................     77454  10.4
TX.....................................................     77455  5.0
TX.....................................................     77456  10.2
TX.....................................................     77457  10.5
TX.....................................................     77458  10.2
TX.....................................................     77459  1.0
TX.....................................................     77460  10.6
TX.....................................................     77461  2.0
TX.....................................................     77463  2.0
TX.....................................................     77464  1.0
TX.....................................................     77465  7.4
TX.....................................................     77466  2.0
TX.....................................................     77467  4.0
TX.....................................................     77468  4.0
TX.....................................................     77469  1.0
TX.....................................................     77470  10.6
TX.....................................................     77471  1.0
TX.....................................................     77473  7.1
TX.....................................................     77474  7.1
TX.....................................................     77475  10.6
TX.....................................................     77476  2.0
TX.....................................................     77477  1.0
TX.....................................................     77478  1.0
TX.....................................................     77479  1.0
TX.....................................................     77480  2.0
TX.....................................................     77481  1.0
TX.....................................................     77482  4.0
TX.....................................................     77483  10.5
TX.....................................................     77484  2.0
TX.....................................................     77485  2.0
TX.....................................................     77486  2.0
TX.....................................................     77487  1.0
TX.....................................................     77488  7.3
TX.....................................................     77489  1.0
TX.....................................................     77491  1.0
TX.....................................................     77492  1.0
TX.....................................................     77493  1.0
TX.....................................................     77494  1.0
TX.....................................................     77496  1.0
TX.....................................................     77497  1.0
TX.....................................................     77501  1.0
TX.....................................................     77502  1.0
TX.....................................................     77503  1.0
TX.....................................................     77504  1.0
TX.....................................................     77505  1.0
TX.....................................................     77506  1.0
TX.....................................................     77507  1.0
TX.....................................................     77508  1.0

[[Page 70219]]

 
TX.....................................................     77510  1.1
TX.....................................................     77511  1.0
TX.....................................................     77512  1.0
TX.....................................................     77514  10.1
TX.....................................................     77515  1.0
TX.....................................................     77516  1.0
TX.....................................................     77517  1.1
TX.....................................................     77518  1.0
TX.....................................................     77519  3.0
TX.....................................................     77520  1.0
TX.....................................................     77521  1.0
TX.....................................................     77522  1.0
TX.....................................................     77530  1.0
TX.....................................................     77531  1.0
TX.....................................................     77532  1.0
TX.....................................................     77533  3.0
TX.....................................................     77534  1.0
TX.....................................................     77535  2.0
TX.....................................................     77536  1.0
TX.....................................................     77538  7.3
TX.....................................................     77539  1.1
TX.....................................................     77541  1.0
TX.....................................................     77542  1.0
TX.....................................................     77545  1.0
TX.....................................................     77546  1.0
TX.....................................................     77547  1.0
TX.....................................................     77549  1.0
TX.....................................................     77550  1.0
TX.....................................................     77551  1.0
TX.....................................................     77552  1.0
TX.....................................................     77553  1.0
TX.....................................................     77554  2.1
TX.....................................................     77555  1.0
TX.....................................................     77560  2.0
TX.....................................................     77561  7.3
TX.....................................................     77562  1.0
TX.....................................................     77563  1.1
TX.....................................................     77564  3.0
TX.....................................................     77565  1.0
TX.....................................................     77566  1.0
TX.....................................................     77568  1.1
TX.....................................................     77571  1.0
TX.....................................................     77572  1.0
TX.....................................................     77573  1.0
TX.....................................................     77574  1.0
TX.....................................................     77575  7.3
TX.....................................................     77577  2.0
TX.....................................................     77578  1.0
TX.....................................................     77580  1.0
TX.....................................................     77581  1.0
TX.....................................................     77582  7.3
TX.....................................................     77583  2.0
TX.....................................................     77584  1.0
TX.....................................................     77585  3.0
TX.....................................................     77586  1.0
TX.....................................................     77587  1.0
TX.....................................................     77588  1.0
TX.....................................................     77590  1.1
TX.....................................................     77591  1.1
TX.....................................................     77592  1.1
TX.....................................................     77597  2.0
TX.....................................................     77598  1.0
TX.....................................................     77611  4.2
TX.....................................................     77612  3.0
TX.....................................................     77613  2.0
TX.....................................................     77614  5.0
TX.....................................................     77615  3.0
TX.....................................................     77616  10.4
TX.....................................................     77617  3.0
TX.....................................................     77619  1.0
TX.....................................................     77622  2.0
TX.....................................................     77623  3.0
TX.....................................................     77624  8.0
TX.....................................................     77625  2.0
TX.....................................................     77626  5.2
TX.....................................................     77627  1.0
TX.....................................................     77629  2.0
TX.....................................................     77630  4.2
TX.....................................................     77631  4.2
TX.....................................................     77632  5.2
TX.....................................................     77639  4.2
TX.....................................................     77640  1.0
TX.....................................................     77641  1.0
TX.....................................................     77642  1.0
TX.....................................................     77643  1.0
TX.....................................................     77650  3.0
TX.....................................................     77651  1.0
TX.....................................................     77655  1.0
TX.....................................................     77656  7.1
TX.....................................................     77657  1.0
TX.....................................................     77659  2.0
TX.....................................................     77660  10.4
TX.....................................................     77661  7.3
TX.....................................................     77662  1.0
TX.....................................................     77663  2.0
TX.....................................................     77664  10.4
TX.....................................................     77665  7.3
TX.....................................................     77670  1.0
TX.....................................................     77701  1.0
TX.....................................................     77702  1.0
TX.....................................................     77703  1.0
TX.....................................................     77704  1.0
TX.....................................................     77705  1.0
TX.....................................................     77706  1.0
TX.....................................................     77707  1.0
TX.....................................................     77708  1.0
TX.....................................................     77709  1.0
TX.....................................................     77710  1.0
TX.....................................................     77713  2.0
TX.....................................................     77720  1.0
TX.....................................................     77725  1.0
TX.....................................................     77726  1.0
TX.....................................................     77801  1.0
TX.....................................................     77802  1.0
TX.....................................................     77803  1.0
TX.....................................................     77805  1.0
TX.....................................................     77806  1.0
TX.....................................................     77807  2.0
TX.....................................................     77808  1.0
TX.....................................................     77830  10.4
TX.....................................................     77831  9.0
TX.....................................................     77833  4.0
TX.....................................................     77834  4.0
TX.....................................................     77835  5.0
TX.....................................................     77836  7.1
TX.....................................................     77837  10.4
TX.....................................................     77838  7.1
TX.....................................................     77840  1.0
TX.....................................................     77841  1.0
TX.....................................................     77842  1.0
TX.....................................................     77843  1.0
TX.....................................................     77844  1.0
TX.....................................................     77845  1.0
TX.....................................................     77850  10.4
TX.....................................................     77852  7.1
TX.....................................................     77853  8.0
TX.....................................................     77855  10.4
TX.....................................................     77856  10.4
TX.....................................................     77857  10.4
TX.....................................................     77859  7.1
TX.....................................................     77861  10.4
TX.....................................................     77862  1.0
TX.....................................................     77863  10.4
TX.....................................................     77864  7.0
TX.....................................................     77865  10.4
TX.....................................................     77866  1.0
TX.....................................................     77867  7.1
TX.....................................................     77868  7.3
TX.....................................................     77869  7.3
TX.....................................................     77870  10.4
TX.....................................................     77871  10.4
TX.....................................................     77872  10.4
TX.....................................................     77873  9.0
TX.....................................................     77875  10.4
TX.....................................................     77876  10.4
TX.....................................................     77878  10.4
TX.....................................................     77879  10.4
TX.....................................................     77880  5.2
TX.....................................................     77881  1.0
TX.....................................................     77882  10.4
TX.....................................................     77901  1.0
TX.....................................................     77902  1.0
TX.....................................................     77903  1.0
TX.....................................................     77904  1.0
TX.....................................................     77905  2.0
TX.....................................................     77950  10.4
TX.....................................................     77951  2.0
TX.....................................................     77954  7.0
TX.....................................................     77957  7.0
TX.....................................................     77960  2.0
TX.....................................................     77961  10.5
TX.....................................................     77962  10.5
TX.....................................................     77963  2.0
TX.....................................................     77964  10.0
TX.....................................................     77967  7.0
TX.....................................................     77968  1.0
TX.....................................................     77969  7.0
TX.....................................................     77970  10.5
TX.....................................................     77971  10.5
TX.....................................................     77973  2.0
TX.....................................................     77974  8.0
TX.....................................................     77975  10.6
TX.....................................................     77976  1.0
TX.....................................................     77977  2.0
TX.....................................................     77978  10.5
TX.....................................................     77979  4.0
TX.....................................................     77982  4.0
TX.....................................................     77983  10.5
TX.....................................................     77984  10.0
TX.....................................................     77986  10.0
TX.....................................................     77987  7.0
TX.....................................................     77988  2.0
TX.....................................................     77989  7.0
TX.....................................................     77990  10.4
TX.....................................................     77991  7.0
TX.....................................................     77993  2.0
TX.....................................................     77994  7.0
TX.....................................................     77995  7.0
TX.....................................................     78001  7.0
TX.....................................................     78002  1.0
TX.....................................................     78003  10.4
TX.....................................................     78004  2.0
TX.....................................................     78005  7.3
TX.....................................................     78006  2.0
TX.....................................................     78007  10.0
TX.....................................................     78008  4.1
TX.....................................................     78009  2.0

[[Page 70220]]

 
TX.....................................................     78010  5.0
TX.....................................................     78011  10.5
TX.....................................................     78012  4.1
TX.....................................................     78013  7.3
TX.....................................................     78014  7.0
TX.....................................................     78015  2.0
TX.....................................................     78016  7.1
TX.....................................................     78017  7.0
TX.....................................................     78019  10.1
TX.....................................................     78021  7.0
TX.....................................................     78022  7.0
TX.....................................................     78023  1.0
TX.....................................................     78024  4.0
TX.....................................................     78025  4.0
TX.....................................................     78026  4.1
TX.....................................................     78027  7.3
TX.....................................................     78028  4.0
TX.....................................................     78029  4.0
TX.....................................................     78039  2.0
TX.....................................................     78040  1.0
TX.....................................................     78041  1.0
TX.....................................................     78042  1.0
TX.....................................................     78043  1.0
TX.....................................................     78044  1.0
TX.....................................................     78045  1.0
TX.....................................................     78046  1.0
TX.....................................................     78049  1.0
TX.....................................................     78050  4.1
TX.....................................................     78052  2.0
TX.....................................................     78054  1.0
TX.....................................................     78055  10.0
TX.....................................................     78056  2.0
TX.....................................................     78057  7.3
TX.....................................................     78058  4.0
TX.....................................................     78059  2.0
TX.....................................................     78060  10.0
TX.....................................................     78061  7.3
TX.....................................................     78062  4.1
TX.....................................................     78063  2.0
TX.....................................................     78064  4.1
TX.....................................................     78065  2.0
TX.....................................................     78066  2.0
TX.....................................................     78067  10.4
TX.....................................................     78069  2.0
TX.....................................................     78070  2.0
TX.....................................................     78071  10.0
TX.....................................................     78072  10.0
TX.....................................................     78073  2.0
TX.....................................................     78074  7.3
TX.....................................................     78075  10.0
TX.....................................................     78076  7.0
TX.....................................................     78101  2.0
TX.....................................................     78102  5.0
TX.....................................................     78104  5.0
TX.....................................................     78107  2.0
TX.....................................................     78108  1.0
TX.....................................................     78109  1.0
TX.....................................................     78111  10.4
TX.....................................................     78112  2.0
TX.....................................................     78113  10.4
TX.....................................................     78114  2.0
TX.....................................................     78115  4.2
TX.....................................................     78116  10.4
TX.....................................................     78117  10.4
TX.....................................................     78118  7.0
TX.....................................................     78119  7.0
TX.....................................................     78121  2.0
TX.....................................................     78122  10.5
TX.....................................................     78123  4.2
TX.....................................................     78124  2.0
TX.....................................................     78125  5.0
TX.....................................................     78130  4.2
TX.....................................................     78131  4.2
TX.....................................................     78132  2.0
TX.....................................................     78133  2.0
TX.....................................................     78135  4.2
TX.....................................................     78140  10.5
TX.....................................................     78141  10.0
TX.....................................................     78142  5.0
TX.....................................................     78143  10.4
TX.....................................................     78144  10.4
TX.....................................................     78145  5.0
TX.....................................................     78146  5.0
TX.....................................................     78147  2.0
TX.....................................................     78148  1.0
TX.....................................................     78150  1.0
TX.....................................................     78151  10.6
TX.....................................................     78152  2.0
TX.....................................................     78154  1.0
TX.....................................................     78155  4.2
TX.....................................................     78156  4.2
TX.....................................................     78159  10.6
TX.....................................................     78160  10.4
TX.....................................................     78161  2.0
TX.....................................................     78162  5.0
TX.....................................................     78163  2.0
TX.....................................................     78164  10.0
TX.....................................................     78201  1.0
TX.....................................................     78202  1.0
TX.....................................................     78203  1.0
TX.....................................................     78204  1.0
TX.....................................................     78205  1.0
TX.....................................................     78206  1.0
TX.....................................................     78207  1.0
TX.....................................................     78208  1.0
TX.....................................................     78209  1.0
TX.....................................................     78210  1.0
TX.....................................................     78211  1.0
TX.....................................................     78212  1.0
TX.....................................................     78213  1.0
TX.....................................................     78214  1.0
TX.....................................................     78215  1.0
TX.....................................................     78216  1.0
TX.....................................................     78217  1.0
TX.....................................................     78218  1.0
TX.....................................................     78219  1.0
TX.....................................................     78220  1.0
TX.....................................................     78221  1.0
TX.....................................................     78222  1.0
TX.....................................................     78223  1.0
TX.....................................................     78224  1.0
TX.....................................................     78225  1.0
TX.....................................................     78226  1.0
TX.....................................................     78227  1.0
TX.....................................................     78228  1.0
TX.....................................................     78229  1.0
TX.....................................................     78230  1.0
TX.....................................................     78231  1.0
TX.....................................................     78232  1.0
TX.....................................................     78233  1.0
TX.....................................................     78234  1.0
TX.....................................................     78235  10.4
TX.....................................................     78236  1.0
TX.....................................................     78237  1.0
TX.....................................................     78238  1.0
TX.....................................................     78239  1.0
TX.....................................................     78240  1.0
TX.....................................................     78241  1.0
TX.....................................................     78242  1.0
TX.....................................................     78243  1.0
TX.....................................................     78244  1.0
TX.....................................................     78245  1.0
TX.....................................................     78246  1.0
TX.....................................................     78247  1.0
TX.....................................................     78248  1.0
TX.....................................................     78249  1.0
TX.....................................................     78250  1.0
TX.....................................................     78251  1.0
TX.....................................................     78252  1.0
TX.....................................................     78253  1.0
TX.....................................................     78254  1.0
TX.....................................................     78255  1.0
TX.....................................................     78256  1.0
TX.....................................................     78257  1.0
TX.....................................................     78258  1.0
TX.....................................................     78259  1.0
TX.....................................................     78260  1.0
TX.....................................................     78261  2.0
TX.....................................................     78262  2.0
TX.....................................................     78263  2.0
TX.....................................................     78264  2.0
TX.....................................................     78265  1.0
TX.....................................................     78266  1.0
TX.....................................................     78268  1.0
TX.....................................................     78269  1.0
TX.....................................................     78270  1.0
TX.....................................................     78275  1.0
TX.....................................................     78278  1.0
TX.....................................................     78279  1.0
TX.....................................................     78280  1.0
TX.....................................................     78283  1.0
TX.....................................................     78284  1.0
TX.....................................................     78285  1.0
TX.....................................................     78286  1.0
TX.....................................................     78287  1.0
TX.....................................................     78288  1.0
TX.....................................................     78289  1.0
TX.....................................................     78291  1.0
TX.....................................................     78292  1.0
TX.....................................................     78293  1.0
TX.....................................................     78294  1.0
TX.....................................................     78295  1.0
TX.....................................................     78296  1.0
TX.....................................................     78297  1.0
TX.....................................................     78298  1.0
TX.....................................................     78299  1.0
TX.....................................................     78330  2.0
TX.....................................................     78332  4.0
TX.....................................................     78333  4.0
TX.....................................................     78335  4.2
TX.....................................................     78336  4.2
TX.....................................................     78338  10.0
TX.....................................................     78339  2.0
TX.....................................................     78340  10.6
TX.....................................................     78341  10.0
TX.....................................................     78342  4.0
TX.....................................................     78343  5.2
TX.....................................................     78344  1.0
TX.....................................................     78347  1.0
TX.....................................................     78349  10.0
TX.....................................................     78350  7.0
TX.....................................................     78351  2.0
TX.....................................................     78352  2.0
TX.....................................................     78353  8.0
TX.....................................................     78355  7.0
TX.....................................................     78357  7.0
TX.....................................................     78358  4.0

[[Page 70221]]

 
TX.....................................................     78359  1.0
TX.....................................................     78360  7.3
TX.....................................................     78361  7.3
TX.....................................................     78362  4.2
TX.....................................................     78363  4.0
TX.....................................................     78364  4.0
TX.....................................................     78368  2.0
TX.....................................................     78369  1.0
TX.....................................................     78370  2.0
TX.....................................................     78371  1.0
TX.....................................................     78372  2.0
TX.....................................................     78373  7.3
TX.....................................................     78374  1.0
TX.....................................................     78375  7.0
TX.....................................................     78376  10.6
TX.....................................................     78377  7.0
TX.....................................................     78379  5.0
TX.....................................................     78380  2.0
TX.....................................................     78381  4.0
TX.....................................................     78382  4.0
TX.....................................................     78383  2.0
TX.....................................................     78384  7.4
TX.....................................................     78385  10.0
TX.....................................................     78387  7.3
TX.....................................................     78389  10.5
TX.....................................................     78390  2.0
TX.....................................................     78391  10.5
TX.....................................................     78393  10.6
TX.....................................................     78401  1.0
TX.....................................................     78402  1.0
TX.....................................................     78403  1.0
TX.....................................................     78404  1.0
TX.....................................................     78405  1.0
TX.....................................................     78406  1.0
TX.....................................................     78407  1.0
TX.....................................................     78408  1.0
TX.....................................................     78409  1.0
TX.....................................................     78410  1.0
TX.....................................................     78411  1.0
TX.....................................................     78412  1.0
TX.....................................................     78413  1.0
TX.....................................................     78414  1.0
TX.....................................................     78415  1.0
TX.....................................................     78416  1.0
TX.....................................................     78417  1.0
TX.....................................................     78418  1.0
TX.....................................................     78419  1.0
TX.....................................................     78426  1.0
TX.....................................................     78427  1.0
TX.....................................................     78460  1.0
TX.....................................................     78461  1.0
TX.....................................................     78463  1.0
TX.....................................................     78465  1.0
TX.....................................................     78466  1.0
TX.....................................................     78467  1.0
TX.....................................................     78468  1.0
TX.....................................................     78469  1.0
TX.....................................................     78470  1.0
TX.....................................................     78471  1.0
TX.....................................................     78472  1.0
TX.....................................................     78473  1.0
TX.....................................................     78474  1.0
TX.....................................................     78475  1.0
TX.....................................................     78476  1.0
TX.....................................................     78477  1.0
TX.....................................................     78478  1.0
TX.....................................................     78480  1.0
TX.....................................................     78501  1.0
TX.....................................................     78502  1.0
TX.....................................................     78503  1.0
TX.....................................................     78504  1.0
TX.....................................................     78505  1.0
TX.....................................................     78516  1.0
TX.....................................................     78520  1.0
TX.....................................................     78521  1.0
TX.....................................................     78522  1.0
TX.....................................................     78523  1.0
TX.....................................................     78526  1.0
TX.....................................................     78535  1.0
TX.....................................................     78536  10.4
TX.....................................................     78537  1.0
TX.....................................................     78538  1.0
TX.....................................................     78539  1.0
TX.....................................................     78540  1.0
TX.....................................................     78541  1.0
TX.....................................................     78543  1.0
TX.....................................................     78545  4.0
TX.....................................................     78547  5.2
TX.....................................................     78548  5.2
TX.....................................................     78549  2.0
TX.....................................................     78550  1.0
TX.....................................................     78551  1.0
TX.....................................................     78552  1.0
TX.....................................................     78553  1.0
TX.....................................................     78557  1.0
TX.....................................................     78558  1.0
TX.....................................................     78559  1.0
TX.....................................................     78560  1.0
TX.....................................................     78561  4.2
TX.....................................................     78562  1.0
TX.....................................................     78563  2.0
TX.....................................................     78564  7.0
TX.....................................................     78565  2.0
TX.....................................................     78566  1.0
TX.....................................................     78567  1.0
TX.....................................................     78568  2.0
TX.....................................................     78569  10.4
TX.....................................................     78570  1.0
TX.....................................................     78572  1.0
TX.....................................................     78573  1.0
TX.....................................................     78574  1.0
TX.....................................................     78575  1.0
TX.....................................................     78576  1.0
TX.....................................................     78577  1.0
TX.....................................................     78578  4.2
TX.....................................................     78579  1.0
TX.....................................................     78580  4.2
TX.....................................................     78582  4.2
TX.....................................................     78583  2.0
TX.....................................................     78584  4.0
TX.....................................................     78585  4.0
TX.....................................................     78586  1.0
TX.....................................................     78588  10.4
TX.....................................................     78589  1.0
TX.....................................................     78590  10.5
TX.....................................................     78591  10.4
TX.....................................................     78592  1.0
TX.....................................................     78593  1.0
TX.....................................................     78594  2.0
TX.....................................................     78595  2.0
TX.....................................................     78596  1.0
TX.....................................................     78597  4.2
TX.....................................................     78598  10.5
TX.....................................................     78599  1.0
TX.....................................................     78602  2.0
TX.....................................................     78604  7.0
TX.....................................................     78605  2.0
TX.....................................................     78606  10.4
TX.....................................................     78607  8.0
TX.....................................................     78608  2.0
TX.....................................................     78609  10.4
TX.....................................................     78610  1.0
TX.....................................................     78611  9.0
TX.....................................................     78612  2.0
TX.....................................................     78613  1.0
TX.....................................................     78614  10.6
TX.....................................................     78615  2.0
TX.....................................................     78616  2.0
TX.....................................................     78617  2.0
TX.....................................................     78618  10.5
TX.....................................................     78619  2.0
TX.....................................................     78620  2.0
TX.....................................................     78621  2.0
TX.....................................................     78622  5.2
TX.....................................................     78623  2.0
TX.....................................................     78624  7.0
TX.....................................................     78626  2.0
TX.....................................................     78627  2.0
TX.....................................................     78628  2.0
TX.....................................................     78629  7.0
TX.....................................................     78630  1.0
TX.....................................................     78631  10.5
TX.....................................................     78632  10.6
TX.....................................................     78634  2.0
TX.....................................................     78635  10.4
TX.....................................................     78636  10.4
TX.....................................................     78638  4.2
TX.....................................................     78639  9.0
TX.....................................................     78640  4.2
TX.....................................................     78641  1.0
TX.....................................................     78642  2.0
TX.....................................................     78643  7.0
TX.....................................................     78644  2.0
TX.....................................................     78645  2.0
TX.....................................................     78646  1.0
TX.....................................................     78648  7.3
TX.....................................................     78650  2.0
TX.....................................................     78651  1.0
TX.....................................................     78652  1.0
TX.....................................................     78653  2.0
TX.....................................................     78654  7.0
TX.....................................................     78655  5.2
TX.....................................................     78656  5.2
TX.....................................................     78657  10.6
TX.....................................................     78658  7.0
TX.....................................................     78659  2.0
TX.....................................................     78660  1.0
TX.....................................................     78661  5.2
TX.....................................................     78662  2.0
TX.....................................................     78663  10.4
TX.....................................................     78664  1.0
TX.....................................................     78666  4.2
TX.....................................................     78667  4.2
TX.....................................................     78669  2.0
TX.....................................................     78670  4.2
TX.....................................................     78671  8.0
TX.....................................................     78672  8.0
TX.....................................................     78673  2.0
TX.....................................................     78674  2.0
TX.....................................................     78675  8.0
TX.....................................................     78676  3.0
TX.....................................................     78677  10.6
TX.....................................................     78680  1.0
TX.....................................................     78681  1.0
TX.....................................................     78682  1.0
TX.....................................................     78683  1.0
TX.....................................................     78691  1.0

[[Page 70222]]

 
TX.....................................................     78701  1.0
TX.....................................................     78702  1.0
TX.....................................................     78703  1.0
TX.....................................................     78704  1.0
TX.....................................................     78705  1.0
TX.....................................................     78708  1.0
TX.....................................................     78709  1.0
TX.....................................................     78710  1.0
TX.....................................................     78711  1.0
TX.....................................................     78712  1.0
TX.....................................................     78713  1.0
TX.....................................................     78714  1.0
TX.....................................................     78715  1.0
TX.....................................................     78716  1.0
TX.....................................................     78717  1.0
TX.....................................................     78718  1.0
TX.....................................................     78719  2.0
TX.....................................................     78720  1.0
TX.....................................................     78721  1.0
TX.....................................................     78722  1.0
TX.....................................................     78723  1.0
TX.....................................................     78724  1.0
TX.....................................................     78725  2.0
TX.....................................................     78726  1.0
TX.....................................................     78727  1.0
TX.....................................................     78728  1.0
TX.....................................................     78729  1.0
TX.....................................................     78730  2.0
TX.....................................................     78731  1.0
TX.....................................................     78732  2.0
TX.....................................................     78733  1.0
TX.....................................................     78734  2.0
TX.....................................................     78735  1.0
TX.....................................................     78736  1.0
TX.....................................................     78737  1.0
TX.....................................................     78738  2.0
TX.....................................................     78739  1.0
TX.....................................................     78741  1.0
TX.....................................................     78742  1.0
TX.....................................................     78744  1.0
TX.....................................................     78745  1.0
TX.....................................................     78746  1.0
TX.....................................................     78747  1.0
TX.....................................................     78748  1.0
TX.....................................................     78749  1.0
TX.....................................................     78750  1.0
TX.....................................................     78751  1.0
TX.....................................................     78752  1.0
TX.....................................................     78753  1.0
TX.....................................................     78754  1.0
TX.....................................................     78755  1.0
TX.....................................................     78756  1.0
TX.....................................................     78757  1.0
TX.....................................................     78758  1.0
TX.....................................................     78759  1.0
TX.....................................................     78760  1.0
TX.....................................................     78761  1.0
TX.....................................................     78762  1.0
TX.....................................................     78763  1.0
TX.....................................................     78764  1.0
TX.....................................................     78765  1.0
TX.....................................................     78766  1.0
TX.....................................................     78767  1.0
TX.....................................................     78768  1.0
TX.....................................................     78769  1.0
TX.....................................................     78772  1.0
TX.....................................................     78773  1.0
TX.....................................................     78774  1.0
TX.....................................................     78778  1.0
TX.....................................................     78779  1.0
TX.....................................................     78780  1.0
TX.....................................................     78781  1.0
TX.....................................................     78783  1.0
TX.....................................................     78785  1.0
TX.....................................................     78786  1.0
TX.....................................................     78788  1.0
TX.....................................................     78789  1.0
TX.....................................................     78799  1.0
TX.....................................................     78801  4.0
TX.....................................................     78802  4.0
TX.....................................................     78827  8.0
TX.....................................................     78828  10.0
TX.....................................................     78829  10.5
TX.....................................................     78830  10.6
TX.....................................................     78832  10.5
TX.....................................................     78833  10.0
TX.....................................................     78834  7.0
TX.....................................................     78836  8.0
TX.....................................................     78837  10.2
TX.....................................................     78838  10.5
TX.....................................................     78839  7.0
TX.....................................................     78840  4.0
TX.....................................................     78841  4.0
TX.....................................................     78842  4.0
TX.....................................................     78843  4.0
TX.....................................................     78847  4.0
TX.....................................................     78850  8.0
TX.....................................................     78851  10.0
TX.....................................................     78852  4.0
TX.....................................................     78853  4.0
TX.....................................................     78860  4.0
TX.....................................................     78861  7.3
TX.....................................................     78870  4.0
TX.....................................................     78871  10.2
TX.....................................................     78872  10.2
TX.....................................................     78873  10.0
TX.....................................................     78877  10.2
TX.....................................................     78879  10.0
TX.....................................................     78880  10.0
TX.....................................................     78881  10.5
TX.....................................................     78883  10.4
TX.....................................................     78884  10.5
TX.....................................................     78885  10.0
TX.....................................................     78886  7.3
TX.....................................................     78931  6.0
TX.....................................................     78932  10.5
TX.....................................................     78933  7.4
TX.....................................................     78934  7.0
TX.....................................................     78935  8.0
TX.....................................................     78938  10.6
TX.....................................................     78940  10.6
TX.....................................................     78941  10.6
TX.....................................................     78942  7.3
TX.....................................................     78943  7.0
TX.....................................................     78944  6.0
TX.....................................................     78945  7.0
TX.....................................................     78946  8.0
TX.....................................................     78947  2.0
TX.....................................................     78948  8.0
TX.....................................................     78949  10.6
TX.....................................................     78950  6.0
TX.....................................................     78951  10.6
TX.....................................................     78952  7.0
TX.....................................................     78953  2.0
TX.....................................................     78954  10.5
TX.....................................................     78956  7.0
TX.....................................................     78957  2.0
TX.....................................................     78959  10.6
TX.....................................................     78960  7.0
TX.....................................................     78961  10.5
TX.....................................................     78962  10.6
TX.....................................................     78963  8.0
TX.....................................................     79001  10.4
TX.....................................................     79002  10.2
TX.....................................................     79003  10.0
TX.....................................................     79005  10.6
TX.....................................................     79007  4.0
TX.....................................................     79008  4.0
TX.....................................................     79009  10.0
TX.....................................................     79010  10.4
TX.....................................................     79011  10.0
TX.....................................................     79012  1.0
TX.....................................................     79013  4.0
TX.....................................................     79014  10.0
TX.....................................................     79015  2.0
TX.....................................................     79016  2.0
TX.....................................................     79018  7.0
TX.....................................................     79019  2.0
TX.....................................................     79021  2.0
TX.....................................................     79022  7.0
TX.....................................................     79024  10.0
TX.....................................................     79025  4.0
TX.....................................................     79027  7.0
TX.....................................................     79029  4.0
TX.....................................................     79031  10.0
TX.....................................................     79032  4.0
TX.....................................................     79033  7.0
TX.....................................................     79034  10.0
TX.....................................................     79035  7.0
TX.....................................................     79036  5.0
TX.....................................................     79039  10.4
TX.....................................................     79040  10.6
TX.....................................................     79041  5.0
TX.....................................................     79042  10.6
TX.....................................................     79043  10.6
TX.....................................................     79044  7.0
TX.....................................................     79045  4.0
TX.....................................................     79046  10.0
TX.....................................................     79051  7.0
TX.....................................................     79052  5.0
TX.....................................................     79053  10.0
TX.....................................................     79054  4.0
TX.....................................................     79056  10.0
TX.....................................................     79057  10.2
TX.....................................................     79058  7.2
TX.....................................................     79059  10.5
TX.....................................................     79061  10.0
TX.....................................................     79062  7.0
TX.....................................................     79063  10.6
TX.....................................................     79064  10.5
TX.....................................................     79065  4.0
TX.....................................................     79066  4.0
TX.....................................................     79068  10.1
TX.....................................................     79070  7.0
TX.....................................................     79072  4.0
TX.....................................................     79073  4.0
TX.....................................................     79077  10.0
TX.....................................................     79078  5.0
TX.....................................................     79079  10.0
TX.....................................................     79080  10.4
TX.....................................................     79081  7.0
TX.....................................................     79082  10.0
TX.....................................................     79083  5.0
TX.....................................................     79084  10.0
TX.....................................................     79085  10.6
TX.....................................................     79086  10.6
TX.....................................................     79087  10.6

[[Page 70223]]

 
TX.....................................................     79088  7.0
TX.....................................................     79091  2.0
TX.....................................................     79092  10.4
TX.....................................................     79093  7.0
TX.....................................................     79094  2.0
TX.....................................................     79095  10.0
TX.....................................................     79096  10.0
TX.....................................................     79097  10.4
TX.....................................................     79098  10.4
TX.....................................................     79101  1.0
TX.....................................................     79102  1.0
TX.....................................................     79103  1.0
TX.....................................................     79104  1.0
TX.....................................................     79105  1.0
TX.....................................................     79106  1.0
TX.....................................................     79107  1.0
TX.....................................................     79108  1.0
TX.....................................................     79109  1.0
TX.....................................................     79110  1.0
TX.....................................................     79111  1.0
TX.....................................................     79114  1.0
TX.....................................................     79116  1.0
TX.....................................................     79117  1.0
TX.....................................................     79118  2.0
TX.....................................................     79119  1.0
TX.....................................................     79120  1.0
TX.....................................................     79121  1.0
TX.....................................................     79123  1.0
TX.....................................................     79124  1.0
TX.....................................................     79159  1.0
TX.....................................................     79163  1.0
TX.....................................................     79165  1.0
TX.....................................................     79166  1.0
TX.....................................................     79167  1.0
TX.....................................................     79168  1.0
TX.....................................................     79170  1.0
TX.....................................................     79171  1.0
TX.....................................................     79172  1.0
TX.....................................................     79174  1.0
TX.....................................................     79175  1.0
TX.....................................................     79178  1.0
TX.....................................................     79180  1.0
TX.....................................................     79181  1.0
TX.....................................................     79182  1.0
TX.....................................................     79184  1.0
TX.....................................................     79185  1.0
TX.....................................................     79186  1.0
TX.....................................................     79187  1.0
TX.....................................................     79189  1.0
TX.....................................................     79201  7.0
TX.....................................................     79220  10.0
TX.....................................................     79221  10.5
TX.....................................................     79223  10.0
TX.....................................................     79225  7.4
TX.....................................................     79226  10.0
TX.....................................................     79227  10.5
TX.....................................................     79229  10.0
TX.....................................................     79230  10.0
TX.....................................................     79231  7.4
TX.....................................................     79232  10.0
TX.....................................................     79233  10.0
TX.....................................................     79234  10.0
TX.....................................................     79235  7.4
TX.....................................................     79236  10.0
TX.....................................................     79237  10.0
TX.....................................................     79239  10.0
TX.....................................................     79240  10.0
TX.....................................................     79241  10.5
TX.....................................................     79243  10.0
TX.....................................................     79244  10.0
TX.....................................................     79245  10.0
TX.....................................................     79247  5.0
TX.....................................................     79248  10.0
TX.....................................................     79250  2.0
TX.....................................................     79251  10.0
TX.....................................................     79252  7.4
TX.....................................................     79255  10.0
TX.....................................................     79256  10.0
TX.....................................................     79257  10.0
TX.....................................................     79258  10.5
TX.....................................................     79259  8.0
TX.....................................................     79261  10.0
TX.....................................................     79311  2.0
TX.....................................................     79312  10.6
TX.....................................................     79313  2.0
TX.....................................................     79314  10.5
TX.....................................................     79316  7.0
TX.....................................................     79320  7.0
TX.....................................................     79322  10.4
TX.....................................................     79323  7.0
TX.....................................................     79324  7.0
TX.....................................................     79325  10.0
TX.....................................................     79326  10.5
TX.....................................................     79329  2.0
TX.....................................................     79330  7.3
TX.....................................................     79331  4.0
TX.....................................................     79336  4.2
TX.....................................................     79338  4.2
TX.....................................................     79339  7.3
TX.....................................................     79342  10.6
TX.....................................................     79343  2.0
TX.....................................................     79344  7.0
TX.....................................................     79345  10.6
TX.....................................................     79346  10.5
TX.....................................................     79347  7.0
TX.....................................................     79350  1.0
TX.....................................................     79351  10.6
TX.....................................................     79353  5.2
TX.....................................................     79355  10.6
TX.....................................................     79356  7.3
TX.....................................................     79357  10.4
TX.....................................................     79358  2.0
TX.....................................................     79359  10.6
TX.....................................................     79360  10.3
TX.....................................................     79363  2.0
TX.....................................................     79364  2.0
TX.....................................................     79366  2.0
TX.....................................................     79367  4.2
TX.....................................................     79369  7.3
TX.....................................................     79370  10.0
TX.....................................................     79371  10.6
TX.....................................................     79372  4.2
TX.....................................................     79373  7.3
TX.....................................................     79376  10.6
TX.....................................................     79377  10.2
TX.....................................................     79378  7.0
TX.....................................................     79379  10.5
TX.....................................................     79380  4.2
TX.....................................................     79381  2.0
TX.....................................................     79382  1.0
TX.....................................................     79383  7.3
TX.....................................................     79401  1.0
TX.....................................................     79402  1.0
TX.....................................................     79403  1.0
TX.....................................................     79404  1.0
TX.....................................................     79405  1.0
TX.....................................................     79406  1.0
TX.....................................................     79407  1.0
TX.....................................................     79408  1.0
TX.....................................................     79409  1.0
TX.....................................................     79410  1.0
TX.....................................................     79411  1.0
TX.....................................................     79412  1.0
TX.....................................................     79413  1.0
TX.....................................................     79414  1.0
TX.....................................................     79415  1.0
TX.....................................................     79416  1.0
TX.....................................................     79423  1.0
TX.....................................................     79424  1.0
TX.....................................................     79430  1.0
TX.....................................................     79452  1.0
TX.....................................................     79453  1.0
TX.....................................................     79457  1.0
TX.....................................................     79464  1.0
TX.....................................................     79490  1.0
TX.....................................................     79491  1.0
TX.....................................................     79493  1.0
TX.....................................................     79499  1.0
TX.....................................................     79501  10.4
TX.....................................................     79502  10.0
TX.....................................................     79503  7.0
TX.....................................................     79504  10.4
TX.....................................................     79505  7.0
TX.....................................................     79506  10.5
TX.....................................................     79508  2.0
TX.....................................................     79510  2.0
TX.....................................................     79511  5.0
TX.....................................................     79512  7.0
TX.....................................................     79516  4.0
TX.....................................................     79517  5.0
TX.....................................................     79518  10.0
TX.....................................................     79519  8.0
TX.....................................................     79520  10.0
TX.....................................................     79521  7.0
TX.....................................................     79525  2.0
TX.....................................................     79526  4.0
TX.....................................................     79527  5.0
TX.....................................................     79528  10.0
TX.....................................................     79529  10.0
TX.....................................................     79530  2.0
TX.....................................................     79532  10.3
TX.....................................................     79533  2.0
TX.....................................................     79534  10.0
TX.....................................................     79535  10.5
TX.....................................................     79536  2.0
TX.....................................................     79537  10.5
TX.....................................................     79538  8.0
TX.....................................................     79539  10.6
TX.....................................................     79540  10.0
TX.....................................................     79541  2.0
TX.....................................................     79543  10.5
TX.....................................................     79544  10.6
TX.....................................................     79545  10.5
TX.....................................................     79546  10.0
TX.....................................................     79547  10.6
TX.....................................................     79548  10.6
TX.....................................................     79549  4.0
TX.....................................................     79550  4.0
TX.....................................................     79553  7.0
TX.....................................................     79556  4.0
TX.....................................................     79560  10.5
TX.....................................................     79561  2.0
TX.....................................................     79562  2.0
TX.....................................................     79563  2.0
TX.....................................................     79565  10.6
TX.....................................................     79566  10.3
TX.....................................................     79567  7.0

[[Page 70224]]

 
TX.....................................................     79601  1.0
TX.....................................................     79602  1.0
TX.....................................................     79603  1.0
TX.....................................................     79604  1.0
TX.....................................................     79605  1.0
TX.....................................................     79606  1.0
TX.....................................................     79607  1.0
TX.....................................................     79608  1.0
TX.....................................................     79697  1.0
TX.....................................................     79698  1.0
TX.....................................................     79699  1.0
TX.....................................................     79701  1.0
TX.....................................................     79702  1.0
TX.....................................................     79703  1.0
TX.....................................................     79704  1.0
TX.....................................................     79705  1.0
TX.....................................................     79706  2.0
TX.....................................................     79707  1.0
TX.....................................................     79708  1.0
TX.....................................................     79710  1.0
TX.....................................................     79711  2.0
TX.....................................................     79712  1.0
TX.....................................................     79713  10.2
TX.....................................................     79714  4.0
TX.....................................................     79718  5.0
TX.....................................................     79719  10.3
TX.....................................................     79720  4.0
TX.....................................................     79721  4.0
TX.....................................................     79730  10.0
TX.....................................................     79731  7.3
TX.....................................................     79733  4.0
TX.....................................................     79734  10.6
TX.....................................................     79735  7.0
TX.....................................................     79738  10.5
TX.....................................................     79739  10.5
TX.....................................................     79740  7.0
TX.....................................................     79741  2.0
TX.....................................................     79742  10.3
TX.....................................................     79743  10.0
TX.....................................................     79744  10.0
TX.....................................................     79745  7.0
TX.....................................................     79748  5.0
TX.....................................................     79749  10.6
TX.....................................................     79752  10.0
TX.....................................................     79754  10.2
TX.....................................................     79755  10.0
TX.....................................................     79756  7.0
TX.....................................................     79758  2.0
TX.....................................................     79759  2.0
TX.....................................................     79760  1.0
TX.....................................................     79761  1.0
TX.....................................................     79762  1.0
TX.....................................................     79763  1.0
TX.....................................................     79764  1.0
TX.....................................................     79765  1.0
TX.....................................................     79766  2.0
TX.....................................................     79768  1.0
TX.....................................................     79769  1.0
TX.....................................................     79770  4.0
TX.....................................................     79772  4.0
TX.....................................................     79776  2.0
TX.....................................................     79777  10.3
TX.....................................................     79778  10.0
TX.....................................................     79780  5.0
TX.....................................................     79781  10.0
TX.....................................................     79782  7.3
TX.....................................................     79783  10.6
TX.....................................................     79785  4.0
TX.....................................................     79786  5.0
TX.....................................................     79788  7.0
TX.....................................................     79789  8.0
TX.....................................................     79821  1.0
TX.....................................................     79830  7.0
TX.....................................................     79831  7.0
TX.....................................................     79832  7.0
TX.....................................................     79834  8.0
TX.....................................................     79835  1.0
TX.....................................................     79836  2.0
TX.....................................................     79837  10.4
TX.....................................................     79838  2.0
TX.....................................................     79839  10.4
TX.....................................................     79842  10.6
TX.....................................................     79843  10.0
TX.....................................................     79845  7.0
TX.....................................................     79846  7.0
TX.....................................................     79847  10.0
TX.....................................................     79848  10.0
TX.....................................................     79849  1.0
TX.....................................................     79851  10.0
TX.....................................................     79852  8.0
TX.....................................................     79853  2.0
TX.....................................................     79854  10.6
TX.....................................................     79855  10.0
TX.....................................................     79901  1.0
TX.....................................................     79902  1.0
TX.....................................................     79903  1.0
TX.....................................................     79904  1.0
TX.....................................................     79905  1.0
TX.....................................................     79906  1.0
TX.....................................................     79907  1.0
TX.....................................................     79908  1.0
TX.....................................................     79910  1.0
TX.....................................................     79911  1.0
TX.....................................................     79912  1.0
TX.....................................................     79913  1.0
TX.....................................................     79914  1.0
TX.....................................................     79915  1.0
TX.....................................................     79916  1.0
TX.....................................................     79917  1.0
TX.....................................................     79918  1.0
TX.....................................................     79920  1.0
TX.....................................................     79922  1.0
TX.....................................................     79923  1.0
TX.....................................................     79924  1.0
TX.....................................................     79925  1.0
TX.....................................................     79926  1.0
TX.....................................................     79927  1.0
TX.....................................................     79928  1.0
TX.....................................................     79929  1.0
TX.....................................................     79930  1.0
TX.....................................................     79931  1.0
TX.....................................................     79932  1.0
TX.....................................................     79934  1.0
TX.....................................................     79935  1.0
TX.....................................................     79936  1.0
TX.....................................................     79937  1.0
TX.....................................................     79938  1.0
TX.....................................................     79940  1.0
TX.....................................................     79941  1.0
TX.....................................................     79942  1.0
TX.....................................................     79943  1.0
TX.....................................................     79944  1.0
TX.....................................................     79945  1.0
TX.....................................................     79946  1.0
TX.....................................................     79947  1.0
TX.....................................................     79948  1.0
TX.....................................................     79949  1.0
TX.....................................................     79950  1.0
TX.....................................................     79951  1.0
TX.....................................................     79952  1.0
TX.....................................................     79953  1.0
TX.....................................................     79954  1.0
TX.....................................................     79955  1.0
TX.....................................................     79958  1.0
TX.....................................................     79960  1.0
TX.....................................................     79961  1.0
TX.....................................................     79966  1.0
TX.....................................................     79968  1.0
TX.....................................................     79973  1.0
TX.....................................................     79974  1.0
TX.....................................................     79975  1.0
TX.....................................................     79976  1.0
TX.....................................................     79977  1.0
TX.....................................................     79978  1.0
TX.....................................................     79980  1.0
TX.....................................................     79982  1.0
TX.....................................................     79983  1.0
TX.....................................................     79984  1.0
TX.....................................................     79985  1.0
TX.....................................................     79986  1.0
TX.....................................................     79987  1.0
TX.....................................................     79988  1.0
TX.....................................................     79989  1.0
TX.....................................................     79990  1.0
TX.....................................................     79991  1.0
TX.....................................................     79992  1.0
TX.....................................................     79993  1.0
TX.....................................................     79994  1.0
TX.....................................................     79995  1.0
TX.....................................................     79996  1.0
TX.....................................................     79997  1.0
TX.....................................................     79998  1.0
TX.....................................................     79999  1.0
TX.....................................................     88510  1.0
TX.....................................................     88511  1.0
TX.....................................................     88512  1.0
TX.....................................................     88513  1.0
TX.....................................................     88514  1.0
TX.....................................................     88515  1.0
TX.....................................................     88516  1.0
TX.....................................................     88517  1.0
TX.....................................................     88518  1.0
TX.....................................................     88519  1.0
TX.....................................................     88520  1.0
TX.....................................................     88521  1.0
TX.....................................................     88523  1.0
TX.....................................................     88524  1.0
TX.....................................................     88525  1.0
TX.....................................................     88526  1.0
TX.....................................................     88527  1.0
TX.....................................................     88528  1.0
TX.....................................................     88529  1.0
TX.....................................................     88530  1.0
TX.....................................................     88531  1.0
TX.....................................................     88532  1.0
TX.....................................................     88533  1.0
TX.....................................................     88534  1.0
TX.....................................................     88535  1.0
TX.....................................................     88536  1.0
TX.....................................................     88538  1.0
TX.....................................................     88539  1.0
TX.....................................................     88540  1.0
TX.....................................................     88541  1.0
TX.....................................................     88542  1.0
TX.....................................................     88543  1.0
TX.....................................................     88544  1.0
TX.....................................................     88545  1.0

[[Page 70225]]

 
TX.....................................................     88546  1.0
TX.....................................................     88547  1.0
TX.....................................................     88548  1.0
TX.....................................................     88549  1.0
TX.....................................................     88550  1.0
TX.....................................................     88553  1.0
TX.....................................................     88554  1.0
TX.....................................................     88555  1.0
TX.....................................................     88556  1.0
TX.....................................................     88557  1.0
TX.....................................................     88558  1.0
TX.....................................................     88559  1.0
TX.....................................................     88560  1.0
TX.....................................................     88561  1.0
TX.....................................................     88562  1.0
TX.....................................................     88563  1.0
TX.....................................................     88565  1.0
TX.....................................................     88566  1.0
TX.....................................................     88567  1.0
TX.....................................................     88568  1.0
TX.....................................................     88569  1.0
TX.....................................................     88570  1.0
TX.....................................................     88571  1.0
TX.....................................................     88572  1.0
TX.....................................................     88573  1.0
TX.....................................................     88574  1.0
TX.....................................................     88575  1.0
TX.....................................................     88576  1.0
TX.....................................................     88577  1.0
TX.....................................................     88578  1.0
TX.....................................................     88579  1.0
TX.....................................................     88580  1.0
TX.....................................................     88581  1.0
TX.....................................................     88582  1.0
TX.....................................................     88583  1.0
TX.....................................................     88584  1.0
TX.....................................................     88585  1.0
TX.....................................................     88586  1.0
TX.....................................................     88587  1.0
TX.....................................................     88588  1.0
TX.....................................................     88589  1.0
TX.....................................................     88590  1.0
TX.....................................................     88595  1.0
UT.....................................................     84001  10.3
UT.....................................................     84002  10.3
UT.....................................................     84003  1.0
UT.....................................................     84004  1.0
UT.....................................................     84006  1.0
UT.....................................................     84007  10.3
UT.....................................................     84008  4.0
UT.....................................................     84010  1.0
UT.....................................................     84011  1.0
UT.....................................................     84013  2.0
UT.....................................................     84014  1.0
UT.....................................................     84015  1.0
UT.....................................................     84016  1.0
UT.....................................................     84017  10.6
UT.....................................................     84018  2.0
UT.....................................................     84020  1.0
UT.....................................................     84021  10.0
UT.....................................................     84022  7.0
UT.....................................................     84023  10.0
UT.....................................................     84024  10.6
UT.....................................................     84025  1.0
UT.....................................................     84026  10.6
UT.....................................................     84027  10.0
UT.....................................................     84028  10.0
UT.....................................................     84029  3.0
UT.....................................................     84030  10.6
UT.....................................................     84031  10.0
UT.....................................................     84032  7.0
UT.....................................................     84033  10.6
UT.....................................................     84034  7.0
UT.....................................................     84035  5.0
UT.....................................................     84036  10.6
UT.....................................................     84037  1.0
UT.....................................................     84038  10.0
UT.....................................................     84039  10.6
UT.....................................................     84040  1.0
UT.....................................................     84041  1.0
UT.....................................................     84042  1.0
UT.....................................................     84043  1.0
UT.....................................................     84044  1.0
UT.....................................................     84046  10.0
UT.....................................................     84047  1.0
UT.....................................................     84049  7.0
UT.....................................................     84050  2.0
UT.....................................................     84051  10.0
UT.....................................................     84052  10.6
UT.....................................................     84053  10.3
UT.....................................................     84054  1.0
UT.....................................................     84055  10.6
UT.....................................................     84056  1.0
UT.....................................................     84057  1.0
UT.....................................................     84058  1.0
UT.....................................................     84059  1.0
UT.....................................................     84060  7.3
UT.....................................................     84061  10.6
UT.....................................................     84062  1.0
UT.....................................................     84063  10.0
UT.....................................................     84064  10.0
UT.....................................................     84065  1.0
UT.....................................................     84066  7.0
UT.....................................................     84067  1.0
UT.....................................................     84068  7.3
UT.....................................................     84069  2.0
UT.....................................................     84070  1.0
UT.....................................................     84071  2.0
UT.....................................................     84072  10.0
UT.....................................................     84073  10.0
UT.....................................................     84074  4.1
UT.....................................................     84075  1.0
UT.....................................................     84076  10.6
UT.....................................................     84078  4.0
UT.....................................................     84079  4.0
UT.....................................................     84080  2.0
UT.....................................................     84082  7.0
UT.....................................................     84083  7.0
UT.....................................................     84084  1.0
UT.....................................................     84085  10.6
UT.....................................................     84086  10.0
UT.....................................................     84087  1.0
UT.....................................................     84088  1.0
UT.....................................................     84089  1.0
UT.....................................................     84090  1.0
UT.....................................................     84091  1.0
UT.....................................................     84092  1.0
UT.....................................................     84093  1.0
UT.....................................................     84094  1.0
UT.....................................................     84095  1.0
UT.....................................................     84097  1.0
UT.....................................................     84098  2.0
UT.....................................................     84101  1.0
UT.....................................................     84102  1.0
UT.....................................................     84103  1.0
UT.....................................................     84104  1.0
UT.....................................................     84105  1.0
UT.....................................................     84106  1.0
UT.....................................................     84107  1.0
UT.....................................................     84108  1.0
UT.....................................................     84109  1.0
UT.....................................................     84110  1.0
UT.....................................................     84111  1.0
UT.....................................................     84112  1.0
UT.....................................................     84113  1.0
UT.....................................................     84114  1.0
UT.....................................................     84115  1.0
UT.....................................................     84116  1.0
UT.....................................................     84117  1.0
UT.....................................................     84118  1.0
UT.....................................................     84119  1.0
UT.....................................................     84120  1.0
UT.....................................................     84121  1.0
UT.....................................................     84122  1.0
UT.....................................................     84123  1.0
UT.....................................................     84124  1.0
UT.....................................................     84125  1.0
UT.....................................................     84126  1.0
UT.....................................................     84127  1.0
UT.....................................................     84128  1.0
UT.....................................................     84130  1.0
UT.....................................................     84131  1.0
UT.....................................................     84132  1.0
UT.....................................................     84133  1.0
UT.....................................................     84134  1.0
UT.....................................................     84136  1.0
UT.....................................................     84138  1.0
UT.....................................................     84139  1.0
UT.....................................................     84141  1.0
UT.....................................................     84143  1.0
UT.....................................................     84144  1.0
UT.....................................................     84145  1.0
UT.....................................................     84147  1.0
UT.....................................................     84148  1.0
UT.....................................................     84150  1.0
UT.....................................................     84151  1.0
UT.....................................................     84152  1.0
UT.....................................................     84153  1.0
UT.....................................................     84157  1.0
UT.....................................................     84158  1.0
UT.....................................................     84165  1.0
UT.....................................................     84170  1.0
UT.....................................................     84171  1.0
UT.....................................................     84180  1.0
UT.....................................................     84184  1.0
UT.....................................................     84189  1.0
UT.....................................................     84190  1.0
UT.....................................................     84199  1.0
UT.....................................................     84201  1.0
UT.....................................................     84244  1.0
UT.....................................................     84301  10.5
UT.....................................................     84302  4.2
UT.....................................................     84304  7.4
UT.....................................................     84305  2.0
UT.....................................................     84306  7.4
UT.....................................................     84307  10.5
UT.....................................................     84308  2.0
UT.....................................................     84309  7.4
UT.....................................................     84310  2.0
UT.....................................................     84311  7.4
UT.....................................................     84312  7.4
UT.....................................................     84313  10.6
UT.....................................................     84314  10.5
UT.....................................................     84315  1.0
UT.....................................................     84316  10.6
UT.....................................................     84317  2.0
UT.....................................................     84318  1.0

[[Page 70226]]

 
UT.....................................................     84319  1.0
UT.....................................................     84320  2.0
UT.....................................................     84321  1.0
UT.....................................................     84322  1.0
UT.....................................................     84323  1.0
UT.....................................................     84324  4.2
UT.....................................................     84325  1.0
UT.....................................................     84326  1.0
UT.....................................................     84327  1.0
UT.....................................................     84328  2.0
UT.....................................................     84329  10.6
UT.....................................................     84330  10.6
UT.....................................................     84331  10.6
UT.....................................................     84332  1.0
UT.....................................................     84333  2.0
UT.....................................................     84334  7.4
UT.....................................................     84335  1.0
UT.....................................................     84336  10.6
UT.....................................................     84337  7.4
UT.....................................................     84338  2.0
UT.....................................................     84339  1.0
UT.....................................................     84340  4.2
UT.....................................................     84341  1.0
UT.....................................................     84401  1.0
UT.....................................................     84402  1.0
UT.....................................................     84403  1.0
UT.....................................................     84404  1.0
UT.....................................................     84405  1.0
UT.....................................................     84407  1.0
UT.....................................................     84408  1.0
UT.....................................................     84409  1.0
UT.....................................................     84412  1.0
UT.....................................................     84414  1.0
UT.....................................................     84415  1.0
UT.....................................................     84501  4.0
UT.....................................................     84510  8.0
UT.....................................................     84511  7.0
UT.....................................................     84512  7.0
UT.....................................................     84513  10.5
UT.....................................................     84515  7.0
UT.....................................................     84516  10.0
UT.....................................................     84518  10.5
UT.....................................................     84520  5.0
UT.....................................................     84521  10.5
UT.....................................................     84522  10.0
UT.....................................................     84523  10.0
UT.....................................................     84525  10.6
UT.....................................................     84526  4.0
UT.....................................................     84527  4.0
UT.....................................................     84528  10.5
UT.....................................................     84529  4.0
UT.....................................................     84530  10.6
UT.....................................................     84531  10.0
UT.....................................................     84532  7.0
UT.....................................................     84533  7.0
UT.....................................................     84534  8.0
UT.....................................................     84535  10.6
UT.....................................................     84536  10.0
UT.....................................................     84537  10.5
UT.....................................................     84539  5.0
UT.....................................................     84540  7.0
UT.....................................................     84542  4.0
UT.....................................................     84601  1.0
UT.....................................................     84602  1.0
UT.....................................................     84603  1.0
UT.....................................................     84604  1.0
UT.....................................................     84605  1.0
UT.....................................................     84606  1.0
UT.....................................................     84620  10.6
UT.....................................................     84621  7.0
UT.....................................................     84622  7.0
UT.....................................................     84623  10.6
UT.....................................................     84624  7.0
UT.....................................................     84626  2.0
UT.....................................................     84627  7.0
UT.....................................................     84628  3.0
UT.....................................................     84629  10.6
UT.....................................................     84630  7.0
UT.....................................................     84631  10.6
UT.....................................................     84632  10.6
UT.....................................................     84633  2.0
UT.....................................................     84634  7.0
UT.....................................................     84635  8.0
UT.....................................................     84636  10.6
UT.....................................................     84637  10.6
UT.....................................................     84638  7.0
UT.....................................................     84639  7.3
UT.....................................................     84640  7.0
UT.....................................................     84642  7.0
UT.....................................................     84643  7.0
UT.....................................................     84644  10.6
UT.....................................................     84645  3.0
UT.....................................................     84646  10.6
UT.....................................................     84647  10.6
UT.....................................................     84648  7.3
UT.....................................................     84649  7.0
UT.....................................................     84650  8.0
UT.....................................................     84651  2.0
UT.....................................................     84652  10.6
UT.....................................................     84653  2.0
UT.....................................................     84654  10.6
UT.....................................................     84655  2.0
UT.....................................................     84656  10.6
UT.....................................................     84657  7.0
UT.....................................................     84660  2.0
UT.....................................................     84662  10.6
UT.....................................................     84663  1.0
UT.....................................................     84664  1.0
UT.....................................................     84665  7.0
UT.....................................................     84667  10.6
UT.....................................................     84701  7.0
UT.....................................................     84710  10.6
UT.....................................................     84711  7.0
UT.....................................................     84712  10.0
UT.....................................................     84713  10.0
UT.....................................................     84714  5.0
UT.....................................................     84715  10.0
UT.....................................................     84716  10.0
UT.....................................................     84717  10.0
UT.....................................................     84718  10.0
UT.....................................................     84719  10.2
UT.....................................................     84720  4.0
UT.....................................................     84721  4.0
UT.....................................................     84722  2.0
UT.....................................................     84723  10.6
UT.....................................................     84724  8.0
UT.....................................................     84725  2.0
UT.....................................................     84726  10.0
UT.....................................................     84728  8.0
UT.....................................................     84729  10.6
UT.....................................................     84730  7.0
UT.....................................................     84731  10.0
UT.....................................................     84732  10.6
UT.....................................................     84733  1.0
UT.....................................................     84734  10.0
UT.....................................................     84735  10.0
UT.....................................................     84736  10.0
UT.....................................................     84737  7.1
UT.....................................................     84738  1.0
UT.....................................................     84739  8.0
UT.....................................................     84740  10.6
UT.....................................................     84741  7.0
UT.....................................................     84742  4.0
UT.....................................................     84743  10.6
UT.....................................................     84744  7.0
UT.....................................................     84745  7.1
UT.....................................................     84746  7.1
UT.....................................................     84747  10.0
UT.....................................................     84749  10.0
UT.....................................................     84750  10.6
UT.....................................................     84751  10.0
UT.....................................................     84752  10.0
UT.....................................................     84753  5.0
UT.....................................................     84754  8.0
UT.....................................................     84755  10.6
UT.....................................................     84756  5.0
UT.....................................................     84757  10.1
UT.....................................................     84758  10.6
UT.....................................................     84759  10.0
UT.....................................................     84760  10.2
UT.....................................................     84761  10.2
UT.....................................................     84762  10.6
UT.....................................................     84763  7.1
UT.....................................................     84764  10.0
UT.....................................................     84765  1.0
UT.....................................................     84766  8.0
UT.....................................................     84767  7.1
UT.....................................................     84770  1.0
UT.....................................................     84771  1.0
UT.....................................................     84772  10.2
UT.....................................................     84773  10.0
UT.....................................................     84774  7.1
UT.....................................................     84775  10.0
UT.....................................................     84776  10.0
UT.....................................................     84779  7.1
UT.....................................................     84780  1.0
UT.....................................................     84781  2.0
UT.....................................................     84782  1.0
UT.....................................................     84783  1.0
UT.....................................................     84784  7.0
UT.....................................................     84790  1.0
UT.....................................................     84791  1.0
VA.....................................................     20101  1.0
VA.....................................................     20102  1.0
VA.....................................................     20103  1.0
VA.....................................................     20104  1.0
VA.....................................................     20105  2.0
VA.....................................................     20106  2.0
VA.....................................................     20107  1.0
VA.....................................................     20108  1.0
VA.....................................................     20109  1.0
VA.....................................................     20110  1.0
VA.....................................................     20111  1.0
VA.....................................................     20112  1.0
VA.....................................................     20113  1.0
VA.....................................................     20115  2.0
VA.....................................................     20116  2.0
VA.....................................................     20117  2.0
VA.....................................................     20118  2.0
VA.....................................................     20119  2.0
VA.....................................................     20120  1.0
VA.....................................................     20121  1.0
VA.....................................................     20122  1.0
VA.....................................................     20124  1.0
VA.....................................................     20128  2.0
VA.....................................................     20129  2.0
VA.....................................................     20130  2.0

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VA.....................................................     20131  2.0
VA.....................................................     20132  2.0
VA.....................................................     20134  2.0
VA.....................................................     20135  2.0
VA.....................................................     20136  1.0
VA.....................................................     20137  2.0
VA.....................................................     20138  2.0
VA.....................................................     20139  2.0
VA.....................................................     20140  2.0
VA.....................................................     20141  2.0
VA.....................................................     20142  2.0
VA.....................................................     20143  2.0
VA.....................................................     20144  2.0
VA.....................................................     20146  1.0
VA.....................................................     20147  1.0
VA.....................................................     20148  1.0
VA.....................................................     20149  1.0
VA.....................................................     20151  1.0
VA.....................................................     20152  1.0
VA.....................................................     20153  1.0
VA.....................................................     20155  2.0
VA.....................................................     20156  2.0
VA.....................................................     20158  2.0
VA.....................................................     20159  2.0
VA.....................................................     20160  2.0
VA.....................................................     20163  1.0
VA.....................................................     20164  1.0
VA.....................................................     20165  1.0
VA.....................................................     20166  1.0
VA.....................................................     20167  1.0
VA.....................................................     20168  2.0
VA.....................................................     20169  2.0
VA.....................................................     20170  1.0
VA.....................................................     20171  1.0
VA.....................................................     20172  1.0
VA.....................................................     20175  1.0
VA.....................................................     20176  1.0
VA.....................................................     20177  1.0
VA.....................................................     20178  1.0
VA.....................................................     20180  2.0
VA.....................................................     20181  2.0
VA.....................................................     20182  2.0
VA.....................................................     20184  2.0
VA.....................................................     20185  2.0
VA.....................................................     20186  2.0
VA.....................................................     20187  2.0
VA.....................................................     20188  2.0
VA.....................................................     20189  1.0
VA.....................................................     20190  1.0
VA.....................................................     20191  1.0
VA.....................................................     20192  1.0
VA.....................................................     20193  1.0
VA.....................................................     20194  1.0
VA.....................................................     20195  1.0
VA.....................................................     20196  1.0
VA.....................................................     20197  2.0
VA.....................................................     20198  2.0
VA.....................................................     20199  1.0
VA.....................................................     22003  1.0
VA.....................................................     22009  1.0
VA.....................................................     22015  1.0
VA.....................................................     22025  1.0
VA.....................................................     22026  1.0
VA.....................................................     22027  1.0
VA.....................................................     22030  1.0
VA.....................................................     22031  1.0
VA.....................................................     22032  1.0
VA.....................................................     22033  1.0
VA.....................................................     22034  1.0
VA.....................................................     22035  1.0
VA.....................................................     22036  1.0
VA.....................................................     22037  1.0
VA.....................................................     22038  1.0
VA.....................................................     22039  1.0
VA.....................................................     22040  1.0
VA.....................................................     22041  1.0
VA.....................................................     22042  1.0
VA.....................................................     22043  1.0
VA.....................................................     22044  1.0
VA.....................................................     22046  1.0
VA.....................................................     22047  1.0
VA.....................................................     22060  1.0
VA.....................................................     22066  1.0
VA.....................................................     22067  2.0
VA.....................................................     22079  1.0
VA.....................................................     22081  1.0
VA.....................................................     22082  1.0
VA.....................................................     22092  1.0
VA.....................................................     22093  1.0
VA.....................................................     22095  1.0
VA.....................................................     22096  1.0
VA.....................................................     22101  1.0
VA.....................................................     22102  1.0
VA.....................................................     22103  1.0
VA.....................................................     22106  1.0
VA.....................................................     22107  1.0
VA.....................................................     22108  1.0
VA.....................................................     22109  1.0
VA.....................................................     22116  1.0
VA.....................................................     22118  1.0
VA.....................................................     22119  1.0
VA.....................................................     22120  1.0
VA.....................................................     22121  1.0
VA.....................................................     22122  1.0
VA.....................................................     22124  1.0
VA.....................................................     22125  1.0
VA.....................................................     22134  1.0
VA.....................................................     22135  1.0
VA.....................................................     22150  1.0
VA.....................................................     22151  1.0
VA.....................................................     22152  1.0
VA.....................................................     22153  1.0
VA.....................................................     22156  1.0
VA.....................................................     22158  1.0
VA.....................................................     22159  1.0
VA.....................................................     22160  1.0
VA.....................................................     22161  1.0
VA.....................................................     22172  1.0
VA.....................................................     22180  1.0
VA.....................................................     22181  1.0
VA.....................................................     22182  1.0
VA.....................................................     22183  1.0
VA.....................................................     22184  1.0
VA.....................................................     22185  1.0
VA.....................................................     22191  1.0
VA.....................................................     22192  1.0
VA.....................................................     22193  1.0
VA.....................................................     22194  1.0
VA.....................................................     22195  1.0
VA.....................................................     22199  1.0
VA.....................................................     22201  1.0
VA.....................................................     22202  1.0
VA.....................................................     22203  1.0
VA.....................................................     22204  1.0
VA.....................................................     22205  1.0
VA.....................................................     22206  1.0
VA.....................................................     22207  1.0
VA.....................................................     22209  1.0
VA.....................................................     22210  1.0
VA.....................................................     22211  1.0
VA.....................................................     22212  1.0
VA.....................................................     22213  1.0
VA.....................................................     22214  1.0
VA.....................................................     22215  1.0
VA.....................................................     22216  1.0
VA.....................................................     22217  1.0
VA.....................................................     22218  1.0
VA.....................................................     22219  1.0
VA.....................................................     22222  1.0
VA.....................................................     22223  1.0
VA.....................................................     22225  1.0
VA.....................................................     22226  1.0
VA.....................................................     22227  1.0
VA.....................................................     22229  1.0
VA.....................................................     22230  1.0
VA.....................................................     22234  1.0
VA.....................................................     22240  1.0
VA.....................................................     22241  1.0
VA.....................................................     22242  1.0
VA.....................................................     22243  1.0
VA.....................................................     22244  1.0
VA.....................................................     22245  1.0
VA.....................................................     22246  1.0
VA.....................................................     22301  1.0
VA.....................................................     22302  1.0
VA.....................................................     22303  1.0
VA.....................................................     22304  1.0
VA.....................................................     22305  1.0
VA.....................................................     22306  1.0
VA.....................................................     22307  1.0
VA.....................................................     22308  1.0
VA.....................................................     22309  1.0
VA.....................................................     22310  1.0
VA.....................................................     22311  1.0
VA.....................................................     22312  1.0
VA.....................................................     22313  1.0
VA.....................................................     22314  1.0
VA.....................................................     22315  1.0
VA.....................................................     22320  1.0
VA.....................................................     22321  1.0
VA.....................................................     22331  1.0
VA.....................................................     22332  1.0
VA.....................................................     22333  1.0
VA.....................................................     22334  1.0
VA.....................................................     22336  1.0
VA.....................................................     22401  1.0
VA.....................................................     22402  1.0
VA.....................................................     22403  1.0
VA.....................................................     22404  1.0
VA.....................................................     22405  1.0
VA.....................................................     22406  2.0
VA.....................................................     22407  1.0
VA.....................................................     22408  1.0
VA.....................................................     22412  2.0
VA.....................................................     22427  10.4
VA.....................................................     22428  10.4
VA.....................................................     22430  1.0
VA.....................................................     22432  10.0
VA.....................................................     22433  9.0
VA.....................................................     22435  10.0
VA.....................................................     22436  8.0
VA.....................................................     22437  8.1
VA.....................................................     22438  8.0
VA.....................................................     22442  10.0
VA.....................................................     22443  7.0
VA.....................................................     22446  2.1
VA.....................................................     22448  10.4

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VA.....................................................     22451  10.4
VA.....................................................     22454  8.1
VA.....................................................     22456  10.0
VA.....................................................     22460  10.0
VA.....................................................     22463  1.0
VA.....................................................     22469  10.0
VA.....................................................     22471  2.0
VA.....................................................     22472  10.6
VA.....................................................     22473  10.0
VA.....................................................     22476  8.0
VA.....................................................     22480  10.0
VA.....................................................     22481  10.4
VA.....................................................     22482  10.0
VA.....................................................     22485  10.4
VA.....................................................     22488  10.0
VA.....................................................     22501  3.0
VA.....................................................     22503  10.0
VA.....................................................     22504  8.1
VA.....................................................     22507  10.0
VA.....................................................     22508  3.0
VA.....................................................     22509  8.0
VA.....................................................     22511  10.0
VA.....................................................     22513  10.0
VA.....................................................     22514  3.0
VA.....................................................     22517  10.0
VA.....................................................     22520  10.0
VA.....................................................     22523  10.0
VA.....................................................     22524  10.0
VA.....................................................     22526  10.4
VA.....................................................     22528  10.0
VA.....................................................     22529  10.0
VA.....................................................     22530  10.0
VA.....................................................     22534  2.1
VA.....................................................     22535  2.0
VA.....................................................     22538  2.0
VA.....................................................     22539  10.0
VA.....................................................     22542  9.0
VA.....................................................     22544  10.4
VA.....................................................     22545  1.0
VA.....................................................     22546  3.0
VA.....................................................     22547  10.4
VA.....................................................     22548  10.6
VA.....................................................     22552  3.0
VA.....................................................     22553  1.0
VA.....................................................     22554  1.0
VA.....................................................     22555  1.0
VA.....................................................     22556  1.0
VA.....................................................     22558  10.0
VA.....................................................     22560  7.3
VA.....................................................     22565  1.0
VA.....................................................     22567  9.0
VA.....................................................     22570  10.0
VA.....................................................     22572  10.6
VA.....................................................     22576  10.0
VA.....................................................     22577  10.0
VA.....................................................     22578  10.0
VA.....................................................     22579  10.0
VA.....................................................     22580  2.1
VA.....................................................     22581  10.0
VA.....................................................     22601  1.0
VA.....................................................     22602  1.0
VA.....................................................     22603  2.0
VA.....................................................     22604  1.0
VA.....................................................     22610  5.2
VA.....................................................     22611  7.3
VA.....................................................     22620  10.4
VA.....................................................     22622  2.0
VA.....................................................     22623  4.2
VA.....................................................     22624  2.0
VA.....................................................     22625  2.0
VA.....................................................     22626  7.3
VA.....................................................     22627  10.4
VA.....................................................     22630  4.2
VA.....................................................     22637  2.0
VA.....................................................     22638  1.0
VA.....................................................     22639  2.0
VA.....................................................     22640  10.4
VA.....................................................     22641  9.0
VA.....................................................     22642  2.0
VA.....................................................     22643  2.0
VA.....................................................     22644  9.0
VA.....................................................     22645  2.0
VA.....................................................     22646  10.4
VA.....................................................     22649  6.1
VA.....................................................     22650  7.0
VA.....................................................     22652  10.6
VA.....................................................     22654  2.0
VA.....................................................     22655  1.0
VA.....................................................     22656  2.0
VA.....................................................     22657  7.3
VA.....................................................     22660  9.0
VA.....................................................     22663  1.0
VA.....................................................     22664  7.0
VA.....................................................     22701  7.3
VA.....................................................     22709  10.6
VA.....................................................     22711  10.4
VA.....................................................     22712  2.0
VA.....................................................     22713  8.3
VA.....................................................     22714  10.6
VA.....................................................     22715  10.6
VA.....................................................     22716  10.4
VA.....................................................     22718  10.6
VA.....................................................     22719  10.4
VA.....................................................     22720  2.0
VA.....................................................     22721  10.4
VA.....................................................     22722  10.6
VA.....................................................     22723  10.4
VA.....................................................     22724  2.0
VA.....................................................     22725  10.6
VA.....................................................     22726  10.6
VA.....................................................     22727  10.4
VA.....................................................     22728  2.0
VA.....................................................     22729  7.3
VA.....................................................     22730  10.6
VA.....................................................     22731  10.4
VA.....................................................     22732  10.6
VA.....................................................     22733  7.3
VA.....................................................     22734  2.0
VA.....................................................     22735  8.3
VA.....................................................     22736  10.6
VA.....................................................     22737  2.0
VA.....................................................     22738  10.6
VA.....................................................     22739  2.0
VA.....................................................     22740  10.4
VA.....................................................     22741  10.6
VA.....................................................     22742  2.0
VA.....................................................     22743  10.4
VA.....................................................     22746  2.0
VA.....................................................     22747  10.4
VA.....................................................     22748  10.4
VA.....................................................     22749  10.4
VA.....................................................     22801  1.0
VA.....................................................     22802  1.0
VA.....................................................     22803  1.0
VA.....................................................     22807  1.0
VA.....................................................     22810  9.0
VA.....................................................     22811  2.0
VA.....................................................     22812  1.0
VA.....................................................     22815  2.0
VA.....................................................     22820  2.0
VA.....................................................     22821  2.0
VA.....................................................     22824  8.0
VA.....................................................     22827  2.0
VA.....................................................     22830  2.0
VA.....................................................     22831  2.0
VA.....................................................     22832  2.0
VA.....................................................     22833  1.0
VA.....................................................     22834  2.0
VA.....................................................     22835  7.0
VA.....................................................     22840  2.0
VA.....................................................     22841  1.0
VA.....................................................     22842  10.6
VA.....................................................     22843  2.0
VA.....................................................     22844  10.4
VA.....................................................     22845  9.0
VA.....................................................     22846  1.0
VA.....................................................     22847  10.6
VA.....................................................     22848  1.0
VA.....................................................     22849  3.0
VA.....................................................     22850  2.0
VA.....................................................     22851  10.6
VA.....................................................     22853  2.0
VA.....................................................     22901  1.0
VA.....................................................     22902  1.0
VA.....................................................     22903  1.0
VA.....................................................     22904  1.0
VA.....................................................     22905  1.0
VA.....................................................     22906  1.0
VA.....................................................     22907  1.0
VA.....................................................     22908  1.0
VA.....................................................     22909  1.0
VA.....................................................     22910  1.0
VA.....................................................     22911  1.0
VA.....................................................     22920  10.1
VA.....................................................     22922  2.0
VA.....................................................     22923  2.0
VA.....................................................     22924  1.0
VA.....................................................     22931  2.0
VA.....................................................     22932  2.0
VA.....................................................     22935  2.0
VA.....................................................     22936  2.0
VA.....................................................     22937  2.0
VA.....................................................     22938  2.0
VA.....................................................     22939  6.0
VA.....................................................     22940  2.0
VA.....................................................     22942  3.0
VA.....................................................     22943  2.0
VA.....................................................     22945  1.0
VA.....................................................     22946  2.0
VA.....................................................     22947  2.0
VA.....................................................     22948  10.6
VA.....................................................     22949  10.4
VA.....................................................     22952  4.0
VA.....................................................     22954  10.4
VA.....................................................     22957  7.0
VA.....................................................     22958  10.1
VA.....................................................     22959  2.0
VA.....................................................     22960  7.0
VA.....................................................     22963  2.0
VA.....................................................     22964  10.4
VA.....................................................     22965  2.0
VA.....................................................     22967  10.4
VA.....................................................     22968  2.0
VA.....................................................     22969  2.0
VA.....................................................     22971  2.0
VA.....................................................     22972  3.0
VA.....................................................     22973  2.0

[[Page 70229]]

 
VA.....................................................     22974  2.0
VA.....................................................     22976  10.4
VA.....................................................     22980  4.0
VA.....................................................     22987  2.0
VA.....................................................     22989  10.6
VA.....................................................     23001  1.0
VA.....................................................     23002  2.0
VA.....................................................     23003  2.0
VA.....................................................     23004  10.4
VA.....................................................     23005  1.0
VA.....................................................     23009  2.0
VA.....................................................     23011  3.0
VA.....................................................     23014  2.0
VA.....................................................     23015  2.0
VA.....................................................     23017  2.0
VA.....................................................     23018  1.0
VA.....................................................     23021  10.4
VA.....................................................     23022  10.1
VA.....................................................     23023  2.0
VA.....................................................     23024  2.0
VA.....................................................     23025  10.4
VA.....................................................     23027  2.0
VA.....................................................     23030  2.0
VA.....................................................     23031  10.4
VA.....................................................     23032  10.0
VA.....................................................     23035  10.4
VA.....................................................     23038  2.0
VA.....................................................     23039  2.0
VA.....................................................     23040  2.0
VA.....................................................     23043  10.4
VA.....................................................     23045  10.4
VA.....................................................     23047  2.0
VA.....................................................     23050  10.4
VA.....................................................     23055  10.1
VA.....................................................     23056  10.4
VA.....................................................     23058  1.0
VA.....................................................     23059  1.0
VA.....................................................     23060  1.0
VA.....................................................     23061  2.0
VA.....................................................     23062  1.0
VA.....................................................     23063  2.0
VA.....................................................     23064  10.4
VA.....................................................     23065  2.0
VA.....................................................     23066  10.4
VA.....................................................     23067  3.0
VA.....................................................     23068  10.4
VA.....................................................     23069  2.0
VA.....................................................     23070  10.4
VA.....................................................     23071  10.4
VA.....................................................     23072  1.0
VA.....................................................     23075  1.0
VA.....................................................     23076  10.4
VA.....................................................     23079  10.0
VA.....................................................     23081  1.0
VA.....................................................     23083  2.0
VA.....................................................     23084  10.1
VA.....................................................     23085  2.0
VA.....................................................     23086  2.0
VA.....................................................     23089  3.0
VA.....................................................     23090  1.0
VA.....................................................     23091  2.0
VA.....................................................     23092  10.4
VA.....................................................     23093  3.0
VA.....................................................     23101  2.0
VA.....................................................     23102  2.0
VA.....................................................     23103  2.0
VA.....................................................     23105  2.0
VA.....................................................     23106  2.0
VA.....................................................     23107  1.0
VA.....................................................     23108  3.0
VA.....................................................     23109  10.4
VA.....................................................     23110  3.0
VA.....................................................     23111  1.0
VA.....................................................     23112  1.0
VA.....................................................     23113  1.0
VA.....................................................     23114  1.0
VA.....................................................     23115  7.3
VA.....................................................     23116  1.0
VA.....................................................     23117  2.0
VA.....................................................     23119  10.4
VA.....................................................     23120  2.0
VA.....................................................     23123  10.4
VA.....................................................     23124  2.0
VA.....................................................     23125  10.4
VA.....................................................     23126  2.0
VA.....................................................     23127  1.0
VA.....................................................     23128  10.4
VA.....................................................     23129  2.0
VA.....................................................     23130  10.4
VA.....................................................     23131  1.0
VA.....................................................     23138  10.4
VA.....................................................     23139  2.0
VA.....................................................     23140  2.0
VA.....................................................     23141  2.0
VA.....................................................     23146  2.0
VA.....................................................     23147  2.0
VA.....................................................     23148  2.0
VA.....................................................     23149  10.4
VA.....................................................     23150  1.0
VA.....................................................     23153  2.0
VA.....................................................     23154  2.0
VA.....................................................     23155  2.0
VA.....................................................     23156  3.0
VA.....................................................     23160  2.0
VA.....................................................     23161  2.0
VA.....................................................     23162  1.0
VA.....................................................     23163  10.4
VA.....................................................     23168  2.0
VA.....................................................     23169  10.4
VA.....................................................     23170  3.0
VA.....................................................     23173  1.0
VA.....................................................     23175  10.4
VA.....................................................     23176  10.4
VA.....................................................     23177  2.0
VA.....................................................     23178  2.0
VA.....................................................     23180  10.0
VA.....................................................     23181  7.3
VA.....................................................     23183  2.0
VA.....................................................     23184  1.0
VA.....................................................     23185  1.0
VA.....................................................     23186  1.0
VA.....................................................     23187  1.0
VA.....................................................     23188  1.0
VA.....................................................     23190  2.0
VA.....................................................     23191  2.0
VA.....................................................     23192  2.0
VA.....................................................     23218  1.0
VA.....................................................     23219  1.0
VA.....................................................     23220  1.0
VA.....................................................     23221  1.0
VA.....................................................     23222  1.0
VA.....................................................     23223  1.0
VA.....................................................     23224  1.0
VA.....................................................     23225  1.0
VA.....................................................     23226  1.0
VA.....................................................     23227  1.0
VA.....................................................     23228  1.0
VA.....................................................     23229  1.0
VA.....................................................     23230  1.0
VA.....................................................     23231  1.0
VA.....................................................     23232  1.0
VA.....................................................     23233  1.0
VA.....................................................     23234  1.0
VA.....................................................     23235  1.0
VA.....................................................     23236  1.0
VA.....................................................     23237  1.0
VA.....................................................     23238  1.0
VA.....................................................     23240  1.0
VA.....................................................     23241  1.0
VA.....................................................     23242  1.0
VA.....................................................     23249  1.0
VA.....................................................     23250  1.0
VA.....................................................     23255  1.0
VA.....................................................     23260  1.0
VA.....................................................     23261  1.0
VA.....................................................     23269  1.0
VA.....................................................     23270  1.0
VA.....................................................     23272  1.0
VA.....................................................     23273  1.0
VA.....................................................     23274  1.0
VA.....................................................     23275  1.0
VA.....................................................     23276  1.0
VA.....................................................     23278  1.0
VA.....................................................     23279  1.0
VA.....................................................     23280  1.0
VA.....................................................     23282  1.0
VA.....................................................     23284  1.0
VA.....................................................     23285  1.0
VA.....................................................     23286  1.0
VA.....................................................     23288  1.0
VA.....................................................     23289  1.0
VA.....................................................     23290  1.0
VA.....................................................     23291  1.0
VA.....................................................     23292  1.0
VA.....................................................     23293  1.0
VA.....................................................     23294  1.0
VA.....................................................     23295  1.0
VA.....................................................     23297  1.0
VA.....................................................     23298  1.0
VA.....................................................     23301  10.0
VA.....................................................     23302  9.0
VA.....................................................     23303  9.0
VA.....................................................     23304  2.0
VA.....................................................     23306  10.0
VA.....................................................     23307  10.0
VA.....................................................     23308  10.0
VA.....................................................     23310  10.0
VA.....................................................     23313  10.0
VA.....................................................     23314  1.0
VA.....................................................     23315  3.0
VA.....................................................     23316  10.0
VA.....................................................     23320  1.0
VA.....................................................     23321  1.0
VA.....................................................     23322  1.0
VA.....................................................     23323  1.0
VA.....................................................     23324  1.0
VA.....................................................     23325  1.0
VA.....................................................     23326  1.0
VA.....................................................     23327  1.0
VA.....................................................     23328  1.0
VA.....................................................     23336  7.0
VA.....................................................     23337  9.0
VA.....................................................     23341  10.0
VA.....................................................     23345  10.0
VA.....................................................     23347  10.0
VA.....................................................     23350  10.0
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[[Page 70230]]

 
VA.....................................................     23356  9.0
VA.....................................................     23357  10.0
VA.....................................................     23358  10.0
VA.....................................................     23359  10.0
VA.....................................................     23389  10.0
VA.....................................................     23395  9.0
VA.....................................................     23396  9.0
VA.....................................................     23397  2.0
VA.....................................................     23398  10.0
VA.....................................................     23399  10.0
VA.....................................................     23401  10.0
VA.....................................................     23404  10.0
VA.....................................................     23405  10.0
VA.....................................................     23407  10.0
VA.....................................................     23408  10.0
VA.....................................................     23409  10.0
VA.....................................................     23410  10.0
VA.....................................................     23412  10.0
VA.....................................................     23413  10.0
VA.....................................................     23414  10.0
VA.....................................................     23415  9.0
VA.....................................................     23416  9.0
VA.....................................................     23417  10.0
VA.....................................................     23418  10.0
VA.....................................................     23419  10.0
VA.....................................................     23420  10.0
VA.....................................................     23421  10.0
VA.....................................................     23422  10.0
VA.....................................................     23423  10.0
VA.....................................................     23424  1.0
VA.....................................................     23426  10.0
VA.....................................................     23427  10.0
VA.....................................................     23429  10.0
VA.....................................................     23430  2.0
VA.....................................................     23431  2.0
VA.....................................................     23432  1.0
VA.....................................................     23433  1.0
VA.....................................................     23434  4.1
VA.....................................................     23435  1.0
VA.....................................................     23436  1.0
VA.....................................................     23437  5.1
VA.....................................................     23438  5.1
VA.....................................................     23439  4.1
VA.....................................................     23440  10.0
VA.....................................................     23441  10.0
VA.....................................................     23442  9.0
VA.....................................................     23443  10.0
VA.....................................................     23450  1.0
VA.....................................................     23451  1.0
VA.....................................................     23452  1.0
VA.....................................................     23453  1.0
VA.....................................................     23454  1.0
VA.....................................................     23455  1.0
VA.....................................................     23456  1.0
VA.....................................................     23457  2.0
VA.....................................................     23458  1.0
VA.....................................................     23459  1.0
VA.....................................................     23460  1.0
VA.....................................................     23461  1.0
VA.....................................................     23462  1.0
VA.....................................................     23463  1.0
VA.....................................................     23464  1.0
VA.....................................................     23465  1.0
VA.....................................................     23466  1.0
VA.....................................................     23467  1.0
VA.....................................................     23468  1.0
VA.....................................................     23471  1.0
VA.....................................................     23479  1.0
VA.....................................................     23480  10.0
VA.....................................................     23482  10.0
VA.....................................................     23483  9.0
VA.....................................................     23486  10.0
VA.....................................................     23487  2.0
VA.....................................................     23488  9.0
VA.....................................................     23501  1.0
VA.....................................................     23502  1.0
VA.....................................................     23503  1.0
VA.....................................................     23504  1.0
VA.....................................................     23505  1.0
VA.....................................................     23506  1.0
VA.....................................................     23507  1.0
VA.....................................................     23508  1.0
VA.....................................................     23509  1.0
VA.....................................................     23510  1.0
VA.....................................................     23511  1.0
VA.....................................................     23512  1.0
VA.....................................................     23513  1.0
VA.....................................................     23514  1.0
VA.....................................................     23515  1.0
VA.....................................................     23517  1.0
VA.....................................................     23518  1.0
VA.....................................................     23519  1.0
VA.....................................................     23520  1.0
VA.....................................................     23521  1.0
VA.....................................................     23523  1.0
VA.....................................................     23529  1.0
VA.....................................................     23530  1.0
VA.....................................................     23541  1.0
VA.....................................................     23551  1.0
VA.....................................................     23601  1.0
VA.....................................................     23602  1.0
VA.....................................................     23603  1.0
VA.....................................................     23604  1.0
VA.....................................................     23605  1.0
VA.....................................................     23606  1.0
VA.....................................................     23607  1.0
VA.....................................................     23608  1.0
VA.....................................................     23609  1.0
VA.....................................................     23612  1.0
VA.....................................................     23628  1.0
VA.....................................................     23630  1.0
VA.....................................................     23631  1.0
VA.....................................................     23651  1.0
VA.....................................................     23653  1.0
VA.....................................................     23661  1.0
VA.....................................................     23662  1.0
VA.....................................................     23663  1.0
VA.....................................................     23664  1.0
VA.....................................................     23665  1.0
VA.....................................................     23666  1.0
VA.....................................................     23667  1.0
VA.....................................................     23668  1.0
VA.....................................................     23669  1.0
VA.....................................................     23670  1.0
VA.....................................................     23681  1.0
VA.....................................................     23690  1.0
VA.....................................................     23691  1.0
VA.....................................................     23692  1.0
VA.....................................................     23693  1.0
VA.....................................................     23694  1.0
VA.....................................................     23696  1.0
VA.....................................................     23701  1.0
VA.....................................................     23702  1.0
VA.....................................................     23703  1.0
VA.....................................................     23704  1.0
VA.....................................................     23705  1.0
VA.....................................................     23707  1.0
VA.....................................................     23708  1.0
VA.....................................................     23709  1.0
VA.....................................................     23801  1.0
VA.....................................................     23803  1.0
VA.....................................................     23804  1.0
VA.....................................................     23805  1.0
VA.....................................................     23806  1.0
VA.....................................................     23821  10.6
VA.....................................................     23822  2.0
VA.....................................................     23824  7.3
VA.....................................................     23827  10.6
VA.....................................................     23828  10.6
VA.....................................................     23829  10.0
VA.....................................................     23830  2.0
VA.....................................................     23831  1.0
VA.....................................................     23832  1.0
VA.....................................................     23833  2.0
VA.....................................................     23834  1.0
VA.....................................................     23836  1.0
VA.....................................................     23837  10.6
VA.....................................................     23838  2.0
VA.....................................................     23839  3.0
VA.....................................................     23840  2.0
VA.....................................................     23841  2.0
VA.....................................................     23842  2.0
VA.....................................................     23843  10.6
VA.....................................................     23844  9.0
VA.....................................................     23845  9.0
VA.....................................................     23846  3.0
VA.....................................................     23847  7.0
VA.....................................................     23850  2.0
VA.....................................................     23851  7.0
VA.....................................................     23856  7.0
VA.....................................................     23857  9.0
VA.....................................................     23860  1.0
VA.....................................................     23866  3.0
VA.....................................................     23867  3.0
VA.....................................................     23868  7.0
VA.....................................................     23870  7.0
VA.....................................................     23872  2.0
VA.....................................................     23873  9.0
VA.....................................................     23874  10.6
VA.....................................................     23875  1.0
VA.....................................................     23876  10.6
VA.....................................................     23878  3.0
VA.....................................................     23879  8.0
VA.....................................................     23881  2.0
VA.....................................................     23882  3.0
VA.....................................................     23883  2.0
VA.....................................................     23884  3.0
VA.....................................................     23885  2.0
VA.....................................................     23887  9.0
VA.....................................................     23888  10.4
VA.....................................................     23889  10.6
VA.....................................................     23890  3.0
VA.....................................................     23891  3.0
VA.....................................................     23893  9.0
VA.....................................................     23894  2.0
VA.....................................................     23897  2.0
VA.....................................................     23898  3.0
VA.....................................................     23899  2.0
VA.....................................................     23901  7.2
VA.....................................................     23909  7.0
VA.....................................................     23915  8.0
VA.....................................................     23917  10.0
VA.....................................................     23919  8.0
VA.....................................................     23920  9.0
VA.....................................................     23921  10.0
VA.....................................................     23922  7.3
VA.....................................................     23923  10.0

[[Page 70231]]

 
VA.....................................................     23924  7.0
VA.....................................................     23927  10.0
VA.....................................................     23930  7.3
VA.....................................................     23934  10.0
VA.....................................................     23936  10.0
VA.....................................................     23937  10.0
VA.....................................................     23938  10.0
VA.....................................................     23939  10.1
VA.....................................................     23941  10.0
VA.....................................................     23942  10.6
VA.....................................................     23943  7.2
VA.....................................................     23944  10.6
VA.....................................................     23947  10.0
VA.....................................................     23950  8.0
VA.....................................................     23952  10.6
VA.....................................................     23954  10.6
VA.....................................................     23955  7.3
VA.....................................................     23958  7.1
VA.....................................................     23959  10.0
VA.....................................................     23960  7.0
VA.....................................................     23962  10.0
VA.....................................................     23963  10.0
VA.....................................................     23964  10.0
VA.....................................................     23966  10.3
VA.....................................................     23967  10.0
VA.....................................................     23968  10.0
VA.....................................................     23970  7.0
VA.....................................................     23974  10.6
VA.....................................................     23976  10.0
VA.....................................................     24001  1.0
VA.....................................................     24002  1.0
VA.....................................................     24003  1.0
VA.....................................................     24004  1.0
VA.....................................................     24005  1.0
VA.....................................................     24006  1.0
VA.....................................................     24007  1.0
VA.....................................................     24008  1.0
VA.....................................................     24009  1.0
VA.....................................................     24010  1.0
VA.....................................................     24011  1.0
VA.....................................................     24012  1.0
VA.....................................................     24013  1.0
VA.....................................................     24014  1.0
VA.....................................................     24015  1.0
VA.....................................................     24016  1.0
VA.....................................................     24017  1.0
VA.....................................................     24018  1.0
VA.....................................................     24019  1.0
VA.....................................................     24020  1.0
VA.....................................................     24022  1.0
VA.....................................................     24023  1.0
VA.....................................................     24024  1.0
VA.....................................................     24025  1.0
VA.....................................................     24026  1.0
VA.....................................................     24027  1.0
VA.....................................................     24028  1.0
VA.....................................................     24029  1.0
VA.....................................................     24030  1.0
VA.....................................................     24031  1.0
VA.....................................................     24032  1.0
VA.....................................................     24033  1.0
VA.....................................................     24034  1.0
VA.....................................................     24035  1.0
VA.....................................................     24036  1.0
VA.....................................................     24037  1.0
VA.....................................................     24038  1.0
VA.....................................................     24040  1.0
VA.....................................................     24042  1.0
VA.....................................................     24043  1.0
VA.....................................................     24044  1.0
VA.....................................................     24045  1.0
VA.....................................................     24048  1.0
VA.....................................................     24050  1.0
VA.....................................................     24053  10.5
VA.....................................................     24054  5.0
VA.....................................................     24055  5.0
VA.....................................................     24058  4.2
VA.....................................................     24059  2.0
VA.....................................................     24060  1.0
VA.....................................................     24061  1.0
VA.....................................................     24062  1.0
VA.....................................................     24063  1.0
VA.....................................................     24064  1.0
VA.....................................................     24065  2.0
VA.....................................................     24066  2.0
VA.....................................................     24067  2.0
VA.....................................................     24068  1.0
VA.....................................................     24069  2.0
VA.....................................................     24070  2.0
VA.....................................................     24072  10.4
VA.....................................................     24073  1.0
VA.....................................................     24076  10.5
VA.....................................................     24077  1.0
VA.....................................................     24078  4.0
VA.....................................................     24079  10.4
VA.....................................................     24082  10.2
VA.....................................................     24083  2.0
VA.....................................................     24084  4.2
VA.....................................................     24085  2.0
VA.....................................................     24086  2.0
VA.....................................................     24087  2.0
VA.....................................................     24088  10.6
VA.....................................................     24089  5.0
VA.....................................................     24090  2.0
VA.....................................................     24091  10.4
VA.....................................................     24092  8.3
VA.....................................................     24093  10.6
VA.....................................................     24094  2.0
VA.....................................................     24095  2.0
VA.....................................................     24101  2.0
VA.....................................................     24102  8.4
VA.....................................................     24104  2.0
VA.....................................................     24105  10.4
VA.....................................................     24111  1.0
VA.....................................................     24112  4.0
VA.....................................................     24113  4.0
VA.....................................................     24114  4.0
VA.....................................................     24115  4.0
VA.....................................................     24120  10.5
VA.....................................................     24121  2.0
VA.....................................................     24122  2.0
VA.....................................................     24124  10.6
VA.....................................................     24126  4.2
VA.....................................................     24127  2.0
VA.....................................................     24128  2.0
VA.....................................................     24129  4.2
VA.....................................................     24130  2.0
VA.....................................................     24131  2.0
VA.....................................................     24132  4.2
VA.....................................................     24133  10.2
VA.....................................................     24134  10.6
VA.....................................................     24136  2.0
VA.....................................................     24137  8.4
VA.....................................................     24138  2.0
VA.....................................................     24139  9.0
VA.....................................................     24141  4.2
VA.....................................................     24142  4.2
VA.....................................................     24143  4.2
VA.....................................................     24146  7.3
VA.....................................................     24147  10.6
VA.....................................................     24148  4.0
VA.....................................................     24149  2.0
VA.....................................................     24150  2.0
VA.....................................................     24151  7.3
VA.....................................................     24153  1.0
VA.....................................................     24155  1.0
VA.....................................................     24156  1.0
VA.....................................................     24157  1.0
VA.....................................................     24161  9.0
VA.....................................................     24162  2.0
VA.....................................................     24165  5.0
VA.....................................................     24167  10.6
VA.....................................................     24168  4.0
VA.....................................................     24171  10.5
VA.....................................................     24174  8.3
VA.....................................................     24175  1.0
VA.....................................................     24176  3.0
VA.....................................................     24177  10.5
VA.....................................................     24178  1.0
VA.....................................................     24179  1.0
VA.....................................................     24184  3.0
VA.....................................................     24185  10.5
VA.....................................................     24201  1.0
VA.....................................................     24202  2.0
VA.....................................................     24203  1.0
VA.....................................................     24209  1.0
VA.....................................................     24210  4.2
VA.....................................................     24211  5.2
VA.....................................................     24212  4.2
VA.....................................................     24215  7.0
VA.....................................................     24216  7.0
VA.....................................................     24217  10.6
VA.....................................................     24218  10.0
VA.....................................................     24219  7.0
VA.....................................................     24220  10.0
VA.....................................................     24221  10.0
VA.....................................................     24224  10.0
VA.....................................................     24225  10.0
VA.....................................................     24226  10.6
VA.....................................................     24228  10.6
VA.....................................................     24230  8.0
VA.....................................................     24236  6.1
VA.....................................................     24237  10.6
VA.....................................................     24239  10.0
VA.....................................................     24243  8.0
VA.....................................................     24244  2.0
VA.....................................................     24245  2.0
VA.....................................................     24246  7.0
VA.....................................................     24248  10.5
VA.....................................................     24250  2.0
VA.....................................................     24251  2.0
VA.....................................................     24256  10.0
VA.....................................................     24258  2.0
VA.....................................................     24260  10.0
VA.....................................................     24263  10.0
VA.....................................................     24265  10.0
VA.....................................................     24266  10.0
VA.....................................................     24269  10.6
VA.....................................................     24270  2.0
VA.....................................................     24271  2.0
VA.....................................................     24272  10.6
VA.....................................................     24273  7.0
VA.....................................................     24277  10.0
VA.....................................................     24279  8.0
VA.....................................................     24280  10.0
VA.....................................................     24281  10.5
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[[Page 70232]]

 
VA.....................................................     24283  10.6
VA.....................................................     24290  1.0
VA.....................................................     24292  10.0
VA.....................................................     24293  7.0
VA.....................................................     24301  7.4
VA.....................................................     24311  10.6
VA.....................................................     24312  10.6
VA.....................................................     24313  8.0
VA.....................................................     24314  10.6
VA.....................................................     24315  10.5
VA.....................................................     24316  10.6
VA.....................................................     24317  5.0
VA.....................................................     24318  10.6
VA.....................................................     24319  10.6
VA.....................................................     24322  10.3
VA.....................................................     24323  10.3
VA.....................................................     24324  7.4
VA.....................................................     24325  10.0
VA.....................................................     24326  10.6
VA.....................................................     24327  5.0
VA.....................................................     24328  6.0
VA.....................................................     24330  8.0
VA.....................................................     24333  7.0
VA.....................................................     24340  6.1
VA.....................................................     24343  10.0
VA.....................................................     24347  8.4
VA.....................................................     24348  10.6
VA.....................................................     24350  8.0
VA.....................................................     24351  5.0
VA.....................................................     24352  10.0
VA.....................................................     24354  7.0
VA.....................................................     24360  8.0
VA.....................................................     24361  5.0
VA.....................................................     24363  10.0
VA.....................................................     24366  10.6
VA.....................................................     24368  10.3
VA.....................................................     24370  10.0
VA.....................................................     24374  10.3
VA.....................................................     24375  10.6
VA.....................................................     24377  10.6
VA.....................................................     24378  10.0
VA.....................................................     24380  10.4
VA.....................................................     24381  10.6
VA.....................................................     24382  7.0
VA.....................................................     24401  4.0
VA.....................................................     24402  4.0
VA.....................................................     24407  4.0
VA.....................................................     24411  10.5
VA.....................................................     24412  10.0
VA.....................................................     24413  10.0
VA.....................................................     24415  10.6
VA.....................................................     24416  7.0
VA.....................................................     24421  10.2
VA.....................................................     24422  7.0
VA.....................................................     24426  7.0
VA.....................................................     24430  10.5
VA.....................................................     24431  10.5
VA.....................................................     24432  10.5
VA.....................................................     24433  10.0
VA.....................................................     24435  10.6
VA.....................................................     24437  10.5
VA.....................................................     24438  2.0
VA.....................................................     24439  10.6
VA.....................................................     24440  10.5
VA.....................................................     24441  2.0
VA.....................................................     24442  10.0
VA.....................................................     24445  10.0
VA.....................................................     24448  7.0
VA.....................................................     24450  10.6
VA.....................................................     24457  7.0
VA.....................................................     24458  10.0
VA.....................................................     24459  10.5
VA.....................................................     24460  10.0
VA.....................................................     24463  4.0
VA.....................................................     24464  10.4
VA.....................................................     24465  10.0
VA.....................................................     24467  2.0
VA.....................................................     24468  10.0
VA.....................................................     24469  10.5
VA.....................................................     24471  1.0
VA.....................................................     24472  10.5
VA.....................................................     24473  10.6
VA.....................................................     24474  7.0
VA.....................................................     24476  10.6
VA.....................................................     24477  7.4
VA.....................................................     24479  10.2
VA.....................................................     24482  4.0
VA.....................................................     24483  10.6
VA.....................................................     24484  10.0
VA.....................................................     24485  10.5
VA.....................................................     24486  2.0
VA.....................................................     24487  10.0
VA.....................................................     24501  1.0
VA.....................................................     24502  1.0
VA.....................................................     24503  1.0
VA.....................................................     24504  1.0
VA.....................................................     24505  1.0
VA.....................................................     24506  1.0
VA.....................................................     24512  1.0
VA.....................................................     24513  1.0
VA.....................................................     24514  1.0
VA.....................................................     24515  1.0
VA.....................................................     24517  7.3
VA.....................................................     24520  9.0
VA.....................................................     24521  10.1
VA.....................................................     24522  10.1
VA.....................................................     24523  8.3
VA.....................................................     24526  2.0
VA.....................................................     24527  2.0
VA.....................................................     24528  10.4
VA.....................................................     24529  10.0
VA.....................................................     24530  2.0
VA.....................................................     24531  10.4
VA.....................................................     24533  10.1
VA.....................................................     24534  8.0
VA.....................................................     24535  9.0
VA.....................................................     24536  2.0
VA.....................................................     24538  2.0
VA.....................................................     24539  8.0
VA.....................................................     24540  1.0
VA.....................................................     24541  1.0
VA.....................................................     24543  1.0
VA.....................................................     24544  1.0
VA.....................................................     24549  2.0
VA.....................................................     24550  2.0
VA.....................................................     24551  1.0
VA.....................................................     24553  2.0
VA.....................................................     24554  2.0
VA.....................................................     24555  10.6
VA.....................................................     24556  2.0
VA.....................................................     24557  9.0
VA.....................................................     24558  8.0
VA.....................................................     24562  2.0
VA.....................................................     24563  8.0
VA.....................................................     24565  10.4
VA.....................................................     24566  2.0
VA.....................................................     24569  8.0
VA.....................................................     24570  8.3
VA.....................................................     24571  8.3
VA.....................................................     24572  1.0
VA.....................................................     24574  2.0
VA.....................................................     24576  10.4
VA.....................................................     24577  8.0
VA.....................................................     24578  10.6
VA.....................................................     24579  10.6
VA.....................................................     24580  10.0
VA.....................................................     24581  2.0
VA.....................................................     24585  8.0
VA.....................................................     24586  2.0
VA.....................................................     24588  2.0
VA.....................................................     24589  8.0
VA.....................................................     24590  2.0
VA.....................................................     24592  7.0
VA.....................................................     24593  10.1
VA.....................................................     24594  2.0
VA.....................................................     24595  10.1
VA.....................................................     24597  8.0
VA.....................................................     24598  8.0
VA.....................................................     24599  2.0
VA.....................................................     24601  10.6
VA.....................................................     24602  10.6
VA.....................................................     24603  10.0
VA.....................................................     24604  10.6
VA.....................................................     24605  4.0
VA.....................................................     24606  4.0
VA.....................................................     24607  10.0
VA.....................................................     24608  7.4
VA.....................................................     24609  7.0
VA.....................................................     24612  7.0
VA.....................................................     24613  4.0
VA.....................................................     24614  10.0
VA.....................................................     24618  10.0
VA.....................................................     24619  10.6
VA.....................................................     24620  10.0
VA.....................................................     24622  10.6
VA.....................................................     24624  10.0
VA.....................................................     24627  10.0
VA.....................................................     24628  10.0
VA.....................................................     24630  10.6
VA.....................................................     24631  10.0
VA.....................................................     24634  10.6
VA.....................................................     24635  4.0
VA.....................................................     24637  10.6
VA.....................................................     24639  7.0
VA.....................................................     24640  7.0
VA.....................................................     24641  7.0
VA.....................................................     24646  10.0
VA.....................................................     24647  7.0
VA.....................................................     24649  10.0
VA.....................................................     24651  7.4
VA.....................................................     24656  10.0
VA.....................................................     24657  10.6
VA.....................................................     24658  10.0
VI.....................................................     00801    R
VI.....................................................     00802    R
VI.....................................................     00803    R
VI.....................................................     00804    R
VI.....................................................     00805    R
VI.....................................................     00820    R
VI.....................................................     00821    R
VI.....................................................     00822    R
VI.....................................................     00823    R
VI.....................................................     00824    R
VI.....................................................     00830    R
VI.....................................................     00831    R
VI.....................................................     00840    R
VI.....................................................     00841    R

[[Page 70233]]

 
VI.....................................................     00850    R
VI.....................................................     00851    R
VT.....................................................     05001  5.0
VT.....................................................     05009  5.0
VT.....................................................     05030  7.4
VT.....................................................     05031  10.5
VT.....................................................     05032  10.0
VT.....................................................     05033  10.5
VT.....................................................     05034  10.0
VT.....................................................     05035  10.0
VT.....................................................     05036  10.0
VT.....................................................     05037  10.0
VT.....................................................     05038  10.5
VT.....................................................     05039  10.5
VT.....................................................     05040  10.5
VT.....................................................     05041  10.0
VT.....................................................     05042  10.0
VT.....................................................     05043  5.0
VT.....................................................     05045  5.0
VT.....................................................     05046  10.0
VT.....................................................     05047  5.0
VT.....................................................     05048  5.0
VT.....................................................     05049  7.4
VT.....................................................     05050  10.6
VT.....................................................     05051  10.5
VT.....................................................     05052  5.0
VT.....................................................     05053  10.5
VT.....................................................     05054  5.0
VT.....................................................     05055  5.0
VT.....................................................     05056  10.0
VT.....................................................     05058  5.0
VT.....................................................     05059  5.0
VT.....................................................     05060  10.0
VT.....................................................     05061  10.0
VT.....................................................     05062  10.0
VT.....................................................     05065  10.5
VT.....................................................     05067  10.5
VT.....................................................     05068  10.5
VT.....................................................     05069  10.0
VT.....................................................     05070  10.5
VT.....................................................     05071  10.5
VT.....................................................     05072  10.5
VT.....................................................     05073  10.5
VT.....................................................     05074  5.0
VT.....................................................     05075  5.0
VT.....................................................     05076  10.5
VT.....................................................     05077  10.5
VT.....................................................     05079  10.5
VT.....................................................     05081  10.5
VT.....................................................     05083  5.0
VT.....................................................     05084  10.5
VT.....................................................     05085  10.5
VT.....................................................     05086  10.5
VT.....................................................     05088  5.0
VT.....................................................     05089  7.4
VT.....................................................     05091  10.5
VT.....................................................     05101  7.0
VT.....................................................     05141  10.6
VT.....................................................     05142  9.0
VT.....................................................     05143  10.6
VT.....................................................     05144  10.6
VT.....................................................     05146  10.6
VT.....................................................     05148  10.0
VT.....................................................     05149  10.6
VT.....................................................     05150  7.0
VT.....................................................     05151  8.0
VT.....................................................     05152  10.0
VT.....................................................     05153  9.0
VT.....................................................     05154  10.6
VT.....................................................     05155  10.0
VT.....................................................     05156  7.0
VT.....................................................     05158  10.6
VT.....................................................     05159  10.6
VT.....................................................     05161  10.6
VT.....................................................     05201  4.0
VT.....................................................     05250  10.0
VT.....................................................     05251  10.0
VT.....................................................     05252  10.5
VT.....................................................     05253  10.0
VT.....................................................     05254  10.0
VT.....................................................     05255  10.0
VT.....................................................     05257  4.0
VT.....................................................     05260  5.0
VT.....................................................     05261  5.0
VT.....................................................     05262  5.0
VT.....................................................     05301  7.0
VT.....................................................     05302  7.0
VT.....................................................     05303  7.0
VT.....................................................     05304  7.0
VT.....................................................     05340  10.0
VT.....................................................     05341  10.0
VT.....................................................     05342  10.0
VT.....................................................     05343  10.6
VT.....................................................     05344  7.0
VT.....................................................     05345  10.3
VT.....................................................     05346  8.0
VT.....................................................     05350  10.5
VT.....................................................     05351  10.3
VT.....................................................     05352  10.5
VT.....................................................     05353  10.6
VT.....................................................     05354  8.0
VT.....................................................     05355  10.6
VT.....................................................     05356  10.0
VT.....................................................     05357  7.0
VT.....................................................     05358  10.6
VT.....................................................     05359  10.6
VT.....................................................     05360  10.6
VT.....................................................     05361  10.0
VT.....................................................     05362  10.3
VT.....................................................     05363  10.0
VT.....................................................     05401  1.0
VT.....................................................     05402  1.0
VT.....................................................     05403  1.0
VT.....................................................     05404  1.0
VT.....................................................     05405  1.0
VT.....................................................     05406  1.0
VT.....................................................     05407  1.0
VT.....................................................     05439  1.0
VT.....................................................     05440  10.1
VT.....................................................     05441  8.3
VT.....................................................     05442  10.0
VT.....................................................     05443  10.4
VT.....................................................     05444  2.0
VT.....................................................     05445  2.0
VT.....................................................     05446  1.0
VT.....................................................     05447  10.6
VT.....................................................     05448  8.3
VT.....................................................     05449  1.0
VT.....................................................     05450  10.6
VT.....................................................     05451  1.0
VT.....................................................     05452  1.0
VT.....................................................     05453  1.0
VT.....................................................     05454  2.0
VT.....................................................     05455  8.3
VT.....................................................     05456  2.0
VT.....................................................     05457  8.3
VT.....................................................     05458  2.0
VT.....................................................     05459  8.3
VT.....................................................     05460  8.0
VT.....................................................     05461  2.0
VT.....................................................     05462  2.0
VT.....................................................     05463  10.1
VT.....................................................     05464  2.0
VT.....................................................     05465  1.0
VT.....................................................     05466  2.0
VT.....................................................     05468  1.0
VT.....................................................     05469  10.4
VT.....................................................     05470  10.6
VT.....................................................     05471  10.6
VT.....................................................     05472  10.6
VT.....................................................     05473  2.0
VT.....................................................     05474  10.1
VT.....................................................     05476  10.6
VT.....................................................     05477  2.0
VT.....................................................     05478  7.1
VT.....................................................     05479  7.1
VT.....................................................     05481  7.1
VT.....................................................     05482  1.0
VT.....................................................     05483  8.3
VT.....................................................     05485  8.3
VT.....................................................     05486  2.0
VT.....................................................     05487  2.0
VT.....................................................     05488  8.0
VT.....................................................     05489  2.0
VT.....................................................     05490  2.0
VT.....................................................     05491  7.2
VT.....................................................     05492  10.0
VT.....................................................     05494  2.0
VT.....................................................     05495  1.0
VT.....................................................     05601  4.0
VT.....................................................     05602  4.0
VT.....................................................     05603  4.0
VT.....................................................     05604  4.0
VT.....................................................     05609  4.0
VT.....................................................     05620  4.0
VT.....................................................     05633  4.0
VT.....................................................     05640  5.0
VT.....................................................     05641  4.0
VT.....................................................     05647  5.0
VT.....................................................     05648  5.0
VT.....................................................     05649  4.0
VT.....................................................     05650  5.0
VT.....................................................     05651  5.0
VT.....................................................     05652  10.0
VT.....................................................     05653  10.0
VT.....................................................     05654  4.0
VT.....................................................     05655  10.0
VT.....................................................     05656  10.0
VT.....................................................     05657  10.0
VT.....................................................     05658  5.0
VT.....................................................     05660  3.0
VT.....................................................     05661  10.0
VT.....................................................     05662  10.4
VT.....................................................     05663  7.4
VT.....................................................     05664  7.4
VT.....................................................     05665  10.0
VT.....................................................     05666  5.0
VT.....................................................     05667  5.0
VT.....................................................     05669  7.4
VT.....................................................     05670  4.0
VT.....................................................     05671  9.1
VT.....................................................     05672  10.4
VT.....................................................     05673  10.0
VT.....................................................     05674  10.0
VT.....................................................     05675  10.5
VT.....................................................     05676  9.1
VT.....................................................     05677  9.1

[[Page 70234]]

 
VT.....................................................     05678  4.0
VT.....................................................     05679  5.0
VT.....................................................     05680  10.0
VT.....................................................     05681  5.0
VT.....................................................     05682  5.0
VT.....................................................     05701  4.0
VT.....................................................     05702  4.0
VT.....................................................     05730  5.0
VT.....................................................     05731  7.2
VT.....................................................     05732  7.2
VT.....................................................     05733  10.5
VT.....................................................     05734  10.6
VT.....................................................     05735  7.2
VT.....................................................     05736  5.0
VT.....................................................     05737  5.0
VT.....................................................     05738  10.5
VT.....................................................     05739  10.0
VT.....................................................     05740  7.0
VT.....................................................     05741  10.5
VT.....................................................     05742  5.0
VT.....................................................     05743  7.2
VT.....................................................     05744  5.0
VT.....................................................     05745  10.5
VT.....................................................     05746  10.5
VT.....................................................     05747  10.6
VT.....................................................     05748  10.6
VT.....................................................     05750  10.5
VT.....................................................     05751  10.5
VT.....................................................     05753  7.0
VT.....................................................     05757  10.2
VT.....................................................     05758  5.0
VT.....................................................     05759  5.0
VT.....................................................     05760  10.6
VT.....................................................     05761  10.0
VT.....................................................     05762  5.0
VT.....................................................     05763  5.0
VT.....................................................     05764  10.5
VT.....................................................     05765  5.0
VT.....................................................     05766  10.6
VT.....................................................     05767  10.0
VT.....................................................     05768  10.0
VT.....................................................     05769  10.6
VT.....................................................     05770  10.6
VT.....................................................     05772  10.5
VT.....................................................     05773  5.0
VT.....................................................     05774  10.5
VT.....................................................     05775  10.0
VT.....................................................     05776  10.0
VT.....................................................     05777  4.0
VT.....................................................     05778  10.6
VT.....................................................     05819  7.0
VT.....................................................     05820  10.0
VT.....................................................     05821  10.6
VT.....................................................     05822  10.6
VT.....................................................     05823  7.0
VT.....................................................     05824  9.0
VT.....................................................     05825  10.6
VT.....................................................     05826  10.0
VT.....................................................     05827  10.0
VT.....................................................     05828  10.6
VT.....................................................     05829  10.3
VT.....................................................     05830  10.3
VT.....................................................     05832  8.0
VT.....................................................     05833  10.6
VT.....................................................     05836  10.0
VT.....................................................     05837  10.0
VT.....................................................     05838  7.0
VT.....................................................     05839  10.0
VT.....................................................     05840  10.0
VT.....................................................     05841  10.0
VT.....................................................     05842  10.0
VT.....................................................     05843  10.0
VT.....................................................     05845  10.0
VT.....................................................     05846  10.0
VT.....................................................     05847  10.0
VT.....................................................     05848  7.0
VT.....................................................     05849  7.0
VT.....................................................     05850  7.0
VT.....................................................     05851  7.0
VT.....................................................     05853  10.6
VT.....................................................     05855  7.0
VT.....................................................     05857  10.6
VT.....................................................     05858  10.0
VT.....................................................     05859  10.6
VT.....................................................     05860  10.6
VT.....................................................     05861  7.0
VT.....................................................     05862  10.0
VT.....................................................     05863  7.0
VT.....................................................     05866  10.6
VT.....................................................     05867  10.6
VT.....................................................     05868  10.6
VT.....................................................     05871  8.0
VT.....................................................     05872  10.6
VT.....................................................     05873  10.6
VT.....................................................     05874  10.6
VT.....................................................     05875  10.0
VT.....................................................     05901  10.0
VT.....................................................     05902  10.0
VT.....................................................     05903  10.0
VT.....................................................     05904  10.0
VT.....................................................     05905  10.0
VT.....................................................     05906  10.0
VT.....................................................     05907  10.0
WA.....................................................     98001  1.0
WA.....................................................     98002  1.0
WA.....................................................     98003  1.0
WA.....................................................     98004  1.0
WA.....................................................     98005  1.0
WA.....................................................     98006  1.0
WA.....................................................     98007  1.0
WA.....................................................     98008  1.0
WA.....................................................     98009  1.0
WA.....................................................     98010  1.0
WA.....................................................     98011  1.0
WA.....................................................     98012  1.0
WA.....................................................     98013  2.0
WA.....................................................     98014  2.0
WA.....................................................     98015  1.0
WA.....................................................     98019  1.0
WA.....................................................     98020  1.0
WA.....................................................     98021  1.0
WA.....................................................     98022  1.0
WA.....................................................     98023  1.0
WA.....................................................     98024  2.0
WA.....................................................     98025  1.0
WA.....................................................     98026  1.0
WA.....................................................     98027  1.0
WA.....................................................     98028  1.0
WA.....................................................     98029  1.0
WA.....................................................     98030  1.0
WA.....................................................     98031  1.0
WA.....................................................     98032  1.0
WA.....................................................     98033  1.0
WA.....................................................     98034  1.0
WA.....................................................     98035  1.0
WA.....................................................     98036  1.0
WA.....................................................     98037  1.0
WA.....................................................     98038  1.0
WA.....................................................     98039  1.0
WA.....................................................     98040  1.0
WA.....................................................     98041  1.0
WA.....................................................     98042  1.0
WA.....................................................     98043  1.0
WA.....................................................     98045  2.0
WA.....................................................     98046  1.0
WA.....................................................     98047  1.0
WA.....................................................     98050  1.0
WA.....................................................     98051  2.0
WA.....................................................     98052  1.0
WA.....................................................     98053  1.0
WA.....................................................     98054  1.0
WA.....................................................     98055  1.0
WA.....................................................     98056  1.0
WA.....................................................     98057  1.0
WA.....................................................     98058  1.0
WA.....................................................     98059  1.0
WA.....................................................     98061  1.0
WA.....................................................     98062  1.0
WA.....................................................     98063  1.0
WA.....................................................     98064  1.0
WA.....................................................     98065  2.0
WA.....................................................     98068  7.3
WA.....................................................     98070  2.0
WA.....................................................     98071  1.0
WA.....................................................     98072  1.0
WA.....................................................     98073  1.0
WA.....................................................     98074  1.0
WA.....................................................     98075  1.0
WA.....................................................     98077  1.0
WA.....................................................     98082  1.0
WA.....................................................     98083  1.0
WA.....................................................     98087  1.0
WA.....................................................     98089  1.0
WA.....................................................     98092  1.0
WA.....................................................     98093  1.0
WA.....................................................     98101  1.0
WA.....................................................     98102  1.0
WA.....................................................     98103  1.0
WA.....................................................     98104  1.0
WA.....................................................     98105  1.0
WA.....................................................     98106  1.0
WA.....................................................     98107  1.0
WA.....................................................     98108  1.0
WA.....................................................     98109  1.0
WA.....................................................     98110  1.0
WA.....................................................     98111  1.0
WA.....................................................     98112  1.0
WA.....................................................     98113  1.0
WA.....................................................     98114  1.0
WA.....................................................     98115  1.0
WA.....................................................     98116  1.0
WA.....................................................     98117  1.0
WA.....................................................     98118  1.0
WA.....................................................     98119  1.0
WA.....................................................     98121  1.0
WA.....................................................     98122  1.0
WA.....................................................     98124  1.0
WA.....................................................     98125  1.0
WA.....................................................     98126  1.0
WA.....................................................     98127  1.0
WA.....................................................     98129  1.0
WA.....................................................     98131  1.0
WA.....................................................     98132  1.0
WA.....................................................     98133  1.0
WA.....................................................     98134  1.0
WA.....................................................     98136  1.0
WA.....................................................     98138  1.0

[[Page 70235]]

 
WA.....................................................     98139  1.0
WA.....................................................     98141  1.0
WA.....................................................     98144  1.0
WA.....................................................     98145  1.0
WA.....................................................     98146  1.0
WA.....................................................     98148  1.0
WA.....................................................     98151  1.0
WA.....................................................     98154  1.0
WA.....................................................     98155  1.0
WA.....................................................     98158  1.0
WA.....................................................     98160  1.0
WA.....................................................     98161  1.0
WA.....................................................     98164  1.0
WA.....................................................     98165  1.0
WA.....................................................     98166  1.0
WA.....................................................     98168  1.0
WA.....................................................     98170  1.0
WA.....................................................     98171  1.0
WA.....................................................     98174  1.0
WA.....................................................     98175  1.0
WA.....................................................     98177  1.0
WA.....................................................     98178  1.0
WA.....................................................     98181  1.0
WA.....................................................     98184  1.0
WA.....................................................     98185  1.0
WA.....................................................     98188  1.0
WA.....................................................     98190  1.0
WA.....................................................     98191  1.0
WA.....................................................     98194  1.0
WA.....................................................     98195  1.0
WA.....................................................     98198  1.0
WA.....................................................     98199  1.0
WA.....................................................     98201  1.0
WA.....................................................     98203  1.0
WA.....................................................     98204  1.0
WA.....................................................     98205  2.0
WA.....................................................     98206  1.0
WA.....................................................     98207  1.0
WA.....................................................     98208  1.0
WA.....................................................     98213  1.0
WA.....................................................     98220  2.0
WA.....................................................     98221  4.2
WA.....................................................     98222  4.2
WA.....................................................     98223  2.0
WA.....................................................     98224  2.0
WA.....................................................     98225  1.0
WA.....................................................     98226  1.0
WA.....................................................     98227  1.0
WA.....................................................     98228  1.0
WA.....................................................     98229  1.0
WA.....................................................     98230  2.0
WA.....................................................     98231  2.0
WA.....................................................     98232  2.0
WA.....................................................     98233  1.0
WA.....................................................     98235  1.0
WA.....................................................     98236  2.0
WA.....................................................     98237  2.0
WA.....................................................     98238  1.0
WA.....................................................     98239  5.0
WA.....................................................     98240  7.3
WA.....................................................     98241  2.0
WA.....................................................     98243  10.0
WA.....................................................     98244  2.0
WA.....................................................     98245  10.0
WA.....................................................     98247  2.0
WA.....................................................     98248  2.0
WA.....................................................     98249  2.0
WA.....................................................     98250  10.0
WA.....................................................     98251  2.0
WA.....................................................     98252  2.0
WA.....................................................     98253  2.0
WA.....................................................     98255  1.0
WA.....................................................     98256  2.0
WA.....................................................     98257  2.0
WA.....................................................     98258  2.0
WA.....................................................     98259  2.0
WA.....................................................     98260  2.0
WA.....................................................     98261  10.0
WA.....................................................     98262  10.1
WA.....................................................     98263  1.0
WA.....................................................     98264  7.1
WA.....................................................     98266  2.0
WA.....................................................     98267  2.0
WA.....................................................     98270  2.0
WA.....................................................     98271  2.0
WA.....................................................     98272  1.0
WA.....................................................     98273  1.0
WA.....................................................     98274  1.0
WA.....................................................     98275  1.0
WA.....................................................     98276  2.0
WA.....................................................     98277  4.0
WA.....................................................     98278  4.0
WA.....................................................     98279  10.0
WA.....................................................     98280  10.0
WA.....................................................     98281  10.0
WA.....................................................     98282  2.0
WA.....................................................     98283  2.0
WA.....................................................     98284  1.0
WA.....................................................     98286  10.0
WA.....................................................     98287  2.0
WA.....................................................     98288  2.0
WA.....................................................     98290  2.0
WA.....................................................     98291  2.0
WA.....................................................     98292  2.0
WA.....................................................     98293  2.0
WA.....................................................     98294  2.0
WA.....................................................     98295  2.0
WA.....................................................     98296  1.0
WA.....................................................     98297  10.0
WA.....................................................     98303  2.0
WA.....................................................     98304  2.0
WA.....................................................     98305  10.3
WA.....................................................     98310  1.0
WA.....................................................     98311  1.0
WA.....................................................     98312  1.0
WA.....................................................     98314  1.0
WA.....................................................     98315  1.0
WA.....................................................     98320  10.4
WA.....................................................     98321  1.0
WA.....................................................     98322  1.0
WA.....................................................     98323  1.0
WA.....................................................     98324  7.4
WA.....................................................     98325  8.0
WA.....................................................     98326  10.0
WA.....................................................     98327  1.0
WA.....................................................     98328  2.0
WA.....................................................     98329  1.0
WA.....................................................     98330  2.0
WA.....................................................     98331  7.0
WA.....................................................     98332  1.0
WA.....................................................     98333  1.0
WA.....................................................     98335  1.0
WA.....................................................     98336  10.5
WA.....................................................     98337  1.0
WA.....................................................     98338  1.0
WA.....................................................     98339  8.0
WA.....................................................     98340  2.1
WA.....................................................     98342  2.1
WA.....................................................     98343  4.0
WA.....................................................     98344  1.0
WA.....................................................     98345  1.0
WA.....................................................     98346  2.1
WA.....................................................     98348  2.0
WA.....................................................     98349  2.0
WA.....................................................     98350  7.0
WA.....................................................     98351  2.0
WA.....................................................     98352  1.0
WA.....................................................     98353  1.0
WA.....................................................     98354  1.0
WA.....................................................     98355  5.0
WA.....................................................     98356  10.5
WA.....................................................     98357  10.0
WA.....................................................     98358  8.0
WA.....................................................     98359  1.0
WA.....................................................     98360  1.0
WA.....................................................     98361  10.0
WA.....................................................     98362  4.0
WA.....................................................     98363  4.0
WA.....................................................     98364  1.0
WA.....................................................     98365  10.4
WA.....................................................     98366  1.0
WA.....................................................     98367  1.0
WA.....................................................     98368  7.0
WA.....................................................     98370  1.0
WA.....................................................     98371  1.0
WA.....................................................     98372  1.0
WA.....................................................     98373  1.0
WA.....................................................     98374  1.0
WA.....................................................     98375  1.0
WA.....................................................     98376  10.4
WA.....................................................     98377  10.0
WA.....................................................     98378  1.0
WA.....................................................     98380  2.1
WA.....................................................     98381  10.0
WA.....................................................     98382  7.4
WA.....................................................     98383  1.0
WA.....................................................     98384  1.0
WA.....................................................     98385  1.0
WA.....................................................     98386  1.0
WA.....................................................     98387  1.0
WA.....................................................     98388  1.0
WA.....................................................     98390  1.0
WA.....................................................     98391  1.0
WA.....................................................     98392  1.0
WA.....................................................     98393  1.0
WA.....................................................     98394  2.0
WA.....................................................     98395  1.0
WA.....................................................     98396  1.0
WA.....................................................     98397  1.0
WA.....................................................     98398  10.0
WA.....................................................     98401  1.0
WA.....................................................     98402  1.0
WA.....................................................     98403  1.0
WA.....................................................     98404  1.0
WA.....................................................     98405  1.0
WA.....................................................     98406  1.0
WA.....................................................     98407  1.0
WA.....................................................     98408  1.0
WA.....................................................     98409  1.0
WA.....................................................     98411  1.0
WA.....................................................     98412  1.0
WA.....................................................     98413  1.0
WA.....................................................     98415  1.0
WA.....................................................     98416  1.0
WA.....................................................     98418  1.0
WA.....................................................     98421  1.0
WA.....................................................     98422  1.0

[[Page 70236]]

 
WA.....................................................     98424  1.0
WA.....................................................     98430  1.0
WA.....................................................     98431  1.0
WA.....................................................     98433  1.0
WA.....................................................     98438  1.0
WA.....................................................     98439  1.0
WA.....................................................     98442  1.0
WA.....................................................     98443  1.0
WA.....................................................     98444  1.0
WA.....................................................     98445  1.0
WA.....................................................     98446  1.0
WA.....................................................     98447  1.0
WA.....................................................     98450  1.0
WA.....................................................     98455  1.0
WA.....................................................     98460  1.0
WA.....................................................     98464  1.0
WA.....................................................     98465  1.0
WA.....................................................     98466  1.0
WA.....................................................     98467  1.0
WA.....................................................     98471  1.0
WA.....................................................     98477  1.0
WA.....................................................     98481  1.0
WA.....................................................     98492  1.0
WA.....................................................     98493  1.0
WA.....................................................     98497  1.0
WA.....................................................     98498  1.0
WA.....................................................     98499  1.0
WA.....................................................     98501  1.0
WA.....................................................     98502  1.0
WA.....................................................     98503  1.0
WA.....................................................     98504  1.0
WA.....................................................     98505  1.0
WA.....................................................     98506  1.0
WA.....................................................     98507  1.0
WA.....................................................     98508  1.0
WA.....................................................     98509  1.0
WA.....................................................     98511  1.0
WA.....................................................     98512  1.0
WA.....................................................     98513  1.0
WA.....................................................     98516  1.0
WA.....................................................     98520  4.0
WA.....................................................     98522  5.0
WA.....................................................     98524  2.0
WA.....................................................     98526  10.5
WA.....................................................     98527  7.0
WA.....................................................     98528  2.0
WA.....................................................     98530  2.0
WA.....................................................     98531  4.2
WA.....................................................     98532  5.0
WA.....................................................     98533  5.0
WA.....................................................     98535  7.4
WA.....................................................     98536  7.4
WA.....................................................     98537  4.0
WA.....................................................     98538  5.0
WA.....................................................     98539  5.0
WA.....................................................     98540  1.0
WA.....................................................     98541  7.4
WA.....................................................     98542  5.0
WA.....................................................     98544  4.2
WA.....................................................     98546  5.2
WA.....................................................     98547  10.5
WA.....................................................     98548  5.2
WA.....................................................     98550  4.0
WA.....................................................     98552  5.0
WA.....................................................     98554  7.0
WA.....................................................     98555  5.2
WA.....................................................     98556  1.0
WA.....................................................     98557  3.0
WA.....................................................     98558  2.0
WA.....................................................     98559  7.4
WA.....................................................     98560  10.5
WA.....................................................     98561  7.0
WA.....................................................     98562  7.4
WA.....................................................     98563  5.0
WA.....................................................     98564  10.5
WA.....................................................     98565  5.0
WA.....................................................     98566  5.0
WA.....................................................     98568  10.4
WA.....................................................     98569  7.4
WA.....................................................     98570  5.0
WA.....................................................     98571  7.4
WA.....................................................     98572  5.0
WA.....................................................     98575  5.0
WA.....................................................     98576  2.0
WA.....................................................     98577  7.0
WA.....................................................     98579  4.2
WA.....................................................     98580  2.0
WA.....................................................     98581  2.0
WA.....................................................     98582  5.0
WA.....................................................     98583  5.0
WA.....................................................     98584  4.2
WA.....................................................     98585  5.0
WA.....................................................     98586  7.0
WA.....................................................     98587  10.5
WA.....................................................     98588  2.0
WA.....................................................     98589  2.0
WA.....................................................     98590  7.0
WA.....................................................     98591  10.5
WA.....................................................     98592  6.1
WA.....................................................     98593  10.5
WA.....................................................     98595  10.5
WA.....................................................     98596  5.0
WA.....................................................     98597  2.0
WA.....................................................     98599  1.0
WA.....................................................     98601  2.0
WA.....................................................     98602  6.0
WA.....................................................     98603  7.1
WA.....................................................     98604  1.0
WA.....................................................     98605  5.0
WA.....................................................     98606  2.0
WA.....................................................     98607  1.0
WA.....................................................     98609  1.0
WA.....................................................     98610  10.0
WA.....................................................     98611  2.0
WA.....................................................     98612  10.4
WA.....................................................     98613  6.0
WA.....................................................     98614  10.6
WA.....................................................     98616  7.1
WA.....................................................     98617  6.0
WA.....................................................     98619  7.0
WA.....................................................     98620  7.0
WA.....................................................     98621  10.4
WA.....................................................     98622  1.0
WA.....................................................     98623  4.0
WA.....................................................     98624  7.0
WA.....................................................     98625  2.0
WA.....................................................     98626  1.0
WA.....................................................     98628  6.0
WA.....................................................     98629  2.0
WA.....................................................     98631  7.0
WA.....................................................     98632  1.0
WA.....................................................     98635  6.0
WA.....................................................     98637  8.0
WA.....................................................     98638  10.6
WA.....................................................     98639  5.1
WA.....................................................     98640  8.0
WA.....................................................     98641  8.0
WA.....................................................     98642  2.0
WA.....................................................     98643  10.4
WA.....................................................     98644  7.0
WA.....................................................     98645  2.0
WA.....................................................     98647  10.4
WA.....................................................     98648  5.1
WA.....................................................     98649  2.0
WA.....................................................     98650  4.0
WA.....................................................     98651  5.0
WA.....................................................     98660  1.0
WA.....................................................     98661  1.0
WA.....................................................     98662  1.0
WA.....................................................     98663  1.0
WA.....................................................     98664  1.0
WA.....................................................     98665  1.0
WA.....................................................     98666  1.0
WA.....................................................     98667  1.0
WA.....................................................     98668  1.0
WA.....................................................     98670  6.0
WA.....................................................     98671  1.0
WA.....................................................     98672  4.0
WA.....................................................     98673  6.0
WA.....................................................     98674  7.1
WA.....................................................     98675  2.0
WA.....................................................     98682  1.0
WA.....................................................     98683  1.0
WA.....................................................     98684  1.0
WA.....................................................     98685  1.0
WA.....................................................     98686  1.0
WA.....................................................     98687  1.0
WA.....................................................     98801  1.0
WA.....................................................     98802  1.0
WA.....................................................     98807  1.0
WA.....................................................     98811  10.1
WA.....................................................     98812  10.0
WA.....................................................     98813  10.0
WA.....................................................     98814  10.0
WA.....................................................     98815  2.0
WA.....................................................     98816  7.3
WA.....................................................     98817  7.3
WA.....................................................     98819  8.0
WA.....................................................     98821  2.0
WA.....................................................     98822  10.1
WA.....................................................     98823  7.4
WA.....................................................     98824  7.0
WA.....................................................     98826  10.4
WA.....................................................     98827  10.0
WA.....................................................     98828  2.0
WA.....................................................     98829  7.0
WA.....................................................     98830  10.0
WA.....................................................     98831  10.6
WA.....................................................     98832  5.0
WA.....................................................     98833  10.0
WA.....................................................     98834  10.0
WA.....................................................     98836  1.0
WA.....................................................     98837  4.0
WA.....................................................     98840  7.0
WA.....................................................     98841  7.0
WA.....................................................     98843  10.0
WA.....................................................     98844  10.0
WA.....................................................     98845  10.4
WA.....................................................     98846  10.0
WA.....................................................     98847  2.0
WA.....................................................     98848  7.0
WA.....................................................     98849  8.0
WA.....................................................     98850  1.0
WA.....................................................     98851  8.0
WA.....................................................     98852  10.1
WA.....................................................     98853  5.0
WA.....................................................     98855  10.6

[[Page 70237]]

 
WA.....................................................     98856  10.0
WA.....................................................     98857  10.5
WA.....................................................     98858  10.4
WA.....................................................     98859  10.0
WA.....................................................     98860  5.0
WA.....................................................     98862  10.0
WA.....................................................     98901  1.0
WA.....................................................     98902  1.0
WA.....................................................     98903  1.0
WA.....................................................     98904  1.0
WA.....................................................     98907  1.0
WA.....................................................     98908  1.0
WA.....................................................     98909  1.0
WA.....................................................     98920  2.0
WA.....................................................     98921  4.2
WA.....................................................     98922  7.3
WA.....................................................     98923  2.0
WA.....................................................     98925  7.3
WA.....................................................     98926  4.0
WA.....................................................     98929  2.0
WA.....................................................     98930  7.4
WA.....................................................     98932  6.0
WA.....................................................     98933  2.0
WA.....................................................     98934  4.0
WA.....................................................     98935  10.5
WA.....................................................     98936  2.0
WA.....................................................     98937  2.0
WA.....................................................     98938  6.0
WA.....................................................     98939  2.0
WA.....................................................     98940  7.3
WA.....................................................     98941  7.3
WA.....................................................     98942  1.0
WA.....................................................     98943  7.3
WA.....................................................     98944  4.2
WA.....................................................     98946  5.0
WA.....................................................     98947  2.0
WA.....................................................     98948  4.2
WA.....................................................     98950  4.0
WA.....................................................     98951  2.0
WA.....................................................     98952  10.4
WA.....................................................     98953  4.2
WA.....................................................     99001  1.0
WA.....................................................     99003  2.0
WA.....................................................     99004  7.1
WA.....................................................     99005  2.0
WA.....................................................     99006  2.0
WA.....................................................     99008  10.4
WA.....................................................     99009  2.0
WA.....................................................     99011  4.1
WA.....................................................     99012  2.0
WA.....................................................     99013  2.0
WA.....................................................     99014  7.1
WA.....................................................     99015  2.0
WA.....................................................     99016  1.0
WA.....................................................     99017  10.4
WA.....................................................     99018  2.0
WA.....................................................     99019  1.0
WA.....................................................     99020  7.1
WA.....................................................     99021  1.0
WA.....................................................     99022  4.1
WA.....................................................     99023  2.0
WA.....................................................     99025  1.0
WA.....................................................     99026  2.0
WA.....................................................     99027  1.0
WA.....................................................     99029  10.4
WA.....................................................     99030  2.0
WA.....................................................     99031  2.0
WA.....................................................     99032  10.4
WA.....................................................     99033  10.4
WA.....................................................     99034  2.0
WA.....................................................     99036  2.0
WA.....................................................     99037  1.0
WA.....................................................     99039  2.0
WA.....................................................     99040  10.0
WA.....................................................     99101  8.0
WA.....................................................     99102  4.0
WA.....................................................     99103  10.0
WA.....................................................     99104  10.2
WA.....................................................     99105  10.0
WA.....................................................     99107  10.0
WA.....................................................     99109  10.0
WA.....................................................     99110  2.0
WA.....................................................     99111  7.4
WA.....................................................     99113  10.5
WA.....................................................     99114  8.0
WA.....................................................     99115  10.0
WA.....................................................     99116  10.0
WA.....................................................     99117  10.0
WA.....................................................     99118  10.0
WA.....................................................     99119  10.0
WA.....................................................     99121  10.0
WA.....................................................     99122  10.4
WA.....................................................     99123  10.0
WA.....................................................     99124  10.0
WA.....................................................     99125  10.4
WA.....................................................     99126  10.3
WA.....................................................     99127  10.4
WA.....................................................     99128  10.2
WA.....................................................     99129  10.0
WA.....................................................     99130  10.2
WA.....................................................     99131  10.6
WA.....................................................     99133  10.0
WA.....................................................     99134  10.4
WA.....................................................     99135  10.0
WA.....................................................     99136  10.5
WA.....................................................     99137  10.6
WA.....................................................     99138  10.0
WA.....................................................     99139  10.0
WA.....................................................     99140  10.0
WA.....................................................     99141  10.3
WA.....................................................     99143  10.5
WA.....................................................     99144  10.4
WA.....................................................     99146  10.3
WA.....................................................     99147  10.0
WA.....................................................     99148  2.0
WA.....................................................     99149  10.4
WA.....................................................     99150  10.0
WA.....................................................     99151  10.3
WA.....................................................     99152  10.0
WA.....................................................     99153  10.0
WA.....................................................     99154  10.4
WA.....................................................     99155  10.0
WA.....................................................     99156  2.0
WA.....................................................     99157  10.3
WA.....................................................     99158  10.2
WA.....................................................     99159  10.4
WA.....................................................     99160  10.0
WA.....................................................     99161  10.2
WA.....................................................     99163  4.0
WA.....................................................     99164  4.0
WA.....................................................     99165  4.0
WA.....................................................     99166  10.0
WA.....................................................     99167  10.3
WA.....................................................     99169  10.0
WA.....................................................     99170  10.4
WA.....................................................     99171  10.4
WA.....................................................     99173  10.4
WA.....................................................     99174  7.4
WA.....................................................     99176  10.2
WA.....................................................     99179  10.5
WA.....................................................     99180  10.0
WA.....................................................     99181  10.4
WA.....................................................     99185  10.0
WA.....................................................     99201  1.0
WA.....................................................     99202  1.0
WA.....................................................     99203  1.0
WA.....................................................     99204  1.0
WA.....................................................     99205  1.0
WA.....................................................     99206  1.0
WA.....................................................     99207  1.0
WA.....................................................     99208  1.0
WA.....................................................     99209  1.0
WA.....................................................     99210  1.0
WA.....................................................     99211  1.0
WA.....................................................     99212  1.0
WA.....................................................     99213  1.0
WA.....................................................     99214  1.0
WA.....................................................     99215  1.0
WA.....................................................     99216  1.0
WA.....................................................     99217  1.0
WA.....................................................     99218  1.0
WA.....................................................     99219  1.0
WA.....................................................     99220  1.0
WA.....................................................     99223  1.0
WA.....................................................     99224  1.0
WA.....................................................     99228  1.0
WA.....................................................     99251  1.0
WA.....................................................     99252  1.0
WA.....................................................     99256  1.0
WA.....................................................     99258  1.0
WA.....................................................     99260  1.0
WA.....................................................     99299  1.0
WA.....................................................     99301  1.0
WA.....................................................     99302  1.0
WA.....................................................     99320  2.0
WA.....................................................     99321  10.0
WA.....................................................     99322  7.0
WA.....................................................     99323  2.0
WA.....................................................     99324  4.0
WA.....................................................     99326  7.3
WA.....................................................     99327  7.0
WA.....................................................     99328  7.4
WA.....................................................     99329  5.0
WA.....................................................     99330  2.0
WA.....................................................     99332  7.0
WA.....................................................     99333  10.5
WA.....................................................     99335  1.0
WA.....................................................     99336  1.0
WA.....................................................     99337  1.0
WA.....................................................     99338  1.0
WA.....................................................     99341  10.0
WA.....................................................     99343  7.3
WA.....................................................     99344  7.0
WA.....................................................     99345  7.3
WA.....................................................     99346  1.0
WA.....................................................     99347  10.4
WA.....................................................     99348  2.0
WA.....................................................     99349  10.0
WA.....................................................     99350  7.3
WA.....................................................     99352  1.0
WA.....................................................     99353  1.0
WA.....................................................     99354  1.0
WA.....................................................     99356  7.0
WA.....................................................     99357  10.0
WA.....................................................     99359  5.0
WA.....................................................     99360  5.0
WA.....................................................     99361  5.0

[[Page 70238]]

 
WA.....................................................     99362  4.0
WA.....................................................     99363  5.0
WA.....................................................     99371  10.0
WA.....................................................     99401  1.0
WA.....................................................     99402  1.0
WA.....................................................     99403  1.0
WI.....................................................     53001  3.0
WI.....................................................     53002  3.0
WI.....................................................     53003  1.0
WI.....................................................     53004  2.0
WI.....................................................     53005  1.0
WI.....................................................     53006  10.4
WI.....................................................     53007  1.0
WI.....................................................     53008  1.0
WI.....................................................     53010  10.5
WI.....................................................     53011  2.0
WI.....................................................     53012  1.0
WI.....................................................     53013  2.0
WI.....................................................     53014  7.0
WI.....................................................     53015  2.0
WI.....................................................     53016  10.5
WI.....................................................     53017  2.0
WI.....................................................     53018  1.0
WI.....................................................     53019  2.0
WI.....................................................     53020  2.0
WI.....................................................     53021  2.0
WI.....................................................     53022  1.0
WI.....................................................     53023  9.1
WI.....................................................     53024  1.0
WI.....................................................     53026  9.1
WI.....................................................     53027  2.0
WI.....................................................     53029  1.0
WI.....................................................     53031  1.0
WI.....................................................     53032  7.0
WI.....................................................     53033  2.0
WI.....................................................     53034  2.0
WI.....................................................     53035  3.0
WI.....................................................     53036  2.0
WI.....................................................     53037  2.0
WI.....................................................     53038  3.0
WI.....................................................     53039  10.5
WI.....................................................     53040  6.1
WI.....................................................     53042  7.3
WI.....................................................     53044  1.0
WI.....................................................     53045  1.0
WI.....................................................     53046  1.0
WI.....................................................     53047  4.2
WI.....................................................     53048  10.4
WI.....................................................     53049  2.0
WI.....................................................     53050  7.0
WI.....................................................     53051  1.0
WI.....................................................     53052  1.0
WI.....................................................     53056  1.0
WI.....................................................     53057  2.0
WI.....................................................     53058  1.0
WI.....................................................     53059  2.0
WI.....................................................     53060  4.1
WI.....................................................     53061  7.3
WI.....................................................     53062  7.3
WI.....................................................     53063  2.0
WI.....................................................     53064  1.0
WI.....................................................     53065  2.0
WI.....................................................     53066  1.0
WI.....................................................     53069  1.0
WI.....................................................     53070  2.0
WI.....................................................     53072  1.0
WI.....................................................     53073  7.1
WI.....................................................     53074  2.0
WI.....................................................     53075  2.0
WI.....................................................     53076  2.0
WI.....................................................     53078  2.0
WI.....................................................     53079  2.0
WI.....................................................     53080  1.0
WI.....................................................     53081  1.0
WI.....................................................     53082  1.0
WI.....................................................     53083  1.0
WI.....................................................     53085  1.0
WI.....................................................     53086  2.0
WI.....................................................     53088  7.0
WI.....................................................     53089  1.0
WI.....................................................     53090  4.1
WI.....................................................     53091  10.4
WI.....................................................     53092  1.0
WI.....................................................     53093  2.0
WI.....................................................     53094  4.2
WI.....................................................     53095  4.1
WI.....................................................     53097  1.0
WI.....................................................     53098  4.2
WI.....................................................     53099  3.0
WI.....................................................     53101  4.2
WI.....................................................     53102  2.0
WI.....................................................     53103  1.0
WI.....................................................     53104  2.0
WI.....................................................     53105  4.2
WI.....................................................     53108  2.1
WI.....................................................     53109  2.0
WI.....................................................     53110  1.0
WI.....................................................     53114  4.0
WI.....................................................     53115  4.0
WI.....................................................     53118  1.0
WI.....................................................     53119  2.0
WI.....................................................     53120  2.0
WI.....................................................     53121  7.0
WI.....................................................     53122  1.0
WI.....................................................     53125  9.1
WI.....................................................     53126  2.0
WI.....................................................     53127  1.0
WI.....................................................     53128  4.2
WI.....................................................     53129  1.0
WI.....................................................     53130  1.0
WI.....................................................     53132  1.0
WI.....................................................     53137  5.2
WI.....................................................     53138  4.2
WI.....................................................     53139  9.1
WI.....................................................     53140  1.0
WI.....................................................     53141  1.0
WI.....................................................     53142  1.0
WI.....................................................     53143  1.0
WI.....................................................     53144  1.0
WI.....................................................     53146  1.0
WI.....................................................     53147  4.2
WI.....................................................     53148  4.2
WI.....................................................     53149  2.0
WI.....................................................     53150  1.0
WI.....................................................     53151  1.0
WI.....................................................     53152  4.2
WI.....................................................     53153  1.0
WI.....................................................     53154  1.0
WI.....................................................     53156  2.0
WI.....................................................     53157  4.2
WI.....................................................     53158  1.0
WI.....................................................     53159  4.2
WI.....................................................     53167  2.0
WI.....................................................     53168  2.0
WI.....................................................     53170  2.0
WI.....................................................     53171  1.0
WI.....................................................     53172  1.0
WI.....................................................     53176  7.0
WI.....................................................     53177  1.0
WI.....................................................     53178  2.0
WI.....................................................     53179  2.0
WI.....................................................     53181  2.0
WI.....................................................     53182  9.1
WI.....................................................     53183  1.0
WI.....................................................     53184  9.1
WI.....................................................     53185  2.0
WI.....................................................     53186  1.0
WI.....................................................     53187  1.0
WI.....................................................     53188  1.0
WI.....................................................     53189  1.0
WI.....................................................     53190  4.0
WI.....................................................     53191  9.1
WI.....................................................     53192  2.0
WI.....................................................     53194  2.0
WI.....................................................     53195  4.2
WI.....................................................     53201  1.0
WI.....................................................     53202  1.0
WI.....................................................     53203  1.0
WI.....................................................     53204  1.0
WI.....................................................     53205  1.0
WI.....................................................     53206  1.0
WI.....................................................     53207  1.0
WI.....................................................     53208  1.0
WI.....................................................     53209  1.0
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WI.....................................................     54739  2.0
WI.....................................................     54740  10.4
WI.....................................................     54741  10.4
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WI.....................................................     54743  10.4
WI.....................................................     54745  3.0
WI.....................................................     54746  10.0
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WI.....................................................     54749  6.0
WI.....................................................     54750  10.5
WI.....................................................     54751  4.0
WI.....................................................     54754  8.0
WI.....................................................     54755  10.4
WI.....................................................     54756  10.0
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WI.....................................................     54760  10.4
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WI.....................................................     54766  8.0
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WI.....................................................     54847  10.3
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[[Page 70242]]

 
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WI.....................................................     54960  10.0
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WI.....................................................     54966  10.5
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WV.....................................................     25075  1.0
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WV.....................................................     25079  2.0
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WV.....................................................     25106  10.5
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WV.....................................................     25109  2.0
WV.....................................................     25110  1.0
WV.....................................................     25111  10.4
WV.....................................................     25112  1.0
WV.....................................................     25113  10.4
WV.....................................................     25114  10.0
WV.....................................................     25115  4.0
WV.....................................................     25118  2.0
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WV.....................................................     25121  9.0
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WV.....................................................     25124  1.0
WV.....................................................     25125  10.4
WV.....................................................     25126  1.0
WV.....................................................     25130  7.0
WV.....................................................     25132  1.0
WV.....................................................     25133  3.0
WV.....................................................     25134  1.0
WV.....................................................     25136  1.0
WV.....................................................     25139  2.0
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WV.....................................................     25141  3.0
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WV.....................................................     25148  2.0
WV.....................................................     25149  10.0
WV.....................................................     25150  3.0
WV.....................................................     25152  1.0
WV.....................................................     25154  2.0
WV.....................................................     25156  2.0
WV.....................................................     25159  1.0
WV.....................................................     25160  1.0
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WV.....................................................     25162  1.0
WV.....................................................     25164  10.4
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WV.....................................................     25169  2.0
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WV.....................................................     25174  5.0
WV.....................................................     25177  1.0
WV.....................................................     25180  5.0
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WV.....................................................     25185  1.0
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WV.....................................................     25187  10.5
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WV.....................................................     25206  10.0
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WV.....................................................     25211  10.4
WV.....................................................     25213  2.0
WV.....................................................     25214  1.0
WV.....................................................     25231  2.0
WV.....................................................     25234  10.6
WV.....................................................     25235  10.6
WV.....................................................     25239  10.6
WV.....................................................     25241  10.6
WV.....................................................     25243  8.3
WV.....................................................     25244  2.0
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WV.....................................................     25247  10.5
WV.....................................................     25248  2.0
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WV.....................................................     25252  10.6
WV.....................................................     25253  10.5
WV.....................................................     25259  2.0
WV.....................................................     25260  10.5
WV.....................................................     25261  10.6
WV.....................................................     25262  10.6
WV.....................................................     25264  10.6
WV.....................................................     25265  10.5
WV.....................................................     25266  2.0
WV.....................................................     25267  10.0
WV.....................................................     25268  10.6
WV.....................................................     25270  8.0
WV.....................................................     25271  7.3
WV.....................................................     25275  10.6
WV.....................................................     25276  7.0
WV.....................................................     25279  2.0
WV.....................................................     25281  2.0
WV.....................................................     25285  3.0
WV.....................................................     25286  8.3
WV.....................................................     25287  5.0
WV.....................................................     25301  1.0
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WV.....................................................     25309  1.0
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WV.....................................................     25314  1.0
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WV.....................................................     25320  2.0
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WV.....................................................     25350  1.0
WV.....................................................     25356  1.0
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WV.....................................................     25364  1.0
WV.....................................................     25365  1.0
WV.....................................................     25375  1.0
WV.....................................................     25387  1.0
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WV.....................................................     25392  1.0
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WV.....................................................     25402  1.0
WV.....................................................     25410  2.0
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[[Page 70244]]

 
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WV.....................................................     25430  6.0
WV.....................................................     25431  10.4
WV.....................................................     25432  2.0
WV.....................................................     25434  2.0
WV.....................................................     25437  2.0
WV.....................................................     25438  4.2
WV.....................................................     25440  2.0
WV.....................................................     25441  4.2
WV.....................................................     25442  6.0
WV.....................................................     25443  7.3
WV.....................................................     25444  2.0
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WV.....................................................     25501  3.0
WV.....................................................     25502  10.5
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WV.....................................................     25505  10.6
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WV.....................................................     25508  8.0
WV.....................................................     25510  1.0
WV.....................................................     25511  2.0
WV.....................................................     25512  2.0
WV.....................................................     25514  3.0
WV.....................................................     25515  10.5
WV.....................................................     25517  3.0
WV.....................................................     25520  10.5
WV.....................................................     25521  2.0
WV.....................................................     25523  10.4
WV.....................................................     25524  10.0
WV.....................................................     25526  1.0
WV.....................................................     25529  3.0
WV.....................................................     25530  1.0
WV.....................................................     25534  10.4
WV.....................................................     25535  2.0
WV.....................................................     25537  2.1
WV.....................................................     25540  3.0
WV.....................................................     25541  1.0
WV.....................................................     25544  10.4
WV.....................................................     25545  2.1
WV.....................................................     25547  9.0
WV.....................................................     25550  4.0
WV.....................................................     25555  2.0
WV.....................................................     25557  2.0
WV.....................................................     25559  2.0
WV.....................................................     25560  1.0
WV.....................................................     25562  1.0
WV.....................................................     25564  2.0
WV.....................................................     25565  3.0
WV.....................................................     25567  2.0
WV.....................................................     25569  1.0
WV.....................................................     25570  2.0
WV.....................................................     25571  2.0
WV.....................................................     25572  2.0
WV.....................................................     25573  2.0
WV.....................................................     25601  7.0
WV.....................................................     25606  10.6
WV.....................................................     25607  10.6
WV.....................................................     25608  10.0
WV.....................................................     25611  10.6
WV.....................................................     25612  10.6
WV.....................................................     25614  7.0
WV.....................................................     25617  10.6
WV.....................................................     25621  10.0
WV.....................................................     25624  7.0
WV.....................................................     25625  7.0
WV.....................................................     25628  10.6
WV.....................................................     25630  10.6
WV.....................................................     25632  10.6
WV.....................................................     25634  10.6
WV.....................................................     25635  10.6
WV.....................................................     25636  7.0
WV.....................................................     25637  7.0
WV.....................................................     25638  10.6
WV.....................................................     25639  7.0
WV.....................................................     25644  10.6
WV.....................................................     25646  7.0
WV.....................................................     25647  7.0
WV.....................................................     25649  8.0
WV.....................................................     25650  10.0
WV.....................................................     25651  10.0
WV.....................................................     25652  7.0
WV.....................................................     25653  7.0
WV.....................................................     25654  10.6
WV.....................................................     25661  7.0
WV.....................................................     25665  7.0
WV.....................................................     25666  10.0
WV.....................................................     25667  7.0
WV.....................................................     25669  10.4
WV.....................................................     25670  10.6
WV.....................................................     25671  10.0
WV.....................................................     25672  10.0
WV.....................................................     25674  10.0
WV.....................................................     25676  10.0
WV.....................................................     25678  10.6
WV.....................................................     25682  10.0
WV.....................................................     25685  10.0
WV.....................................................     25686  10.0
WV.....................................................     25687  7.0
WV.....................................................     25688  10.6
WV.....................................................     25690  10.6
WV.....................................................     25691  7.0
WV.....................................................     25692  10.6
WV.....................................................     25694  10.0
WV.....................................................     25696  10.6
WV.....................................................     25697  10.0
WV.....................................................     25699  10.4
WV.....................................................     25701  1.0
WV.....................................................     25702  1.0
WV.....................................................     25703  1.0
WV.....................................................     25704  1.0
WV.....................................................     25705  1.0
WV.....................................................     25706  1.0
WV.....................................................     25707  1.0
WV.....................................................     25708  1.0
WV.....................................................     25709  1.0
WV.....................................................     25710  1.0
WV.....................................................     25711  1.0
WV.....................................................     25712  1.0
WV.....................................................     25713  1.0
WV.....................................................     25714  1.0
WV.....................................................     25715  1.0
WV.....................................................     25716  1.0
WV.....................................................     25717  1.0
WV.....................................................     25718  1.0
WV.....................................................     25719  1.0
WV.....................................................     25720  1.0
WV.....................................................     25721  1.0
WV.....................................................     25722  1.0
WV.....................................................     25723  1.0
WV.....................................................     25724  1.0
WV.....................................................     25725  1.0
WV.....................................................     25726  1.0
WV.....................................................     25727  1.0
WV.....................................................     25728  1.0
WV.....................................................     25729  1.0
WV.....................................................     25755  1.0
WV.....................................................     25770  1.0
WV.....................................................     25771  1.0
WV.....................................................     25772  1.0
WV.....................................................     25773  1.0
WV.....................................................     25774  1.0
WV.....................................................     25775  1.0
WV.....................................................     25776  1.0
WV.....................................................     25777  1.0
WV.....................................................     25778  1.0
WV.....................................................     25779  1.0
WV.....................................................     25801  4.0
WV.....................................................     25802  4.0
WV.....................................................     25810  10.5
WV.....................................................     25811  10.5
WV.....................................................     25812  10.5
WV.....................................................     25813  4.0
WV.....................................................     25816  4.0
WV.....................................................     25817  5.0
WV.....................................................     25818  4.0
WV.....................................................     25820  5.0
WV.....................................................     25823  5.0
WV.....................................................     25825  5.0
WV.....................................................     25826  10.5
WV.....................................................     25827  4.0
WV.....................................................     25831  6.0
WV.....................................................     25832  4.0
WV.....................................................     25833  5.0
WV.....................................................     25836  4.0
WV.....................................................     25837  10.5
WV.....................................................     25839  5.0
WV.....................................................     25840  4.0
WV.....................................................     25841  5.0
WV.....................................................     25843  5.0
WV.....................................................     25844  5.0
WV.....................................................     25845  10.0
WV.....................................................     25846  4.0
WV.....................................................     25847  4.0
WV.....................................................     25848  10.5
WV.....................................................     25849  4.0
WV.....................................................     25851  4.0
WV.....................................................     25853  5.0
WV.....................................................     25854  10.5
WV.....................................................     25855  4.0
WV.....................................................     25856  5.0
WV.....................................................     25857  5.0
WV.....................................................     25859  4.0
WV.....................................................     25860  4.0
WV.....................................................     25862  10.5
WV.....................................................     25864  4.0
WV.....................................................     25865  5.0
WV.....................................................     25866  4.0
WV.....................................................     25868  10.5
WV.....................................................     25870  10.5
WV.....................................................     25871  4.0
WV.....................................................     25873  4.0
WV.....................................................     25875  10.5
WV.....................................................     25876  10.5
WV.....................................................     25878  4.0
WV.....................................................     25879  4.0
WV.....................................................     25880  4.0
WV.....................................................     25882  10.5
WV.....................................................     25901  4.0

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WV.....................................................     25902  5.0
WV.....................................................     25904  4.0
WV.....................................................     25906  4.0
WV.....................................................     25907  6.0
WV.....................................................     25908  5.0
WV.....................................................     25909  4.0
WV.....................................................     25911  4.0
WV.....................................................     25913  10.5
WV.....................................................     25914  4.0
WV.....................................................     25915  5.0
WV.....................................................     25916  10.5
WV.....................................................     25917  5.0
WV.....................................................     25918  4.0
WV.....................................................     25919  4.0
WV.....................................................     25920  5.0
WV.....................................................     25921  4.0
WV.....................................................     25922  5.0
WV.....................................................     25926  4.0
WV.....................................................     25927  4.0
WV.....................................................     25928  10.5
WV.....................................................     25931  4.0
WV.....................................................     25932  5.0
WV.....................................................     25934  4.0
WV.....................................................     25936  6.0
WV.....................................................     25938  10.5
WV.....................................................     25942  4.0
WV.....................................................     25943  10.5
WV.....................................................     25951  10.6
WV.....................................................     25958  10.0
WV.....................................................     25961  10.0
WV.....................................................     25962  10.6
WV.....................................................     25965  10.6
WV.....................................................     25966  10.6
WV.....................................................     25967  10.6
WV.....................................................     25969  10.5
WV.....................................................     25971  4.0
WV.....................................................     25972  10.0
WV.....................................................     25976  6.0
WV.....................................................     25977  10.6
WV.....................................................     25978  10.5
WV.....................................................     25979  10.5
WV.....................................................     25981  10.0
WV.....................................................     25984  10.0
WV.....................................................     25985  10.6
WV.....................................................     25986  6.0
WV.....................................................     25989  5.0
WV.....................................................     26003  1.0
WV.....................................................     26030  2.1
WV.....................................................     26031  1.0
WV.....................................................     26032  2.0
WV.....................................................     26033  2.0
WV.....................................................     26034  4.0
WV.....................................................     26035  1.0
WV.....................................................     26036  2.0
WV.....................................................     26037  1.0
WV.....................................................     26038  1.0
WV.....................................................     26039  2.0
WV.....................................................     26040  1.0
WV.....................................................     26041  1.0
WV.....................................................     26047  2.0
WV.....................................................     26050  4.0
WV.....................................................     26055  2.0
WV.....................................................     26056  4.0
WV.....................................................     26058  2.1
WV.....................................................     26059  2.0
WV.....................................................     26060  2.0
WV.....................................................     26062  1.0
WV.....................................................     26070  2.1
WV.....................................................     26074  1.0
WV.....................................................     26075  2.1
WV.....................................................     26101  1.0
WV.....................................................     26102  1.0
WV.....................................................     26103  1.0
WV.....................................................     26104  1.0
WV.....................................................     26105  1.0
WV.....................................................     26106  1.0
WV.....................................................     26120  1.0
WV.....................................................     26121  1.0
WV.....................................................     26133  2.0
WV.....................................................     26134  2.0
WV.....................................................     26136  10.6
WV.....................................................     26137  10.0
WV.....................................................     26138  2.0
WV.....................................................     26141  10.6
WV.....................................................     26142  1.0
WV.....................................................     26143  2.0
WV.....................................................     26146  10.6
WV.....................................................     26147  10.6
WV.....................................................     26148  2.0
WV.....................................................     26149  10.6
WV.....................................................     26150  1.0
WV.....................................................     26151  10.6
WV.....................................................     26152  2.0
WV.....................................................     26155  8.0
WV.....................................................     26159  7.0
WV.....................................................     26160  2.0
WV.....................................................     26161  2.0
WV.....................................................     26162  10.6
WV.....................................................     26164  7.0
WV.....................................................     26167  10.6
WV.....................................................     26169  2.0
WV.....................................................     26170  9.0
WV.....................................................     26173  10.6
WV.....................................................     26175  7.0
WV.....................................................     26178  2.0
WV.....................................................     26180  2.0
WV.....................................................     26181  1.0
WV.....................................................     26184  2.0
WV.....................................................     26186  10.0
WV.....................................................     26187  1.0
WV.....................................................     26201  7.0
WV.....................................................     26202  8.0
WV.....................................................     26203  10.0
WV.....................................................     26205  10.6
WV.....................................................     26206  10.0
WV.....................................................     26208  10.6
WV.....................................................     26209  10.0
WV.....................................................     26210  8.0
WV.....................................................     26215  8.0
WV.....................................................     26217  10.0
WV.....................................................     26218  8.0
WV.....................................................     26219  8.0
WV.....................................................     26222  10.0
WV.....................................................     26224  8.0
WV.....................................................     26228  8.0
WV.....................................................     26229  7.0
WV.....................................................     26230  8.0
WV.....................................................     26234  8.0
WV.....................................................     26236  8.0
WV.....................................................     26237  8.0
WV.....................................................     26238  9.0
WV.....................................................     26241  7.0
WV.....................................................     26250  10.6
WV.....................................................     26253  8.0
WV.....................................................     26254  8.0
WV.....................................................     26257  8.0
WV.....................................................     26259  8.0
WV.....................................................     26260  10.0
WV.....................................................     26261  7.0
WV.....................................................     26263  8.0
WV.....................................................     26264  10.0
WV.....................................................     26266  10.0
WV.....................................................     26267  8.0
WV.....................................................     26268  8.0
WV.....................................................     26269  10.6
WV.....................................................     26270  8.0
WV.....................................................     26271  10.0
WV.....................................................     26273  10.6
WV.....................................................     26275  10.6
WV.....................................................     26276  8.0
WV.....................................................     26278  8.0
WV.....................................................     26280  10.6
WV.....................................................     26282  10.6
WV.....................................................     26283  8.0
WV.....................................................     26285  8.0
WV.....................................................     26287  10.6
WV.....................................................     26288  10.0
WV.....................................................     26289  10.0
WV.....................................................     26291  10.0
WV.....................................................     26292  10.0
WV.....................................................     26293  8.0
WV.....................................................     26294  10.6
WV.....................................................     26296  8.0
WV.....................................................     26298  10.0
WV.....................................................     26301  4.0
WV.....................................................     26302  4.0
WV.....................................................     26306  4.0
WV.....................................................     26320  10.0
WV.....................................................     26321  8.0
WV.....................................................     26323  4.0
WV.....................................................     26325  10.4
WV.....................................................     26327  10.4
WV.....................................................     26330  4.0
WV.....................................................     26332  5.0
WV.....................................................     26334  7.4
WV.....................................................     26335  10.0
WV.....................................................     26337  2.0
WV.....................................................     26338  8.0
WV.....................................................     26339  5.0
WV.....................................................     26342  10.0
WV.....................................................     26343  10.6
WV.....................................................     26346  10.4
WV.....................................................     26347  7.4
WV.....................................................     26348  10.6
WV.....................................................     26349  9.0
WV.....................................................     26351  10.0
WV.....................................................     26354  7.4
WV.....................................................     26361  5.0
WV.....................................................     26362  10.4
WV.....................................................     26366  4.0
WV.....................................................     26369  4.0
WV.....................................................     26372  10.6
WV.....................................................     26374  2.0
WV.....................................................     26376  10.6
WV.....................................................     26377  10.6
WV.....................................................     26378  10.6
WV.....................................................     26384  10.0
WV.....................................................     26385  5.0
WV.....................................................     26386  5.0
WV.....................................................     26404  5.0
WV.....................................................     26405  9.0
WV.....................................................     26408  5.0
WV.....................................................     26410  10.4
WV.....................................................     26411  5.0
WV.....................................................     26412  10.6
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WV.....................................................     26419  10.6
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WV.....................................................     26422  4.0
WV.....................................................     26424  7.4
WV.....................................................     26425  10.6
WV.....................................................     26426  5.0
WV.....................................................     26430  10.0
WV.....................................................     26431  5.0
WV.....................................................     26434  10.0
WV.....................................................     26435  7.4
WV.....................................................     26436  10.5
WV.....................................................     26437  10.6
WV.....................................................     26438  4.0
WV.....................................................     26440  9.0
WV.....................................................     26443  10.0
WV.....................................................     26444  10.6
WV.....................................................     26447  10.6
WV.....................................................     26448  5.0
WV.....................................................     26451  5.0
WV.....................................................     26452  7.0
WV.....................................................     26456  10.5
WV.....................................................     26461  4.0
WV.....................................................     26463  5.0
WV.....................................................     26501  1.0
WV.....................................................     26502  1.0
WV.....................................................     26504  1.0
WV.....................................................     26505  1.0
WV.....................................................     26506  1.0
WV.....................................................     26507  1.0
WV.....................................................     26508  1.0
WV.....................................................     26519  2.0
WV.....................................................     26520  2.0
WV.....................................................     26521  2.0
WV.....................................................     26524  2.0
WV.....................................................     26525  2.0
WV.....................................................     26527  1.0
WV.....................................................     26529  2.0
WV.....................................................     26531  1.0
WV.....................................................     26534  1.0
WV.....................................................     26537  7.3
WV.....................................................     26541  2.0
WV.....................................................     26542  2.0
WV.....................................................     26543  1.0
WV.....................................................     26544  1.0
WV.....................................................     26546  2.0
WV.....................................................     26547  2.0
WV.....................................................     26554  4.0
WV.....................................................     26555  4.0
WV.....................................................     26559  4.0
WV.....................................................     26560  4.0
WV.....................................................     26561  10.6
WV.....................................................     26562  10.0
WV.....................................................     26563  4.0
WV.....................................................     26566  4.0
WV.....................................................     26568  5.0
WV.....................................................     26570  5.0
WV.....................................................     26571  4.0
WV.....................................................     26572  4.0
WV.....................................................     26574  4.0
WV.....................................................     26575  10.0
WV.....................................................     26576  4.0
WV.....................................................     26578  4.0
WV.....................................................     26581  10.0
WV.....................................................     26582  5.0
WV.....................................................     26585  5.0
WV.....................................................     26586  4.0
WV.....................................................     26587  5.0
WV.....................................................     26588  4.0
WV.....................................................     26590  2.0
WV.....................................................     26591  4.0
WV.....................................................     26601  10.0
WV.....................................................     26610  8.0
WV.....................................................     26611  10.0
WV.....................................................     26615  10.0
WV.....................................................     26617  10.4
WV.....................................................     26619  10.0
WV.....................................................     26621  10.0
WV.....................................................     26623  10.0
WV.....................................................     26624  10.0
WV.....................................................     26627  10.0
WV.....................................................     26629  10.0
WV.....................................................     26631  10.0
WV.....................................................     26636  10.0
WV.....................................................     26638  10.0
WV.....................................................     26639  10.0
WV.....................................................     26641  10.0
WV.....................................................     26651  7.0
WV.....................................................     26656  10.4
WV.....................................................     26660  10.6
WV.....................................................     26662  8.0
WV.....................................................     26667  10.4
WV.....................................................     26671  7.0
WV.....................................................     26674  10.5
WV.....................................................     26675  7.0
WV.....................................................     26676  8.0
WV.....................................................     26678  9.0
WV.....................................................     26679  9.0
WV.....................................................     26680  10.5
WV.....................................................     26681  8.0
WV.....................................................     26684  9.0
WV.....................................................     26690  10.4
WV.....................................................     26691  8.0
WV.....................................................     26704  2.0
WV.....................................................     26705  10.6
WV.....................................................     26707  10.6
WV.....................................................     26710  5.0
WV.....................................................     26711  2.0
WV.....................................................     26714  2.0
WV.....................................................     26716  10.6
WV.....................................................     26717  4.0
WV.....................................................     26719  5.0
WV.....................................................     26720  10.6
WV.....................................................     26722  10.4
WV.....................................................     26726  4.0
WV.....................................................     26731  10.6
WV.....................................................     26739  10.6
WV.....................................................     26743  4.0
WV.....................................................     26750  4.0
WV.....................................................     26753  5.0
WV.....................................................     26755  10.0
WV.....................................................     26757  10.0
WV.....................................................     26761  10.0
WV.....................................................     26763  10.4
WV.....................................................     26764  10.6
WV.....................................................     26767  4.0
WV.....................................................     26801  10.0
WV.....................................................     26802  10.4
WV.....................................................     26804  10.0
WV.....................................................     26807  10.4
WV.....................................................     26808  2.0
WV.....................................................     26810  10.0
WV.....................................................     26812  10.0
WV.....................................................     26814  10.0
WV.....................................................     26815  10.4
WV.....................................................     26817  2.0
WV.....................................................     26818  10.0
WV.....................................................     26823  2.0
WV.....................................................     26824  10.0
WV.....................................................     26833  8.0
WV.....................................................     26836  10.0
WV.....................................................     26838  10.0
WV.....................................................     26845  10.0
WV.....................................................     26847  7.0
WV.....................................................     26851  10.0
WV.....................................................     26852  10.0
WV.....................................................     26855  8.0
WV.....................................................     26865  2.0
WV.....................................................     26866  10.4
WV.....................................................     26884  10.0
WV.....................................................     26886  10.0
WY.....................................................     82001  1.0
WY.....................................................     82002  1.0
WY.....................................................     82003  1.0
WY.....................................................     82005  1.0
WY.....................................................     82006  1.0
WY.....................................................     82007  1.0
WY.....................................................     82008  1.0
WY.....................................................     82009  1.0
WY.....................................................     82010  1.0
WY.....................................................     82050  2.0
WY.....................................................     82051  5.0
WY.....................................................     82052  5.0
WY.....................................................     82053  2.0
WY.....................................................     82054  2.0
WY.....................................................     82055  5.0
WY.....................................................     82058  5.0
WY.....................................................     82059  1.0
WY.....................................................     82060  2.0
WY.....................................................     82061  1.0
WY.....................................................     82063  5.0
WY.....................................................     82070  4.0
WY.....................................................     82071  4.0
WY.....................................................     82072  4.0
WY.....................................................     82073  4.0
WY.....................................................     82081  2.0
WY.....................................................     82082  2.0
WY.....................................................     82083  5.0
WY.....................................................     82084  5.0
WY.....................................................     82190  8.0
WY.....................................................     82201  7.0
WY.....................................................     82210  7.0
WY.....................................................     82212  10.3
WY.....................................................     82213  10.6
WY.....................................................     82214  10.6
WY.....................................................     82215  10.6
WY.....................................................     82217  10.6
WY.....................................................     82218  7.0
WY.....................................................     82219  10.3
WY.....................................................     82221  10.6
WY.....................................................     82222  10.0
WY.....................................................     82223  10.3
WY.....................................................     82224  10.0
WY.....................................................     82225  10.0
WY.....................................................     82227  10.0
WY.....................................................     82229  10.6
WY.....................................................     82240  7.0
WY.....................................................     82242  10.0
WY.....................................................     82243  10.6
WY.....................................................     82244  10.6
WY.....................................................     82301  7.0
WY.....................................................     82310  10.3
WY.....................................................     82321  7.0
WY.....................................................     82322  10.5
WY.....................................................     82323  7.0
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WY.....................................................     82331  10.6
WY.....................................................     82332  7.0
WY.....................................................     82334  7.0
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WY.....................................................     82336  10.5
WY.....................................................     82401  7.0
WY.....................................................     82410  10.0
WY.....................................................     82411  10.0
WY.....................................................     82412  10.0
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WY.....................................................     82420  10.0
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WY.....................................................     82423  10.0
WY.....................................................     82426  10.0
WY.....................................................     82428  10.0
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WY.....................................................     82432  10.0
WY.....................................................     82433  8.0
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WY.....................................................     82440  7.0
WY.....................................................     82441  10.0
WY.....................................................     82442  8.0
WY.....................................................     82443  7.0
WY.....................................................     82450  7.0
WY.....................................................     82501  4.0
WY.....................................................     82510  5.0
WY.....................................................     82512  10.0
WY.....................................................     82513  10.0
WY.....................................................     82514  10.0
WY.....................................................     82515  7.0
WY.....................................................     82516  10.0
WY.....................................................     82520  7.0
WY.....................................................     82523  5.0
WY.....................................................     82524  4.0
WY.....................................................     82601  1.0
WY.....................................................     82602  1.0
WY.....................................................     82604  1.0
WY.....................................................     82605  1.0
WY.....................................................     82609  1.0
WY.....................................................     82615  1.0
WY.....................................................     82620  2.0
WY.....................................................     82630  1.0
WY.....................................................     82633  7.0
WY.....................................................     82635  2.0
WY.....................................................     82636  1.0
WY.....................................................     82637  10.4
WY.....................................................     82638  10.3
WY.....................................................     82639  10.3
WY.....................................................     82640  10.3
WY.....................................................     82642  10.3
WY.....................................................     82643  2.0
WY.....................................................     82644  1.0
WY.....................................................     82646  1.0
WY.....................................................     82648  1.0
WY.....................................................     82649  10.3
WY.....................................................     82701  7.0
WY.....................................................     82710  10.5
WY.....................................................     82711  10.5
WY.....................................................     82712  10.0
WY.....................................................     82713  10.5
WY.....................................................     82714  10.5
WY.....................................................     82715  10.3
WY.....................................................     82716  4.0
WY.....................................................     82717  4.0
WY.....................................................     82718  4.0
WY.....................................................     82720  10.5
WY.....................................................     82721  10.5
WY.....................................................     82723  10.3
WY.....................................................     82725  4.0
WY.....................................................     82727  5.0
WY.....................................................     82729  10.0
WY.....................................................     82730  10.3
WY.....................................................     82731  4.0
WY.....................................................     82732  5.0
WY.....................................................     82801  4.0
WY.....................................................     82831  5.0
WY.....................................................     82832  5.0
WY.....................................................     82833  4.0
WY.....................................................     82834  7.0
WY.....................................................     82835  5.0
WY.....................................................     82836  5.0
WY.....................................................     82837  5.0
WY.....................................................     82838  5.0
WY.....................................................     82839  5.0
WY.....................................................     82840  7.0
WY.....................................................     82842  5.0
WY.....................................................     82844  5.0
WY.....................................................     82845  4.0
WY.....................................................     82901  4.0
WY.....................................................     82902  4.0
WY.....................................................     82922  10.0
WY.....................................................     82923  10.0
WY.....................................................     82925  10.0
WY.....................................................     82929  4.0
WY.....................................................     82930  4.0
WY.....................................................     82931  4.0
WY.....................................................     82932  4.0
WY.....................................................     82933  10.5
WY.....................................................     82934  4.0
WY.....................................................     82935  4.0
WY.....................................................     82936  10.5
WY.....................................................     82937  10.5
WY.....................................................     82938  4.0
WY.....................................................     82939  10.5
WY.....................................................     82941  10.0
WY.....................................................     82942  4.0
WY.....................................................     82943  4.0
WY.....................................................     82944  10.5
WY.....................................................     82945  4.0
WY.....................................................     83001  4.0
WY.....................................................     83002  4.0
WY.....................................................     83011  10.2
WY.....................................................     83012  10.2
WY.....................................................     83013  10.2
WY.....................................................     83014  4.0
WY.....................................................     83025  4.0
WY.....................................................     83101  7.0
WY.....................................................     83110  10.0
WY.....................................................     83111  10.0
WY.....................................................     83112  10.2
WY.....................................................     83113  10.0
WY.....................................................     83114  10.6
WY.....................................................     83115  10.0
WY.....................................................     83116  7.0
WY.....................................................     83118  10.2
WY.....................................................     83119  10.0
WY.....................................................     83120  10.2
WY.....................................................     83121  7.0
WY.....................................................     83122  10.2
WY.....................................................     83123  10.6
WY.....................................................     83124  7.0
WY.....................................................     83126  10.0
WY.....................................................     83127  10.2
WY.....................................................     83128  10.2
WY.....................................................     83414  10.2
------------------------------------------------------------------------
R = Rural
U = Urban
The use of either ``R[rquo] or ``U[rquo] as an indicator in the ``RUCA
  Level'' column signifies that this area is either a military
  installation or located outside the 50 United States. Therefore, a
  RUCA level is not available for it.


    Addendum J.--List of CPT \1\/HCPCS Codes Used To Describe Certain
   Designated Health Service Categories \2\ Under Section 1877 of the
                           Social Security Act
                    [Effective date January 1, 2007]
------------------------------------------------------------------------
 
------------------------------------------------------------------------
                      CLINICAL LABORATORY SERVICES
 
INCLUDE CPT codes for all clinical laboratory services in the 80000
 series, except EXCLUDE CPT codes for the following blood component
 collection services:.
86890.................................  Autologous blood process
86891.................................  Autologous blood, op salvage
86927.................................  Plasma, fresh frozen
86930.................................  Frozen blood prep
86931.................................  Frozen blood thaw
86932.................................  Frozen blood freeze/thaw
86945.................................  Blood product/irradiation
86950.................................  Leukacyte transfusion
86960.................................  Vol reduction of blood/prod
86965.................................  Pooling blood platelets
86985.................................  Split blood or products
INCLUDE the following CPT and HCPCS level 2 codes for other clinical
 laboratory services:.
0026T.................................  Measure remnant lipoproteins
0030T.................................  Antiprothrombin antibody
0041T.................................  Detect ur infect agnt w/cpas
0043T.................................  Co expired gas analysis
0058T.................................  Cryopreservation, ovary tiss
0059T.................................  Cryopreservation, oocyte
0064T.................................  Spectroscop eval expired gas
0085T.................................  Breath test heart reject
0087T.................................  Sperm eval hyaluronan
0103T.................................  Holotranscobalamin
0104T.................................  At rest cardio gas rebreathe
0111T.................................  RBC membranes fatty acids
0140T.................................  Exhaled breath condensate ph
36415.................................  Routine venipuncture
78110.................................  Plasma volume, single
78111.................................  Plasma volume, multiple
78120.................................  Red cell mass, single
78121.................................  Red cell mass, multiple
78122.................................  Blood volume
78130.................................  Red cell survival study
78191.................................  Platelet survival
78270.................................  Vit B-12 absorption exam
78271.................................  Vit B-12 absrp exam, int fac
78272.................................  Vit B-12 absorp, combined
78725.................................  Kidney function study
78267.................................  Breath tst attain/anal c-14
78268.................................  Breath test analysis c-14
G0027.................................  Semen analysis
G0103.................................  Psa, total screening
G0123.................................  Screen cerv/vag thin layer
G0124.................................  Screen c/v thin layer by MD
G0141.................................  Scr c/v cyto,autosys and md
G0143.................................  Scr c/v cyto,thinlayer,rescr
G0144.................................  Scr c/v cyto,thinlayer,rescr
G0145.................................  Scr c/v cyto,thinlayer,rescr
G0147.................................  Scr c/v cyto, automated sys
G0148.................................  Scr c/v cyto, autosys, rescr
G0306.................................  CBC/diffwbc w/o platelet

[[Page 70248]]

 
G0307.................................  CBC without platelet
G0328.................................  Fecal blood scrn immunoassay
G0394.................................  Blood occult test colorectal
P2028.................................  Cephalin floculation test
P2029.................................  Congo red blood test
P2033.................................  Blood thymol turbidity
P2038.................................  Blood mucoprotein
P3000.................................  Screen pap by tech w md supv
P3001.................................  Screening pap smear by phys
P9612.................................  Catheterize for urine spec
P9615.................................  Urine specimen collect mult
Q0111.................................  Wet mounts/w preparations
Q0112.................................  Potassium hydroxide preps
Q0113.................................  Pinworm examinations
Q0114.................................  Fern test
Q0115.................................  Post-coital mucous exam
 
  PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH-LANGUAGE PATHOLOGY
 
INCLUDE the following CPT and HCPCS codes for physical therapy/
 occupational therapy/speech-language pathology services:.
0019T.................................  Extracorp shock wv tx,ms nos
0029T.................................  Magnetic tx for incontinence
64550.................................  Apply neurostimulator
90901.................................  Biofeedback train, any meth
90911.................................  Biofeedback peri/uro/rectal
92506.................................  Speech/hearing evaluation
92507.................................  Speech/hearing therapy
92508.................................  Speech/hearing therapy
92526.................................  Oral function therapy
92597.................................  Oral speech device eval
92607.................................  Ex for speech device rx, 1hr
92608.................................  Ex for speech device rx addl
92609.................................  Use of speech device service
92610.................................  Evaluate swallowing function
92611.................................  Motion fluoroscopy/swallow
92612.................................  Endoscopy swallow tst (fees)
92614.................................  Laryngoscopic sensory test
92616.................................  Fees w/laryngeal sense test
93797.................................  Cardiac rehab
93798.................................  Cardiac rehab/monitor
94667.................................  Chest wall manipulation
94668.................................  Chest wall manipulation
95831.................................  Limb muscle testing, manual
95832.................................  Hand muscle testing, manual
95833.................................  Body muscle testing, manual
95834.................................  Body muscle testing, manual
95851.................................  Range of motion measurements
95852.................................  Range of motion measurements
96000.................................  Motion analysis, video/3d
96001.................................  Motion test w/ft press meas
96002.................................  Dynamic surface emg
96003.................................  Dynamic fine wire emg
96105.................................  Assessment of aphasia
96110.................................  Developmental test, lim
96111.................................  Developmental test, extend
97001.................................  Pt evaluation
97002.................................  Pt re-evaluation
97003.................................  Ot evaluation
97004.................................  Ot re-evaluation
97010.................................  Hot or cold packs therapy
97012.................................  Mechanical traction therapy
97016.................................  Vasopneumatic device therapy
97018.................................  Paraffin bath therapy
97022.................................  Whirlpool therapy
97024.................................  Diathermy eg, microwave
97026.................................  Infrared therapy
97028.................................  Ultraviolet therapy
97032.................................  Electrical stimulation
97033.................................  Electric current therapy
97034.................................  Contrast bath therapy
97035.................................  Ultrasound therapy
97036.................................  Hydrotherapy
97039.................................  Physical therapy treatment
97110.................................  Therapeutic exercises
97112.................................  Neuromuscular reeducation
97113.................................  Aquatic therapy/exercises
97116.................................  Gait training therapy
97124.................................  Massage therapy
97139.................................  Physical medicine procedure
97140.................................  Manual therapy
97150.................................  Group therapeutic procedures
97530.................................  Therapeutic activities
97532.................................  Cognitive skills development
97533.................................  Sensory integration
97535.................................  Self care mngment training
97537.................................  Community/work reintegration
97542.................................  Wheelchair mngment training
97545.................................  Work hardening
97546.................................  Work hardening add-on
97597.................................  Active wound care/20cm or <
97598.................................  Active wound care > 20cm
97602.................................  Wound(s) care nonselective
97605.................................  Neg press wound tx, < 50 cm
97606.................................  Neg press wound tx, > 50 cm
97750.................................  Physical performance test
97755.................................  Assistive technology assess
97760.................................  Orthotic mgmt and training
97761.................................  Prosthetic training
97762.................................  C/O for orthotic/prosth use
97799.................................  Physical medicine procedure
G0281.................................  Elec stim unattend for press
G0283.................................  Elec stim other than wound
G0329.................................  Electromagntic tx for ulcers
 
              RADIOLOGY AND CERTAIN OTHER IMAGING SERVICES
 
INCLUDE the following CPT and HCPCS codes:..............................
0028T.................................  Dexa body composition study
0042T.................................  Ct perfusion w/contrast, cbf
0067T.................................  Ct colonography;dx
0144T.................................  Ct heart wo dye; qual calc
0145T.................................  Ct heart w/wo dye funct
0146T.................................  Ccta w/wo dye
0147T.................................  Ccta w/wo, quan calcium
0148T.................................  Ccta w/wo, strxr
0149T.................................  Ccta w/wo, strxr quan calc
0150T.................................  Ccta w/wo, disease strxr
0151T.................................  Ct heart funct add-on
0159T.................................  Cad breast mri
0174T.................................  Cad crx with interp
0175T.................................  Cad crx remote
51798.................................  Us urine capacity measure
70100.................................  X-ray exam of jaw
70110.................................  X-ray exam of jaw
70120.................................  X-ray exam of mastoids
70130.................................  X-ray exam of mastoids
70134.................................  X-ray exam of middle ear
70140.................................  X-ray exam of facial bones
70150.................................  X-ray exam of facial bones
70160.................................  X-ray exam of nasal bones
70190.................................  X-ray exam of eye sockets
70200.................................  X-ray exam of eye sockets
70210.................................  X-ray exam of sinuses
70220.................................  X-ray exam of sinuses
70240.................................  X-ray exam, pituitary saddle
70250.................................  X-ray exam of skull
70260.................................  X-ray exam of skull
70300.................................  X-ray exam of teeth
70310.................................  X-ray exam of teeth
70320.................................  Full mouth x-ray of teeth
70328.................................  X-ray exam of jaw joint
70330.................................  X-ray exam of jaw joints
70336.................................  Magnetic image, jaw joint
70350.................................  X-ray head for orthodontia
70355.................................  Panoramic x-ray of jaws
70360.................................  X-ray exam of neck
70370.................................  Throat x-ray & fluoroscopy
70371.................................  Speech evaluation, complex
70380.................................  X-ray exam of salivary gland
70450.................................  Ct head/brain w/o dye
70460.................................  Ct head/brain w/dye
70470.................................  Ct head/brain w/o & w/dye
70480.................................  Ct orbit/ear/fossa w/o dye
70481.................................  Ct orbit/ear/fossa w/dye
70482.................................  Ct orbit/ear/fossa w/o &w/dye
70486.................................  Ct maxillofacial w/o dye
70487.................................  Ct maxillofacial w/dye
70488.................................  Ct maxillofacial w/o & w/dye
70490.................................  Ct soft tissue neck w/o dye
70491.................................  Ct soft tissue neck w/dye
70492.................................  Ct sft tsue nck w/o & w/dye
70496.................................  Ct angiography, head
70498.................................  Ct angiography, neck
70540.................................  Mri orbit/face/neck w/o dye
70542.................................  Mri orbit/face/neck w/dye
70543.................................  Mri orbt/fac/nck w/o & w/dye
70544.................................  Mr angiography head w/o dye
70545.................................  Mr angiography head w/dye
70546.................................  Mr angiograph head w/o&w/dye
70547.................................  Mr angiography neck w/o dye
70548.................................  Mr angiography neck w/dye
70549.................................  Mr angiograph neck w/o&w/dye
70551.................................  Mri brain w/o dye
70552.................................  Mri brain w/dye
70553.................................  Mri brain w/o & w/dye
70554.................................  Fmri brain by tech
70555.................................  Fmri brain by phys/psych
71010.................................  Chest x-ray
71015.................................  Chest x-ray
71020.................................  Chest x-ray
71021.................................  Chest x-ray
71022.................................  Chest x-ray
71023.................................  Chest x-ray and fluoroscopy
71030.................................  Chest x-ray
71034.................................  Chest x-ray and fluoroscopy
71035.................................  Chest x-ray
71100.................................  X-ray exam of ribs
71101.................................  X-ray exam of ribs/chest
71110.................................  X-ray exam of ribs
71111.................................  X-ray exam of ribs/chest
71120.................................  X-ray exam of breastbone
71130.................................  X-ray exam of breastbone
71250.................................  Ct thorax w/o dye
71260.................................  Ct thorax w/dye
71270.................................  Ct thorax w/o & w/dye
71275.................................  Ct angiography, chest
71550.................................  Mri chest w/o dye
71551.................................  Mri chest w/dye
71552.................................  Mri chest w/o & w/dye
71555.................................  Mri angio chest w or w/o dye
72010.................................  X-ray exam of spine
72020.................................  X-ray exam of spine
72040.................................  X-ray exam of neck spine
72050.................................  X-ray exam of neck spine
72052.................................  X-ray exam of neck spine
72069.................................  X-ray exam of trunk spine
72070.................................  X-ray exam of thoracic spine
72072.................................  X-ray exam of thoracic spine
72074.................................  X-ray exam of thoracic spine
72080.................................  X-ray exam of trunk spine
72090.................................  X-ray exam of trunk spine
72100.................................  X-ray exam of lower spine
72110.................................  X-ray exam of lower spine
72114.................................  X-ray exam of lower spine
72120.................................  X-ray exam of lower spine
72125.................................  Ct neck spine w/o dye
72126.................................  Ct neck spine w/dye
72127.................................  Ct neck spine w/o & w/dye
72128.................................  Ct chest spine w/o dye
72129.................................  Ct chest spine w/dye
72130.................................  Ct chest spine w/o & w/dye
72131.................................  Ct lumbar spine w/o dye

[[Page 70249]]

 
72132.................................  Ct lumbar spine w/dye
72133.................................  Ct lumbar spine w/o & w/dye
72141.................................  Mri neck spine w/o dye
72142.................................  Mri neck spine w/dye
72146.................................  Mri chest spine w/o dye
72147.................................  Mri chest spine w/dye
72148.................................  Mri lumbar spine w/o dye
72149.................................  Mri lumbar spine w/dye
72156.................................  Mri neck spine w/o & w/dye
72157.................................  Mri chest spine w/o & w/dye
72158.................................  Mri lumbar spine w/o & w/dye
72170.................................  X-ray exam of pelvis
72190.................................  X-ray exam of pelvis
72191.................................  Ct angiograph pelv w/o & w/dye
72192.................................  Ct pelvis w/o dye
72193.................................  Ct pelvis w/dye
72194.................................  Ct pelvis w/o & w/dye
72195.................................  Mri pelvis w/o dye
72196.................................  Mri pelvis w/dye
72197.................................  Mri pelvis w/o & w/dye
72198.................................  Mr angio pelvis w/o & w/dye
72200.................................  X-ray exam sacroiliac joints
72202.................................  X-ray exam sacroiliac joints
72220.................................  X-ray exam of tailbone
73000.................................  X-ray exam of collar bone
73010.................................  X-ray exam of shoulder blade
73020.................................  X-ray exam of shoulder
73030.................................  X-ray exam of shoulder
73050.................................  X-ray exam of shoulders
73060.................................  X-ray exam of humerus
73070.................................  X-ray exam of elbow
73080.................................  X-ray exam of elbow
73090.................................  X-ray exam of forearm
73092.................................  X-ray exam of arm, infant
73100.................................  X-ray exam of wrist
73110.................................  X-ray exam of wrist
73120.................................  X-ray exam of hand
73130.................................  X-ray exam of hand
73140.................................  X-ray exam of finger(s)
73200.................................  Ct upper extremity w/o dye
73201.................................  Ct upper extremity w/dye
73202.................................  Ct uppr extremity w/o & w/
                                         dye
73206.................................  Ct angio upr extrm w/o & w/dye
73218.................................  Mri upper extremity w/o dye
73219.................................  Mri upper extremity w/dye
73220.................................  Mri uppr extremity w/o & w/dye
73221.................................  Mri joint upr extrem w/o dye
73222.................................  Mri joint upr extrem w/dye
73223.................................  Mri joint upr extr w/o&w/dye
73500.................................  X-ray exam of hip
73510.................................  X-ray exam of hip
73520.................................  X-ray exam of hips
73540.................................  X-ray exam of pelvis & hips
73550.................................  X-ray exam of thigh
73560.................................  X-ray exam of knee, 1 or 2
73562.................................  X-ray exam of knee, 3
73564.................................  X-ray exam, knee, 4 or more
73565.................................  X-ray exam of knees
73590.................................  X-ray exam of lower leg
73592.................................  X-ray exam of leg, infant
73600.................................  X-ray exam of ankle
73610.................................  X-ray exam of ankle
73620.................................  X-ray exam of foot
73630.................................  X-ray exam of foot
73650.................................  X-ray exam of heel
73660.................................  X-ray exam of toe(s)
73700.................................  Ct lower extremity w/o dye
73701.................................  Ct lower extremity w/dye
73702.................................  Ct lwr extremity w/o&w/dye
73706.................................  Ct angio lwr extr w/o&w/dye
73718.................................  Mri lower extremity w/o dye
73719.................................  Mri lower extremity w/dye
73720.................................  Mri lwr extremity w/o&w/dye
73721.................................  Mri jnt of lwr extre w/o dye
73722.................................  Mri joint of lwr extr w/dye
73723.................................  Mri joint lwr extr w/o&w/dye
73725.................................  Mr ang lwr ext w or w/o dye
74000.................................  X-ray exam of abdomen
74010.................................  X-ray exam of abdomen
74020.................................  X-ray exam of abdomen
74022.................................  X-ray exam series, abdomen
74150.................................  Ct abdomen w/o dye
74160.................................  Ct abdomen w/dye
74170.................................  Ct abdomen w/o & w/dye
74175.................................  Ct angio abdom w/o & w/dye
74181.................................  Mri abdomen w/o dye
74182.................................  Mri abdomen w/dye
74183.................................  Mri abdomen w/o & w/dye
74185.................................  Mri angio, abdom w orw/o dye
74210.................................  Contrst x-ray exam of throat
74220.................................  Contrast x-ray, esophagus
74230.................................  Cine/vid x-ray, throat/esoph
74240.................................  X-ray exam, upper gi tract
74241.................................  X-ray exam, upper gi tract
74245.................................  X-ray exam, upper gi tract
74246.................................  Contrst x-ray uppr gi tract
74247.................................  Contrst x-ray uppr gi tract
74249.................................  Contrst x-ray uppr gi tract
74250.................................  X-ray exam of small bowel
74290.................................  Contrast x-ray, gallbladder
74291.................................  Contrast x-rays, gallbladder
74710.................................  X-ray measurement of pelvis
75552.................................  Heart mri for morph w/o dye
75553.................................  Heart mri for morph w/dye
75554.................................  Cardiac MRI/function
75555.................................  Cardiac MRI/limited study
75635.................................  Ct angio abdominal arteries
76000.................................  Fluoroscope examination
76010.................................  X-ray, nose to rectum
76100.................................  X-ray exam of body section
76101.................................  Complex body section x-ray
76102.................................  Complex body section x-rays
76120.................................  Cine/video x-rays
76125.................................  Cine/video x-rays add-on
76150.................................  X-ray exam, dry process
76376.................................  3d render w/o postprocess
76377.................................  3d rendering w/postprocess
76380.................................  CAT scan follow-up study
76499.................................  Radiographic procedure
76506.................................  Echo exam of head
76510.................................  Ophth us, b & quant a
76511.................................  Ophth us, quant a only
76512.................................  Ophth us, b w/non-quant a
76513.................................  Echo exam of eye, water bath
76514.................................  Echo exam of eye, thickness
76516.................................  Echo exam of eye
76519.................................  Echo exam of eye
76536.................................  Us exam of head and neck
76604.................................  Us exam, chest
76645.................................  Us exam, breast(s)
76700.................................  Us exam, abdom, complete
76705.................................  Echo exam of abdomen
76770.................................  Us exam abdo back wall, comp
76775.................................  Us exam abdo back wall, lim
76776.................................  Us exam k transpl w/Doppler
76800.................................  Us exam, spinal canal
76801.................................  Ob us < 14 wks, single fetus
76802.................................  Ob us < 14 wks, add?l fetus
76805.................................  Ob us >/= 14 wks, sngl fetus
76810.................................  Ob us >/= 14 wks, addl fetus
76811.................................  Ob us, detailed, sngl fetus
76812.................................  Ob us, detailed, addl fetus
76815.................................  Ob us, limited, fetus(s)
76816.................................  Ob us, follow-up, per fetus
76818.................................  Fetal biophys profile w/nst
76819.................................  Fetal biophys profil w/o nst
76820.................................  Umbilical artery echo
76821.................................  Middle cerebral artery echo
76825.................................  Echo exam of fetal heart
76826.................................  Echo exam of fetal heart
76827.................................  Echo exam of fetal heart
76828.................................  Echo exam of fetal heart
76856.................................  Us exam, pelvic, complete
76857.................................  Us exam, pelvic, limited
76870.................................  Us exam, scrotum
76880.................................  Us exam, extremity
76885.................................  Us exam infant hips, dynamic
76886.................................  Us exam infant hips, static
76970.................................  Ultrasound exam follow-up
76977.................................  Us bone density measure
76999.................................  Echo examination procedure
77014.................................  Ct scan for therapy guide
77051.................................  Computer dx mammogram add-on
77052.................................  Comp screen mammogram add-on
77055.................................  Mammogram, one breast
77056.................................  Mammogram, both breasts
77057.................................  Mammogram, screening
77058.................................  Mri, one breast
77059.................................  Mri, both breasts
77071.................................  X-ray stress view
77072.................................  X-rays for bone age
77073.................................  X-rays, bone length studies
77074.................................  X-rays, bone survey, limited
77075.................................  X-rays, bone survey complete
77076.................................  X-rays, bone survey, infant
77077.................................  Joint survey, single view
77078.................................  Ct bone density, axial
77079.................................  Ct bone density, peripheral
77080.................................  Dxa bone density, axial
77081.................................  Dxa bone density/peripheral
77082.................................  Dxa bone density, vert fx
77083.................................  Radiographic absorptiometry
77084.................................  Magnetic image, bone marrow
78000.................................  Thyroid, single uptake
78001.................................  Thyroid, multiple uptakes
78003.................................  Thyroid suppress/stimul
78006.................................  Thyroid imaging with uptake
78007.................................  Thyroid image, mult uptakes
78010.................................  Thyroid imaging
78011.................................  Thyroid imaging with flow
78015.................................  Thyroid met imaging
78016.................................  Thyroid met imaging/studies
78018.................................  Thyroid met imaging, body
78020.................................  Thyroid met uptake
78070.................................  Parathyroid nuclear imaging
78075.................................  Adrenal nuclear imaging
78099.................................  Endocrine nuclear procedure
78102.................................  Bone marrow imaging, ltd
78103.................................  Bone marrow imaging, mult
78104.................................  Bone marrow imaging, body
78135.................................  Red cell survival kinetics
78140.................................  Red cell sequestration
78185.................................  Spleen imaging
78190.................................  Platelet survival, kinetics
78195.................................  Lymph system imaging
78199.................................  Blood/lymph nuclear exam
78201.................................  Liver imaging
78202.................................  Liver imaging with flow
78205.................................  Liver imaging (3D)
78206.................................  Liver image (3d) with flow
78215.................................  Liver and spleen imaging
78216.................................  Liver & spleen image/flow
78220.................................  Liver function study
78223.................................  Hepatobiliary imaging
78230.................................  Salivary gland imaging
78231.................................  Serial salivary imaging
78232.................................  Salivary gland function exam
78258.................................  Esophageal motility study
78261.................................  Gastric mucosa imaging
78262.................................  Gastroesophageal reflux exam
78264.................................  Gastric emptying study

[[Page 70250]]

 
78278.................................  Acute GI blood loss imaging
78282.................................  GI protein loss exam
78290.................................  Meckel?s divert exam
78291.................................  Leveen/shunt patency exam
78299.................................  GI nuclear procedure
78300.................................  Bone imaging, limited area
78305.................................  Bone imaging, multiple areas
78306.................................  Bone imaging, whole body
78315.................................  Bone imaging, 3 phase
78320.................................  Bone imaging (3D)
78350.................................  Bone mineral, single photon
78399.................................  Musculoskeletal nuclear exam
78414.................................  Non-imaging heart function
78428.................................  Cardiac shunt imaging
78445.................................  Vascular flow imaging
78456.................................  Acute venous thrombus image
78457.................................  Venous thrombosis imaging
78458.................................  Ven thrombosis images, bilat
78459.................................  Heart muscle imaging (PET)
78460.................................  Heart muscle blood, single
78461.................................  Heart muscle blood, multiple
78464.................................  Heart image (3d), single
78465.................................  Heart image (3d), multiple
78466.................................  Heart infarct image
78468.................................  Heart infarct image (ef)
78469.................................  Heart infarct image (3D)
78472.................................  Gated heart, planar, single
78473.................................  Gated heart, multiple
78478.................................  Heart wall motion add-on
78480.................................  Heart function add-on
78481.................................  Heart first pass, single
78483.................................  Heart first pass, multiple
78491.................................  Heart image (pet), single
78492.................................  Heart image (pet), multiple
78494.................................  Heart image, spect
78496.................................  Heart first pass add-on
78499.................................  Cardiovascular nuclear exam
78580.................................  Lung perfusion imaging
78584.................................  Lung V/Q image single breath
78585.................................  Lung V/Q imaging
78586.................................  Aerosol lung image, single
78587.................................  Aerosol lung image, multiple
78588.................................  Perfusion lung image
78591.................................  Vent image, 1 breath, 1 proj
78593.................................  Vent image, 1 proj, gas
78594.................................  Vent image, mult proj, gas
78596.................................  Lung differential function
78599.................................  Respiratory nuclear exam
78600.................................  Brain imaging, ltd static
78601.................................  Brain imaging, ltd w/flow
78605.................................  Brain imaging, complete
78606.................................  Brain imaging, compl w/flow
78607.................................  Brain imaging (3D)
78608.................................  Brain imaging (PET)
78609.................................  Brain imaging (PET)
78610.................................  Brain flow imaging only
78615.................................  Cerebral vascular flow image
78630.................................  Cerebrospinal fluid scan
78635.................................  CSF ventriculography
78645.................................  CSF shunt evaluation
78647.................................  Cerebrospinal fluid scan
78650.................................  CSF leakage imaging
78660.................................  Nuclear exam of tear flow
78699.................................  Nervous system nuclear exam
78700.................................  Kidney imaging, morphol
78701.................................  Kidney imaging with flow
78707.................................  K flow/funct image w/o drug
78708.................................  K flow/funct image w/drug
78709.................................  K flow/funct image, multiple
78710.................................  Kidney imaging (3D)
78730.................................  Urinary bladder retention
78740.................................  Ureteral reflux study
78761.................................  Testicular imaging w/flow
78799.................................  Genitourinary nuclear exam
78800.................................  Tumor imaging, limited area
78801.................................  Tumor imaging, mult areas
78802.................................  Tumor imaging, whole body
78803.................................  Tumor imaging (3D)
78804.................................  Tumor imaging, whole body
78805.................................  Abscess imaging, ltd area
78806.................................  Abscess imaging, whole body
78807.................................  Nuclear localization/abscess
78811.................................  Tumor imaging (pet), limited
78812.................................  Tumor image (pet)/skull-thigh
78813.................................  Tumor image (pet) full body
78814.................................  Tumor image pet/ct, limited
78815.................................  Tumorimage pet/ct skull-thigh
78816.................................  Tumor image pet/ct full body
78890.................................  Nuclear medicine data proc
78891.................................  Nuclear med data proc
78999.................................  Nuclear diagnostic exam
91110.................................  Gi tract capsule endoscopy
91111.................................  Esophageal capsule endoscopy
93303.................................  Echo transthoracic
93304.................................  Echo transthoracic
93307.................................  Echo exam of heart
93308.................................  Echo exam of heart
93320.................................  Doppler echo exam, heart [if
                                         used in conjunction with 93303-
                                         93308]
93321.................................  Doppler echo exam, heart [if
                                         used in conjunction with 93303-
                                         93308]
93325.................................  Doppler color flow add-on [if
                                         used in conjunction with 93303-
                                         93308]
93875.................................  Extracranial study
93880.................................  Extracranial study
93882.................................  Extracranial study
93886.................................  Intracranial study
93888.................................  Intracranial study
93890.................................  Tcd, vasoreactivity study
93892.................................  Tcd, emboli detect w/o inj
93922.................................  Extremity study
93923.................................  Extremity study
93924.................................  Extremity study
93925.................................  Lower extremity study
93926.................................  Lower extremity study
93930.................................  Upper extremity study
93931.................................  Upper extremity study
93965.................................  Extremity study
93970.................................  Extremity study
93971.................................  Extremity study
93975.................................  Vascular study
93976.................................  Vascular study
93978.................................  Vascular study
93979.................................  Vascular study
93980.................................  Penile vascular study
93981.................................  Penile vascular study
93990.................................  Doppler flow testing
A4641.................................  Radiopharm dx agent noc
A4642.................................  In111 satumomab
A9500.................................  Tc99m sestamibi
A9502.................................  Tc99m tetrofosmin
A9503.................................  Tc99m medronate
A9504.................................  Tc99m apcitide
A9505.................................  TL201 thallium
A9507.................................  In111 capromab
A9508.................................  I131 iodobenguate, dx
A9510.................................  Tc99m disofenin
A9512.................................  Tc99m pertechnetate
A9516.................................  I123 iodide cap, dx
A9521.................................  Tc99m exametazime
A9524.................................  I131 serum albumin, dx
A9526.................................  Nitrogen N-13 ammonia
A9528.................................  Iodine I-131 iodide cap, dx
A9529.................................  I131 iodide sol, dx
A9531.................................  I131 max 100uCi
A9532.................................  I125 serum albumin, dx
A9536.................................  TC99m depreotide
A9537.................................  Tc99m mebrofenin
A9538.................................  Tc99m pyrophosphate
A9539.................................  Tc99m pentetate
A9540.................................  Tc99m MAA
A9541.................................  Tc99m sulfur colloid
A9542.................................  In111 ibritumomab, dx
A9544.................................  I131 tositumomab, dx
A9546.................................  CO57/58
A9547.................................  In111 oxyquinoline
A9548.................................  In111 pentetate
A9550.................................  Tc99m gluceptate
A9551.................................  Tc99m succimer
A9552.................................  F18 fdg
A9553.................................  Cr51 chromate
A9554.................................  I125 iothalamate, dx
A9555.................................  Rb82 rubidium
A9556.................................  Ga67 gallium
A9557.................................  Tc99m bicisate
A9558.................................  Xe133 xenon 10mci
A9559.................................  Co57 cyano
A9560.................................  Tc99m labeled rbc
A9561.................................  Tc99m oxidronate
A9562.................................  Tc99m mertiatide
A9565.................................  In111 pentetreotide
A9566.................................  Tc99m fanolesomab
A9567.................................  Technetium TC-99m
A9568.................................  Tc99m arcitumomab
A9700.................................  Echocardiography contrast
G0130.................................  Single energy x-ray study
G0202.................................  Screeningmammographydigital
G0204.................................  Diagnosticmammographydigital
G0206.................................  Diagnosticmammographydigital
G0288.................................  Recon, CTA for surg plan
G0389.................................  Ultrasound exam AAA screen
Q0092.................................  Set up port xray equipment
Q9945.................................  LOCM <=149mg/ml iodine, 1 ml
Q9946.................................  LOCM 150-199mg/ml iodine,1ml
Q9947.................................  LOCM 200-249mg/ml iodine,1ml
Q9948.................................  LOCM 250-299mg/ml/iodine,1ml
Q9949.................................  LOCM 300-349mg/ml iodine,1ml
Q9950.................................  LOCM 350-399mg/ml iodine,1ml
Q9951.................................  LOCM>=400 mg/ml iodine,1ml
Q9952.................................  Inj Gad-base MR contrast, ml
Q9953.................................  Inj Fe-base MR contrast, ml
Q9954.................................  Oral MR contrast, 100ml
Q9955.................................  Inj perflexane lip micros,ml
Q9956.................................  Inj octafluoropropane mic,ml
Q9957.................................  Inj perflutren lip micros,ml
Q9958.................................  HOCM <=149 mg/ml iodine, 1ml
Q9959.................................  HOCM 150-199mg/ml iodine,1ml
Q9960.................................  HOCM 200-249mg/ml iodine,1ml
Q9961.................................  HOCM 250-299mg/ml iodine,1ml
Q9962.................................  HOCM 300-349mg/ml iodine,1ml
Q9963.................................  HOCM 350-399mg/ml iodine,1ml
Q9964.................................  HOCM>=400mg/ml iodine, 1ml
R0070.................................  Transport portable x-ray
R0075.................................  Transport port x-ray multipl
 
                 RADIATION THERAPY SERVICES AND SUPPLIES
 
INCLUDE the following CPT and HCPCS codes:..............................
0073T.................................  Delivery, comp imrt
19296.................................  Place po breast cath for rad
19297.................................  Place breast cath for rad

[[Page 70251]]

 
19298.................................  Place breast rad tube/caths
31643.................................  Diag bronchoscope/catheter
55875.................................  Transperi needle place, pros
55876.................................  Place rt device/marker, pros
57155.................................  Insert uteri tandems/ovoids
58346.................................  Insert heyman uteri capsule
61770.................................  Incise skull for treatment
61793.................................  Focus radiation beam
77261.................................  Radiation therapy planning
77262.................................  Radiation therapy planning
77263.................................  Radiation therapy planning
77280.................................  Set radiation therapy field
77285.................................  Set radiation therapy field
77290.................................  Set radiation therapy field
77295.................................  Set radiation therapy field
77299.................................  Radiation therapy planning
77300.................................  Radiation therapy dose plan
77301.................................  Radiotherapy dose plan, imrt
77305.................................  Teletx isodose plan simple
77310.................................  Teletx isodose plan intermed
77315.................................  Teletx isodose plan complex
77321.................................  Special teletx port plan
77326.................................  Brachytx isodose calc simp
77327.................................  Brachytx isodose calc interm
77328.................................  Brachytx isodose plan compl
77331.................................  Special radiation dosimetry
77332.................................  Radiation treatment aid(s)
77333.................................  Radiation treatment aid(s)
77334.................................  Radiation treatment aid(s)
77336.................................  Radiation physics consult
77370.................................  Radiation physics consult
77371.................................  Srs, multisource
77372.................................  Srs, linear based
77373.................................  Sbrt delivery
77399.................................  External radiation dosimetry
77401.................................  Radiation treatment delivery
77402.................................  Radiation treatment delivery
77403.................................  Radiation treatment delivery
77404.................................  Radiation treatment delivery
77406.................................  Radiation treatment delivery
77407.................................  Radiation treatment delivery
77408.................................  Radiation treatment delivery
77409.................................  Radiation treatment delivery
77411.................................  Radiation treatment delivery
77412.................................  Radiation treatment delivery
77413.................................  Radiation treatment delivery
77414.................................  Radiation treatment delivery
77416.................................  Radiation treatment delivery
77417.................................  Radiology port film(s)
77418.................................  Radiation tx delivery, imrt
77421.................................  Stereoscopic x-ray guidance
77422.................................  Neutron beam tx, simple
77423.................................  Neutron beam tx, complex
77427.................................  Radiation tx management, x5
77431.................................  Radiation therapy management
77432.................................  Stereotactic radiation trmt
77435.................................  Sbrt management
77470.................................  Special radiation treatment
77499.................................  Radiation therapy management
77520.................................  Proton trmt, simple w/o comp
77522.................................  Proton trmt, simple w/comp
77523.................................  Proton trmt, intermediate
77525.................................  Proton treatment, complex
77600.................................  Hyperthermia treatment
77605.................................  Hyperthermia treatment
77610.................................  Hyperthermia treatment
77615.................................  Hyperthermia treatment
77620.................................  Hyperthermia treatment
77750.................................  Infuse radioactive materials
77761.................................  Apply intrcav radiat simple
77762.................................  Apply intrcav radiat interm
77763.................................  Apply intrcav radiat compl
77776.................................  Apply interstit radiat simpl
77777.................................  Apply interstit radiat inter
77778.................................  Apply interstit radiat compl
77781.................................  High intensity brachytherapy
77782.................................  High intensity brachytherapy
77783.................................  High intensity brachytherapy
77784.................................  High intensity brachytherapy
77789.................................  Apply surface radiation
77790.................................  Radiation handling
77799.................................  Radium/radioisotope therapy
79005.................................  Nuclear rx, oral admin
79101.................................  Nuclear rx, iv admin
79200.................................  Nuclear rx, intracav admin
79300.................................  Nuclr rx, interstit colloid
79403.................................  Hematopoietic nuclear tx
79440.................................  Nuclear rx, intra-articular
79445.................................  Nuclear rx, intra-arterial
79999.................................  Nuclear medicine therapy
92974.................................  Cath place, cardio brachytx
A9517.................................  I131 iodide cap, rx
A9527.................................  Iodine I-125 sodium iodide
A9530.................................  I131 iodide sol, rx
A9543.................................  Y90 ibritumomab, rx
A9545.................................  I131 tositumomab, rx
A9563.................................  P32 Na phosphate
A9564.................................  P32 chromic phosphate
A9600.................................  Sr89 strontium
A9605.................................  Sm 153 lexidronm
A9699.................................  Radiopharm rx agent noc
G0173.................................  Stereo radiosurgery,complete
G0243.................................  Multisour photon stero treat
G0251.................................  Linear acc based stero radio
G0339.................................  Robot lin-radsurg com, first
G0340.................................  Robt lin-radsurg fractx 2-5
Q3001.................................  Brachytherapy Radioelements
 
                  EPO AND OTHER DIALYSIS-RELATED DRUGS
 
The physician self-referral prohibition does not apply to the following
 codes for EPO and other dialysis-related drugs furnished in or by an
 ESRD facility if the conditions in Sec.  411.355(g) are satisfied:.
J0630.................................  Calcitonin salmon injection
J0636.................................  Inj calcitriol per 0.1 mcg
J0882.................................  Darbepoetin alfa, esrd use
J0895.................................  Deferoxamine mesylate inj
J1270.................................  Injection, doxercalciferol
J1751.................................  Iron dextran 165 injection
J1752.................................  Iron dextran 267 injection
J1756.................................  Iron sucrose injection
J1955.................................  Inj levocarnitine per 1 gm
J2501.................................  Paricalcitol
J2916.................................  Na ferric gluconate complex
J2993.................................  Reteplase injection
J2995.................................  Inj streptokinase/250000 IU
J2997.................................  Alteplase recombinant
J3364.................................  Urokinase 5000 IU injection
P9041.................................  Albumin (human),5%, 50ml
P9045.................................  Albumin (human), 5%, 250ml
P9046.................................  Albumin (human), 25%, 20ml
P9047.................................  Albumin (human), 25%, 50ml
Q4081.................................  Epoetin alfa, 100 units ESRD
 
         PREVENTIVE SCREENING TESTS, IMMUNIZATIONS AND VACCINES
 
The physician self-referral prohibition does not apply to the following
 tests if they are performed for screening purposes and satisfy the
 conditions in Sec.  411.355(h):.
77052.................................  Comp screen mammogram add-on
77057.................................  Mammogram, screening
80061.................................  Lipid panel [only when billed
                                         with one of the following ICD-9-
                                         CM codes: V81.0, V81.1, or
                                         V.81.2]
82270.................................  Occult blood, feces
82465.................................  Assay, bld/serum cholesterol
                                         [only when billed with one of
                                         the following ICD-9-CM codes:
                                         V81.0, V81.1, or V.81.2]
82947.................................  Assay, glucose, blood quant
                                         [only when billed with ICD-9-CM
                                         code V77.1]
82950.................................  Glucose test [only when billed
                                         with ICD-9-CM code V77.1]
82951.................................  Glucose tolerance test (GTT)
                                         [only when billed with ICD-9-CM
                                         code V77.1]
83718.................................  Assay of lipoprotein [only when
                                         billed with one of the
                                         following ICD-9-CM codes:
                                         V81.0, V81.1, or V.81.2]
84478.................................  Assay of triglycerides [only
                                         when billed with one of the
                                         following ICD-9-CM codes:
                                         V81.0, V81.1, or V.81.2]
G0103.................................  Psa, total screening
G0123.................................  Screen cerv/vag thin layer
G0124.................................  Screen c/v thin layer by MD
G0141.................................  Scr c/v cyto,autosys and md
G0143.................................  Scr c/v cyto,thinlayer,rescr
G0144.................................  Scr c/v cyto,thinlayer,rescr
G0145.................................  Scr c/v cyto,thinlayer,rescr
G0147.................................  Scr c/v cyto, automated sys
G0148.................................  Scr c/v cyto, autosys, rescr
G0202.................................  Screeningmammographydigital
G0328.................................  Fecal blood scrn immunoassay
G0389.................................  Ultrasound exam AAA screen
P3000.................................  Screen pap by tech w md supv
P3001.................................  Screening pap smear by phys
The physician self-referral prohibition does not apply to the following
 immunization and vaccine codes if they satisfy the conditions in Sec.
 411.355(h):.
90655.................................  Flu vaccine no preserv 6-35m
90656.................................  Flu vaccine no preserv 3 & >
90657.................................  Flu vaccine, 3 yrs, im
90658.................................  Flu vaccine 3 yrs & >, im
90660.................................  Flu vaccine, nasal
90732.................................  Pneumococcal vaccine
90740.................................  Hepb vacc, ill pat 3 dose im
90743.................................  Hepb vacc, adol, 2 dose, im
90744.................................  Hepb vacc ped/adol 3 dose im
90746.................................  Hepb vaccine, adult, im
90747.................................  Hepb vacc, ill pat 4 dose im
------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2006 American Medical
  Association. All rights are reserved and applicable FARS/DFARS clauses
  apply.
\2\ This list does not include codes for the following designated health
  service (DHS) categories: durable medical equipment and supplies;
  parenteral and enteral nutrients, equipment and supplies; prosthetics,
  orthotics, and prosthetic devices and supplies; home health services;
  outpatient prescription drugs; and inpatient and outpatient hospital
  services. For the definitions of these DHS categories, refer to Sec.
  411.351. For more information, refer to http://cms.hhs.gov/medlearn/refphys.asp.

[FR Doc. 06-9086 Filed 11-1-06; 5:00 pm]
BILLING CODE 4120-01-P